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

Case No. ADJ8300983
Regular
Apr 28, 2014

ALBERTO CHICO vs. ONEMOR, INC., dba McDONALD'S, CALIFORNIA RESTAURANT MUTUAL BENEFIT CORP.

The Appeals Board denied reconsideration for the Jacobs-represented lien claimants, upholding the disallowance of their liens due to a failure to prove industrial injury and insufficient evidence. However, the Board granted reconsideration for the Kauffman-represented lien claimants, rescinding the sanctions previously imposed. While agreeing that the Kauffman claimants also failed to prove injury, the Board found their conduct did not rise to the level of bad faith or frivolous tactics required for sanctions.

WCABlien claimantspetition for reconsiderationFindings and OrderOrder Overruling Objection and Imposing Sanctionsindustrial injuryprobative evidencesanctionsbad-faith actionsfrivolous
References
9
Case No. ADJ2091864
Regular
May 08, 2013

LOUISE ALMARODE vs. NORWALK LA MIRADA UNIFIED SCHOOL DISTRICT

The Workers' Compensation Appeals Board (WCAB) denied the lien claimant's petition for reconsideration, adopting the administrative law judge's report. The WCAB also dismissed the defendant's petition for reconsideration because they were not aggrieved by the WCJ's decision. This order confirms the denial of the lien claimant's request and the dismissal of the defendant's request.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationAggrieved DefendantWCJ DecisionLabor Code § 5900Self-InsuredYork Risk Services GroupNorwalk La Mirada Unified School DistrictDeibra E. Lowe
References
0
Case No. ADJ344700
Regular
Jan 13, 2011

MARTHA GATLIN BANUELOS vs. LIVHOME, INC., as administered by CRUM FORSTER, CENTRAL ORTHOPEDIC MEDICAL GROUP, RONALD KVITNE, M.D. PHYSICIAN PARTNER

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration, finding they were not aggrieved by the decision awarding them full reimbursement for medical services. The defendant's petition for reconsideration was denied as the WCAB adopted the judge's reasoning for upholding the award. The WCAB affirmed the judge's finding that the lien claimant was entitled to $11,508.79 less any penalty or interest, despite an objection to an unsigned bill. This decision resolved disputes regarding the reasonableness of medical charges following an industrial injury.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationDefendant's PetitionAmended Findings and AwardOfficial Medical Fee ScheduleLabor Code section 5900Admissibility of EvidenceExhibit 1Itemized Bill
References
0
Case No. ADJ9307293
Regular
Jan 08, 2016

JUAN GARCIA vs. CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION

The Workers' Compensation Appeals Board denied the CCPOA Benefit Trust Fund's petition for reconsideration. The lien claimant sought penalties, alleging bad faith because the defendant sent an award payment directly to the lien claimant instead of its hearing representative. The Board found no evidence of unreasonable delay, noting the payment was timely sent to the address on file and promptly cashed by the lien claimant, constituting substantial compliance. The Board also suggested the lien claimant's multiple claims and penalty requests, despite timely payment, could constitute bad faith.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationBad Faith ActionsHearing RepresentativeSubstantial ComplianceSanctionsLabor Code Section 5700Legal Services BureauCCPOA Benefit Trust Fund
References
2
Case No. ADJ7564894
Regular
Jun 07, 2013

FLOR DE MARIA DE LEON vs. PORTO'S BAKERY, INC, TRAVELERS

Here's a summary for a lawyer: This case involves a lien claimant, First Choice Health UBC, whose lien was dismissed for failure to provide proof of timely payment of the lien activation fee at a lien conference. While the claimant's representative appeared for "FCH" and later submitted proof of payment for a different, similarly named entity (First Choice Medical Group), no proof was provided for First Choice Health UBC itself. The WCJ recommended denial of reconsideration, finding that the claimant failed to meet the requirements of Labor Code section 4903.06(a)(4) by not presenting evidence of activation fee payment for the correct entity at the conference, thus warranting dismissal with prejudice. The Appeals Board adopted the WCJ's report and denied the petition.

