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Case Law Database

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

Case No. MISSING
Regular Panel Decision

Trapani v. 10 Arial Way Associates

Cesare Trapani, an employee of P & W Electric, Inc., was injured at a construction site owned by 10 Arial Way Associates and managed by The Marcus Organization, Inc. Both property owner and manager sought defense and indemnification as additional insureds under an insurance policy issued by Assurance Company of America to P & W. A Judicial Hearing Officer initially found them to be additional insureds, a finding upheld by the Supreme Court which denied summary judgment to P & W and Assurance. On appeal, the order was reversed. The appellate court determined that the work contract did not expressly or specifically require additional insured coverage, and a certificate of insurance alone was insufficient. Consequently, the motions by P & W Electric, Inc. and Assurance Company of America were granted, the cross-motions by 10 Arial Way Associates and The Marcus Organization, Inc. were denied, and a judgment was entered declaring that the latter are not entitled to insurance coverage as additional insureds.

Additional InsuredInsurance PolicyContract InterpretationSummary JudgmentDeclaratory JudgmentConstruction Site InjuryThird-Party LiabilityCertificate of Insurance ValidityWork ContractAppellate Procedure
References
11
Case No. ADJ9344211
Regular
Dec 01, 2017

Patricia Preston vs. Los Angeles Unified School District, SEDGWICK CLAIMS MANAGEMENT SERVICES

The applicant sought reconsideration of a workers' compensation award, challenging the permanent disability rating primarily based on the chosen medical evaluation method. The applicant argued the Range-of-Motion (ROM) method, favored by her treating physician, should have been used instead of the Diagnosis-Related Estimates (DRE) method employed by a Qualified Medical Evaluator (QME). Additionally, she contended that her vocational expert's opinion supported a finding of total permanent disability. The Board denied reconsideration, affirming the administrative law judge's decision, finding the QME's DRE rating supported by substantial evidence and the applicant's vocational evidence insufficient to prove total disability. A dissenting opinion argued that findings of multi-level spinal involvement supported the use of the ROM method for a potentially higher rating and questioned the QME's justification for choosing DRE.

Workers' Compensation Appeals BoardPatricia PrestonLos Angeles Unified School DistrictSedgwick Claims Management ServicesADJ9344211Permanent Disability RatingRange-of-Motion MethodDiagnosis-Related Estimates MethodApportionmentDr. Fenton
References
6
Case No. ADJ1390531
Regular
Aug 06, 2015

SARITA JANE BISSETT GARCIA vs. PEACE AND JOY CARE CENTER, ILLINOIS MIDWEST INSURANCE AGENCY

This case involves a workers' compensation appeal where the Court of Appeal remanded the matter to the Board for attorney's fees. Defense counsel informed the Board that a total of $\$11,000.00$ in attorney's fees was agreed upon, with an initial payment of $\$7,500.00$ and an additional $\$3,500.00$. The Workers' Compensation Appeals Board has issued an award for these agreed-upon appellate attorney's fees. This award is payable in addition to any compensation provided to the applicant.

Workers' Compensation Appeals BoardAttorney's FeesLabor Code § 5801Petition for Writ of ReviewCourt of AppealRemandAppellate Attorney's FeesPeace and Joy Care CenterVirginia Surety Inc.Marvin L. Mathis
References
1
Case No. ADJ6773331 ADJ7296677
Regular
Dec 11, 2015

REHAN NAZIR vs. CITY OF TORRANCE POLICE DEPARTMENT, CITY OF TORRANCE

This case involves a remand from the Court of Appeal to the Workers' Compensation Appeals Board (WCAB) for the award of attorney's fees. Applicant's counsel successfully responded to the defendant's Petition for Writ of Review, prompting the appellate court's order. The parties have stipulated to a reasonable fee of $10,000 for these appellate services. The WCAB has issued an award of this $10,000 in additional attorney's fees to the Law Offices of Lawrence R. Whiting, payable to the applicant's counsel in addition to any other compensation.

Workers' Compensation Appeals BoardRehan NazirCity of Torrance Police DepartmentADJ6773331ADJ7296677Long Beach District OfficeOpinion and AwardAdditional Attorney's FeesLabor Code § 5801Labor Code § 5811
References
1
Case No. ADJ10483516, ADJ6690853, ADJ886741 (POM 0300434)
Regular
May 02, 2018

CAROLINE JOHNSON vs. CAREMARK RX, INC.; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

The Court of Appeal remanded this case to the Appeals Board to award additional attorney's fees to the applicant's attorney for services rendered in opposing the defendant's Petition for Writ of Review. The applicant's attorney sought $9,200.00 for 23 hours of work at $400.00 per hour. After reviewing the petition and considering factors like time, effort, skill, and complexity, the Appeals Board awarded the full requested amount of $9,200.00 in attorney's fees. This award is in addition to any other compensation due to the applicant.

