WCPanelIQ
PanelQMEGranted in Part

Jesus Oseguera — ADJ13786644

JESUS OSEGUERA, Applicant vs. STATE BROS. MARKETS; PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD, administered by CORVEL, Defendants

ADJ number
ADJ13786644
Decision date
Apr 14, 2022
District office
Santa Ana
WCJ
Juan Cervantes
Claim administrator
CorVel (administering for Property and Casualty Insurance Company of Hartford)
Commissioners
—

Injury / body parts: head, back, left ear, face

LC §3600LC §3208.3LC §5400LC §5402

Summary

Applicant Jesus Oseguera, a carpenter helper, claimed an industrial injury on August 26, 2020, when he fell after stepping on a pipe and struck the left side of his head and ear. The WCJ originally found injury to applicant's face, rejected the employer's post-termination defense under Labor Code section 3600(a)(10), and found applicant entitled to a Panel QME evaluation. Defendant petitioned for reconsideration, arguing the court applied the wrong legal standard on injury and the post-termination defense. The WCAB granted reconsideration, adopting the WCJ's report, and amended the decision to rescind the premature face injury finding (deferring all body parts) while otherwise affirming that the post-termination defense did not apply because the employer had notice of injury before the layoff.

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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