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Regular DecisionWorkers' Compensation

VICENTE ESTRADA vs. MMK PACIFIC PETROLEUM, HANOVER INSURANCE GROUP

Filed: Sep 26, 2016
Los Angeles
ADJ9399845

CompFox AI Summary

The Workers' Compensation Appeals Board (WCAB) granted reconsideration to review a prior award finding applicant sustained injury arising out of and occurring in the course of employment (AOE/COE) to his neck, low back, and right knee. The WCAB found the Agreed Medical Evaluator's (AME) opinion unpersuasive due to flawed reasoning regarding applicant's ability to continue working, and further found the treating physicians' opinions lacked substantial medical evidence, partly due to incomplete history and insufficient specialization. Consequently, the WCAB rescinded the prior award and returned the matter to the trial level for further proceedings, including the potential appointment of a new physician to examine the applicant. Applicant's own petition for reconsideration was dismissed as untimely.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board (WCAB) granted reconsideration to review a prior award finding applicant sustained injury arising out of and occurring in the course of employment (AOE/COE) to his neck, low back, and right knee. The WCAB found the Agreed Medical Evaluator's (AME) opinion unpersuasive due to flawed reasoning regarding applicant's ability to continue working, and further found the treating physicians' opinions lacked substantial medical evidence, partly due to incomplete history and insufficient specialization. Consequently, the WCAB rescinded the prior award and returned the matter to the trial level for further proceedings, including the potential appointment of a new physician to examine the applicant. Applicant's own petition for reconsideration was dismissed as untimely.

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VICENTE ESTRADA vs. MMK PACIFIC PETROLEUM, HANOVER INSURANCE GROUP (2016) – Los Angeles | CompFox