WCPanelIQ
PanelQMEMed-legalRemanded

Daunch, Richard

RICHARD DAUNCH, Applicant vs. CEMEX CONSTRUCTION MATERIALS PACIFIC, LLC./CEMEX TRUCKING, INC., and AMERICAN HOME ASSURANCE COMPANY, administered by GALLAGHER BASSETT SERVICES, INC., Defendants

ADJ number
ADJ13681926
Decision date
Jun 15, 2023
District office
Riverside
WCJ
—
Claim administrator
Gallagher Bassett Services, Inc. (administering American Home Assurance Company)
Commissioners
JOSÉ H. RAZO, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: cervical spine, lumbar spine, left leg (radiculopathy)

LC §4663LC §5952LC §5701LC §5906CCR §10390

Summary

Applicant Richard Daunch, a cement mixer truck driver, claimed cumulative injury to his cervical and lumbar spine. The WCJ found the PTP Dr. Hannani's reporting more persuasive than QME Dr. Geiger's and awarded 46% permanent disability. Defendant sought reconsideration, arguing apportionment should be based on QME Dr. Geiger's reports. After reconsideration, the Board found that neither physician's reports constituted substantial evidence on apportionment because neither adequately explained how and why the nonindustrial degenerative factors caused permanent disability. The Board rescinded the F&A and returned the matter to the WCJ to develop the record, suggesting an AME or regular physician appointment.

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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