WCPanelIQ
PanelQMEMed-legalDismissed

John Fernando — ADJ10422918

JOHN FERNANDO, Applicant vs. STATE OF CALIFORNIA, DEPARTMENT OF CORRECTION & REHABILITATION, legally uninsured, adjusted by STATE COMPENSATION INSURANCE FUND; SUBSEQUENT INJURIES BENEFITS TRUST FUND, Defendants

ADJ number
ADJ10422918
Decision date
Jun 28, 2022
District office
Salinas
WCJ
—
Claim administrator
State Compensation Insurance Fund (adjusting for State of California, Department of Corrections & Rehabilitation, legally uninsured)
Commissioners
MARGUERITE SWEENEY, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: bilateral knees, shoulders, cervical spine

LC §5909LC §5900LC §5902LC §5903LC §4753.5CCR §10843

Summary

SIBTF sought reconsideration of a February 2, 2022 Findings and Order requiring it to authorize weight-bearing bilateral knee x-rays requested by evaluator Dr. Moses Jacob and to obtain and forward 2017 standing x-rays for his review. SIBTF argued the x-rays were not reasonable or necessary to prove a preexisting labor-disabling disability and that the order improperly shifted the burden of production and proof to SIBTF. The Board dismissed the Petition for Reconsideration because the discovery order was not a final order, and treated and denied the petition as one for Removal because SIBTF failed to show substantial prejudice or irreparable harm. The Board noted SIBTF can seek reconsideration after a final decision on the SIBTF claim and that the applicant may be better positioned to provide the 2017 x-rays. The Board also addressed timeliness, invoking Shipley to find its delayed action was tolled.

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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