WCPanelIQ
PanelQMEGranted

Rivera Flores, Heber

HEVER RIVERA FLORES, Applicant vs. L.A. SPECIALTY FOOD PRODUCE COMPANY, INC.; SAFETY NATIONAL CASUALTY CORPORATION, administered by TRISTAR RISK MANAGEMENT, Defendants

ADJ number
ADJ16035179
Decision date
Mar 28, 2024
District office
Oakland
WCJ
—
Claim administrator
Tristar Risk Management
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSÉ H. RAZO, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: left shoulder

LC §4453LC §5900LC §5901LC §5903LC §5950LC §5301LC §5803LC §5811LC §5909LC §5908.5LC §3201LC §5501LC §4622CCR §10507CCR §10508CCR §10845CCR §10392CCR §10940CCR §10205CCR §10206CCR §10962CCR §10617

Summary

Applicant Hever Rivera Flores sustained an admitted left shoulder injury on August 28, 2021 while working as an order puller. The WCJ calculated his average weekly earnings (AWE) at $749.42 under Labor Code section 4453(c)(1), based on actual earnings in the 12 months before injury, a period during which his hours and wages were significantly reduced by the COVID-19 pandemic. The WCAB granted reconsideration and amended the AWE to $1,301.46 under section 4453(c)(4) (earning capacity), finding applicant's 2019 pre-pandemic earnings the most accurate reflection of his true earning power because the depressed wages resulted from market forces beyond his control. This increased the TTD rate to $867.64, eliminated the claimed overpayment, and deferred the penalty and attorney fee issues. The Board also addressed its tolling of the 60-day reconsideration period under Shipley due to administrative delay in transmitting the file, and corrected a typographical error to reflect the left shoulder.

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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