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Raytchell Cosentino — ADJ7316783

RAYTCHELL COSENTINO, Applicant vs. EHLEN, SPIESS & HAIGHT, INC.; STATE FARM INSURANCE COMPANY, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants

ADJ number
ADJ7316783
Decision date
Sep 23, 2026
District office
Goleta
WCJ
—
Claim administrator
Sedgwick Claims Management Services (administering for State Farm Insurance Company)
Commissioners
PATRICIA A. GARCIA, DEPUTY COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: left shoulder, neck, psyche, TMJ, right shoulder, headaches, memory loss (cognitive disorder), teeth

LC §3600LC §3202.5LC §4660LC §4660.1LC §4662LC §4663

Summary

Applicant, an office manager, sustained a cumulative trauma injury (2005-2009) to multiple body parts; the WCJ found her 100% permanently totally disabled with no apportionment and found industrial injury to headaches, memory loss, and teeth. Defendant sought reconsideration challenging the total disability finding and the lack of substantial medical evidence for headaches, memory loss, and teeth. The Appeals Board affirmed the finding of industrial injury to teeth as a compensable consequence of accepted TMJ injury, but deferred the issues of headaches and memory loss pending further neurological reporting. The Board also found that applicant failed to rebut the PDRS and prove 100% permanent total disability because the psychiatric AME assigned no work restrictions, the CVC rebuttal reporting was not substantial evidence, and the vocational expert improperly injected his own medical opinions. The Board returned the matter to the trial level to develop the record on these deferred issues.

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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