WCPanelIQ
PanelQMEMed-legalDenied

Israel Mendoza — ADJ16963666

ISRAEL MENDOZA, Applicant vs. EMERALD TEXTILES, INSOURCE EMPLOYER SOLUTIONS, INC.; UNITED WISCONSIN INSURANCE COMPANY, administered by NEXT LEVEL ADMINISTRATORS, Defendants

ADJ number
ADJ16963666
Decision date
Apr 12, 2026
District office
San Diego
WCJ
—
Claim administrator
Next Level Administrators
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: lumbar spine, shoulders, psyche, head, cervical spine, jaw, vision, hearing, urinary incontinence

LC §5909LC §5900LC §5904LC §139.2LC §5908CCR §10600CCR §10955CCR §10945

Summary

Defendant sought reconsideration of a WCJ's Findings and Order determining that defendant was not entitled to a replacement panel after defendant alleged that PQME orthopedist James Esch, M.D. had an expired/delinquent physician and surgeon license during the pendency of the claim. The WCAB treated the petition under the removal standard because the challenged order regarding the replacement panel was interlocutory, even though the decision contained final/threshold findings. The Board found that Dr. Esch's license had been renewed and was current (expiring November 30, 2026), and that there was no evidence his license was delinquent when he was selected or when he prepared his reports. Citing McKinney, the Board distinguished a mere expired license for unpaid renewal fees from formal discipline (suspension, revocation, probation), and held only the latter renders QME reports inadmissible under Labor Code section 139.2(m). The Board denied the petition, finding no significant prejudice or irreparable harm warranting removal.

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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