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

Case No. ADJ7673518, ADJ7647749
Regular
Jan 23, 2015

ANA DE AYALA vs. AO-THE UNIVERSITY CORPORATION / CALIFORNIA STATE UNIVERSITY NORTHRIDGE

The Workers' Compensation Appeals Board granted reconsideration and reversed a prior ruling, finding the applicant sustained industrial injury to her neck. While the applicant testified to injuring her neck in a workplace incident and this was partially corroborated, the Board found insufficient evidence for other claimed injuries. The Board specifically disagreed with the administrative law judge's credibility assessment concerning the neck injury itself, relying on medical reports and testimony supporting the neck injury claim. The Board affirmed the denial of claims for all other alleged injuries, finding insufficient medical evidence to link them to the incident.

Petition for ReconsiderationFindings and OrderIndustrial InjuryNeck InjuryBack InjurySpine InjuryUpper ExtremitiesPsycheGastroesophageal SystemInternal System
References
Case No. ADJ8026817
Regular
Apr 22, 2013

MARIA OCHOA vs. RANGERS DIE CASTING COMPANY, COMPWEST INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a decision finding the applicant sustained injury to her respiratory system and psyche AOE/COE. The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr. Lipper and Dr. Curtis lacked substantiality. Specifically, the physicians failed to provide clear diagnoses, quantify exposures, or adequately explain causation. The Board noted contradictory testimony from the applicant's supervisor and insufficient evidence to support the initial findings.

Workers' Compensation Appeals BoardMaria OchoaRangers Die Casting CompanyCOMPWEST INSURANCE COMPANYADJ8026817Los Angeles District OfficeOpinion and Order Granting ReconsiderationDecision After ReconsiderationFindings of FactWorkers' Compensation Administrative Law Judge (WCJ)
References
Case No. ADJ8201128
Regular
May 14, 2013

Barry Swartwood vs. UC DAVIS

This case concerns a lien claimant, ARS Legal, seeking payment for medical-legal copy costs incurred in the workers' compensation case of Barry Swartwood v. UC Davis. The Workers' Compensation Appeals Board (WCAB) denied ARS Legal's Petition for Reconsideration, upholding the Administrative Law Judge's (ALJ) finding. The WCAB determined that the costs were not reasonably or necessarily incurred, citing that ARS Legal obtained duplicate records after defendant Sedgwick had already objected to payment for such duplicative services. Furthermore, the records ARS Legal obtained were incomplete compared to those acquired by the defendant.

Workers' Compensation Appeals BoardBarry SwartwoodUC DavisSedgwickADJ8201128Order Denying ReconsiderationLabor Code section 4621(a)medical-legal copy costsStipulations with Request for Awardlien claimant
References
Case No. ADJ8580497
Regular
Oct 24, 2014

Anthony Broussard, Chenequa Phelps, William Ortiz vs. Neighborhood House Association; Zenith Insurance Company, Grossmont Family Medical Group; Zenith Insurance Company, Steigerwald Dougherty, Inc.; Zenith Insurance Company

In three consolidated workers' compensation cases, the Appeals Board rescinded its prior consolidation order and imposed $1,000 in sanctions against lien claimant ARS Legal and its representative. The Board found that ARS Legal improperly attempted to compel claims adjusters' appearances via notice, misinterpreting Code of Civil Procedure section 1987(b). The Board rejected ARS Legal's arguments regarding procedural ignorance and good faith, affirming that the representative's duty included understanding proper legal procedures.

Workers' Compensation Appeals BoardZenith Insurance CompanyARS LegalPetition for ReconsiderationOrder Quashing Notice to AppearClaims AdjusterSubpoenaWCJLabor Code Section 5813WCAB Rule 10561
References
Case No. ADJ15763825
Regular
Sep 16, 2025

CLAUDIO CARDOZO vs. ROCK AND ROLL CAR WASH, REDWOOD FIRE AND CASUALTY INSURANCE COMPANY

The Workers' Compensation Appeals Board denied the Petition for Reconsideration filed by Redwood Fire and Casualty Insurance Company dba Berkshire Hathaway Homestate Companies. The petition challenged a lien trial decision concerning a medical-legal evaluation performed by Dr. Michaels of Premier Psychological Services. The WCJ found that a medical dispute regarding psyche existed at the time of the evaluation, Dr. Michaels was validly designated as the Primary Treating Physician, and the evaluation was not barred by the 60-day rule for new claims as it was an amendment to an already accepted claim. The Appeals Board adopted the WCJ's reasoning and denied the petition.

