WCPanelIQ
PanelMed-legalGranted

Sanchez, Jesse

JESSE SANCHEZ, Applicant vs. CVS PHARMACY; NEW HAMPSHIRE INSURANCE COMPANY, ADMINISTERED BY SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., Defendants

ADJ number
ADJ9601706
Decision date
Jun 13, 2023
District office
Marina Del Rey
WCJ
—
Claim administrator
Sedgwick Claims Management Services, Inc. (administering New Hampshire Insurance Company)
Commissioners
CRAIG SNELLINGS, COMMISSIONER, NATALIE PALUGYAI, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: lumbar spine, right knee, right shoulder, right hip, left knee, right wrist

LC §5313LC §5315LC §5806LC §5807LC §5815LC §5903LC §5908.5LC §5952CCR §10166CCR §10675CCR §10964

Summary

Applicant Jesse Sanchez claimed multiple injuries while working as a manager for CVS Pharmacy on August 1, 2014. After trial framing issues of body parts (right wrist), permanent disability, apportionment, occupation/group number, future medical treatment, and self-procured treatment, the WCJ issued a single Finding of Fact stating disability issues 'will be found in accordance with' the AME, Dr. Jeffrey Berman. Defendant sought reconsideration, arguing the decision was vague, failed to address all issues (including disputed right wrist injury and Kite/Almaraz-Guzman impairment arguments), and lacked legal reasoning, a rating, or an award. The Board agreed, finding the decision failed to meet the minimum standards of Labor Code sections 5313 and 5815 and Hamilton. The Board granted reconsideration, rescinded the Findings of Fact, and returned the matter to the WCJ to address all issues, issue rating instructions, and produce an enforceable decision.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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