WCPanelIQ
PanelQMEDenied

Gonzales, Miguel

MIGUEL GONZALES, Applicant vs. VESTA FOODSERVICE; SAFETY NATIONAL INSURANCE COMPANY, Defendants

ADJ number
ADJ13327834
Decision date
Date unavailable
District office
Van Nuys
WCJ
Lynn Devine
Claim administrator
Safety National Insurance Company
Commissioners
—

Injury / body parts: back, right arm, right shoulder, right knee, lumbar spine

LC §3600LC §3202.5LC §5705

Summary

Applicant Miguel Gonzales claimed an industrial injury to his back, right arm, and right knee while working for Vesta Foodservice. The parties twice stipulated to an August 14, 2019 date of injury, though applicant testified inconsistently and suggested the injury may have occurred on November 14, 2019. The WCJ found injury AOE/COE based on the QME opinion of Dr. Falkinstein and rejected defendant's post-termination defense under Labor Code section 3600(a)(10) because a November 14, 2019 medical record predating applicant's February 2020 termination documented the injury. Defendant petitioned for reconsideration, arguing a trip sheet showed applicant could not have been injured on the stipulated date. The Board denied reconsideration, holding defendant was bound by its stipulation absent good cause and that the pre-termination medical record defeated the post-termination defense.

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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