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PanelQMEMed-legalDenied

Mills, Rebecca

REBECCA MILLS, Applicant vs. STATE COMPENSATION INSURANCE FUND; permissibly self-insured, administered by AIMS, Defendants

ADJ number: ADJ10774716
Decision date: Sep 1, 2025
District office: San Francisco
WCJ: Barry Gorelick
Claim administrator: AIMS (administering for State Compensation Insurance Fund, permissibly self-insured)
Commissioners: —

Injury / body parts: stroke (cerebrovascular accident), psyche, left-sided hemiplegia, left cranial nerve VII (facial palsy), head (post-concussion syndrome), left upper extremity

LC §4663LC §4664LC §5900LC §5909CCR §10600

Summary

Applicant Rebecca Mills, a claims adjuster, suffered an industrial cumulative injury in the form of a stroke and psychiatric injury found compensable at a prior trial. The case proceeded to trial on permanent disability and apportionment, where internal medicine PQME Dr. Scott Anderson apportioned 40% of disability to non-industrial risk factors (hypertension 20%, diabetes 10%, high cholesterol 10%). The WCJ found applicant 100% permanently and totally disabled without apportionment, reasoning that Dr. Anderson conflated causation of injury with causation of disability. The Board adopted the WCJ's Report and denied reconsideration, holding that Dr. Anderson's apportionment opinion was not substantial evidence because the risk factors only increased the likelihood of a stroke (the injury) but did not contribute to its severity (the disability).

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.