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PanelQMEGranted

Miller, Vince

VINCE MILLER, Applicant vs. AUTOMOBILE CLUB OF SOUTHERN CALIFORNIA; OLD REPUBLIC INSURANCE, administered by CCMSI, Defendants

ADJ number: ADJ17092437
Decision date: Jun 30, 2025
District office: Van Nuys
WCJ: —
Claim administrator: CCMSI (administering Old Republic Insurance)
Commissioners: JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, PAUL F. KELLY, COMMISSIONER

Injury / body parts: back, right knee, hips, sleep, nervous system

LC §5909LC §4909LC §5900CCR §10555CCR §9811

Summary

Applicant Vince Miller, a field property estimator, sustained industrial injury to his back and right knee on September 1, 2022, with disputed claims to hips, sleep, and nervous system. QME Dr. Purcell found applicant reached MMI as of January 29, 2024, prompting defendant to terminate temporary disability benefits. The WCJ found applicant had not reached MMI and awarded retroactive temporary disability benefits and attorney's fees. The Board granted reconsideration, finding the WCJ's MMI finding was not supported by substantial medical evidence and failed to make findings on the disputed body parts. The Board rescinded the F&O and remanded for the WCJ to first determine whether the disputed body parts are industrial before making any MMI or temporary disability determination.

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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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.