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PanelQMEMed-legalDenied

Sosa, Juan

JUAN SOSA, Applicant vs. RC GREEN TOUCH INC.; INSURANCE COMPANY OF THE WEST; SECURITY NATIONAL INSURANCE COMPANY, administered by AMTRUST NORTH AMERICA, Defendants

ADJ number: ADJ19039281
Decision date: Oct 27, 2025
District office: San Bernardino
WCJ: —
Claim administrator: AmTrust North America (administering Security National Insurance Company); Insurance Company of the West
Commissioners: LISA A. SUSSMAN, DEPUTY COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, CRAIG L. SNELLINGS, COMMISSIONER

Injury / body parts: head, neck, arms, legs, knees, ankles, shoulders, elbows, hands, back

LC §5500.5LC §5900LC §5904LC §5909CCR §30CCR §10625CCR §10955

Summary

Applicant Juan Sosa sought reconsideration or removal of a July 21, 2025 Findings and Order in which the WCJ invalidated QME panel number 7774203 in the chiropractic specialty. The case involved a cumulative trauma claim with two insurance carriers (ICW and Security National/AmTrust), and applicant had already participated in the QME process via an earlier orthopedic panel (7688611) obtained using ICW's claim number. Applicant later secured a second panel using a different claim number assigned by AmTrust and failed to properly serve defendant AmTrust. The Board treated the petition under the removal standard because the only challenged finding was interlocutory, and held that the second panel was properly invalidated due to noncompliance with AD Rule 30 and improper service under WCAB Rule 10625. The petition was denied.

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.