WCPanelIQ
PanelQMEMed-legalLienDenied

Jorge Benavides — ADJ11187123

JORGE GERMAN BENAVIDES, Applicant vs. WAGNER RYAN, individually; AGS TILE AND STONE; WESCO INSURANCE COMPANY, administered by AMTRUST NORTH AMERICA, Defendants

ADJ number
ADJ11187123
Decision date
May 8, 2022
District office
Sacramento
WCJ
Ariel Aldrich
Claim administrator
AmTrust North America (administering Wesco Insurance Company)
Commissioners
—

Injury / body parts: low back

CCR §10945

Summary

Applicant Jorge Benavides sustained an industrial low back injury on October 18, 2017 while working as a tile setter. After trial, the WCJ awarded 38% permanent disability based on QME Dr. Nicole Chitnis's Almaraz/Guzman rating (analogizing to a one-level fusion at DRE Lumbar Category IV), rejecting applicant's claim of 100% total disability based on vocational expert Frank Diaz's report. Applicant petitioned for reconsideration disputing the PD finding. The Board adopted and incorporated the WCJ's report, finding Dr. Chitnis's opinion better reasoned than Mr. Diaz's, and denied reconsideration. The Board also admonished defense counsel for attaching documents already in the record in violation of WCAB Rule 10945.

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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