WCPanelIQ
PanelGranted

Zenaida Garcia — ADJ11297130

ZENAIDA GARCIA, Applicant vs. RIVERSIDE MAGNOLIA CORPORATION dba EXTENDED CARE HOSPITAL OF WESTMINSTER, and CYPRESS INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY HOME STATES COMPANIES, Defendants

ADJ number
ADJ11297130
Decision date
Mar 3, 2021
District office
Santa Ana
WCJ
—
Claim administrator
Berkshire Hathaway Home States Companies (administering Cypress Insurance Company)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, MARGUERITE SWEENEY, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: left upper extremity

LC §4658.7LC §5900LC §5903LC §5000LC §5100CCR §9785CCR §10507CCR §10605CCR §10845CCR §10940CCR §10392CCR §10615CCR §10840

Summary

Applicant Zenaida Garcia, a housekeeper, claimed injury to her left upper extremity. Her claim was settled by C&R, but the issue of entitlement to a Supplemental Job Displacement Benefit (SJD) voucher was specifically excluded (and could not be settled under Labor Code section 4658.7(g)). The treating chiropractor submitted a Physician's Return-to-Work & Voucher Report stating applicant was permanent and stationary with permanent partial disability and work restrictions, but no separate P&S report was provided. The WCJ found applicant failed to meet her burden of proof for the voucher; the Appeals Board, after granting reconsideration, rescinded the F&O. The Board held that the Voucher Report alone provided all information necessary to establish entitlement and that requiring a separate P&S report would elevate form over substance, contrary to the intent of SB 863. The Board awarded applicant a $6,000 SJD voucher.

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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