Workers' Compensation Appeals BoardPetition for ReconsiderationLabor Code Section 5909Adjudication NumberOpinion and Order Denying PetitionWCJ ReportEAMS TransmissionNotice of TransmissionProof of ServiceFindings and Order
References
Case No. GOL 0098326
Regular
Jul 23, 2007

DIANE SWEET vs. SANTA MARIA JOINT UNION HIGH SCHOOL DISTRICT

This case involves a lien claimant, Associated Reproduction Services (ARS), seeking reconsideration of a decision that disallowed most of its lien for photocopying services. The Appeals Board denied reconsideration, upholding the administrative law judge's finding that ARS failed to meet its burden of proving the necessity and reasonableness of its charges. The Board affirmed that lien claimants must demonstrate that medical-legal expenses were reasonably, actually, and necessarily incurred to prove or disprove a contested claim, which ARS did not establish here.

Workers' Compensation Appeals BoardDIANE SWEETSANTA MARIA JOINT UNION HIGH SCHOOL DISTRICTAssociated Reproduction ServicesIncARSLien claimantWCJReconsiderationFindings of Fact
References
Case No. ADJ2508553
Regular
Jan 06, 2008

JOSE VASQUEZ vs. DONALD J SCHFFER CONSTRUCTION, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) granted reconsideration in Jose Vasquez's case against Donald J. Scheffer Construction and State Compensation Insurance Fund (SCIF). The WCAB affirmed the original decision but amended the findings and order regarding SCIF's liability. Specifically, SCIF is now liable for $\$799.75$ to Associated Reproduction Services, Inc. (ARS) for medical-legal expenses and costs, plus a $10\%$ penalty and interest on the medical-legal portion.

WORKERS' COMPENSATION APPEALS BOARDGRANTING RECONSIDERATIONDECISION AFTER RECONSIDERATIONState Compensation Insurance FundSCIFmedical-legal expensesAssociated Reproduction ServicesARSLabor Code section 5811costs
References
Case No. ADJ7865722
Regular
Feb 24, 2014

ILIA JAROSTCHUK vs. SAN FRANCISCO 49ERS, CHARTIS

The Workers' Compensation Appeals Board denied the lien claimant ARS' Petition for Reconsideration. The Board adopted the WCJ's report, finding ARS failed to support its contentions with specific record references. Furthermore, the Board found that ARS, as the lien claimant, did not meet its burden to prove its charges were reasonable and necessary. The denial is consistent with legal precedent and procedural rules.

Workers' Compensation Appeals BoardPetition for ReconsiderationLien ClaimantARS LegalCopy ServicesReasonableness of ChargesBurden of ProofProfessional AthleteStipulations with Request for AwardFindings and Award
References
Case No. ADJ6586398
Regular
Apr 29, 2013

CARMINA MAGALLANES vs. DEPARTMENT OF SOCIAL SERVICESIHSS, legally uninsured, administered by STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) granted the defendant's Petition for Reconsideration in the case of Magallanes v. Department of Social Services (IHSS). This grant is based on an initial review indicating a need for further study of the factual and legal issues to ensure a just decision. All future communications regarding this case must now be filed in writing directly with the WCAB Commissioners' office. This order allows for further proceedings and a more thorough examination of the case record.

MagallanesDepartment of Social Services IHSSlegally uninsuredState Compensation Insurance FundADJ6586398Anaheim District OfficeOpinion and Order Granting Reconsiderationstatutory time constraintsfactual and legal issuesjust and reasoned decision
References
Case No. SBR 321988, SBR 321989
Regular
Feb 19, 2008

MARGARET MARTINEZ vs. STATE OF CALIFORNIA, Legally Uninsured, STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES, Adjusting Agency

This case involves a petition for reconsideration filed by the defendant, State of California, regarding a prior decision. The Workers' Compensation Appeals Board granted the petition to allow for further study of the factual and legal issues. This action is necessary to ensure a just and reasoned decision after a comprehensive review of the record.

Workers' Compensation Appeals BoardPetition for ReconsiderationGranting ReconsiderationStatutory Time ConstraintsFactual and Legal IssuesJust and Reasoned DecisionReconsideration UnitState Compensation Insurance FundLegally UninsuredSBR 321988
References
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