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Workers’ Compenstation

Navigating Workers’ Compensation: The Critical Role of a Qualified Medical Evaluation Panel

Navigating Workers’ Compensation: The Critical Role of a Qualified Medical Evaluation Panel In the complex world of workers’ compensation, one of the critical elements that can significantly impact the outcome of a case is the selection of a Qualified Medical Evaluation (QME) panel. These panels play a pivotal role in determining the extent of an injured worker’s injuries, which in turn can affect the compensation they receive. In this article, I will delve into the importance of selecting an appropriate QME panel and the nuances of ensuring proper service of the panel upon all parties involved in a workers’ compensation case. The Significance of a Qualified Medical Evaluation Panel A Qualified Medical Evaluator (QME) panel is a group of medical professionals certified by the California Division of Workers’ Compensation to assess the medical condition of an injured worker. These evaluations are critical as they help determine the worker’s eligibility for benefits and the extent of their disability. The QME’s findings can profoundly impact the compensation awarded to the injured employee. Choosing the right QME panel is a crucial decision. An appropriately qualified panel can ensure a fair and accurate evaluation, whereas an inadequately chosen panel can lead to biased or inaccurate assessments. What key factors should you consider when deciding what or who is the best QME for you? Specialization: Look for a QME panel that specializes in the type of injury or medical condition the worker is facing. A specialist’s expertise can provide a more accurate evaluation. Too often we find ourselves arguing over the appropriateness of the specialty. The applicant’s side seems to always want chiropractors or pain management as opposed to orthopedics. Why? They tend to be more liberal and tend to recommend a greater amount of treatment before P&S status. Impartiality: It’s essential to choose a QME panel known for its impartiality. The panel members should not have any affiliations or biases that could influence their assessment. Your defense attorney can help you determine which particular doctor’s on a panel may have bias towards the defendant. Experience: Consider the experience of the QME panel. Seasoned professionals often provide more comprehensive and accurate evaluations. As a general rule of thumb, physicians who have been in practice for a longer period of time provide a more comprehensive and balanced assessment of the applicant. Reputation: Research the reputation of the QME panel in the workers’ compensation community. A panel with a solid track record is more likely to provide reliable assessments. We often find QME’s who are struck almost every time by the applicant side and the defense side. They have a poor reputation in the community as being biased for one side or the other. Note a common theme in looking at all of these factors. Your Defense attorney can be your best asset in obtaining a favorable panel, or minimizing the negative impact of an unfavorable one. Complying with the Regulations to ensure proper service The Labor Code establishes specific timelines that must be followed when requesting a panel of QME’s. Generally, a party must wait at least 10 days after mailing a request for a medical evaluation (plus 5 per the mailbox rule), pursuant to Labor Code §4060 through §4062. Because of the specific timeline, parties will often race to be first to obtain a panel in a specialty they believe will be most favorable to them. As of October 1, 2015, pursuant to CCR §30(b)(1)(c), all requests for initial panels must be submitted online. Once obtained, this section also requires a requesting party to do three things after obtaining a panel online: (1) serve the panel list, with a copy of any supporting documentation on the opposing party; (2) include a proof of service; and (3) serve within one working day after generating the QME list. Recently, in Lopez v. Rockstar Staffing, Inc., 2023 Cal. Wrk. Comp. P.D. LEXIS 199, the Workers’ Compensation Appeals Board held that a panel was invalid because it did not comply with CCR §30(b)(1)(C). In Lopez, the defendant had requested a panel on January 9, 2023, but failed to serve the panel until January 13, 2023, and also did not serve any of the supporting documentation. The Lopez case is a change in the Board’s prior stance to not invalidate panels in cases where defendants are not prejudiced by an applicant’s failure to strictly comply with 8 CCR §30(b). As such, parties should now cite Lopez when challenging the validity of panels when there’s a failure to comply with the rules. Conclusion Selecting a Qualified Medical Evaluation (QME) panel is a decision that should not be taken lightly. The right panel can ensure a fair and accurate assessment of an injured worker’s condition, while the wrong one may lead to a biased or inaccurate evaluation. Furthermore, ensuring proper service of the QME panel’s report is crucial for the timely resolution of workers’ compensation cases. At Siegel, Moreno & Stettler APC, we understand the complexities of the workers’ compensation system, and we guide our clients through the entire process, from selecting the right QME panel to ensuring proper service of their reports. Reach out to us with any questions you may have so we can get you the best panel possible. 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Successfully Identifying Workers’ Comp Recovery Opportunities

