WCPanelIQ
PanelQMEMed-legalLienGranted in Part

Agurto, Manuel

MANUEL AGURTO, Applicant vs. PETERBERG CONSTRUCTION, INC.; PRAETORIAN INSURANCE WORK COMP PROGRAM, Defendants

ADJ number
ADJ8759846
Decision date
Jun 4, 2025
District office
Marina del Rey
WCJ
—
Claim administrator
Athens Administrators (for Praetorian Insurance Work Comp Program)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, ANNE SCHMITZ, DEPUTY COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: psyche, cervical spine, lumbar spine, bilateral shoulders, bilateral knees, bilateral lower extremities/legs, hernia

LC §4453LC §5402LC §5401LC §5900LC §5902LC §5903LC §5904LC §5909LC §5813LC §4658LC §4661.5CCR §10600CCR §10955CCR §31.5CCR §10421

Summary

Applicant Manuel Agurto sought reconsideration of a February 4, 2025 F&O that found injury AOE/COE to his psyche, set average weekly wage at $500 based on earning capacity per Labor Code section 4453(c)(4), and ordered further development of the record. The WCJ's Opinion on Decision contained additional findings (injury to multiple orthopedic body parts and hernia, occupational group 480, and future medical awards) that were not reflected in the F&O itself. The Appeals Board granted reconsideration solely to rescind the F&O and substitute a Findings, Award, and Order (FA&O) that captures all of the WCJ's findings, awards, and orders, while deferring temporary disability, permanent disability, apportionment, SJDB voucher, attorney's fees, penalties, the EDD lien, and psyche future medical. The Board treated the bulk of applicant's challenges (to deferred interlocutory issues) under the removal standard and found no prejudice or irreparable harm. The Board found the section 5402(b) presumption argument and occupational group argument moot, deferred the replacement psyche QME panel issue, and admonished applicant's counsel for filing a near-frivolous petition.

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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