WCPanelIQ
PanelQMEMed-legalDenied

Araceli Saldana — ADJ10932194

ARACELI SALDANA, Applicant vs. JESSE AND EVAN, INC. dba LA PLAZA BAKERY; FALLS LAKE INSURANCE, administered by SEDGWICK CMS, Defendants

ADJ number
ADJ10932194
Decision date
Jun 9, 2021
District office
Salinas
WCJ
—
Claim administrator
Sedgwick CMS (administering Falls Lake Insurance)
Commissioners
MARGUERITE SWEENEY, COMMISSIONER, DEIDRA E. LOWE, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: multiple body parts (unspecified)

LC §5904CCR §10843CCR §10955

Summary

Applicant Araceli Saldana filed a Petition for Removal/Reconsideration challenging the WCJ's April 1, 2021 Findings of Fact, specifically the finding that good cause had not been established at that time to order additional QME panels in internal medicine and psychology. The WCJ's decision also included a finding of injury AOE/COE to several body parts, making it a hybrid decision containing both threshold and interlocutory issues. Because applicant challenged only the interlocutory discovery issue regarding additional QME panels, the Board evaluated the petition under the removal standard rather than the reconsideration standard. The Board found that applicant failed to demonstrate significant prejudice or irreparable harm, or that reconsideration would not be an adequate later remedy. The Board 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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