Successfully Identifying Workers’ Comp Recovery Opportunities Subrogation in the context of Workers’ Compensation A day in the life of a Worker’s Compensation Claims Professional can be hectic to say the least! New losses that demand immediate attention come in continually. Each claim brings in calls and correspondence from applicant attorneys, doctors, employers, case managers, investigators, defense attorneys, lien claimants, and injured workers. Each request for treatment and report brings rules and deadlines around every corner. Supervisors require diary review, updates, and plans of action, and clients seek account audits. And on top of all that, the claims professional is also responsible for identifying subrogation recovery potential for each claim. That picture is daunting, but subrogation does not have to be a thorn in the claims professional’s side. Familiarity with basic workers’ compensation subrogation fact patterns and the steps to take once they have been identified can ease this task. In general, subrogation in the context of a workers’ compensation case comes in several distinct fact patterns. Motor vehicle accidents Construction site accidents Premises liability Products liability Miscellaneous patterns Let us explore some fundamentals for each. Motor vehicle accidents (MVA’s) MVA’s are the easiest fact pattern to identify with subrogation potential. When a report comes in that mentions an injury that was caused by a car accident, subrogation should be pursued to determine who was at fault for the accident. Some initial and quick steps can be completed to insure proper investigation is completed and recovery is obtained. These include: 1. Securing a copy of the police report is key for this purpose. Once the report is received, the responsible driver and owner should be put on notice of the carrier’s intent to pursue subrogation. 2. A demand must be made for the insured to open a claim with their auto insurance carrier. 3. A request should be made to the employer and employee for any photographs of the vehicles involved, documentation of any repairs made to the vehicles involved, and a statement made by anyone involved in the accident or who witnessed it. Construction site accidents Accidents on construction sites come in all shapes and sizes. Early identification of subrogation potential is paramount because the scene of the accident and instrumentation involved often can change quickly. Even a short delay of a few days in getting a subrogation inquiry up and running can prejudice the chances of recovery. Thus, when an injury comes in and the employer identifies the accident locale as a construction site, an immediate subrogation review needs to be done. Common fact patterns include: Injuries involving heavy machinery or scaffolding Falls from heights Materials falling and striking workers Failures to guard against dangerous conditions Once subrogation potential is identified, requests should be made for: Witness statements OSHA reports Contractor reports Premises liability – slip, trip, and fall scenarios These cases are the most often overlooked by claims professionals and insured employers. They are also often discounted quickly on the assumption that it was nothing more than an accident caused by the injured worker not paying attention. While contributory fault of the injured worker is a consideration in all premises liability cases, it does not mean that there is no subrogation potential. Any time an injury involves a slip, trip, fall, or some other accident caused by an encounter with a condition present on the property, the claims professional should take a moment to step back and consider whether a third party was involved in creating the condition that led to the injury. Once identified, photographs of the condition responsible for the injury should be secured immediately. Products liability These cases have the most obvious fact patterns but can be the most expensive and problematic to pursue. Whenever an injury occurs due to an encounter with a machine, tool, or piece of equipment, subrogation should be considered. Discussions with the employer and employee should focus on whether a defect or failure of the equipment contributed to the accident. Quite often, these situations involve contributory fault of the injured worker and employer surrounding misuse of equipment or failure to train. Nonetheless, if the scope of the injury is large, at least a basic analysis of product design or manufacturer defects should be completed. Securing a copy of the OSHA report often can assist in the fact gathering and analysis of the issues involved. In very serious cases, an expert should be consulted early on to inspect the product. Ultimately, these cases hinge on the testimony and opinion of an expert concerning the product. Miscellaneous patterns Not all subrogation fact patterns fit neatly into a category. Any time an accident occurs and you find yourself asking,  “How did that happen?”, It is probably a good indication that there may be subrogation potential. Follow that intuition by asking questions of the employer and employee to determine whether a third party potentially could be involved in the cause of the injury. If there is ever a doubt, it is better to be safe than sorry. Remember, help is always available from subrogation specialists, vendors, or attorneys who can assist with the questions to ask and evidence to preserve to make sure that subrogation opportunities are not missed. A phone call is all it takes to get started! Search for: Search Archives Archives Select Month September 2026 April 2020 March 2020 January 2020 November 2019 October 2019 September 2019 March 2019 February 2019 January 2019 August 2017 Subscribe To Our Blog First Name Last Name Email * Edit Template

