CompFox Logo
AboutWorkflowFeaturesPricingCase LawInsights

Updated Daily

Case Law Database

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

Case No. ADJ746026 (SJO 0221595) ADJ1315805 (SJO 0221596) ADJ2490198 (SJO 0221597) ADJ1525795 (SJO 0234303)
Regular
Feb 03, 2010

GILBERT GASKA vs. EAST SIDE UNION HIGH SCHOOL, ACE/USA, CALIFORNIA INSURANCE GUARANTEE ASSOCATION

This case involves claims for reimbursement between two insurers covering applicant's industrial injuries. CIGA, representing an insolvent insurer, sought reimbursement from ACE/USA for medical benefits paid. The arbitrator initially awarded CIGA approximately $105,000, later amended to $138,555.15 due to a clerical error. ACE/USA petitioned for reconsideration, arguing CIGA's claim was untimely and improperly based on contribution or subrogation. The Board dismissed CIGA's petition as moot because the corrected award had already been issued. The Board denied ACE/USA's petition, clarifying CIGA's claim was for reimbursement under Insurance Code section 1063.1, not untimely contribution or subrogation, and that ACE/USA was liable due to providing "other insurance" for the same injuries.

Workers' Compensation Appeals BoardCalifornia Insurance Guarantee AssociationCIGAACE/USAFremont Compensation Insurance Companyinsolvencycumulative injuryspecific injuryreimbursementcontribution
References
3
Case No. ADJ374246
Regular
Apr 23, 2015

CAROLINE PARAS vs. LOS ANGELES TIMES/TRIBUNE, ACE USA

Defendant ACE USA filed a Petition for Removal seeking to overturn an order changing the claims administrator from Gallagher Bassett to CIGA. The Board found ACE USA's contentions unintelligible. However, both ACE USA and the applicant subsequently filed a Compromise and Release, which was approved. Consequently, ACE USA's Petition for Removal is now moot and has been dismissed by the Board.

Petition for RemovalOrder to Change AdministratorsCalifornia Insurance Guarantee AssociationCIGACompromise and Releasemootalter egothird party administratorTPAWorkers' Compensation Appeals Board
References
0
Case No. ADJ248306 (SAC 0298167) ADJ870873 (SAC 0298071)
Regular
Jul 28, 2017

Lonnie Roberts vs. Capital Plumbing, California Insurance Guarantee Association, Reliance National Indemnity Company, SEDGWICK CLAIMS MANAGEMENT SERVICES, ACE USA

The Workers' Compensation Appeals Board granted reconsideration to clarify ACE USA's liability for reimbursement to CIGA. ACE USA argued that CIGA's claim lacked sufficient proof and that the initial order failed to specify an amount. The Board affirmed the finding that ACE USA is liable for reimbursement to CIGA for temporary disability, medical treatment, bill review, and utilization review for services paid after January 26, 2001. However, the Board amended the order to clarify that the parties must adjust the reimbursement amount, with the trial judge retaining jurisdiction if an agreement is not reached.

Workers' Compensation Appeals BoardCIGAACE USAReimbursementLiquidationJointly and Severally LiableOther InsuranceBenefit PrintoutLabor Code Section 5815Unclean Hands Doctrine
References
1
Case No. ADJ672705 (ANA0348598) MF ADJ786706 (ANA0334510) ADJ1359776 (AHM0072658)
Regular
Feb 15, 2013

HUMBERTO RIVAS vs. UNIVERSAL ALLOY CORPORATION; ACE USA; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for FREMONT INDEMNITY COMPANY and CALIFORNIA COMPENSATION INSURANCE, both in liquidation; REPUBLIC INDEMNITY COMPANY

This case involves an appeal by ACE USA regarding a Workers' Compensation Appeals Board decision that found applicant Humberto Rivas sustained cumulative injuries to both arms while employed by Universal Alloy Corporation. The Board granted reconsideration, primarily because ACE USA argued it was denied due process concerning reimbursement to CIGA. The Board affirmed the applicant's award but rescinded the findings on credit and reimbursement, returning these issues to the trial level for further proceedings. This ensures ACE USA and CIGA have a proper opportunity to address their respective liabilities and reimbursements.

Workers' Compensation Appeals BoardCumulative InjurySpecific InjuryPermanent DisabilityApportionmentFuture Medical TreatmentCalifornia Insurance Guarantee AssociationCIGAOther InsuranceReimbursement
References
7
Case No. MISSING
Regular Panel Decision
Apr 01, 2011

Riley v. HSBC USA, INC.

Plaintiff Dawn Riley alleged employment discrimination based on race against HSBC USA, Inc. and HSBC Bank USA, National Association, under Title VII and New York Human Rights Law. Defendants moved for summary judgment, arguing a legitimate, non-discriminatory reason for Riley's termination—poor job performance. The Magistrate Judge recommended granting summary judgment in part to dismiss HSBC USA, Inc. as a defendant and denying it as to HSBC Bank USA, National Association, finding material issues of fact regarding pretextual discrimination. Chief Judge William M. Skretny accepted the Report and Recommendation, denied the objections, and partially granted/denied the motion for summary judgment, terminating HSBC USA, Inc. as a defendant. The case will proceed against HSBC Bank USA, National Association.

