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PanelQMEMed-legalLienGranted in Part

Nanez, Glory

GLORY NANEZ, Applicant vs. PASADENA UNIFIED SCHOOL DISTRICT, permissibly self-insured; administered by LWP CLAIMS SOLUTIONS, INC., Defendants

ADJ number: ADJ11381920
Decision date: Jun 12, 2025
District office: Van Nuys
WCJ: —
Claim administrator: LWP Claims Solutions, Inc.
Commissioners: JOSEPH V. CAPURRO, COMMISSIONER, LISA A. SUSSMAN, DEPUTY COMMISSIONER, PAUL F. KELLY, COMMISSIONER

Injury / body parts: low back, psyche (panic disorder)

LC §5909LC §5900LC §4062.3LC §5705LC §3202.5LC §5701LC §5906CCR §10945

Summary

Applicant Glory Nanez died on June 3, 2021 before reaching permanent and stationary status. The WCJ issued an F&O finding the AME's report was not substantial evidence, deferring liability for the AME's medical-legal bill, converting disability indemnity paid before death to temporary disability, and awarding $26,239.84 in accrued temporary disability less attorney fees. Defendant sought reconsideration arguing it was denied due process because accrued/unpaid temporary disability was never identified as an issue in the pre-trial conference statement or at trial, depriving it of the opportunity to submit wage payment and apportionment evidence. The Board agreed, holding it could not adjudicate the TD issue without violating due process, and granted reconsideration to amend the F&O to defer both the accrued temporary disability and attorney fee issues while otherwise affirming, including the deferral of the AME's medical-legal reimbursement.

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.