WCPanelIQ
PanelQMEMed-legalGranted in Part

Jesus Gutierrez — ADJ20106865

JESUS GUTIERREZ, Applicant vs. HAL HAYS CONSTRUCTION, INC.; FEDERAL INSURANCE COMPANY, administered by GALLAGHER BASSETT SACRAMENTO, Defendants

ADJ number
ADJ20106865
Decision date
May 17, 2026
District office
Pomona
WCJ
—
Claim administrator
Gallagher Bassett Sacramento (administering Federal Insurance Company)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER, PAUL F. KELLY, COMMISSIONER

Injury / body parts: neck, right arm, right elbow, back, right ankle, right wrist, right hand, right shoulder

LC §5904LC §5909LC §5900LC §4062LC §4062.2LC §2062.2CCR §31.1CCR §31.5CCR §10955CCR §10600CCR §10605

Summary

Applicant Jesus Gutierrez, a carpenter, sustained an industrial injury on August 16, 2024, when he fell off a ladder, injuring his neck, right arm, right elbow, back, and right ankle. After applicant's counsel obtained a chiropractic QME Panel #7790463 (winning the race to submit the panel request), defendant struck a panelist but later sought to challenge the chiropractic specialty as inappropriate, requesting an orthopedic replacement panel. The WCJ initially found defendant did not waive its right to challenge the specialty, ruled chiropractic inappropriate, and ordered a replacement orthopedic panel. On reconsideration/removal, the Appeals Board reversed those findings, holding that defendant's March 21, 2025 strike letter contained no objection whatsoever to the panel specialty, thereby waiving the objection. The Board amended the F&O to find applicant was entitled to choose the QME specialty, that chiropractic was appropriate, and rescinded the stay of the chiropractic panel.

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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