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LESIS CHOC, Applicant v. GKR RESTAURANTS, INC.; INSURANCE COMPANY OF THE WEST, Defendants

California Workers Compensation Decisions
Oct 29, 2021
Adjudication ADJ14481521 (Cal. W.C.A.B. Oct. 29, 2021)

Opinion


LESIS CHOC, Applicant v. GKR RESTAURANTS, INC.; INSURANCE COMPANY OF THE WEST, Defendants Adjudication No. ADJ14481521 California Workers Compensation Decisions Workers’ Compensation Appeals Board State of California October 29, 2021

         Los Angeles District Office

         OPINION AND ORDER DENYING PETITION FOR RECONSIDERATION

          CRAIG SNELLINGS, COMMISSIONER.

         We have considered the allegations of the Petition for Reconsideration or in the Alternative 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.

         Contrary to the WCJ, we find the petition timely. There are 25 days allowed within which to file a petition for reconsideration from a “final” decision that has been served by mail upon an address in California. (Lab. Code, §§ 5900(a), 5903; Cal. Code Regs., tit. 8, former § 10507(a)(1), now § 10605(a)(1) (eff. Jan. 1, 2020).) This time limit is extended to the next business day if the last day for filing falls on a weekend or holiday. (Cal. Code Regs., tit. 8, former § 10508, now § 10600 (eff. Jan. 1, 2020).) In this case, the WCJ issued the decision on August 3, 2021. Thus, based on the authority cited above, applicant timely filed the petition on Monday, August 30, 2021.

         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 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 employment, which is 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, former § 10843(a), now § 10955(a) (eff. Jan. 1, 2020); 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, former § 10843(a), now § 10955(a) (eff. Jan. 1, 2020).) 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.

         The Appeals Board has previously found that either party may use a claim delay notice to request a qualified medical examination (QME) panel per Labor Code sections 4060 and 4062.2. (See Chavarria v. Crews of California, Inc. (December 2, 2019, ADJ12402022) [2019 Cal. Wrk. Comp. P.D. LEXIS 534] [the Appeals Board held that a party may request a QME panel per sections 4060 and 4062.2(b) by using a claim delay notice as a “mailing of a request for a medical evaluation”].) Accordingly, we will deny the Petition as one seeking reconsideration.

         For the foregoing reasons,

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

         WORKERS’ COMPENSATION APPEALS BOARD

         I CONCUR,

          MARGUERITE SWEENEY, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR.

         SERVICE MADE ON THE ABOVE DATE ON THE PERSONS LISTED BELOW AT THEIR ADDRESSES SHOWN ON THE CURRENT OFFICIAL ADDRESS RECORD.

         LESIS CHOC

         GARRETT LAW GROUP

         NEWHOUSE & CREAGER


Summaries of

LESIS CHOC, Applicant v. GKR RESTAURANTS, INC.; INSURANCE COMPANY OF THE WEST, Defendants

California Workers Compensation Decisions
Oct 29, 2021
Adjudication ADJ14481521 (Cal. W.C.A.B. Oct. 29, 2021)
Case details for

LESIS CHOC, Applicant v. GKR RESTAURANTS, INC.; INSURANCE COMPANY OF THE WEST, Defendants

Case Details

Full title:LESIS CHOC, Applicant v. GKR RESTAURANTS, INC.; INSURANCE COMPANY OF THE…

Court:California Workers Compensation Decisions

Date published: Oct 29, 2021

Citations

Adjudication ADJ14481521 (Cal. W.C.A.B. Oct. 29, 2021)