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Fidelina Monter — ADJ13283932

FIDELINA MONTER, Applicant vs. RANDSTAD NORTH AMERICA, INC., and ACE AMERICAN INSURANCE COMPANY, Defendants

ADJ number
ADJ13283932
Decision date
Mar 20, 2023
District office
Stockton
WCJ
—
Claim administrator
ACE American Insurance Company
Commissioners
CRAIG SNELLINGS, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: lower back, left leg (radicular pain)

LC §5952LC §4909

Summary

Applicant Fidelina Monter sustained a back injury on June 5, 2019, while working as a packer. The WCJ found 7% permanent disability after adopting AME Dr. Garland's 50% non-industrial apportionment, granted defendant a $2,316.07 temporary disability overpayment credit, and set attorney fees at $913.50. On reconsideration, the WCAB held that Dr. Garland's apportionment opinion failed the Escobedo standard because he did not explain the nature of the pre-existing factors or how and why they caused disability. The Board removed apportionment, rated the injury at 14% PD, denied the overpayment credit as inequitable under Maples, and increased attorney fees to $2,000.

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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