WCPanelIQ
PanelQMEMed-legalRemanded

Ware, Nadina

NADINA WARE, Applicant vs. SUBSEQUENT INJURIES BENEFITS TRUST FUND, Defendants

ADJ number
ADJ9500046
Decision date
Jun 25, 2025
District office
Salinas
WCJ
—
Claim administrator
—
Commissioners
CRAIG SNELLINGS, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: hypertension, complex regional pain syndrome (CRPS), bilateral lower extremities, spine (cervical/thoracic/lumbar), upper extremity (carpal tunnel), respiratory system/lungs

LC §5313LC §5903LC §5952CCR §10787

Summary

Applicant Nadina Ware, a speech therapist, sustained an industrial injury on April 29, 2013 (hypertension, CRPS, bilateral lower extremities) and sought Subsequent Injuries Benefits Trust Fund (SIBTF) benefits, claiming her subsequent injury combined with extensive preexisting disabilities caused permanent total disability. The WCJ found SIBTF liability for permanent total disability, and SIBTF petitioned for reconsideration arguing the findings were conclusory and unsupported by substantial evidence. The Appeals Board rescinded the Amended Findings and Award because the WCJ failed to make specific findings on the SIBTF eligibility requirements and failed to explain how preexisting and subsequent WPI ratings translated into permanent disability percentages. The Board found the medical reports of Drs. Miner and Baum deficient in that Dr. Baum assigned no specific WPI to preexisting conditions (merely stating they 'approximated 100%') and failed to explain his use of addition versus the combined values chart. However, the Board rejected SIBTF's argument that there was no contemporaneous evidence, finding both doctors reviewed records from 2011 onward and that applicant's testimony corroborated the prior medical evidence. The matter was remanded to the trial level for further proceedings.

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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