Employment DiscriminationRacial DiscriminationReverse DiscriminationSummary JudgmentPretextDisparate TreatmentTitle VIINew York Human Rights LawReduction in ForcePerformance Review
References
0
Case No. SDO 0325797
Regular
Jan 25, 2008

Anthony Arinze vs. Labor Finders, ACE USA

This case involves an appeal by defendant ACE USA regarding an award for applicant Anthony Arinze's cumulative trauma injury. The Workers' Compensation Appeals Board granted reconsideration, rescinded the original award, and returned the case for further development of the medical record. The Board found insufficient medical evidence on apportionment of the applicant's back injury, particularly concerning pre-existing degenerative conditions. The matter will proceed to the trial level for a new Qualified Medical Evaluator to address these issues.

Labor FindersACE USAcumulative traumaright eye injuryhand injuryback injurypermanent disabilityapportionmentLabor Code section 5400Labor Code section 4663
References
8
Case No. ADJ2417988
Regular
Oct 01, 2010

PHILLIP NEELY vs. GTE CORPORATION/ACE USA as administered by BROADSPIRE

The Workers' Compensation Appeals Board (WCAB) has granted the defendant's petition for reconsideration in the case of Phillip Neely v. GTE Corporation/ACE USA. This decision allows the WCAB further time to thoroughly review the factual and legal issues presented. The reconsideration is necessary to ensure a complete understanding of the record for a just and reasoned decision. All future communications related to this matter should be directed to the Commissioners' Office in San Francisco.

Workers' Compensation Appeals BoardPetition for ReconsiderationGTE CorporationBroadspirestatutory time constraintsfactual and legal issuesjust and reasoned decisionDecision After ReconsiderationCommissioners' OfficeAdelson Testan & Brundo
References
0
Case No. ADJ4455621 (AHM 0086346)
Regular
May 14, 2014

ALVIN CAVALIER vs. BABCOCK & WILCOX; ACE USA, Administered By ESIS, INC.

This case involves Alvin Cavalier's workers' compensation claim against Babcock & Wilcox and its administrator, ACE USA. Cavalier petitioned for reconsideration of a prior decision by the Workers' Compensation Appeals Board (WCAB). The WCAB has denied Cavalier's petition, adopting the reasoning of the administrative law judge and incorporating it into their order.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJ reportdeny reconsiderationAlvin CavalierBabcock & WilcoxACE USAESISInc.ADJ4455621
References
0
Case No. ADJ620686
Regular
Jul 06, 2015

YOLANDA ALVAREZ vs. BURNS INTERNATIONAL SECURITY SERVICES, ACE USA/ESIS

This case concerns a Petition for Removal filed by Burns International Security Services and ACE USA/ESIS. The Workers' Compensation Appeals Board denied the petition because removal is an extraordinary remedy requiring a showing of substantial prejudice or irreparable harm, which the defendants failed to demonstrate. The Board found that reconsideration would be an adequate remedy should an adverse final decision issue. The Board also noted a slight discrepancy regarding the closure of discovery, but ultimately adopted the WCJ's reasoning in denying removal.

Petition for RemovalWorkers' Compensation Appeals BoardMandatory Settlement ConferenceDiscoveryCompensable Consequence InjuryIncontinencyLumbar Spine InjuryUtilization ReviewAuthorizationPrejudice
References
2
Case No. ADJ2639902 (RIV 0043796)
Regular
Oct 25, 2010

FELICITAS HELLMICH vs. LAKE ELSINORE UNIFIED DISTRICT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, ICW GROUP, ACE USA

ACE sought reconsideration of an arbitrator's award finding a single cumulative trauma injury and holding ACE responsible for reimbursement to CIGA and ICW. The Board denied reconsideration, affirming that under Labor Code § 5500.5, ACE is solely liable for the cumulative trauma injury due to its coverage during the final year of exposure. ACE's arguments regarding specific injuries and applicability of case law were rejected as contrary to Agreed Medical Evaluator findings and statutory mandates. The Board found ACE's liability for all benefits is established regardless of prior payments by other insurers or the reasonableness of treatment, which can be addressed separately if needed.

Cumulative traumaLast year of exposureLabor Code Section 5500.5CIGAWeitzmanContributionReimbursementAgreed Medical EvaluatorMedical treatmentSpecific injury
References
8
Showing 1-10 of 845 results

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.

CompFox Logo

The AI standard for workers' compensation professionals. Faster research, deeper analysis, better outcomes.

Product

  • Platform
  • Workflow
  • Features
  • Pricing

Solutions

  • Defense Firms
  • Applicants' Attorneys
  • Insurance carriers
  • Medical Providers

Company

  • About
  • Insights
  • Case Law

Legal

  • Privacy
  • Terms
  • Trust
  • Cookies
  • Subscription

© 2026 CompFox Inc. All rights reserved.

Systems Operational