WCPanelIQ
PanelQMEMed-legalDenied

Davis, Paul

PAUL DAVIS, Applicant vs. ADVOCATES FOR MENTALLY ILL HOUSING INC., permissibly self-insured through NON-PROFITS UNITED SELF-INSURED GROUP, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants

ADJ number
ADJ17784341
Decision date
Jul 31, 2025
District office
Sacramento
WCJ
—
Claim administrator
Sedgwick Claims Management Services (administering self-insurance for Advocates for Mentally Ill Housing Inc. through Non-Profits United Self-Insured Group)
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: eyes, mouth, respiratory system, arms, throat, lungs, head

LC §5909LC §5900LC §5904CCR §10600CCR §10955

Summary

Applicant Paul Davis, a Peer Support Specialist, claimed an industrial injury to multiple body parts while employed by Advocates for Mentally Ill Housing Inc. The WCJ issued a Findings of Fact and Orders that found a threshold employment relationship and ordered the parties to develop the record by obtaining further medical records (from VA centers) and a supplemental report from QME Dr. Jose Sanchez. Defendant sought reconsideration/removal, arguing applicant failed to diligently prosecute, failed to carry the burden of proving industrial injury, and failed to object to the DOR. Because defendant challenged only the interlocutory order to develop the record (not the threshold employment finding), the Board applied the removal standard. The Board found no significant prejudice or irreparable harm and 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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