WCPanelIQ
PanelQMEMed-legalGranted

Lopez, Armando

ARMANDO LOPEZ, Applicant vs. BEST CONTRACTING SERVICES, INC., and ZURICH NORTH AMERICA, Defendants

ADJ number
ADJ14570796
Decision date
Dec 20, 2023
District office
Los Angeles District Office
WCJ
Peter C. Robbins (Arbitrator)
Claim administrator
Zurich North America
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, LISA A. SUSSMAN, DEPUTY COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: left inguinal hernia

LC §5952

Summary

Applicant Armando Lopez claimed a left inguinal hernia arising from his employment with Best Contracting Services on July 18, 2019, for which he underwent surgery on August 12, 2019. The Arbitrator found applicant did not sustain a compensable injury AOE/COE, and applicant sought reconsideration arguing he was entitled to a medical-legal evaluation to determine compensability. The WCAB found that the record contained no medical evidence addressing whether applicant's employment was a causative factor of the hernia, leaving no legal basis to determine the AOE/COE issue. The Board granted reconsideration, rescinded the Findings, and returned the matter to the Arbitrator to further develop the record, including a QME evaluation, and to issue a new decision.

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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