WCPanelIQ
PanelGranted

Zamudio, Teresa

TERESA ZAMUDIO, Applicant vs. STARCO ENTERPRISES; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION by INTERCARE INSURANCE SERVICES for CREDIT GENERAL INDEMNITY, in liquidation, Defendants

ADJ number
ADJ3301539
Decision date
Dec 11, 2025
District office
Long Beach
WCJ
—
Claim administrator
California Insurance Guarantee Association by Intercare Insurance Services for Credit General Indemnity, in liquidation
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: back, left hip, leg

LC §4600LC §4604LC §4604.5LC §4610LC §4610.5LC §4610.6LC §5307.27

Summary

Applicant Teresa Zamudio sustained an industrial injury to her back, left hip, and leg in 2000, and the parties entered into Stipulations with Request for Award in 2003 referencing AME Dr. Richard Siebold. A dispute arose over whether the 2003 Stipulations bound the parties to submit future medical treatment disputes—specifically home health care—to Dr. Siebold rather than to the statutory UR/IMR process. The WCJ found Dr. Siebold controlling per the original stipulation, and defendant sought reconsideration. The Appeals Board rescinded the WCJ's decision, holding that the plain language of the 2003 Stipulations did not reflect an agreement to bypass UR/IMR and submit all future medical treatment disputes to Dr. Siebold. The Board substituted new findings and deferred all other issues.

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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