WCPanelIQ
PanelQMEMed-legalDenied

Jose Albarran — ADJ15539450

JOSE ALBARRAN, Applicant vs. ARAMARK; ACE AMERICAN INSURANCE COMPANY, administered by SEDGWICK, Defendants

ADJ number
ADJ15539450
Decision date
Aug 8, 2022
District office
Stockton
WCJ
—
Claim administrator
Sedgwick (administering for ACE American Insurance Company)
Commissioners
CRAIG SNELLINGS, COMMISSIONER, MARGUERITE SWEENEY, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: back, chest, ribs, left shoulder

LC §4060LC §4061LC §4062LC §4062.1LC §4062.2LC §4610LC §5904LC §5909LC §3201LC §3201CCR §10964CCR §10605CCR §10955

Summary

Applicant Jose Albarran claimed injury to the back, chest, ribs and left shoulder while employed by Aramark; defendant admitted the back, chest and ribs but disputed the left shoulder. While applicant was unrepresented, defendant sent a July 7, 2021 letter denying a left shoulder MRI but failed to provide the QME panel request form. After applicant retained counsel, defendant on January 13, 2022 requested a QME panel relying on the July 7, 2021 objection. The WCJ found panel no. 7464239 invalid, and the Board denied defendant's petition (treated as one for reconsideration because the decision contained final findings on employment and injury AOE/COE). The Board held the disputed-body-part issue is governed by section 4062, which—like section 4061—mandates that an unrepresented employee be immediately provided the QME panel request form, and defendant's failure to do so invalidated its objection and the subsequent panel request.

Issues

Member is $25/month or $250/year and includes full case search.

Holding

Member is $25/month or $250/year and includes full case search.

Analysis

Member is $25/month or $250/year and includes full case search.

Applicant takeaway

Member is $25/month or $250/year and includes full case search.

Defense takeaway

Member is $25/month or $250/year and includes full case search.

Provider takeaway

Member is $25/month or $250/year and includes full case search.

Similar decisions

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.