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PanelMed-legalGranted

Genoveva Rivera — ADJ10837798

GENOVEVA RIVERA, Applicant vs. SODEXO, INC.; XL INSURANCE AMERICA, INC., Administered By GALLAGHER BASSETT SERVICES, INC., Defendants

ADJ number
ADJ10837798
Decision date
Aug 30, 2026
District office
Oakland
WCJ
—
Claim administrator
Gallagher Bassett Services, Inc. (administering for XL Insurance America, Inc.)
Commissioners
CRAIG L. SNELLINGS, COMMISSIONER, PAUL F. KELLY, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: cervical spine, lumbar spine

LC §5909LC §5900LC §3757LC §5813CCR §10625CCR §10600

Summary

Genoveva Rivera, a housekeeper, sustained a cumulative industrial injury to her cervical and lumbar spine ending April 24, 2017. The WCJ found 38% permanent disability, applied the Combined Values Chart despite AME Dr. Mandell's opinion that disabilities should be added, apportioned to prior injuries but not diabetes, and rejected the applicant's vocational rebuttal. Both parties sought reconsideration—applicant arguing the AME reporting was stale (based on a 2018 exam) and did not account for new case law, and defendant arguing the WCJ erred in rejecting apportionment to non-industrial diabetes. Despite the WCAB's expressed frustration with applicant counsel's dilatory conduct, the Board granted reconsideration, rescinded the F&A, and remanded for further development of the medical and vocational record because the evidence was stale and no longer substantial, and because new en banc authority had developed since the reports issued.

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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