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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

Claim of Buchanon v. Adirondack Steel Casting Co.

The Workers' Compensation Board's decision and amended decision, which found that the claimant did not have a total industrial disability, were affirmed on appeal. The employer's argument regarding the untimeliness of the claimant's supplemental notice of appeal was rejected due to lack of proof of service for the amended decision. The Board's plenary authority to modify previous decisions was upheld, as no facts indicated arbitrary or capricious action in amending its prior decision. The court concluded that the Board's finding of no total industrial disability was supported by substantial evidence, noting that the case involved a conflict of medical opinion, which is a factual matter for the Board to resolve. All remaining arguments by the claimant were considered and dismissed.

Workers' Compensation Law § 23Industrial DisabilityAppellate ReviewBoard Decision AffirmationMedical Opinion ConflictSubstantial EvidenceTimeliness of AppealArbitrary and Capricious StandardFactual DisputeClaimant's Appeal
References
4
Case No. ADJ3191645 (GOL 0088223)
Regular
Aug 28, 2009

Edward Maschke vs. SANTA BARBARA COUNTY EMPLOYEES UNION, STATE COMPENSATION INSURANCE FUND

The Appeals Board granted reconsideration and rescinded the WCJ's denial of a Swim-ex device installation, finding insufficient evidence. The WCJ had deemed the $70,000 estimated cost prohibitive, but the Board noted this estimate was unsubstantiated and cost alone shouldn't dictate the decision. The matter is returned to the trial level for further development of evidence regarding the necessity and cost of the recommended treatment to cure or relieve the industrial injury. The decision to allow a change of treating physician was upheld, but the entire decision was rescinded to avoid bifurcating issues.

Petition for ReconsiderationSwim-ex deviceWCJindustrial injurytreating physicianmedical treatmentL1 burst fracturecauda equina injuryparesisback fusion surgery
References
0
Case No. MISSING
Regular Panel Decision
Dec 21, 1992

Claim of Stokes v. Permanente

The Workers' Compensation Board initially ruled that the claimant sustained a compensable injury after being struck by a car while crossing a street from a parking lot to her workplace. This decision and an amended decision were subsequently appealed. The appellate court found substantial evidence to support the Board's finding that the injury occurred while the claimant was entering the employment premises, thus arising out of and in the course of her employment. Consequently, the court affirmed the Board's decision and amended decision.

Workers' CompensationEmployment InjuryCompensable InjuryGoing and Coming Rule ExceptionParking Lot InjuryAppellate ReviewBoard Decision Affirmed
References
0
Case No. MISSING
Regular Panel Decision

Claim of Farcasin v. PDG, Inc.

Claimant, a director of research and publications, developed neck and shoulder pain radiating to his arms and hands after working for the employer for a month, attributing it to a lack of an ergonomically designed workstation and an outdated computer. A Workers’ Compensation Law Judge initially found he suffered an occupational disease. The Workers’ Compensation Board affirmed this decision, but later amended it, ruling that claimant suffered an accidental injury. The employer appealed both decisions. The Court affirmed the Board's decision, finding no abuse of discretion in amending the prior decision and that substantial evidence supported the finding of an employment-related accidental injury, which can be established by medical evidence of repetitive acts causing debilitating injury, even if symptoms accrued gradually.

Workers' CompensationAccidental InjuryOccupational DiseaseRepetitive Strain InjuryErgonomicsAppellate ReviewBoard DecisionJurisdictionMedical EvidenceGradual Injury
References
7
Case No. ADJ2218706 (VNO 0501260) ADJ1058308 (VNO 0482296)
Regular
Apr 19, 2010

DONNA DeRUSSY vs. ANTELOPE VALLEY HEALTH CARE SYSTEM, TRAVELER'S INSURANCE, SAFETY NATIONAL, FRONTIER INSURANCE

This case concerns appeals from a workers' compensation judge's decision regarding liability for cumulative trauma injury. The Appeals Board granted reconsideration to clarify the determination of the date of injury under Labor Code § 5412, which is crucial for assigning liability to the insurer covering the last year of exposure. The Board found the WCJ's decision lacked sufficient clarity and specific findings regarding disability and knowledge of causation. Therefore, the prior decision was rescinded, and the case was returned for further proceedings to make clear findings consistent with established legal principles.

