WCPanelIQ
PanelQMEMed-legalGranted in Part

Lorraine Gonsalves — ADJ3117080, ADJ11896735, ADJ20667457

LORRAINE GONSALVES, Applicant vs. CAMP FIRE USA SIERRA COUNCIL; STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ3117080, ADJ11896735, ADJ20667457
Decision date
Sep 27, 2026
District office
Sacramento
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: right ankle, low back, scar

LC §4060LC §4061LC §4062LC §4062.1LC §4610LC §5900LC §5903LC §5904LC §5909CCR §10600CCR §10605CCR §10615CCR §10628CCR §10940CCR §10955

Summary

Applicant Lorraine Gonsalves and defendant State Compensation Insurance Fund each sought reconsideration of a June 30, 2026 F&O. The WCJ had found that QME panel number 3686064 (Dr. Wieseltier) was valid for resolving Labor Code section 4062 issues and that there was no basis to set aside a 1998 Award. The Board dismissed applicant's petition as untimely (filed 28 days after service, exceeding the 25-day limit) and granted defendant's petition, finding the panel invalid because there was no evidence of a proper objection under section 4062(a) or that defendant furnished a panel request form under section 4062.1(b). The Board also corrected a clerical error to add the July 19, 1996 date of injury and the scar body part. The WCJ's reliance on a circular stipulation to validate the panel was rejected as lacking an evidentiary basis.

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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