Workers' Compensation Appeals BoardPetition for Writ of ReviewSupplemental attorney's feesLabor Code § 5801Court of Appealappellate attorney's feesapplicant's attorneyhourly ratereasonable feesremand
References
2
Case No. ADJ8374764
Regular
Oct 29, 2018

RODY CONTRERAS vs. CITY OF REDONDO BEACH

This case concerns an award of additional attorney's fees to applicant's counsel. The Second District Court of Appeal remanded the matter for such fees after denying the defendant's petition for writ of review. The parties subsequently stipulated to reasonable appellate attorney's fees of $1,600.00. The Workers' Compensation Appeals Board has issued an award for these stipulated fees, payable in addition to any compensation to the applicant.

Workers' Compensation Appeals BoardLabor Code Section 5801additional attorney's feesPetition for Writ of Reviewremandstipulationappellate attorney's feesCity of Redondo BeachPermissibly Self-InsuredAdminSure
References
1
Case No. ADJ10307427
Regular
Mar 21, 2017

CHRISTOPHER DEVEREUX vs. STATE COMPENSATION INSURANCE FUND, Permissibly Self-Insured; administered by THE HARTFORD

This case concerns an award of additional attorney's fees for applicant's counsel, pursuant to Labor Code § 5801. The Third District Court of Appeal remanded the matter for this purpose after denying the defendant's Petition for Writ of Review. The parties stipulated to reasonable attorney's fees of $2,500.00. The Board has issued an award of these appellate attorney's fees in favor of the applicant's counsel, payable in addition to any compensation awarded to the applicant.

Workers' Compensation Appeals BoardLabor Code § 5801attorney's feesPetition for Writ of Reviewappellate attorney's feesstipulationawardState Compensation Insurance FundThe Hartfordremanded
References
1
Case No. ADJ2478986 (SAC 0326370)
Regular
Oct 07, 2014

LINDA FUNK vs. DELTA DENTAL PLAN OF CALIFORNIA, LIBERTY MUTUAL INSURANCE COMPANY

This case involves an award of additional attorney's fees to the applicant's attorneys following a successful defense of a Petition for Writ of Review. The Court of Appeal remanded the case for the Board to determine reasonable fees for appellate services. The applicant's attorneys requested $4,160.00, and the Board awarded $3,840.00, disallowing time spent on fee preparation. This award is made in addition to any other compensation owed to the applicant.

Workers' Compensation Appeals BoardAttorney's FeePetition for Writ of ReviewCourt of AppealLabor Code § 5801Supplemental AwardCertified Workers' Compensation SpecialistAppellate Attorney's FeesLiberty Mutual Insurance CompanyDelta Dental Plan
References
2
Case No. ADJ8076158
Regular
Aug 20, 2014

JEFFREY BARSTOW vs. CAST & CREW ENTERTAINMENT SERVICES, INC., ZURICH NORTH AMERICA

This case involves an award of additional attorney's fees and costs to applicant's counsel following a successful defense of a Petition for Writ of Review at the appellate level. The Court of Appeal remanded the case for the Board to determine these fees. The Board found the requested $3,712.50 in attorney's fees, based on 8.25 hours at $450/hour, to be reasonable. Additionally, costs of $46.92 for printing expenses were awarded, totaling $3,759.42.

Labor Code § 5801Petition for Writ of ReviewAppellate Attorney's FeesSupplemental AwardCourt of AppealBoard OrderReasonable FeesCostsLaw Offices of Steven M. BarryVan Nuys District Office
References
1
Case No. MISSING
Regular Panel Decision

Claim of Joslin v. City of Albany Fire Department

The claimant appealed a Workers’ Compensation Board decision regarding the method of payment for his hearing loss benefits, specifically challenging the biweekly installment plan. The claimant argued that Workers’ Compensation Law § 49-bb, which governs occupational loss of hearing claims, mandated a different payment method. The court rejected this contention, asserting that Workers’ Compensation Law § 15 (3) (m), which covers schedule awards for hearing losses generally, and § 49-cc, which directs occupational loss of hearing compensation to align with § 15 (3), govern the payment. Consequently, the court affirmed that the claimant was entitled to biweekly scheduled payments, consistent with other schedule loss awards.

Hearing lossWorkers' CompensationOccupational diseaseSchedule awardBiweekly paymentsStatutory interpretationAppealCompensation benefitsWorkers' Compensation Board
References
2
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