WCPanelIQ
PanelQMEMed-legalLienDenied

Ann Lindley — ADJ10895246, ADJ10895160, ADJ10629441, ADJ10895096, ADJ10629430

ANN LINDLEY, Applicant vs. GOLDEN STATE MANOR/TAO TAI HOMES; OAK RIVER INSURANCE COMPANY; administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES; AIG CLAIMS SERVICES, Defendants

ADJ number
ADJ10895246, ADJ10895160, ADJ10629441, ADJ10895096, ADJ10629430
Decision date
Oct 1, 2026
District office
Van Nuys
WCJ
—
Claim administrator
Berkshire Hathaway Homestate Companies (administering Oak River Insurance Company); AIG Claims Services
Commissioners
JOSÉ H. RAZO, COMMISSIONER, PATRICIA A. GARCIA, DEPUTY COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: neck, arms, wrists, back, legs, ankle, foot, right shoulder, left hip, left knee, cervical spine, right elbow, left heel

LC §5705LC §3600LC §3202.5LC §4600

Summary

Lien claimant Edwin Haronian, M.D., sought reconsideration of a Joint Findings and Award in which the WCJ found that applicant Ann Lindley did not sustain injury AOE/COE to numerous orthopedic body parts, relying on the orthopedic PQME reports of Drs. Schaffzin and Halbrecht over the reports of treating physicians Drs. Haronian and Kohan. The WCJ ordered that the lien claimants take nothing and dismissed both liens with prejudice. Dr. Haronian argued the PQME reports were not substantial medical evidence due to inadequate apportionment, histories, and examinations, and that his own reports established industrial causation. The WCAB panel held that the PQME reports constituted substantial medical evidence while the lien claimants' reports did not, because they lacked complete medical histories (notably omitting a 2007 motor vehicle accident and extensive prior falls) and failed to explain disagreement with the PQMEs. The Board affirmed the JF&A.

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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