Lien ClaimantActivation FeePetition for ReconsiderationDismissal with PrejudiceContinuous TraumaServerBack InjuryKnee InjuryLower ExtremitiesNervous/Psyche
References
0
Case No. ADJ2303350 (FRE 0230817)
Regular
Apr 05, 2013

Benjamin Martinez vs. Boghossian Raisin Packing, State Compensation Insurance Fund

Lien claimants sought reconsideration of notices to dismiss their liens, but the Appeals Board dismissed their petition as interlocutory orders are not subject to reconsideration. The Board granted removal on its own motion and intends to sanction the lien claimants' representative, AMR Group, and the lien claimants themselves (Hooty Services and Accutox) for frivolous and bad-faith actions. This intent to sanction stems from their attempt to challenge a procedural order clearly permitted by Appeals Board rules.

Workers Compensation Appeals BoardPetition for ReconsiderationLien ClaimantsNotice of IntentionDismissalRemovalSanctionsLabor CodeFinal OrderInterlocutory Decisions
References
7
Case No. ADJ7620723
Regular
Aug 09, 2013

SERGIO CONTRERAS vs. WEST COAST PAINTING, AMERICAN CASUALTY COMPANY

This case concerns a lien claimant's petition for reconsideration of an order dismissing its lien for failure to pay a fee. The lien claimant argued it was exempt as its lien was previously resolved by stipulation and order. The defendant asserted the lien claimant was not aggrieved as the lien had been paid. Ultimately, the Appeals Board dismissed the petition for reconsideration because the lien claimant was not aggrieved, as its lien had been settled and paid.

Lien claimantPetition for reconsiderationDismissalLien activation feeStipulation and OrderAggrievedVerified answerDue processStatutory time periodAppeals Board
References
2
Case No. ADJ6690599
Regular
Jul 05, 2013

MARIA MORENO vs. KELLY SERVICES, INC.; Permissibly SelfInsured, Administered By ESIS

The Workers' Compensation Appeals Board granted Defendant Kelly Services' petition for reconsideration, reversing the trial judge's decision to admit certain lien claimant exhibits and award payment. The Board found that lien claimant Foundation Medical Group (FMG) failed to comply with Labor Code section 4903.8(d) by not submitting required declarations for its billing records. The case is returned to the trial level for further proceedings regarding FMG's lien. Additionally, the Board dismissed lien claimant Express Case Management's petition for reconsideration as untimely.

Workers' Compensation Appeals BoardLien claimantPetition for ReconsiderationLabor Code section 4903.8(d)Declaration under penalty of perjuryIndustrial injuryLow back injuryCompromise and ReleaseLien trialMedical bills
References
0
Case No. ADJ2506742
Regular
Apr 18, 2011

SAUL FUENTES ARGUETA, SAUL ARGUETA vs. PRO CASES INC., STATE COMPENSATION INSURANCE FUND

This case involves a lien claimant, Dr. Konstat, seeking reconsideration of a Compromise and Release (C&R) agreement. Dr. Konstat contends the C&R improperly dismisses the applicant's psychiatric injury claim, which had been previously established by earlier WCAB orders. However, the Board found the C&R did not explicitly stipulate the applicant *did not* sustain a psychiatric injury, but rather agreed to withdraw that specific claim. Therefore, the C&R was not a final order regarding the lien claimant's rights, and the petition for reconsideration was dismissed, allowing the lien claimant to pursue her claim separately.

Lien claimantCompromise and ReleasePetition for ReconsiderationIndustrial injuryPsycheStipulationFindings and AwardLabor CodeWorkers' Compensation Appeals BoardWCJ
References
7
Case No. ADJ7787891
Regular
Sep 25, 2015

JORGE CERVANTES vs. JBM SPORT TRUCK AND ACCESSORIES, CYPRESS INSURANCE COMPANY

Here's a summary for a lawyer, in a maximum of four sentences: The Workers' Compensation Appeals Board granted reconsideration, reversing a prior decision that disallowed a lien claimant's invoice for photocopying services. The Board found that the lien claimant, California Imaging Solutions, acted as an agent or independent contractor for applicant's attorney, a member of the State Bar. This status exempted them from Business and Professions Code registration and bonding requirements. Consequently, the case was returned to the trial level to determine the reasonable fee for the lien claimant's services.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationIndependent ContractorBusiness and Professions Code Section 22451Registration RequirementBonding RequirementProfessional PhotocopierState Bar MemberApplicant's Attorney
References
10
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