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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. ADJ7627051
Regular
Apr 26, 2012

ALEJANDRA AMBRIZ vs. ACCENT CARE, INC.; AIG INSURANCE administered by SEDGWICK

The Workers' Compensation Appeals Board granted reconsideration of a prior award approving stipulations for an applicant's industrial injury. The defendant sought reconsideration due to a mutual mistake in calculating permanent disability. Subsequently, the parties agreed to amend the original stipulations and the defendant withdrew its petition. The Board rescinded the original award and returned the matter to the trial judge to consider the amended stipulations.

WCABPetition for ReconsiderationStipulations with Request for AwardPermanent DisabilityMutual Mistake of FactStipulation Amending Stipulated AwardRescind AwardReturned to Trial LevelWCJ DecisionAdjudication
References
Case No. ADJ7861546
Regular
Jun 18, 2019

Ranjan Bhatt vs. California Department of State Hospitals, Coalinga State Hospital

This case involves a petition for reconsideration filed by applicant Ranjan Bhatt regarding an increase in permanent partial disability from 25% to 44% for her low back, left hip, and knee injuries. The applicant contended the judge erred by apportioning liability to non-industrial causes. Following a settlement conference, the parties submitted stipulations for an award of 51% permanent partial disability. The Workers' Compensation Appeals Board approved these stipulations, rescinded the prior award, and issued a new award based on the agreement.

WCABPetition for ReconsiderationFindings and AwardPermanent Partial DisabilityApportionmentNon-industrial causesStipulations With Request for AwardCommissioners' Settlement ConferenceWCJLegal Insurance
References
Case No. ADJ3505091 (OXN 0144958) ADJ1732342 (OXN 0144957) ADJ6575424
Regular
Dec 22, 2014

JOSEFINA LOPEZ vs. RAMCO ENTERPRISES, REDWOOD FIRE & CASUALTY INSURANCE COMPANY c/o BERKSHIRE HATHAWAY HOMESTATE COMPANIES

The Workers' Compensation Appeals Board denied Ramco Enterprises' petition for reconsideration of a stipulated award. Ramco sought to overturn the award based on an alleged mutual mistake in calculating the permanent disability rate, attempting to invoke Code of Civil Procedure section 473(b). However, the Board found that CCP 473(b) is not binding in workers' compensation proceedings and that even if considered, the alleged mistake did not constitute sufficient grounds to set aside the jointly prepared and approved stipulated award. The Board emphasized that a unilateral mistake or a change of mind is insufficient to rescind an award.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJ reportCode of Civil Procedure section 473(b)Stipulated Awardmutual mistakejoint Stipulations with Request for Awardgood causeinadequate settlementunilateral mistake
References
Case No. ADJ8252128
Regular
Nov 30, 2015

HILARY RHONAN vs. COUNTY OF LOS ANGELES, INTERCARE INSURANCE SERVICES

The Workers' Compensation Appeals Board granted the defendant's petition for reconsideration to correct mathematical and clerical errors in an award approving stipulations. While the defendant sought to amend the award to include a credit, the Board affirmed the award with specific corrections to the retroactive temporary disability, self-imposed penalty, attorney's fees, and the permanent disability rate. The final award reflects these adjustments as agreed upon and recommended by the WCJ.

Petition for ReconsiderationAward Approving Stipulationsretroactive temporary disabilityself-imposed penaltyattorney's feepermanent disabilityLabor Code section 4658(d)mathematical errorsclerical errorWCJ
References
Case No. ADJ8189699
Regular
Mar 27, 2013

VERONICA TREJO vs. COUNTY OF LOS ANGELES

This case involves a dispute over a workers' compensation award based on stipulations approved at a mandatory settlement conference where the applicant was not present. The defendant sought to set aside the award, alleging issues with signatures and a "mutual mistake" regarding permanent disability. The Appeals Board denied the applicant's petition for removal, upholding the judge's authority to set aside the award pending further investigation. The Board highlighted serious ethical concerns regarding potential misconduct by both parties in the filing of the stipulations. The case was remanded for a status conference to address signature validity and potential sanctions.

