WCPanelIQ
PanelDenied

Cortes, Jose

JOSE CORTES, Applicant vs. ST. JOHN’S REGIONAL MEDICAL CENTER, permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., Defendants

ADJ number
ADJ10343251
Decision date
Apr 26, 2023
District office
Oxnard
WCJ
Jeffrey L. Morgan
Claim administrator
Sedgwick Claims Management Services, Inc. (administering for permissibly self-insured St. John's Regional Medical Center)
Commissioners
—

Injury / body parts: right shoulder, left shoulder, bilateral shoulders

LC §5502LC §5705

Summary

Jose Cortes, a receiving clerk, had three related claims involving right, left, and bilateral shoulder injuries that were accepted by his self-insured employer. After a trial, the WCJ issued a Joint Findings, Award, and Orders on 2/21/23 awarding temporary disability for 9/29/20 through 3/15/21 in the cumulative trauma claim (ADJ10713342). Defendant petitioned for reconsideration, asserting it was entitled to credit for temporary disability it allegedly paid in the companion specific-injury claim (ADJ10713340) for an overlapping period. The WCJ recommended denial because Defendant failed to raise the credit issue on the Pre-Trial Conference Statement, failed to present any evidence (no benefit printout) that the payments were actually made, and failed to enter a stipulation regarding prior payments. The WCAB adopted the WCJ's report and denied reconsideration.

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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