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Case Law Database

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

Case No. ADJ1036181 (LAO 0861182) ADJ3257740 (LAO 0861181) ADJ1313689 (LAO 0861180)
Regular
Sep 13, 2018

Connie Edge vs. World Citrus West, Nationwide Insurance

This case involves an applicant with admitted industrial injuries seeking reconsideration of a WCJ's findings regarding home health care and penalties. While the parties petitioned for reconsideration, they subsequently entered into a compromise and release agreement for $1,350,000. The Board approved the settlement, finding it adequate and in the applicant's best interest. However, the Board deferred jurisdiction over the division of attorneys' fees between the applicant's current and former attorneys, ordering $100,000 withheld pending further resolution at the trial level.

Workers' Compensation Appeals BoardReconsiderationJoint Findings of FactCompromise and ReleaseLabor Code section 5001WCAB Rule 10882Medicare Set-AsideAttorneys' FeesLienDeferred Jurisdiction
References
2
Case No. ADJ1036181 (LAO 0861182), ADJ1313689 (LAO 0861180), ADJ3257740 (LAO 0861181)
Regular
Jun 23, 2014

RONNIE C. EDGE vs. WORLD CITRUS WEST, NATIONWIDE INSURANCE

This case concerns a defendant's challenge to a WCJ's award of 12 additional hours of home health care. The Appeals Board rescinded the WCJ's decision, finding the defendant's argument regarding the timing of the award was not substantiated by the medical evidence. The Board substituted a new award granting four hours per day, three days per week of home health care for three months following the applicant's left knee surgery, as recommended by Dr. Sobol. The Board affirmed the finding of untimely utilization review and other awarded treatments.

Workers' Compensation Appeals BoardUtilization ReviewJoint Findings of FactHome Health CareMedical TreatmentLeft Knee SurgerySubstantial EvidenceDr. SobolPulmonary Function TestingBiPAP Machine
References
1
Case No. ADJ1036181 (LAO 0861182) ADJ1313689 (LAO 0861180) ADJ3257740 (LAO 0861181)
Regular
Dec 23, 2019

CONNIE EDGE, RONNIE EDGE vs. WORLD CITRUS WEST, NATIONWIDE INSURANCE

The Workers' Compensation Appeals Board denied reconsideration of a prior decision on attorney fee allocation in a workers' compensation case. The Appeals Board adopted the Workers' Compensation Judge's report, giving great weight to their credibility determinations. The Judge found no substantial evidence to overturn their prior ruling on the division of fees between two attorneys, Glauber and Hershewe. The Judge's report detailed that the fee division was based on Labor Code Section 4906(d), considering responsibility, care, time, and results obtained by each attorney, and found no ex parte communication occurred.

WCABPetition for ReconsiderationWCJ Credibility DeterminationsEx Parte CommunicationDue ProcessLabor Code Section 4906(d)Attorney FeesCompromise and ReleaseCumulative TraumaSpecific Injury
References
0
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