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A review of the 2021 DIR Audit findings

A review of the 2021 DIR Audit findings The 2021 audit regarding claims handling practices has been released and is available for public review. A copy of the report can be found here: https://www.dir.ca.gov/dwc/AuditUnit/Audit-Annual-Report2021.pdf For a link to the general DIR website for the Audit and Enforcement Unit which has the report and other information can be found here. https://www.dir.ca.gov/dwc/audit.html The purpose of the audit report is to ensure insurers, self-insureds and third part administrators are properly addressing indemnity and medical benefits management. The audit results point out issues in these areas and administrative penalties are assigned. For most of the general population, I’ll wager you did not do a deep dive into the report. For us Work Comp nerds, it was a Godsend for those cold nights when we want nothing else other than to cuddle up by a roaring fire in our PJ’s with a cup of hot chocolate and a good read, namely, audit reports! Rest assured, there are some great nuggets of information any examiner can use in their daily case management. Takeaways The largest number of violations surround indemnity benefits. Notably, untimely first payment of TTD and PD benefits and/or subsequent payments. There were also multiple violations for inaccurate benefit notices or failure to provide any notice at all. Other notice violations include failure to serve notice of a QME or AME evaluation. This one was a bit of a surprise as defense counsel would normally be the one to handle that notice on represented cases. I assume this would primarily apply to unrepresented matters. Other violations include failure to document (properly) claim log entries. There were also a sizeable number of violations regarding timely payment or objection to medical treatment expenses. So why is this important? I think this demonstrates the need to return to basics when it comes to claims and adjusting of your caseload. When I was a claims examiner, I often found myself delving into caselaw, complex legal arguments and spending a lot of time addressing what I called the “minutiae” items. Which are important. But I tried my best to not lose sight of the basics: timely payment of benefits, timely medical care approval, good documentation of claims notes, and addressing disputes and denials. In the end, these are the items that claims examiners would spend most of their time on. As technology has improved, it is easier than ever to make sure things are set to automatic payment, easier form and templates for correspondence, and easier note taking options. But as this audit demonstrates, no one is perfect. Examiners have a tough job of complying with timelines, codes, statutes, and caselaw. They make hundreds of decisions a day. And after their tasks and requirements are met, they also must ensure their support staff also are accurately documenting files, sending correspondence, and serving documents to dozens of parties per day. And lets be honest; applicant attorneys are good at addressing errors and do demand costs and sanctions in the process. The final lessons are simple: return to the basics and use all the tools you have in the process. Spend the time to ensure each file has properly paid and scheduled indemnity benefits. Make sure file and serves are completed timely, and routinely. Stay on top of your mail and email. And, make sure you address errors timely and promptly to keep small issues from turning into larger ones. And for defense attorneys like me? We need to make it a priority to assist in these duties and make sure we are timely litigating all issues. We need to ensure regular contact with our clients. And we need to be better about putting out those small fires on the corner of our desk before the entire office is consumed in a bonfire. May the 2022 audit bring about fewer violations and less audit penalties! Search for: Search Archives Archives Select Month September 2026 April 2020 March 2020 January 2020 November 2019 October 2019 September 2019 March 2019 February 2019 January 2019 August 2017 Subscribe To Our Blog First Name Last Name Email * Edit Template

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Revisiting the See’s Candies (Ek) decision and employer duty of care

