WCPanelIQ
PanelQMEMed-legalRemanded

Mayor, Joseph

JOSEPH MAYOR, Applicant vs. ROSS VALLEY SANITARY DISTRICT, PERMISSIBLY SELF-INSURED, administered by SEDGWICK CMS, Defendants

ADJ number
ADJ10036954
Decision date
Date unavailable
District office
Oakland
WCJ
—
Claim administrator
Sedgwick CMS
Commissioners
JOSÉ H. RAZO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: cervical spine, thoracic spine, right shoulder, right knee, head (cervicogenic headaches)

LC §4660.1LC §4663LC §5313LC §5903LC §5908.5LC §5952CCR §10960CCR §10961CCR §10962

Summary

Applicant Joseph Mayor, a maintenance worker, sustained industrial injury on December 9, 2013 to his cervical spine, thoracic spine, and right shoulder, with claimed injuries to his right knee and cervicogenic headaches. The WCJ found applicant permanently and totally disabled, relying on vocational expert Jeff Malmuth's reporting that rebutted the scheduled 53 percent rating by establishing non-feasibility for vocational retraining. Defendant sought reconsideration, arguing the vocational expert's conclusions were unsubstantiated, the apportionment identified by QME Dr. Ryan was not adequately addressed, and that vocational reporting is inadmissible under Labor Code section 4660.1(a). The Board found that no Report and Recommendation was prepared by the WCJ (who was unavailable) or the Presiding WCJ, and that the Opinion on Decision failed to adequately explain the basis for several findings, including the interaction of medical apportionment with vocational non-feasibility and omitted findings on the claimed body parts. The Board rescinded the F&A and returned the matter to the trial level for further proceedings.

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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