WCPanelIQ
PanelQMEMed-legalGranted

Edward Lindberg — ADJ15991395

EDWARD LINDBERG, Applicant vs. WEST COAST QUARTZ CORPORATION; SECURITY NATIONAL INSURANCE COMPANY/AMTRUST NORTH AMERICA, Defendants

ADJ number
ADJ15991395
Decision date
May 10, 2026
District office
Oakland
WCJ
—
Claim administrator
AmTrust North America (for Security National Insurance Company)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, PAUL F. KELLY, COMMISSIONER

Injury / body parts: lumbar spine, sacroiliac joint, left hip (claimed, found non-industrial)

LC §4060LC §4061LC §4062.3LC §4658.7LC §4663LC §5705LC §5803LC §5900LC §5901LC §5903LC §5907LC §5908LC §5908.5LC §5909LC §5950LC §5952CCR §10133.31CCR §10133.36

Summary

Applicant Edward Lindberg sustained an accepted specific injury to his lumbar spine on February 24, 2022, while mopping as a janitor, with a claimed sacroiliac (SI) joint injury. The WCJ found 8% permanent disability based on QME Dr. Fisher's 13 WPI rating with 70% non-industrial apportionment, declined to adopt PTP Dr. Ganga's standalone Almaraz/Guzman SI joint rating, and found the record insufficient to determine SJDB voucher entitlement. Applicant sought reconsideration, challenging the substantialness of the apportionment opinion and the rejection of the SI joint impairment, and seeking a voucher. The Appeals Board granted reconsideration, finding upon preliminary review that it was unclear whether substantial medical evidence supported the PD/apportionment determination without further development of the record. The Board deferred a final decision after reconsideration to allow fuller study of the factual and legal issues and to ensure a properly developed record.

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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