Revisiting the See’s Candies (Ek) decision and employer duty of care A number of months ago, I completed an assessment of the See’s Candies Inc. v. Superior Court (Ek) decision. For a review, please visit this post for more background. The See’s decision discussed the long- standing Derivative Injury doctrine, which is a doctrine that states Workers’ Compensation exclusivity applies to all claims that are collateral to or derivative of a compensable injury in the Workers’ Compensation injury. It was my opinion that the case potentially put a large dent in this exclusive remedy rule, thus opening the potential for sizeable and I would argue, largely unforeseeable liability for employers who already face some heavy burdens in this system of ours. In April, after reviewing the lower court and appellate decisions, the Supreme Court declined to review this decision without comment after See’s Candies petitioned the December, 2021 decision of the 2 nd District Court of Appeal (see See’s Candies Inc. v. Los Angeles Superior Court et al.). The final decision of this case in essence bars a claim where it is a legal impossibility to state a cause of action without alleging a disabling or lethal injury to an employee. However, it does not bar claims with only a causal link to an industrial injury. But is this the end? Have we reached the finality of employer liability? No! The issue over duty of care of the employer was not addressed. Which is the second issue a party will need to address to successfully prevail in a tort action. Why was it not addressed? I think it was the decision of the court to not address this issue due to another case making its rounds through the lower courts at the time See’s Candies was headed up to the Supreme Court. Enter Kuciemba v. Victory Woodworks, 2021 U.S. Dist. LEXIS 88997; 2022 U.S. App. LEXIS 10786 9 th Circuit Court of Appeals. Some of the facts of this case ring similar to that of See’s, though there are some distinct differences. In the Kuciemba matter, both the employee and his spouse were hospitalized due to COVID-19 he contracted at work. The spouse sued for damages alleging negligence and public nuisance while her spouse sued for loss of consortium. Initially, the Federal District Court granted the employer’s motion to dismiss under the Exclusive Remedy doctrine, though the Court of Appeals certified specific questions related to COVID to the Supreme Court of California. The Supreme Court will ultimately address two issues. First, if the Derivative Injury rule bars the claims of the couple. Second, whether the employer owes a duty of ordinary care to members of the household. And thus, the second issue not addressed in See’s appears to be on its way to being answered. Basic Tort law addresses duty of care and negligence all the time but the big unanswered question is how far does that duty extend? While there is a general duty for employers to provide employees with a safe work environment, it is my opinion that opening the door to the household of the employee as wide as both See’s and Kuciemba would potentially allow would be disastrous to employers and employees alike. And with COVID-19 and the resulting changes with remote employment opportunities which I believe has largely been a benefit to employer and employee alike, we would likely see a very rapid return to in-person work only so that the employer can better control the “workplace” and potential liability in general. The employer duty to the household was addressed in another case that does give us a roadmap of sorts as to the thoughts of the State of California in imposing liability on the employer for incidents that occur in the home. The Colonial Van decision (see Colonial Van & Storage, Inc. v. Superior Court, 76 Cal. App. 5 th 487 (2022), which involved a most unfortunate series of events, discussed a duty of care in the home. In that case, a married couple both worked for the company. The wife was a supervisor and could work from home. She often invited co workers to her home for work-related meetings and other events. One evening, they invited a coworker and business associate (and sadly, an infant also was in the home) to dinner where they discussed both work and non work-related items and tasks. Their son, who suffered from PTSD, suddenly left the dinner table and returned with a firearm and started shooting, killing his stepfather and wounding everyone else. Colonial and the employee were sued for negligence and intentional infliction of emotional distress. On Writ of Petition to the Court of Appeal, the court addressed the issue of whether an employer has a duty to address safety of persons at an off-site work location from third party action. Ultimately, the case was dismissed with the court concluding that an employer does not have a duty to protect work from home employees from third-party criminal conduct. The court analyzed if the employer had a duty to protect employee’s at home, which is a location they do not own nor possess. They ultimately refused to impose a duty, at least as it pertains to tortious activity of a third party. Next, they considered if the employer was deemed to have exercised control over the employee’s home if it enjoys a commercial benefit from the use of the home. Ultimately, a mere commercial benefit was not sufficient. Next, the court held that an injured coworker could not rely upon an employer-employee relationship to impose a duty on the employer. Next, the Court determined that the harm was not foreseeable and that Colonial had no actual knowledge of risk. Finally, the Court considered public policy against imposing liability. In essence, they claimed that public policy weighed heavily against imposing a duty against the employer, arguing that liability for the employer would create an “unrealistic obligation.” With this case in mind, a determination of employer liability in the

