WCPanelIQ
PanelMed-legalDenied

Hunter, James

JAMES HUNTER, Applicant vs. SUBSEQUENT INJURIES BENEFITS TRUST FUND, Defendants

ADJ number
ADJ9027080
Decision date
Jun 9, 2025
District office
Oakland
WCJ
Thomas J. Russell, Jr.
Claim administrator
—
Commissioners
—

Injury / body parts: lumbar spine, low back, bilateral shoulders, neck, bilateral wrists (carpal tunnel), psyche, internal, neurological

LC §5909LC §5900LC §4751LC §5952

Summary

Applicant James Hunter sought reconsideration of a January 7, 2025 Findings and Order denying his Subsequent Injuries Benefits Trust Fund (SIBTF) claim because his September 30, 2010 specific lumbar injury did not meet either the 35% permanent disability eligibility threshold or the 5% opposite and corresponding member threshold under Labor Code section 4751. Applicant argued his specific lumbar injury should be re-characterized as a cumulative trauma injury through his last day worked (approximately January 6, 2011) involving additional body parts, relying on med/legal reports obtained years later for the SIBTF claim. The Board, adopting the WCJ's Report, found that the SII was a final stipulated award of 10% PD for the lumbar spine only and could not be redefined as a broader cumulative trauma claim. The Board noted the WCJ erroneously applied apportionment but held that even without apportionment, applicant would only reach 20-22% PD, still below the 35% threshold. The Board also addressed timeliness under amended Labor Code section 5909, finding the petition was timely acted upon within 60 days of the April 11, 2025 transmission. Reconsideration was denied.

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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