4-534-398 (2003). ELIZABETH TOLEDO-ZAVALA (Order of Remand).
Case Date | November 14, 2003 |
Court | Colorado |
Colorado Workers Compensation
2003.
4-534-398 (2003).
ELIZABETH TOLEDO-ZAVALA (Order of Remand)
INDUSTRIAL CLAIM APPEALS
OFFICEIN THE MATTER OF
THE CLAIM OF ELIZABETH TOLEDO-ZAVALA, Claimant, v. EXCEL
CORPORATION, Employer, and CARGILL, INC., Insurer, Respondents.W. C. No. 4-534-398 and
4-534-399ORDER OF REMAND In these consolidated workers' compensation cases the claimant
seeks review of an order of Administrative Law Judge Felter (ALJ), dated July
16, 2003, which "denied and dismissed" all claims for workers' compensation
benefits in W.C. No. 4-534-398. We set the order aside and remand for further
proceedings.
The procedural history of this case prior to the ALJ's order of
July 16, 2003, is set forth in our Final Order of February 3, 2003. In that
order we affirmed an award of benefits in W.C. No. 4-534-399, a claim for a
January 2002 injury to the claimant's left upper extremity. However, in W.C.
No. 4-534-398, a claim for injuries to the claimant's abdomen and back on July
12, 2001, we set aside the ALJ's award of temporary total disability (TTD) and
medical benefits for treatment of the claimant's back. Our statement of the
facts from the February 3 order is incorporated herein.
With respect to the claim for benefits in W.C. No. 4-534-398, we
agreed with the respondents' argument that the ALJ exceeded his jurisdiction by
overturning the finding of an authorized treating physician, Dr. Thiel, that
the claimant reached maximum medical improvement (MMI) on July 26, 2001, and,
contrary to the claimant's contention, that the back pain was un
related to the industrial injury. We specifically held the determination
of MMI requires the treating physician to determine which conditions are
causally-related to the industrial injury, and that the ALJ lacks authority to
resolve a dispute concerning a treating physician's finding of MMI unless it
has been subjected to a Division-sponsored independent medical examination
(DIME). See Town of Ignacio v. Industrial Claim Appeals
Office, 70 P.3d 513 (Colo. App. 2002); Cordova v. Industrial
Claim Appeals Office, 55 P.3d 186 (Colo. App. 2002).
However, we did not dismiss the claims for TTD
benefits and medical benefits to treat the claimant's back condition. As to
these issues, we held the question of whether the back condition is related to
the industrial injury "is within the scope of...
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