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Case Law Database

Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. ADJ7232076
En Banc
Sep 26, 2011

Tsegay Messele vs. Pitco Foods, Inc.; California Insurance Company

The Appeals Board holds that the 10-day period for agreeing on an AME under Labor Code § 4062.2(b) is extended by five days when the initial proposal is served by mail, and clarifies the method for calculating this time period, finding both parties' panel requests premature.

Workers' Compensation Appeals BoardTsegay MesselePitco FoodsInc.California Insurance CompanyADJ7232076Opinion and Decision After ReconsiderationOrder Granting RemovalDecision After RemovalEn Banc
References
Case No. ADJ984305
Significant
Sep 17, 2015

Joann Matute, Applicant vs. Los Angeles Unified School District, defendants

The Appeals Board held that the term 'mailing' in Labor Code section 4610.6(h) is equivalent to 'service by mail', thus extending the 30-day period to file an Independent Medical Review (IMR) appeal by five days under C.C.P. section 1013(a), making the applicant's appeal timely.

IMR determinationservice by mailCode of Civil Procedure 1013(a)Labor Code 4610.6(h)Appeals Board en bancPetition for ReconsiderationUtilization ReviewAdministrative Directoruntimely appeal30-day period
References
Case No. ADJ8964113
Regular
Jun 24, 2016

LISA LIU vs. ADVENTURER HOTEL, TOWER NATIONAL INSURANCE COMPANY

This case concerns a lien claim filed by Tri-County Medical Group for services provided to applicant Lisa Liu. The Administrative Law Judge (ALJ) dismissed the lien, finding it was filed untimely beyond the 18-month statutory limit. The lien claimant appealed, arguing the filing date of February 2, 2015, was within the period because the 18-month deadline of February 1, 2015, fell on a Sunday, extending the filing to the next business day. The Workers' Compensation Appeals Board granted reconsideration, rescinded the ALJ's order, and found the lien timely filed. The Board determined that per procedural rules, when the last day falls on a weekend, the deadline extends to the next business day.

Workers' Compensation Appeals BoardLien ClaimPetition for ReconsiderationLabor Code section 4903.5(b)Statute of Limitations18-month periodRules of Practice and ProcedureBusiness DayEAMS RecordJudicial Notice
References
Case No. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. ADJ10132416
Regular
Sep 04, 2019

ARMANDO SALAZAR vs. DOTY BROS. EQUIPMENT COMPANY, AIG CLAIMS for NATIONAL UNION FIRE INSURANCE COMPANY, STARR INDEMNITY & LIABILITY COMPANY

This case concerns the determination of the cumulative trauma injury date and the corresponding liability period for a workers' compensation claim. The Appeals Board clarified that the date of injury under Labor Code section 5412 is July 30, 2005, through September 30, 2015, based on when the applicant should have reasonably recognized his disability as work-related, evidenced by his attorney filing a claim. Crucially, the Board distinguished this from the liability period under Labor Code section 5500.5, which was established as July 30, 2014, through July 30, 2015, the applicant's last day of work. This revised liability period confirmed that Starr Indemnity & Liability Company was within coverage for the claim.

Labor Code Section 5412Labor Code Section 5500.5cumulative trauma perioddate of injuryinjurious exposureknowledge of disabilityApplication for Adjudication of Claimpetition to dismisscoverageamended findings
References
Case No. ADJ10391495
Regular
Jun 20, 2019

EDNA DE LEON, vs. DEPALMA TERRACE SENIOR LIVING; BERKSHIRE HATHAWAY HOMESTATE COMPANIES; THE HARTFORD,

The Workers' Compensation Appeals Board dismissed Edna De Leon's Petition for Reconsideration because it was filed untimely. The Board noted that California law allows only 25 days to file a petition after a decision is served by mail. De Leon's petition was filed on April 22, 2019, which was more than 25 days after the WCJ's March 25, 2019 decision. The Board emphasized that timely filing is jurisdictional and they lacked authority to consider petitions filed outside this timeframe.

Petition for Reconsiderationuntimelydismissaljurisdictionalservice by mailtime limitWCABWCJdeadline25 days
References
Case No. ADJ11166250
Regular
Aug 18, 2025

Diane Clay vs. County of Los Angeles, Tristar

The Workers' Compensation Appeals Board considered a Petition for Reconsideration filed by Diane Clay against County of Los Angeles and Tristar. The Board reviewed the petition and the WCJ's report. The primary issue was the timeliness of the petition. According to Labor Code section 5909, the Appeals Board must act on a petition within 60 days of transmission, and a petition must be filed within 25 days of a final decision. The Board found that the petition, filed on June 11, 2025, was more than 25 days after the Findings of Fact and Order issued on May 14, 2025, making it untimely. As untimeliness is a jurisdictional issue, the Board lacked authority to consider it on merits. Therefore, the Petition for Reconsideration was dismissed.

Petition for ReconsiderationuntimelydismissalLabor Code section 5909Appeals Board60-day periodtransmissionEAMSservice of report25-day limit
References
Case No. ADJ1988743 (OAK 0328856)
Regular
Aug 10, 2012

JAMES KENDALL (Deceased) vs. OPENWAVE SYSTEMS, INC., AMERICAN PROTECTION INSURANCE CO., BROADSPIRE, A CRAWFORD CO., TRAVELERS INDEMNITY CO. OF CONNECTICUT, LUMBERMEN'S MUTUAL CASUALTY CO.

This case concerns the determination of liability for a deceased worker's cumulative trauma injury, specifically carpal tunnel syndrome. The Workers' Compensation Appeals Board granted reconsideration to amend the period of injurious exposure. The Board found that the applicant's date of injury, based on the onset of temporary disability, was September 30, 2004. Therefore, the statutory period of liability under Labor Code § 5500.5 was established as September 30, 2003, through September 29, 2004, the employee's last day of work. This amendment impacts the contribution between insurers APIC and Travelers.

Cumulative traumaLabor Code section 5500.5Labor Code section 5412Period of liabilityCarpal tunnel syndromeTemporary disabilityPermanent disabilityDate of injuryInjurious exposureReconsideration
References
Case No. ADJ1517004 (SFO 0507766) ADJ2067388 (SFO 0503520)
Regular
Dec 01, 2009

DEIDRA EVANS vs. ANTAMEX AND ZURICH NORTH AMERICA

The WCAB denied defendant's petition for reconsideration of a decision awarding applicant temporary disability indemnity for two separate injuries. The board clarified that the 104-week limitation on payments applies separately to each injury, with credit given for overlapping periods.

Workers' Compensation Appeals BoardDeidra EvansAntamexZurich North AmericaADJ1517004ADJ2067388Petition for ReconsiderationFindings Award and OrderWorkers' Compensation Judgeindustrial injury
References
Case No. ADJ2255696 (VNO 0497652)
Regular
May 15, 2009

TATIANA ZAKIANS vs. BLOOMINGDALES

Lien claimant Sam Alaiti, M.D., sought reconsideration of a WCJ's order reducing his lien by over $80\%$. The WCJ recommended granting reconsideration, noting procedural issues with the petition's timely attention by the judge. The Appeals Board found the petition timely filed, but it did not come to their attention until after the statutory reconsideration period had passed. Citing due process principles, the Board held the reconsideration period begins upon their actual notice. Therefore, the Board granted reconsideration, rescinded the prior order, and returned the matter to the trial level for further proceedings.

Lien claimantPetition for ReconsiderationOrder Reducing LienOrder to Pay Lienworkers' compensation administrative law judgeEAMSFileNetstatutory time periodAppeals Boarddue process
References
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