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California labor commissioner publishes updated workplace poster

California labor commissioner publishes updated workplace poster Search for: Search Archives Archives Select Month September 2026 April 2020 March 2020 January 2020 November 2019 October 2019 September 2019 March 2019 February 2019 January 2019 August 2017 Subscribe To Our Blog First Name Last Name Email * Edit Template

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Derivative injury rule and COVID

Derivative injury rule and COVID What in the world is the derivative injury rule and what does it have to do with Worker’s Compensation? In one of the more interesting cases I have reviewed in some time, the Court of Appeals handed down a decision in late December 2021 pertaining to a COVID-19 death claim and contraction at work, See’s Candies Inc. v. Superior Court (Ek). The twist? The decedent was not the applicant, but rather, her husband. In 2020 Arturo Ek unfortunately passed away from COVID exposure. Ms. Ek contracted COVID-19 and while recovering at home, her husband contracted the virus and ultimately succumbed to his infection. Ms. Ek subsequently filed a lawsuit claiming her employer, See’s Candies, failed to implement appropriate safety measures to mitigate employee exposure to Coronavirus. The claim made in her suit was that the employer knew or should have known that its negligent acts (alleged) would increase the risk of COVID-19 exposure amongst its workers, which could be transmitted to family members. In response, See’s Candies filed a demurrer arguing that the suit was precluded by the “derivative injury doctrine”, a theory that states that Workers’ Compensation exclusivity applies to all claims that are “collateral to or derivative of a compensable injury.” Normally, families of injured employees cannot sue the employer in civil court. Here, the Trial Court overruled the demurrer, stating that an injury to the applicant was not relevant to the overall claim of negligence. Upon appeal, the 2nd DCA cited Snyder v. Michael’s Stores and stated the defendant’s argument was not persuasive. They also rejected an argument about public policy concerns which would compel them to apply the derivative injury doctrine. The court also specifically referenced the ongoing pandemic and noted that factual and legal issues from the pandemic will not lead to unlimited liability. Forgive my scoffing at this thought, as it seems the court is constantly finding ways to expand liability of a defendant. Finally, the court stated that the duty of care argument is not addressed and will ultimately need to be addressed. Specifically, if the defendant (See’s) owes/owed a duty of care to nonemployees infected with COVID-19 as a result of a direct employee contracting the disease at work. The court noted that this assessment of public policy concerns would be hashed out through the litigation process. So how does this impact Workers’ Compensation matters? For over 100 years with few exceptions injuries that occur at work will be handled via a claim for workers’ compensation benefits. Some claim that while the no-fault system is a benefit to the applicant, the loss of the right to a civil suit is a detriment to the same applicant due to the ability to not recover substantial damages. With this decision, should it stand, the exclusive remedy rule is now diminished, possibly significantly, as a protection for employers. This means employers will now need to exercise more caution than ever in demonstrating compliance with appliable rules and regulations pertaining to workplace safety. And document, document, document that compliance. Search for: Search Archives Archives Select Month September 2026 April 2020 March 2020 January 2020 November 2019 October 2019 September 2019 March 2019 February 2019 January 2019 August 2017 Subscribe To Our Blog First Name Last Name Email * Edit Template

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ALL hearings will be held virtually until further notice

ALL hearings will be held virtually until further notice Siegel, Moreno & Stettler has received updated information from the DWC regarding remote appearances in light of the recent increase in COVID-19 cases due to the Omnicron variant. Per release #2022-05, effective 1/12/22, ALL hearings will be held virtually until further notice. THIS INCLUDES TRIAL, LIEN TRIALS, EXPEDITED HEARINGS, AND SPECIAL ADJUDICATION UNIT (SAU) TRIALS. These appearances were previously assigned to in-person attendance, unless an exception or granted Petition applied. All other appearances will continue to be held remotely using the Judge conference lines that can be found on the DWC conference page. A copy of the link to the Newsline can be found HERE. Siegel, Moreno & Stettler has taken great strides to ensure the safety of our attorneys and staff members while continuing to provide premier services for our clients. Our attorneys have remote access to all appearances and can be reached via their office lines as well as cell phones, email, fax, and other means. We encourage all of our clients to reach out to all attorneys and support staff with any questions or needs and to provide as many means of contact as they may have at their disposal. Check back for further updates on the pandemic and its impact on Workers’ Compensation matters. Be safe! Search for: Search Archives Archives Select Month September 2026 April 2020 March 2020 January 2020 November 2019 October 2019 September 2019 March 2019 February 2019 January 2019 August 2017 Subscribe To Our Blog First Name Last Name Email * Edit Template

