WCPanelIQ
PanelQMEMed-legalDenied

Stuart Swan — ADJ9936596, ADJ10421429

STUART SWAN (Deceased), Applicant vs. MORENO VALLEY UNIFIED SCHOOL DISTRICT, permissibly self-insured, administered by KEENAN & ASSOCIATES; MORENO VALLEY DODGE and HONDA /MOSS BROS DODGE and CHUBB administered by ESIS RISK MANAGEMENT SERVICES; INSURANCE COMPANY OF THE WEST, Defendants

ADJ number
ADJ9936596, ADJ10421429
Decision date
Aug 4, 2022
District office
Riverside
WCJ
Robert Hill
Claim administrator
Keenan & Associates (for Moreno Valley Unified School District, permissibly self-insured); ESIS Risk Management Services (for Chubb)
Commissioners
—

Injury / body parts: cancer (multiple myeloma), skin (squamous cell and basal cell carcinoma), other body systems, neurology

LC §5701LC §5906LC §5502LC §5300LC §5500.5LC §5500.6LC §5275LC §5412LC §3700LC §3351LC §4751LC §5705LC §5400LC §5401

Summary

Stuart Swan claimed cancer (multiple myeloma and skin cancer) from chemical exposure while employed as an irrigation specialist by Moreno Valley Unified School District (2000-2014) and earlier as a painter at Moreno Valley/Moss Bros Dodge (1999-2000). After the claims were resolved by a dependency Compromise and Release for $270,000, Moreno Valley Unified filed an Amended Petition for Reimbursement against the Moss Bros Dodge carriers (Chubb/ESIS and Insurance Company of the West). The WCJ found that the reports of QME Dr. Mark Ngo did not constitute substantial evidence to support reimbursement, declined further development of the record, and ordered Moreno Valley Unified take nothing. The WCAB denied reconsideration, adopting the WCJ's Report, holding that Dr. Ngo's reports failed to establish the degree of causation attributable to the prior employer, that defense QME Dr. Padova's contrary opinion was substantial evidence, and that Moreno Valley Unified failed to exercise due diligence in discovery.

Issues

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Holding

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Analysis

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Defense takeaway

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Provider takeaway

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