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PanelQMEMed-legalRemanded

Manriquez, Mario

MARIO MANRIQUEZ, JR., Applicant vs. STATE COMPENSATION INSURANCE FUND, legally uninsured; administered by AIMS, Defendants

ADJ number: ADJ2574910
Decision date: Sep 4, 2025
District office: Santa Ana
WCJ: —
Claim administrator: AIMS (administering for State Compensation Insurance Fund, legally uninsured)
Commissioners: KATHERINE A. ZALEWSKI, CHAIR, JOSÉ H. RAZO, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: cardiovascular system, hearing loss, tinnitus, dental (compensable consequence)

LC §5313LC §5410LC §5701LC §5705LC §5813LC §5814LC §4600LC §5903LC §5952

Summary

Applicant Mario Manriquez, Jr., a former attorney, sustained an industrial cumulative cardiovascular injury with hearing loss, tinnitus, and dental compensable consequences. After both parties sought reconsideration of the WCJ's July 14, 2023 F&A, the Board rescinded that decision. The Board found the QME (Dr. Betancourt) reporting was not substantial medical evidence because it contained contradictory and self-limiting opinions and continued to mischaracterize the injury as a specific event rather than a stipulated cumulative trauma. The Board deferred the issues of new and further disability and penalties, rejected defendant's argument that the 2002 petition to reopen was procedurally defective, and ordered appointment of a regular physician under Labor Code section 5701 with the matter returned to the trial level.

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.