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Accumulation of Permanent Disability Awards to Body Regions Under LC 4664(c)

Posted by:  Sure S. Log
Topics: Apportionment Permanent Disability Awards

When defendants seek to apportion an applicant's permanent disability, most often they look to apply Labor Code § 4663, which directs that apportionment be based on causation. LC 4663 requires a physician to consider factors both before and subsequent to the industrial injury, and the courts have not limited what can be apportioned under § 4663. They have allowed defendants to apportion to asymptomatic previous conditions, risk factors and even genetic factors. The only limitation has been that to apportion under § 4663, the physician's opinion about apportionment must be substantial evidence. Labor Code § 4664 is the other statute that addresses apportionment in the California workers' compensation system, and it allows apportionment to a previous award of permanent disability benefits. LC 4664(b) states, "If the applicant has received a prior award of permanent disability, it shall be conclusively presumed that the prior permanent disability exists at the time of any subsequent...

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Consolidation of Cases for the Purposes of Discovery

Posted by:  Sure S. Log
Topics: discovery CCR 10396 cases

California Code of Regulations, Title 8, 10396, gives the Workers' Compensation Appeals Board discretion to consolidate two or more related cases. This authority commonly is used when a worker claims more than one injury as a result of his or her employment. Consolidation in such cases often is uncontested because it's more efficient for all parties for all of the cases to be heard and decided in a single proceeding. Consolidation, however, is not limited to cases involving a single employee. CCR 10396 also allows the WCAB to consolidate cases involving multiple injured workers after considering relevant factors, including, but not limited to:

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Actual Event of Employment Under LC 3208.3(b)(1)

Posted by:  Sure S. Log
Topics: psychiatric injury LC 3208.3 Objective Evidence

Labor Code § 3208.3(b)(1) requires a psychiatric injury to be caused predominantly by "actual events of employment." The Court of Appeal has recognized that "The phrase 'actual events of employment' does not provide clear guidance because it is 'susceptible to many meanings.'" (Verga v. WCAB (2008) 159 Cal. App. 4th 174, 185.) It noted that "The intent of the statute was 'to establish a new and higher threshold of compensability for psychiatric injury' and to 'limit claims for psychiatric benefits due to their proliferation and their potential for fraud and abuse.'" (Verga v. WCAB (2008) 159 Cal. App. 4th 174, 185.)

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Applied Materials v. WCAB: 6th District Court of Appeal Holds That Physician Misconduct Is Compensable, But Upholds Fitzpatrick

Posted by:  Sure S. Log
Topics: AMA Guides Fitzpatrick Medical Treatment Ogilvie

On June 1, 2021, the 6th District Court of Appeal certified for publication its decision in Applied Materials et al. v. WCAB. The decision can be reviewed on the California courts' website. In that case, the Court of Appeal issued a lengthy, 73-page decision addressing multiple issues raised by the parties. The decision is most significant for two issues:

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Obtaining the Voucher After Settlement

Posted by:  Sure S. Log
Topics: voucher return to work voucher C&R

Sometimes, parties settle a claim by way of compromise and release (C&R) before the injured worker is released from care. There are various reasons why they might agree do this. Employees might want to avoid the delays and risks in the litigation process. Employers might want to avoid discovery and litigation costs, and to close the file. Although most issues can be resolved as part of a C&R, Labor Code § 4658.7(g) precludes settlement or commutation of a claim for the supplemental job displacement benefit (SJDB) voucher for injuries occurring on or after Jan. 1, 2013. But an employee is not automatically entitled to the voucher. Pursuant to § 4658.7(b), an employee is entitled to the voucher only if the injury causes permanent partial disability and the employer does not make a timely offer of regular, modified or alternative work.

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QME Evaluations Via Telehealth

Posted by:  Sure S. Log
Topics: COVID-19 QME COVID Telehealth

Because of the backlog of medical-legal evaluations caused by the COVID-19 pandemic, the Division of Workers’ Compensation (DWC) adopted emergency regulations for medical-legal evaluations and reporting. The regulations became effective May 14, 2020, and originally were set to expire March 12, 2021. But they have been extended until Oct. 12, 2021.See DIR Newsline dated March 10, 2021.

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Temporary Disability Benefits Due To Covid-19 Stay-At-Home Orders

Posted by:  Sure S. Log
Topics: Announcements Special Reports COVID-19

The COVID-19 pandemic has had significant financial consequences for many employers and employees. Due to the overall need to protect the public at large from the spread of COVID-19, the state of California and many local governments have issued stay-at-home orders, closing nonessential businesses or allowing them to remain open only if their employees could telecommute. Many businesses were forced to shut down during the stay-at-home orders, and many employees found themselves out of work.

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Remote Depositions in Response to COVID-19

Posted by:  Sure S. Log
Topics: Special Reports COVID-19

Due to the spread of the novel coronavirus, California Gov. Gavin Newsom issued an executive order on March 19, 2020. It requires all individuals living in California to stay home or at their place of residence, except for what are deemed to be essential activities. Services that remain open include grocery stores, gas stations, pharmacies, banks, laundromats and many government and public service functions, including law enforcement, emergency services and utility maintenance and repair.[1]

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