WCPanelIQ
PanelQMEMed-legalDenied

Flores, Jose

JOSE FLORES (Deceased), Applicant vs. ALGOS, INCORPORATED, A MEDICAL CORPORATION, dba SYNOVATION MEDICAL GROUP; NOVA CASUALTY COMPANY, administered by TRISTAR RISK MANAGEMENT; CYPRESS INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, Defendants

ADJ number
ADJ12548721
Decision date
May 22, 2025
District office
Long Beach
WCJ
—
Claim administrator
Tristar Risk Management (for Nova Casualty Company); Berkshire Hathaway Homestate Companies (for Cypress Insurance Company)
Commissioners
CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER

Injury / body parts: internal/internal medicine, orthopedic (musculoskeletal)

LC §5909LC §5900LC §5904LC §4062.3CCR §10600CCR §10955CCR §35

Summary

In this death-related workers' compensation case, applicant's counsel served subsequent cover-letter communications on two panel QMEs (Dr. Butler, internal medicine, and Dr. Mouradian, orthopedics) on April 8, 2024, with simultaneous service on defendants. The WCJ found no violation of Labor Code section 4062.3(e) because the communications were simultaneously served, but found a violation of section 4062.3(b) because the attached information was not served 20 days in advance. The WCJ exercised discretion under Suon and declined to disqualify the QMEs, noting that the attached documents had long existed and were already in the parties' possession and that discovery remained open. Defendant petitioned for removal/reconsideration. The Appeals Board treated the petition as one for reconsideration (because the underlying decision resolved threshold jurisdiction and employment issues) but applied the removal standard since petitioner only challenged interlocutory findings, and denied the petition, finding no substantial prejudice or irreparable harm.

Issues

Member is $25/month or $250/year and includes full case search.

Holding

Member is $25/month or $250/year and includes full case search.

Analysis

Member is $25/month or $250/year and includes full case search.

Applicant takeaway

Member is $25/month or $250/year and includes full case search.

Defense takeaway

Member is $25/month or $250/year and includes full case search.

Provider takeaway

Member is $25/month or $250/year and includes full case search.

Similar decisions

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.