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ADJ11167250 DOLORES EDUARDO GOMEZ SANCHEZ, Applicant v. CONCO COMPANIES/SWINERTON INC.; ZURICH AMERICAN INSURANCE COMPANY, Defendants

Workers’ Compensation Appeals Board State of California
Nov 3, 2023
No. ADJ11167250 (Cal. W.C.A.B. Nov. 3, 2023)

Opinion


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DOLORES EDUARDO GOMEZ SANCHEZ, Applicant v. CONCO COMPANIES/SWINERTON INC.; ZURICH AMERICAN INSURANCE COMPANY, Defendants No. ADJ11167250 Workers’ Compensation Appeals Board State of California November 3, 2023

Stockton District Office

OPINION AND ORDER DENYING PETITION FOR RECONSIDERATION

ANNE SCHMITZ, DEPUTY COMMISSIONER

We have considered the allegations of the Petition For Removal and the contents of the report of the workers' compensation administrative law judge (WCJ) with respect thereto. Based on our review of the record and based upon the WCJ's analysis of the merits of the petitioner's arguments in the WCJ's report, we will deny the Petition as one seeking reconsideration.

Preliminarily, we observe that if a decision includes resolution of a "threshold" issue, then it is a "final" decision, whether or not all issues are resolved or there is an ultimate decision on the right to benefits. (Aldi v. Carr, McClellan, Ingersoll, Thompson &Horn (2006) 71 Cal.Comp.Cases 783, 784, fn. 2 (Appeals Board en banc).) Threshold issues include, but are not limited to, the following: injury arising out of and in the course of employment, jurisdiction, the existence of an employment relationship and statute of limitations issues. (See Capital Builders Hardware, Inc. v. Workers' Comp. Appeals Bd. (Gaona) (2016) 5 Cal.App.5th 658, 662 [81 Cal.Comp.Cases 1122].) Failure to timely petition for reconsideration of a final decision bars later challenge to the propriety of the decision before the WCAB or court of appeal. (See Lab. Code, § 5904.) Alternatively, non-final decisions may later be challenged by a petition for reconsideration once a final decision issues.

A decision issued by the Appeals Board may address a hybrid of both threshold and interlocutory issues. If a party challenges a hybrid decision, the petition seeking relief is treated as a petition for reconsideration because the decision resolves a threshold issue. However, if the

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petitioner challenging a hybrid decision only disputes the WCJ's determination regarding interlocutory issues, then the Appeals Board will evaluate the issues raised by the petition under the removal standard applicable to non-final decisions.

Here, the WCJ's decision includes a finding regarding a threshold issue. Accordingly, the WCJ's decision is a final order subject to reconsideration rather than removal.

Although the decision contains a finding that is final, the petitioner is only challenging an interlocutory finding/order in the decision. Therefore, we will apply the removal standard to our review. (See Gaona, supra.)

Removal is an extraordinary remedy rarely exercised by the Appeals Board. (Cortez v. Workers' Comp. Appeals Bd. (2006) 136 Cal.App.4th 596, 599, fn. 5 [71 Cal.Comp.Cases 155]; Kleemann v. Workers' Comp. Appeals Bd. (2005) 127 Cal.App.4th 274, 280, fn. 2 [70 Cal.Comp.Cases 133].) The Appeals Board will grant removal only if the petitioner shows that significant prejudice or irreparable harm will result if removal is not granted. (Cal. Code Regs., tit. 8, § 10955(a); see also Cortez, supra; Kleemann, supra.) Also, the petitioner must demonstrate that reconsideration will not be an adequate remedy if a final decision adverse to the petitioner ultimately issues. (Cal. Code Regs., tit. 8, § 10955(a).) Here, based upon the WCJ's analysis of the merits of the petitioner's arguments, we are not persuaded that significant prejudice or irreparable harm will result if removal is denied and/or that reconsideration will not be an adequate remedy.

Therefore, we will deny the Petition as one seeking reconsideration.

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For the foregoing reasons,

IT IS ORDERED that the Petition for Reconsideration/Removal is DENIED.

I CONCUR,

NATALIE PALUGYAI, COMMISSIONER

JOSEPH V. CAPURRO, COMMISSIONER


Summaries of

ADJ11167250 DOLORES EDUARDO GOMEZ SANCHEZ, Applicant v. CONCO COMPANIES/SWINERTON INC.; ZURICH AMERICAN INSURANCE COMPANY, Defendants

Workers’ Compensation Appeals Board State of California
Nov 3, 2023
No. ADJ11167250 (Cal. W.C.A.B. Nov. 3, 2023)
Case details for

ADJ11167250 DOLORES EDUARDO GOMEZ SANCHEZ, Applicant v. CONCO COMPANIES/SWINERTON INC.; ZURICH AMERICAN INSURANCE COMPANY, Defendants

Case Details

Full title:ADJ11167250 DOLORES EDUARDO GOMEZ SANCHEZ, Applicant v. CONCO…

Court:Workers’ Compensation Appeals Board State of California

Date published: Nov 3, 2023

Citations

No. ADJ11167250 (Cal. W.C.A.B. Nov. 3, 2023)