WCPanelIQ
PanelQMELienDenied

Li, Xian Ji

XIAN JI LI, Applicant vs. BENIHANA, INC.; ZURICH AMERICAN INSURANCE COMPANY, administered by BROADSPIRE, Defendants

ADJ number
ADJ12718872
Decision date
Dec 8, 2025
District office
San Francisco
WCJ
Bernhard Baltaxe
Claim administrator
Broadspire (administering for Zurich American Insurance Company)
Commissioners
—

Injury / body parts: neck, back, left shoulder, hands, wrists, headaches, heart, psyche

LC §5909LC §5900LC §5905LC §3600LC §3351LC §5705LC §5900LC §4610CCR §10625

Summary

Applicant Xian Ji Li fell at work at Benihana on September 22, 2019 when she and a cart impacted each other, sustaining injuries to multiple body parts including neck, back, left shoulder, hands, wrists, headaches, heart, and psyche. The WCJ found injury AOE/COE, awarded TTD, PPD, and future medical care, and allowed EDD's lien. Defendant sought reconsideration arguing the injury was intentionally self-inflicted under Labor Code section 3600(a)(5), and that the TTD period, EDD reimbursement, and future heart treatment award were unsupported. The Board denied reconsideration, holding defendant failed to meet its burden of proving specific intent to self-injure, that the video and testimony corroborated an accidental injury, and that QME Dr. Britton's unrebutted testimony supported future medical care for the heart contusion.

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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