WCPanelIQ
PanelQMELienGranted in Part

Hernandez, Maria

MARIA HERNANDEZ, Applicant vs. COSTCO WHOLESALE CORPORATION, permissibly self-insured, administered by HELMSMAN MANAGEMENT, Defendants

ADJ number
ADJ16426069
Decision date
Aug 30, 2023
District office
Santa Rosa
WCJ
—
Claim administrator
Helmsman Management (administering for Costco Wholesale Corporation, permissibly self-insured)
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, NATALIE PALUGYAI, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: neck, right shoulder

LC §4909LC §4656LC §5313CCR §10555

Summary

Maria Hernandez sustained an admitted industrial injury to her neck and right shoulder on February 16, 2019 while working as a bakery wrapper for Costco. The WCJ awarded 21% permanent disability and future medical treatment, but also granted defendant a credit for temporary disability indemnity paid beyond the 104-week statutory cap, applied at the permanent disability rate of $290/week. Applicant sought reconsideration arguing defendant was barred from credit for failure to file a petition for credit and that the equities did not favor a credit. The Board held that failure to file a petition for credit under Rule 10555 does not bar a credit claim, but found the record insufficient to determine the actual overpayment amount or whether the equities favored a credit. The Board granted reconsideration, amended the F&A to find an overpayment occurred while deferring the amount and equity determinations, and remanded for further development of the record.

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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