Home/Case Law/CRYSTAL MATTHIES vs. PAESANO'S RESTAURANT, ZURICH NORTH INSURANCE
Regular DecisionReconsideration

CRYSTAL MATTHIES vs. PAESANO'S RESTAURANT, ZURICH NORTH INSURANCE

Filed: Feb 15, 2013
Sacramento
ADJ8440730

CompFox AI Summary

The WCAB granted reconsideration and modified a prior award, ordering a new Qualified Medical Examiner (QME) panel due to the defendant's procedural violations in submitting records. Specifically, the defendant failed to provide the applicant with timely notice and a log of non-medical records sent to the QME, thereby violating Labor Code section 4062.3 and Rule 35(c). The Board also amended the temporary disability indemnity award, deferring claims for disability after June 22, 2012, due to a lack of current medical evidence supporting ongoing temporary total disability. Commissioner Brass dissented on the temporary disability issue, finding applicant testimony sufficient to support an ongoing award.

Full Decision Text1 Pages

The WCAB granted reconsideration and modified a prior award, ordering a new Qualified Medical Examiner (QME) panel due to the defendant's procedural violations in submitting records. Specifically, the defendant failed to provide the applicant with timely notice and a log of non-medical records sent to the QME, thereby violating Labor Code section 4062.3 and Rule 35(c). The Board also amended the temporary disability indemnity award, deferring claims for disability after June 22, 2012, due to a lack of current medical evidence supporting ongoing temporary total disability. Commissioner Brass dissented on the temporary disability issue, finding applicant testimony sufficient to support an ongoing award.

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CRYSTAL MATTHIES vs. PAESANO'S RESTAURANT, ZURICH NORTH INSURANCE (2013) – Sacramento | CompFox