WCPanelIQ
PanelQMEMed-legalGranted in Part

Raymond, Wonda

WONDA RAYMOND, Applicant vs. SEIU LOCAL 2015; REDWOOD FIRE AND CASUALTY INSURANCE COMPANY; adjusted by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, Defendants

ADJ number
ADJ11938023
Decision date
Jan 4, 2026
District office
Sacramento
WCJ
—
Claim administrator
Berkshire Hathaway Homestate Companies
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: right ankle, right foot, bilateral wrists, tailbone/coccyx, left ankle, bilateral knees, psyche, heart, stroke/brain

LC §5909LC §5900LC §5904CCR §10600CCR §10955

Summary

Applicant Wonda Raymond was found to have sustained industrial injury to her right ankle, right foot, bilateral wrists, and tailbone/coccyx, with claimed injuries to additional body parts including psyche, heart, and stroke/brain. The WCJ found applicant entitled to QME panels in cardiovascular disease and psychiatry, then issued an Amended F&O correcting the order to specify psychology rather than psychiatry, but failed to conform Finding of Fact No. 3 to that change. Defendant sought reconsideration, arguing the stroke and psyche claims arose more than five years from the date of injury, that the heart QME was unnecessary, and noting the discrepancy between findings and order. The Appeals Board granted reconsideration solely to correct the clerical error in Finding of Fact No. 3 to reflect a psychology panel, and otherwise affirmed the WCJ's decision based on the WCJ's Report. The Board treated the challenge to the QME panel issuance under the removal standard and found no significant prejudice or irreparable harm.

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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