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AB 685 and SB 1159 made simple

AB 685 and SB 1159 made simple The ongoing coronavirus pandemic has upended lives and disrupted a number of industries. The legal world – specifically the workers’ compensation space – is not immune and has been affected by a number of bills, now laws, in California. The root of these legislative moves has been: to what extent can employers be held liable for a worker’s exposure to COVID-19? The answer, for now, has come in the form of two laws: Assembly Bill 685 and Senate Bill 1159. In an effort to disambiguate these laws, I have outlined them. Feel free to download the outlines and contact mewith any questions. AB 685 Signed by Governor Gavin Newsom on September 17, 2020, AB 685 allows the state to track COVID-19 cases at workplaces more closely. The law further allows CAL/OSHA to expand its use of Stop Work Orders to help slow the spread of the virus in situations where workplace transmission has been deemed hazardous or imminent.   SB 1159 Also signed into law on September 17, 2020, SB 1159 creates a rebuttable presumption of workers’ compensation liability for COVID-19 illness claims. For now, the presumption is in effect until January 1, 2023. Search for: Search Archives Archives Select Month September 2026 April 2020 March 2020 January 2020 November 2019 October 2019 September 2019 March 2019 February 2019 January 2019 August 2017 Subscribe To Our Blog First Name Last Name Email * Edit Template

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Proposed new presumptions for frontline workers

Proposed new presumptions for frontline workers The California legislature continues to respond to the COVID-19 outbreak. This week, the California Assembly will deliberate AB 664, offered up by Lorena Gonzalez (D-80) and Jim Cooper (D-9). The bill would amend the Labor Code to make available a presumption for COVID-19 infection for firefighters, police officers and health care workers. In some instances, the bill would make contracting the infection compensable. Here are the facts: To be eligible, workers must be engaged in direct COVID-19 patient care. “Injury” now includes being sent into quarantine, even if the disease does not develop. This only applies if the governor declares a state of emergency. Reimbursement for personal protection equipment and temporary housing would be included in payments where applicable. The presumption is in effect 90 days after the last date of employment, regardless of the terms of employment termination. If passed, this law will likely add a murky future for these types of claims, as there is no possible way to know if the infection was contracted at work. The legislature is essentially saying that that does not matter. Another consideration is the 90 day window. Based upon the currently-known behavior of the disease and its incubation period, many questions are likely to come up. Full Text of AB 664 We will keep a close eye on developments and how they affect our clients. Stay safe – SMS Search for: Search Archives Archives Select Month April 2020 March 2020 January 2020 November 2019 October 2019 September 2019 March 2019 February 2019 January 2019 August 2017 Subscribe To Our Blog First Name Last Name Email * Edit Template

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What does the caselaw say?

