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PanelQMEMed-legalRemanded

Silvia Fernandez — ADJ9928682

SILVIA FERNANDEZ, Applicant vs. SUBSEQUENT INJURIES BENEFITS TRUST FUND, Defendant

ADJ number
ADJ9928682
Decision date
Jul 14, 2026
District office
Oxnard
WCJ
—
Claim administrator
—
Commissioners
CRAIG L SNELLINGS, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: neck/cervical spine, bilateral shoulders, bilateral elbows, thoracic spine, lumbar spine, bilateral knees, psyche, right wrist

LC §4751LC §4660LC §5903LC §5952

Summary

Applicant Silvia Fernandez sustained a cumulative industrial injury (June 10, 2014 to April 21, 2015) to her neck, shoulders, and elbows while working as an assembler/quality control inspector. She sought SIBTF benefits under Labor Code section 4751, claiming her overall permanent disability was 100% when combining her subsequent injury with preexisting spinal, knee, and psychiatric conditions. The WCJ denied SIBTF benefits, finding applicant met the 5% threshold and had a preexisting labor-disabling condition but failed to demonstrate 70% or greater combined permanent disability. On reconsideration, the WCAB found the QME reports of Dr. Ambrose and Dr. Lopez did not constitute substantial medical evidence of preexisting labor-disabling permanent partial disability because they relied on post-injury measurements and retroactive work restrictions without contemporaneous, objective pre-injury evidence. The Board rescinded the Findings and returned the matter to the WCJ for further development of the record.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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