WCPanelIQ
PanelQMEMed-legalDenied

Michael Dela Pena — ADJ12728369

MICHAEL DE LA PENA, Applicant vs. AMAZON.COM. INC.; AMERICAN ZURICH INSURANCE COMPANY, administered by SADGWICK CLAIMS MANAGEMENT SERVICES, INC., Defendants

ADJ number
ADJ12728369
Decision date
Feb 18, 2021
District office
Anaheim
WCJ
—
Claim administrator
Sedgwick Claims Management Services, Inc. (administering for American Zurich Insurance Company)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER
LC §5904CCR §10843CCR §10955

Summary

Applicant Michael De La Pena filed a Petition for Removal challenging the WCJ's interlocutory order regarding a panel qualified medical examination in a claim against Amazon.com, Inc. and its insurer. Because the WCJ's decision included a finding of employment—a threshold issue—the Board treated the underlying decision as a final order subject to reconsideration; however, since the petitioner challenged only the interlocutory PQME determination, the Board applied the removal standard. The Board found that the petitioner failed to demonstrate significant prejudice or irreparable harm, or that reconsideration would be an inadequate remedy if a final adverse decision later issued. 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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