WCPanelIQ
PanelQMEDenied

Ramona Sanchez — ADJ14533829

RAMONA SANCHEZ, Applicant vs. LYNEER STAFFING SOLUTIONS, LLC; STATE NATIONAL INSURANCE COMPANY, administered by CANNON COCHRAN MANAGEMENT SERVICES, Defendants

ADJ number
ADJ14533829
Decision date
Jan 20, 2022
District office
Long Beach
WCJ
Julie Feng
Claim administrator
Cannon Cochran Management Services (administering State National Insurance Company)
Commissioners
—
LC §3202.5LC §4062.2LC §4650LC §5502LC §5800LC §5813LC §5814LC §5902CCR §10205.12CCR §10945

Summary

Applicant Ramona Sanchez was awarded retroactive temporary disability benefits on an admitted claim based on the unrebutted Panel QME report of Dr. Balian, which identified a period of temporary partial disability extending past the original MMI date. The WCJ found the employer failed to prove a bona fide offer of alternative/modified duty was available during that period. Defendant petitioned for reconsideration arguing denial of due process, insufficient evidence, and that Labor Code sections 4650(d) and 5800 should not apply. The WCAB denied reconsideration, adopting and incorporating the WCJ's report, and strongly admonished defense attorney Vivian Elias for violating WCAB Rule 10945 by attaching documents already in the record to a 120-page petition. The Board warned that future rule violations may result in sanctions.

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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