Benson v. The Permanente Medical Group (2007) 72 Cal. Comp. Cases 1620 (en banc): In this landmark decision the WCAB has determined that Wilkinson is not consistent with the new requirement that apportionment be based on causation as required under SB 899. The holding as applied in this case resulted in separate awards of permanent disability. This opinion involved an interpretation of Labor Code sections 4663 and 4664, subdivision (a) as enacted under SB 899 and their impact on prior legal principles.
Wilkinson allowed successive injury cases to be rated together when they resulted in disability to the same body parts that became permanent and stationary at the same time.
Under this decision, the Board must determine and apportion to the cause of disability for each industrial injury. Consideration must be given to all potential causes of disability, whether from a current industrial injury, a prior or subsequent industrial injury, or a prior or subsequent non-industrial injury or condition.
By way of example: Two injuries cause a combined 100% disability. Apportionment is determined to be 60% to one injury and 40% to the other. The injured worker gets two separate awards – 60% and 40%. This results in a substantial reduction of liability to for employers and insurance companines in such cases. In such situations, ijured workers may still have the right to seek additional benefits under the subsequent injuries fund.
It was observed, however, that there may be limited circumstances, not present in the case decided, where the evaluating physicians cannot parcel out, with reasonable medical probability, the approximate percentages to which each successive injury causally contributed to the employee's overall permanent disability. Under those limited circumstances, a combined award of permanent disability may still be justified.
Opinion filed December 13, 2007.
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