WCPanelIQ
PanelQMEMed-legalDismissed

Vargas, Manuel

MANUEL VARGAS, Applicant vs. QUALITY PLUMBING ASSOCIATES; GUIDEONE INSURANCE, administered by TGM CLAIM SERVICE, Defendants

ADJ number
ADJ15631113
Decision date
Jun 15, 2025
District office
Salinas
WCJ
—
Claim administrator
TGM Claim Service (administering for GuideOne Insurance)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER, PAUL F. KELLY, COMMISSIONER

Injury / body parts: left knee, left femur

LC §5909LC §5900LC §5902LC §5903CCR §10964CCR §10955

Summary

Applicant Manuel Vargas claimed a cumulative trauma injury to his left knee (later amended to include the left femur) while working as a plumber. After the first QME (Dr. Ciepiela) was found not to be substantial medical evidence, a replacement QME (Dr. Charles Roland) was selected, who found the injury industrial but admitted at deposition that he had not reviewed all materials and that his report lacked necessary information. The WCJ found Dr. Roland's report did not currently constitute substantial medical evidence but afforded him the opportunity to file a supplemental report to cure deficiencies before any replacement QME could be ordered. Defendant sought reconsideration/removal, arguing the WCJ should have ordered a replacement orthopedic panel instead. The Board dismissed the petition for reconsideration because the decision was interlocutory (not final), and denied the petition for removal because defendant failed to show significant prejudice or irreparable harm.

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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