WCPanelIQ
PanelDenied

Miriam Cardona — ADJ13363828, ADJ9457659, ADJ9993085

MIRIAM CARDONA, Applicant vs. COUNTY OF LOS ANGELES AUDITOR CONTROLLER, permissibly self-insured, administered by SEDGWICK, Defendants

ADJ number
ADJ13363828, ADJ9457659, ADJ9993085
Decision date
May 14, 2026
District office
Marina del Rey District Office
WCJ
—
Claim administrator
Sedgwick (administering for County of Los Angeles Auditor Controller, permissibly self-insured)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, CRAIG L. SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: multiple body parts

LC §5909LC §5900LC §3202LC §5100LC §5101LC §5803

Summary

Applicant Miriam Cardona settled her cumulative trauma claim via Stipulations with Request for Award providing 59% permanent disability ($99,542.50 at $290/week from 11/8/2023) and attorney's fees of $14,931.37 to be commuted 'from the far end of award as necessary to avoid interruption in applicant's benefits.' Defendant instead paid attorney's fees by exhausting applicant's accrued permanent disability benefits (front-end), then commuted the remainder to the far end, depriving applicant of benefits for the accrued period 11/8/2023 to 5/29/2024. The WCJ found this constituted an improper interruption of benefits contrary to the Stipulations and awarded applicant the full accrued PD owed at the time of the Award less sums paid. The WCAB denied reconsideration, holding the defendant's payment method contradicted the plain language of the Stipulations and violated Labor Code section 5100's mandate to act in the best interest of the applicant and avoid undue hardship.

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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