WCPanelIQ
PanelQMEMed-legalGranted

Gelfand, Ilene

ILENE GELFAND, Applicant vs. THE KROGER COMPANY dba RALPHS, permissibly self-insured, administered by SEDGWICK CMS, Defendants

ADJ number
ADJ10080239
Decision date
Apr 8, 2024
District office
Van Nuys
WCJ
—
Claim administrator
Sedgwick CMS (administering for The Kroger Company dba Ralphs, permissibly self-insured)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSÉ H. RAZO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: left leg, psyche, back, bilateral feet, right wrist, peripheral vascular disease/lower extremities, bilateral knees, neck, Complex Regional Pain Syndrome, bilateral shoulders, bilateral wrists, bilateral hands, thrombophlebitis of left leg, plantar osteitis/fasciitis

LC §4663LC §5502LC §5701LC §5906

Summary

Applicant Ilene Gelfand sought reconsideration of a January 17, 2024 Joint Findings and Award that found permanent partial disability (10% for the 2014 specific injury and 65% for the cumulative trauma injury) but rejected her claim of permanent total disability. The WCJ found applicant's vocational expert (Anthony Reyes) reporting was not substantial evidence because it failed to account for valid medical apportionment, applying the en banc decisions in Nunes I and Nunes II. The Board agreed the current vocational reporting did not constitute substantial evidence, but noted that the vocational reports predated the Nunes decisions and that discovery had closed before Nunes I & II issued. Citing due process concerns and the Board's authority to develop the record, the Board granted reconsideration, rescinded the F&A, and remanded for supplemental medical and/or vocational reporting consistent with Nunes.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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