WCPanelIQ
PanelDismissed

Montes, Rick

RICK MONTES, Applicant vs. INSPERITY PEO SERVICES, L.P./ZOLLNER ELECTRONICS, INC.; ACE AMERICAN INSURANCE COMPANY, adjusted by SEDGWICK CLAIMS MANAGEMENT, Defendants

ADJ number
ADJ17059668
Decision date
Jan 18, 2024
District office
San Jose
WCJ
Pauline H. Suh
Claim administrator
Sedgwick Claims Management (adjusting for ACE American Insurance Company)
Commissioners
—

Injury / body parts: left shoulder, hernia

LC §5903LC §3600LC §5411LC §5412LC §5902CCR §10945CCR §10972

Summary

Applicant Rick Montes, an operations manager, alleged a specific injury to his left shoulder and hernia on either 8/24 or 8/25/2022, approximately five days before his termination from Zollner Electronics on 8/29/2022. The WCJ found the claim barred by the post-termination defense under Labor Code section 3600(a)(10) because the injury was not reported until after the notice of termination and no medical evidence existed prior to termination establishing the injury. Applicant, proceeding via DWC Form 45, filed a Petition for Reconsideration alleging all five grounds under section 5903 plus possible ineffective assistance of counsel, but failed to establish any ground or cite to the record. The WCAB dismissed the petition for failure to establish grounds under section 5903 and failure to make specific record citations under CCR sections 10945 and 10972, while also noting it would have denied on the merits adopting the WCJ's report.

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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