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PanelQMEGranted

Estrela, Jaime

JAIME ESTRELA, Applicant vs. THE PERMANENTE MEDICAL GROUP, Permissibly Self-Insured; ADMINISTERED BY ATHENS ADMINISTRATORS, Defendants

ADJ number: ADJ15223054
Decision date: Sep 10, 2023
District office: Santa Rosa
WCJ: —
Claim administrator: Athens Administrators (for The Permanente Medical Group, permissibly self-insured)
Commissioners: CRAIG SNELLINGS, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: nervous system, psyche, stress

LC §5803LC §3208.1LC §3208.2LC §5411LC §5412LC §5814LC §5710

Summary

Applicant Jaime Estrela, a nurse, had a specific injury claim (ADJ12748629) for a June 26, 2019 psyche injury and a separate cumulative trauma claim (ADJ15223054) for the period June 25, 2018 to June 25, 2019. The parties resolved ADJ12748629 via a C&R approved April 13, 2021. The WCJ found that the C&R also resolved the cumulative trauma claim and ordered applicant take nothing on ADJ15223054. On reconsideration, the WCAB rescinded the F&O, holding that the cumulative claim was not duplicative of and was not resolved by the C&R because only the specific injury case number was listed and described in the settlement document. The Board returned the matter to the WCJ for further proceedings on the cumulative claim.

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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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.