WCPanelIQ
PanelMed-legalDenied

Philpot, Ronald

RONALD PHILPOT, Applicant vs. PERFORMANCE DAIRY SERVICES INC.; IMPERIUM INSURANCE; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION by INTERCARE for ULLICO in liquidation, Defendants

ADJ number
ADJ7284005
Decision date
Date unavailable
District office
Fresno
WCJ
—
Claim administrator
Imperium Insurance; California Insurance Guarantee Association by Intercare for ULLICO in liquidation
Commissioners
—

Injury / body parts: sense of taste, sense of smell, right shoulder, left knee, brain (cognitive dysfunction), psyche, lumbar spine

LC §4663LC §5500.5LC §4659LC §5904LC §4660

Summary

Applicant Ronald Philpot sustained industrial injuries in two successive motor vehicle accidents (April 26, 2010 and July 14, 2011), causing injuries including a severe traumatic brain injury, loss of taste and smell, orthopedic injuries, and psyche/cognitive dysfunction. The WCJ originally found permanent and total disability split between the two insurers (70% Imperium for 2010, 30% Ullico/CIGA for 2011) under Benson. On reconsideration, the Board found no substantial medical evidence supporting apportionment between the two injuries and held that the April 26, 2010 injury alone caused permanent total disability, with any disability from the 2011 injury duplicated or exceeded by the first. After Imperium petitioned again, the Board affirmed its prior Decision After Reconsideration (with one minor correction regarding the vocational expert's testimony), rejecting Imperium's arguments that Dr. Munday's and Dr. Feinberg's reports constituted substantial evidence of apportionment.

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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