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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. 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 The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr.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. ADJ2203540
Regular
Jan 11, 2012

GORDON ANTHONY vs. COUNTY OF LOS ANGELES

This case involves a petition for reconsideration filed by the Applicant, Gordon Anthony. The Workers' Compensation Appeals Board granted reconsideration to correct a clerical error in the original decision dated October 18, 2011. Specifically, the Board amended the decision to change the applicant's name from "ANTHONY GORDON" to "GORDON ANTHONY" in multiple locations of the findings and order. Otherwise, the Board affirmed the original decision.

Workers' Compensation Appeals BoardReconsiderationClerical ErrorFindings of FactOrderOpinion on DecisionApplicantDefendantSelf-InsuredAmended Decision
References
Case No. ADJ7755811
Regular
Jun 21, 2013

SONIA MILLS vs. COUNTY OF FRESNO, PSI, AMERICAN ALL-RISK LOSS ADMINISTRATORS, INC.

This case involved a worker, Sonia Mills, seeking compensation from the County of Fresno for medical treatment. The Workers' Compensation Appeals Board granted reconsideration of the prior decision. The Board amended the original decision to clarify that Mills' self-procured treatment was unauthorized and not related to her industrial injury. Therefore, the defendant is not liable for this specific treatment.

Workers' Compensation Appeals BoardReconsiderationSelf-procured treatmentUnauthorized treatmentIndustrial injuryLeft trapeziusLiabilityOpinion and OrderDecision After ReconsiderationFindings of Fact
References
Case No. ADJ408647 (FRE 0248555)
Regular
Apr 26, 2013

PATROCINA RAMSEY vs. SKYWEST AIRLINES, SEDGWICK CLAIMS MANAGEMENT

The Workers' Compensation Appeals Board granted reconsideration in *Ramsey v. Skywest Airlines* and amended the prior decision. Specifically, the first paragraph of the "Orders" from the February 14, 2013 decision was rescinded. The matter was then returned to the trial level for further proceedings regarding potential sanctions.

Patrocina RamseySkyWest AirlinesSedgwick Claims ManagementADJ408647FRE 0248555Workers' Compensation Appeals BoardOpinion and Order Granting ReconsiderationDecision After ReconsiderationWCJsanctions
References
Case No. ADJ7730913, ADJ8640698, ADJ8233287, ADJ7881756, ADJ8438104, ADJ7467140, ADJ7467243, ADJ9068351, ADJ9081983
Regular
Dec 02, 2016

HOLLIS COPELAND, JR. vs. DENVER NUGGETS, PINNACOL ASSURANCE

This case involved multiple consolidated workers' compensation claims where the Board initially denied reconsideration of an order dismissing Pinnacol Assurance for lack of personal jurisdiction. The Appeals Board is now granting reconsideration on its own motion to correct clerical errors in its prior opinion. Specifically, the Board failed to list all nine adjudication file numbers and did not serve all affected applicants. The decision after reconsideration affirms the original denial of reconsideration but amends the opinion to include all case numbers.

Appeals BoardGranting ReconsiderationOn MotionDecision After ReconsiderationClerical ErrorsPersonal JurisdictionPinnacol AssuranceConsolidated CasesAdjudication File NumbersAffirm Opinion
References
Case No. ADJ2826940 (SRO 0130341) ADJ4588697 (WCK 0050296)
Regular
Jan 03, 2011

GLENN JOHNSON vs. RYDER SERVICES CORPORATION

This case involves reconsideration of a Workers' Compensation Appeals Board decision. The Board granted reconsideration to amend the arbitrator's decision. The amended decision affirms the original October 11, 2010 ruling but modifies the award. Specifically, State Compensation Insurance Fund is awarded 12.5% contribution and reimbursement from Old Republic Insurance Company for medical expenses paid to the applicant.

WORKERS' COMPENSATION APPEALS BOARDGLENN JOHNSONRYDER SERVICES CORPORATIONOPINION AND ORDER GRANTING RECONSIDERATIONDECISION AFTER RECONSIDERATIONARBITRATOR'S REPORTAMENDED DECISIONAWARD STRICKENSUBSTITUTED AWARDSTATE COMPENSATION INSURANCE FUND
References
Case No. ADJ1003980 (SFO 0430815)
Regular
Jun 06, 2011

ROBERT WYNNE vs. LUMEND, INC., HARFORD INSURANCE COMPANY, AMERICAN MANUFACTURERS INSURANCE COMPANY (KEMPER)

This case involved a clerical error in the caption of a previous Workers' Compensation Appeals Board decision. The Board granted reconsideration to amend the April 4, 2011 decision nunc pro tunc. The amendment corrected the caption to include only the relevant case number, ADJ1003980 (SFO 0430815). No objections were received from the parties. The case is now returned to the trial level for further proceedings.

Workers' Compensation Appeals BoardNunc Pro TuncReconsiderationAmend DecisionClerical ErrorCase CaptionAdministrative Law JudgePetition to ReassignTrial Level ProceedingsInsurer
References
Case No. ADJ6408456
Regular
May 17, 2010

KENNETH M. HOOVER vs. CITY OF POMONA

The Appeals Board granted reconsideration of the WCJ's award of 100% permanent total disability. The Board found that the WCJ's decision was not supported by substantial evidence, primarily due to deficiencies in Dr. Grodan's medical reporting regarding the applicant's skin and cardiovascular conditions. The matter was returned to the trial level for further development of the record and a new decision. The Board confirmed the application of the 1997 Permanent Disability Rating Schedule and the admission of Dr. Shirman's report.

WORKERS' COMPENSATION APPEALS BOARDADJ6408456KENNETH M. HOOVERCITY OF POMONAreconsiderationFindings and Award and Orderworkers' compensation administrative law judgeWCJMay 172010
References
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