Workers' Compensation Appeals BoardDonna DeRussyAntelope Valley Health Care SystemTravelers InsuranceSafety NationalFrontier Insurancecumulative traumadate of injuryLabor Code §5500.5Labor Code §5412
References
2
Case No. ADJ1210556 (AGO 0018589)
Regular
Oct 10, 2008

EDWIN MILLER vs. KEEBLER COMPANY

The Workers' Compensation Appeals Board (WCAB) dismissed the defendant's petition for removal and granted reconsideration of the WCJ's prior decisions regarding medical mileage and penalties. The Board found the WCJ failed to properly consider statutory factors in determining a "reasonable geographic area" for the applicant's medical treatment. Consequently, the WCAB rescinded the WCJ's decisions and returned the case to the trial level for further proceedings and a new decision addressing all outstanding issues, including the definition of a reasonable geographic area for treatment.

WCABPetition for RemovalPetition for ReconsiderationMedical MileageReasonable Geographic AreaLabor Code Section 4600Administrative Director Rule 9780(h)WCJBoltonRamirez
References
2
Case No. MISSING
Regular Panel Decision

Claim of Zechmann v. Canisteo Volunteer Fire Department

This case involves an appeal from decisions of the Workers’ Compensation Board regarding death benefits. The claimant's decedent had applied for these benefits. The Board determined that the claim was not barred by Workers’ Compensation Law § 123, making the Special Fund for Reopened Cases liable for the payments under Workers’ Compensation Law § 25-a. The appeals court affirmed the Board’s decision and amended decision, holding that the Special Fund is responsible for the payment of death benefits.

Death BenefitsWorkers' CompensationSpecial FundReopened CasesAppealsStatutory InterpretationLiabilityClaimantDecedentBoard Decision
References
0
Case No. MISSING
Regular Panel Decision

Smith v. Paul Smith's College

The Workers' Compensation Board ruled that the claimant sustained an accidental injury during employment and awarded benefits. The employer appealed, arguing insufficient record support for the finding. The court upheld the Board's determination, citing claimant's testimony that he was injured while cleaning a chainsaw on employer's equipment during slack time, a common practice. The court found substantial evidence supported the Board's decision, and issues of credibility were for the Board to resolve. The decision and amended decision of the Workers’ Compensation Board were affirmed.

Workers' CompensationAccidental InjuryScope of EmploymentPersonal Use of EquipmentSubstantial EvidenceCredibilityBoard DeterminationAppellate ReviewInjury during workCommon Practice
References
6
Case No. ADJ4060853
Regular
Apr 30, 2009

MICHELE DOYLE vs. CORA AND RONALD MORRIS dba FREMONT JEWELRY & LOAN, UNINSURED EMPLOYERS FUND

The Workers' Compensation Appeals Board granted the defendant's Petition for Reconsideration regarding a prior finding of employment and a psychiatric injury. While the Board found no error in the employment determination, they rescinded the entire decision to avoid bifurcating issues. The case is returned to the trial level for further proceedings and a new decision. This action was taken because the original finding of psychiatric injury exceeded the scope of the issues presented at the hearing.

Petition for ReconsiderationFindings of FactIndustrial InjuryPsycheStore ClerkUninsured Employers FundWCJReport and RecommendationTrial LevelRescinded
References
0
Case No. ADJ13302605; ADJ15813943
Regular
Mar 07, 2023

MATTHEW WARE vs. ARIZONA CARDINALS FOOTBALL CLUB, LLC, GREAT DIVIDE INSURANCE COMPANY C/O BERKLEY ENTERTAINMENT

The Workers' Compensation Appeals Board granted the defendant's Petition for Removal, reversing the WCJ's order to set the case for a Mandatory Settlement Conference on all issues. The Board found good cause to bifurcate and try the threshold issues of California subject matter and personal jurisdiction first. Bifurcating these jurisdictional issues is deemed more efficient, as a favorable ruling for the defendant would avoid further litigation. This decision prioritizes an expedited resolution of jurisdiction to facilitate the prompt delivery of potential benefits.

Petition for RemovalMandatory Settlement ConferenceBifurcationJurisdictionSubject Matter JurisdictionPersonal JurisdictionSpecial AppearanceDeclaration of ReadinessDiscoveryGood Cause
References
1
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