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x0000x00002  xMCIxD 0 xMCIxD 0 of unanimity of med x0000x00002  xMCIxD 0 xMCIxD 0 of unanimity of med

x0000x00002 xMCIxD 0 xMCIxD 0 of unanimity of med - PDF document

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Uploaded On 2021-07-06

x0000x00002 xMCIxD 0 xMCIxD 0 of unanimity of med - PPT Presentation

We have considered the allegations and arguments of the Petitionfor Reconsideration as well as the nswers filed by defendants and have reviewed the record in this matter and the WCJs Report and R ID: 855046

wcj 146 determination reconsideration 146 wcj reconsideration determination award applicant compensation insurance report mci x0000 apportionment defendant findings matter

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1 ��2 &#x/MCI; 0 ;&#x/M
��2 &#x/MCI; 0 ;&#x/MCI; 0 ;of unanimity of medical apportionment covering all of applicant’s disabilityand both specific injuries, he is entitled to an unapportioned award.Defendants Farmers Insurance Group/MidCentury Insurance Company and State Compensation Insurance Fundfiled Answerto applicant’s Petition for Reconsideration. SCIFargues that Dr. Silbart’s opinion constitutes substantial medical evidence to justify the WCJ’s apportionment between the two specific injuries. Farmers Insurance argues that no reliance may be placedupon Dr. Nagleberg’smost recentmedical report because it was not admitted into evidence. Farmers Insurance further argues that there is no requirement for unanimity of medical opinion to support a finding on apportionment, and the WCJ properly relied upon Dr. Silbart’s apportionment determination.In its Petition for Reconsideration, defendant contests the award of four years of temporary disability indemnity, contending that the WCJ lacked jurisdiction to make the award as the parties did not rais

2 e the issue of temporary disability for
e the issue of temporary disability for determination at the Mandatory Settlement Conference, and did not offer evidence on the issue.Defendant further argues that the finding that applicant is permanently totally disabled is not supported by substantial medical evidence, and that theaward should be based on Dr. Silbart’s impairment ratings.The WCJ prepared a Report and Recommendation on Petition for Reconsideration (Report), recommending that both defendant and applicant’s Petitionbe granted and the Findings and Award be amendedand the matter returned for further proceedings. We have considered the allegations and arguments of the Petitionfor Reconsideration, as well as the nswers filed by defendants, and have reviewed the record in this matter and the WCJ's Report and Recommendation on Petition for Reconsideration of January 20, 2021, which considers, and responds to, each of the defendant’s and applicant’s contentions. Based upon our review of the record, and for the reasons stated in the WCJ's Report, we will grant reconsideration the WCJ's Find

3 ingsAwardOrderand return this matter to
ingsAwardOrderand return this matter to the WCJ to issue a new final determination on all outstanding issues In his Report, the WCJ identified matters not raised for determination that remain issues in this case from the prior determination in 200, involving injury to nonorthopedic body parts, as well as contributionand prior attorney fees. While the WCJ recommends that we amend and reissue his findings, there should be a single final determination of all issues, rather than piecemeal determinations. This will provide the WCJ with the opportunity to make a determination onthe ��3 &#x/MCI; 0 ;&#x/MCI; 0 ;admissibility of evidence submitted at trial, and to fully explain the evidentiary basis for his finding on apportionment between applicant’s dates of injury.Accordingly, we will grant reconsideration, rescind the Findings, Award and Order and return this matter to the trial level for a new final determination. ��4 &#x/MCI; 0 ;&#x/MCI; 0 ; For the foregoing reasons,IT IS ORDEREDthat Applicant’s and Defendant’s Pe

4 titionfor Reconsideration of the Finding
titionfor Reconsideration of the Findings, Award and Order, served December 22, 2020, are GRANTEDIT IS FURTHER ORDERED, as the Decision After Reconsideration of the Workers’ Compensation Appeals Board, the Findings, Award and Order is RESCINDEDand the matter is RETURNEDto the trial level for further proceedings and a new final determinationWORKERS’ COMPENSATION APPEALS BOARD /s/CRAIG SNELLINGS, COMMISSIONER I CONCUR, /s/ JOSÉ H. RAZO, COMMISSIONER /s/ KATHERINE A. ZALEWSKI, CHAIR DATEDAND FILED AT SAN FRANCISCO, CALIFORNIAMarch 11, 2021SERVICE MADE ON THE ABOVE DATE ON THE PERSONS LISTED BELOW ATTHEIR ADDRESSES SHOWN ON THE CURRENT OFFICIAL ADDRESS RECORDFRANK TOWEHITZKE & FERRANLAW OFFICES OF MICHAEL P. BARNARDSTATE COMPENSATION INSURANCE FUNDSV/I certify that I affixed the official seal of the Workers’ Compensation Appeals Board to this original decision on this date.bs WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAFRANK TOWEApplicantvs.STUDEBAKER SERVICES AUTO BODY; FARMERSINSURANCE GROUP/MID CENTURY INSURANCE; STATE COMPENSATION INSURANCEF