What does the caselaw say? There is no doubt that everyone who participates in the current Workers’ Compensation system has been affected by the spread of the COVID-19 virus. And, it is not surprising to me that employers, carriers, examiners and attorneys alike are wondering what life after containment of the virus will bring to our little world of litigation. These changes include not only changes to the workplace, changes at the WCAB, but also with the filing of COVID-19 cases against employers. In the past few weeks, I have been given the opportunity to participate in a roundtable with clients and employers, and I drafted a memo regarding relevant Labor Code sections and an overview on the initial claim investigation process. And in preparation for these events, I have scoured caselaw to find out what it says about a claim for exposure to a virus or other infection. My search results are below. What does the caselaw say? Anyone who practices or works in our little world is well aware of the liberal nature of claim compensability in general. A virus or bacteria exposure at work is no exception. As is with any injury, the applicant has the burden of proving with a “reasonable probability” that the disability (i.e. COVID-19 exposure), occurred during the course and scope of employment. McAllister v. Workmen’s Comp. App. Bd. (1968) 69 Cal. 2d 408. However, caselaw also establishes that there can be significant difficulty in determining injury when the source is unknown or unclear, thus establishing a narrower rule specifically for infectious diseases. As stated in the LaTourette decision, “[I]n the area of nonoccupational disease, [t]he fact that an employee contracts a disease while employed or becomes disabled from the natural progress of a nonindustrial disease during employment will not establish the causal connection.”…“The narrower rule applicable to infectious diseases arises from the obvious problems of determining causation when the source of injury is of uncertain etiology, the product of invisible and often widespread viral, bacterial, or other pathological organisms. The potentially high costs of avoidance and treatment for infectious diseases, coupled with the fact that such illnesses often cannot be shown with certainty to have resulted from exposure in the workplace, also explain the different line-drawing by our courts in the area of nonoccupational disease.” LaTourette v. WCAB (1998) 17 Cal.4th 644, 654. The opinion expressed in LaTourette is elaborated on further in the Pacific Employers decision, which states that simply because an applicant becomes ill and happens to be employed at the time of illness, this does not create the nexus needed to establish causation. Pacific Employers v. IAC (1942) 19 Cal.2d 622. Nevertheless, as is common with all workplace injuries, the burden is quite low. The applicant only has to provide a “reasonable” or “probable” causal connection to prove the source of any contagion or disease through a preponderance of the evidence. McAllister, supra, at 416-418. Bringing us full circle back to the injury as plead by the applicant, the caselaw identifies two exceptions to the compensability dilemma for a disease that would generally be considered non-occupational. They are: The employment subjects the employee to an increased risk compared to that of the general public. LaTourette, supra, at 654. Or, The immediate cause of the injury is an intervening human agency or instrumentality of the employment. LaTourette, supra at 654. For the first exception, there is plenty of caselaw to guide us in determining what exactly is an “increased risk” when compared to the general public. If there is a greater risk of exposure in the workplace as opposed to risk in the general public, an injury may be deemed industrial. For example, as quoted in the LaTourette decision, the Pacific Employers decision found that an applicant’s contracting of Valley fever was compensable due to multiple work trips to the San Joaquin Valley and Arizona regions which has mold and fungus in the soil that causes said condition. LaTourette, supra, at 654, Pacific Employers, supra, at 622. The court determined that the applicant lacked an immunity to this condition that local residents would have developed and as such was placed at greater risk than that of the general public. In Bethlehem Steel, the court determined that contracting the eye disease of keratoconjunctivitis was a compensable injury for a shipyard worker. Although this was a disease that was contagious throughout the San Francisco bay area in general, the Supreme Court determined that the shipyards of the San Francisco area had a greater proportion of employees exposed at the work site than the general population. Bethlehem Steel Co. v. IAC (1943) 21 Cal. 2d 742. As such, the injury as allegedly contracted while working was deemed industrial. Finally, we have the Bradley decision, which determined that a Hepatitis B infection was industrial despite no evidence of a specific incident of exposure, given that a detective was exposed on a regular basis to drugs and drug paraphernalia, thus creating a higher risk exposure. City of Fresno v. Workers’ Comp. Appeals Bd. (Bradley) (1992) 57 Cal.Comp.Cases 375. For the second exception, we can turn to the case of Maher v. WCAB (1983) 33 Cal. 3d 729, wherein a nurse’s assistant who had pre-existing tuberculosis received treatment while still working her usual and customary duties. After suffering from an adverse reaction to her medication, she filed a claim for her injuries. The Supreme Court decided that the required medical treatment that was needed to continue working resulted in an industrial injury, even if the condition itself was non-industrial. Let us not forget that once again, that ultimate burden borne by the applicant is still rather low, even for exposure cases. Indeed, per Guerra, “a medical opinion that industrial causation was ‘“not zero’” was sufficient contribution… ”. Guerra v. Workers ’ Comp. Appeals Bd. (Guerra) (2016) 246 Cal.App.4th 1301, 1310 quoting South Coast Framing v. Workers’ Comp. Appeals Bd. (Clark) (2015) 61 Cal.4th 291, 303. Work from home During a conversation I had with a

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