WCPanelIQ
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David Roundtree — ADJ11228310

DAVID ROUNDTREE, Applicant vs. CHERNE CONTRACTING CORPORATION; AMERICAN HOME ASSURANCE COMPANY, administered by AIG CLAIMS, Defendants

ADJ number
ADJ11228310
Decision date
Oct 3, 2022
District office
Oakland
WCJ
—
Claim administrator
AIG Claims (administering for American Home Assurance Company)
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: left leg, left knee, left foot, hips, back, wrist

LC §4909CCR §35

Summary

Applicant David Roundtree, a steamfitter, sustained accepted injuries to his left leg, knee, foot, hips, back, and wrist when struck by a car at the Chevron Refinery. Defendant sought a credit against permanent disability for an alleged TTD overpayment of $22,569.30 for the period August 10, 2019 through December 17, 2019, arising because the QME, Dr. Jared Myers, initially deferred findings due to the defendant's failure to provide medical records before the exam, then later found applicant P&S retroactive to the original exam date. The WCJ denied the credit, finding the delay and resulting overpayment were largely attributable to defendant's failure to timely provide records to the QME as required by WCAB Rule 35(a). The WCAB granted reconsideration to study the issues but ultimately affirmed the February 11, 2021 Findings and Order denying the credit, adopting the WCJ's Opinion on Decision.

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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