Petition for RemovalOrder Setting Aside AwardStipulations with Request for AwardMandatory Settlement ConferenceAgreed Medical EvaluatorPetition to Set Aside StipulationMutual MistakeFraudDue ProcessEthical Misconduct
References
Case No. ADJ9371315
Regular
Sep 08, 2014

JOHN STEPHEN CHACON vs. SACRAMENTO MUNICIPAL UTITILITY DISTRICT, INTERCARE HOLDINGS INSURANCE SERVICES

The Workers' Compensation Appeals Board (WCAB) dismissed the defendant's petition for reconsideration and denied their petition for removal. This action was taken because the underlying stipulated award was void as the unrepresented applicant never reviewed or signed the amended stipulations. The WCAB found this procedural defect rendered the award invalid, and therefore, the judge's order vacating it was appropriate and the defendant's subsequent appeals were moot. The case will return to the trial level for a status conference and further proceedings to ensure due process.

Order Vacating AwardStipulationsRemovalReconsiderationVoid StipulationsUnrepresented ApplicantInformation and Assistance OfficerDue ProcessEx Parte CommunicationSupplemental Pleading
References
Case No. ADJ7024559
Regular
Sep 24, 2013

ANTONIA PEDRO vs. KAISER FOUNDATION HOSPITAL, SEDGWICK CLAIMS MANAGEMENT SERVICES

Defendant Kaiser Foundation Hospital sought reconsideration of an award, claiming newly discovered evidence of EDD payments to the applicant during a period of permanent disability advances. The parties subsequently reached an agreement resolving the issue of EDD reimbursement. Consequently, the Appeals Board granted reconsideration, rescinded the original award, and remanded the matter to the WCJ. The WCJ is to issue an amended award based on the parties' revised stipulations.

Workers' Compensation Appeals BoardPetition for ReconsiderationStipulations with Request for AwardAwardNewly Discovered EvidenceEDDPermanent Disability AdvancesPermanent Disability IndemnityAmended AwardReimbursement
References
Case No. ADJ4613165 (LAO 0778416) ADJ4149404 (LAO 0784600)
Regular
Jan 13, 2012

DENNIS SANCHEZ vs. LAR-PAR, INC./WESTSIDE DISTRIBUTORS; NATIONAL UNION FIRE INSURANCE COMPANY, c/o CHARTIS

The Workers' Compensation Appeals Board granted the defendant's Petition for Reconsideration regarding the rescission of a previously approved Stipulations With Request for Award (SRA). The Board found merit in the defendant's argument that there was no good cause to set aside the SRA, especially since benefits had already been disbursed and accepted. Consequently, the Board rescinded the WCJ's October 28, 2011 order and reinstated the original September 15, 2011 Award approving the SRA. Defendant's allegations of applicant bad faith were noted but deferred to the trial level.

Workers' Compensation Appeals BoardReconsiderationStipulations With Request for AwardRescinding OrderAwardGood CauseLabor Code Section 5813Costs and SanctionsBad FaithFalsification of Documentation
References
Case No. ADJ2241828
Regular
Dec 05, 2008

LISA MANZO vs. WHITE MEMORIAL MEDICAL CENTER

The Workers' Compensation Appeals Board dismissed the employer's petition for reconsideration as it was not a final order but granted removal to rescind the WCJ's disapproval of the Stipulations. The Board found the Stipulations might be adequate despite the WCJ's concerns and ordered the matter returned to the trial level with missing documents to be filed. The employer must provide Dr. Knight's December 2006 report, its investigator's report, and the proposed Stipulations for a new decision on their adequacy.

Workers' Compensation Appeals BoardPetition for ReconsiderationPetition for RemovalStipulations with Request for AwardWCJ disapprovalinadequate Stipulationsunsigned Stipulationsindustrial injuryright wristright elbow
References
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