WCPanelIQ
PanelQMEMed-legalLienDenied

Regalado, Andrew

ANDREW REGALADO, Applicant vs. POULOS MOVING SYSTEMS & SECURITY NATIONAL INSURANCE COMPANY, administered by AMTRUST, Defendants

ADJ number
ADJ9885344
Decision date
Apr 3, 2025
District office
Salinas
WCJ
—
Claim administrator
AmTrust (administering for Security National Insurance Company)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: lumbar spine, psyche, erectile dysfunction

LC §5909LC §5900LC §5903LC §5952LC §4664CCR §10600

Summary

Applicant Andrew Regalado, a furniture mover, sustained an industrial injury on November 7, 2014 to the lumbar spine, psyche, and erectile dysfunction. The WCJ found 100% permanent total disability with no apportionment and awarded PTD indemnity at the TTD rate of $354.31 weekly subject to SAWW increases. Defendant sought reconsideration, arguing the PTD finding lacked substantial evidentiary support because applicant's testimony about cane and walker use was not reported to evaluators, and that applicant's felony conviction was a non-industrial factor affecting his labor market access under Leboeuf. The Appeals Board denied reconsideration, finding applicant's vocational expert (Simon) constituted substantial evidence rebutting the PDRS while defendant's expert (Diaz) offered speculative work-hardening conclusions, and holding that Diaz's 10% 'vocational apportionment' for the felony conviction was invalid under Nunes.

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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