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PanelQMEMed-legalDenied

Felicia Sonnier — ADJ10793298

FELICIA SONNIER, Applicant vs. LOS ANGELES UNIFIED SCHOOL DISTRICT, permissibly self-insured, administered by SEDGWICK CMS, Defendants

ADJ number: ADJ10793298
Decision date: Sep 30, 2021
District office: Van Nuys
WCJ: —
Claim administrator: Sedgwick CMS (administrator for Los Angeles Unified School District, permissibly self-insured)
Commissioners: AMBER INGELS, DEPUTY COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, DEIDRA E. LOWE, COMMISSIONER

Injury / body parts: right hand, right elbow

LC §4628LC §5904CCR §31.5CCR §41.5CCR §10843CCR §10955

Summary

Applicant Felicia Sonnier filed a Petition for Removal (treated as a Petition for Reconsideration) challenging the WCAB's July 22, 2021 Opinion and Order, which found injury AOE/COE to the right hand and right elbow and ordered issuance of a replacement QME panel after striking the reporting of Lawrence Miller, M.D. for violation of Labor Code section 4628. Because the underlying decision resolved a threshold issue (AOE/COE) but the applicant only challenged the interlocutory order regarding the replacement QME panel, the Board applied the removal standard. The Board found that Dr. Miller repeatedly failed to comply with section 4628 and falsely signed under penalty of perjury that he had reviewed records he had not, justifying a replacement panel to preserve the integrity of the medical-legal process. The Board concluded applicant failed to show significant prejudice or irreparable harm and that reconsideration would remain an adequate remedy, so it denied the petition.

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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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.