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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. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. ADJ3093533 (MON 259690) ADJ676332 (MON 257523)
Regular
May 15, 2009

PEARLENE POWELL vs. SO. CALIFORNIA PERMANENTE MEDICAL GROUP, KAISER PERMANENTE MEDICAL CARE PROGRAM; ST. JOHN'S HEALTH CENTER, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

The Appeals Board denied Kaiser's petition for reconsideration, upholding the finding that the applicant's permanent disability was 100% and not subject to apportionment to St. John's employment. St. John's petition for reconsideration was granted in part to correct a procedural error. The Board amended the prior decision to reinstate the applicant's January 11, 2005 Amended Findings, Award and Order, confirming the prior findings.

ApportionmentAgreed Medical ExaminerSubstantial EvidencePermanent DisabilityReconsiderationPetitionFindings and OrderAmended FindingsAwardOrder
References
Case No. ADJ7828356
Regular
Dec 27, 2018

ELIZABETH ZAVALA vs. EMPLOYMENT SOLUTIONS, TRISTAR RISK MANAGEMENT FOR CASTLEPOINT NATIONAL, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION

This case involves lien claimant petitions for reconsideration of two WCJ orders. The first petition was dismissed as moot because the challenged Findings and Award was subsequently rescinded. The second petition was also dismissed because the Order Rescinding Findings and Award for Lien Claim is not a final order, and reconsideration is only permitted from final decisions. Therefore, both petitions for reconsideration were dismissed as they were procedurally improper.

Workers' Compensation Appeals BoardElizabeth ZavalaEmployment SolutionsTristar Risk ManagementCastlepoint NationalCalifornia Insurance Guarantee AssociationADJ7828356Petition for ReconsiderationFindings and AwardOrder Rescinding Findings and Award
References
Case No. ADJ10597372
Regular
Apr 13, 2020

KATORIA JONES vs. THRIFT RECYCLING, ZURICH AMERICAN INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration to amend the original Findings, Award and Order. The Board found that the applicant's occupational group number should be 360 (porters and packers) rather than 230 (machine operators and tenders). This amendment was based on the applicant's job duties as a warehouse line loader involving lifting, sorting, and moving boxes. The Board deferred issues of permanent disability and attorney's fees, returning the case to the trial level for further proceedings with the corrected occupational group number.

Workers' Compensation Appeals BoardPetition for ReconsiderationOccupational Group NumberSorterWarehouse workerLine loaderPDRSPermanent Disability Rating ScheduleFindings Award and OrderIndustrial Injury
References
Case No. ADJ864227 (LBO 350573) ADJ1635667 (LBO 350607)
Regular
Dec 29, 2008

LUIS ECHEVARRIA vs. FALCON WEST, INC., STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration and reversed the trial judge's award of attorney's fees under Labor Code section 5814.5. The Board reasoned that section 5814.5 requires an award of attorney's fees to be "in addition to" increased compensation under section 5814, which was not sought or awarded here. Furthermore, the Board found that any delay in payment was not unreasonable due to a good-faith dispute over the net settlement amount.

WORKERS' COMPENSATION APPEALS BOARDLUIS ECHEVARRIAFALCON WESTINC.STATE COMPENSATION INSURANCE FUNDADJ864227ADJ1635667OPINION AND ORDER GRANTING RECONSIDERATIONDECISION AFTER RECONSIDERATIONFindings and Orders
References
Case No. ADJ10512267
Regular
Aug 08, 2018

ANGEL DUENAS vs. HILTON LA JOLLA TORREY PINES, ACE AMERICAN INSURANCE COMPANY

The Appeals Board granted removal and amended a WCJ's discovery order, allowing further investigation into causation for applicant's shoulder injury. The WCJ's initial order to depose Dr. Murphy was problematic as he was not the agreed medical evaluator for this specific claim and there was a prior finding of no medical evidence for cumulative trauma. While the Board affirmed the need for additional discovery, it clarified that parties are not obligated to depose Dr. Murphy, and the defendant's defenses remain preserved. The defendant failed to demonstrate significant prejudice or irreparable harm from this amended order.

Petition for RemovalDiscovery OrderAgreed Medical Evaluator (AME)CausationPrejudiceIrreparable HarmReport and RecommendationFactual BackgroundStipulations with Request for AwardApplication for Adjudication of Claim
References
Case No. ADJ7597718 ADJ7597723
Regular
Aug 09, 2017

ARTURO BERNAL vs. RIVIERA RESORT AND SPA, BROADSPIRE

The Workers' Compensation Appeals Board denied the defendant's Petition for Reconsideration. Although the Administrative Law Judge (WCJ) initially stated the petition was untimely, the Board found it was timely filed. This was because the defendant had not been properly served with the original or amended Findings, Award and Order. The Board adopted the WCJ's report and reasoning in its denial.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJ reportservice of ordersLabor Code section 5903timely filedFindings Award and OrderAmended Findings and AwardBroadspireMehr and Associates
References
Case No. ADJ6780734
Regular
Sep 08, 2011

Venessa Vielma vs. The Pape Group, Hartford Insurance Company of the Midwest

The Appeals Board granted reconsideration because the WCJ issued an Order Approving Compromise and Release one day after the jurisdictional 15-day period to act on the applicant's petition for reconsideration had expired. This untimely action rendered the WCJ's Order and the prior Findings, Award and Order without jurisdiction. Therefore, the Board rescinded both the Order Approving Compromise and Release and the Findings Award and Order. The matter is returned to the trial level for further review of the settlement by the WCJ.

Writ of MandatePetition for ReconsiderationCompromise and ReleaseOrder Approving Compromise and ReleaseFindings Award and OrderAdministrative Law JudgeAppeals BoardIndustrial InjuryPermanent DisabilityApportionment
References
Case No. ADJ1507274 (SAL 0086897) ADJ2790793 (SAL 0119129) ADJ1389554 (SAL 0075071) ADJ1159901 (SAL 0081442) ADJ2589221 (SAL 0081441)
Regular
Mar 09, 2010

WILLIAM HILDEBRAND vs. DASSEL'S PETROLEUM, INC., SEDGWICK CLAIMS, CLARENDON NATIONAL INSURANCE COMPANY

This case involves multiple workers' compensation claims for back, neck, and knee injuries sustained by the applicant. The Workers' Compensation Appeals Board (WCAB) considered Clarendon's contention that prior findings regarding temporary disability were res judicata and could not be modified. The WCAB denied this, finding that the prior award was clarified, not changed, and that the attorney's fee adjustment applied only to new temporary disability. Finally, the WCAB amended the award to allow Clarendon to deduct the Employment Development Department's lien from the applicant's permanent disability award if necessary.

WCABReconsiderationWCJFindings Award OrdersAmended Findings Award OrdersSAL Case NumbersEAMSCumulative TraumaTemporary DisabilityPermanent Disability
References
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