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

Case No. VNO 523244
Regular
Aug 04, 2008

ANGIE JAUREGUI vs. MERCY SOUTHWEST HOSPITAL

This case involves an employer seeking reconsideration of a workers' compensation award for an injured nurse. The employer argued their modified work offer should have reduced the permanent disability award, but the Board denied reconsideration. The Board determined the employer's work offer was not a bona fide modified work offer, and thus did not qualify for the statutory reduction.

Permanent and stationaryMedical-legal reportWork restrictionsModified workAlternative workLabor Code Section 4658(d)Permanent disability awardPetition for reconsiderationFindings and AwardWCJ
References
Case No. ADJ9346293
En Banc
Jan 13, 2020

ANTHONY DENNIS vs. STATE OF CALIFORNIA – DEPARTMENT OF CORRECTIONS AND REHABILITATION INMATE CLAIMS, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) issued a Notice of Intention to hold that Administrative Director (AD) Rule 10133.54 is invalid. The WCAB reasoned that the rule exceeds the AD's statutory authority and improperly restricts the WCAB's exclusive jurisdiction to adjudicate disputes over supplemental job displacement benefits (SJDB). The board also intends to affirm its prior decision that an employer must make a bona fide offer of work to an injured employee to be exempt from providing an SJDB voucher.

AD Rule 10133.54Supplemental Job Displacement BenefitBona Fide OfferExclusive JurisdictionAdministrative DirectorWorkers' Compensation Appeals BoardInmate LaborerStatutory AuthorityEn Banc DecisionReconsideration
References
Case No. ADJ9346293
En Banc
Apr 13, 2020

ANTHONY DENNIS vs. STATE OF CALIFORNIA – DEPARTMENT OF CORRECTIONS AND REHABILITATION INMATE CLAIMS, STATE COMPENSATION INSURANCE FUND

The WCAB holds that Administrative Director Rule 10133.54 is invalid as it exceeds the statutory authority granted to the Administrative Director and restricts the WCAB's exclusive power to adjudicate compensation claims. It also holds that an employer must provide a bona fide offer of work to avoid liability for a supplemental job displacement benefit voucher.

AD Rule 10133.54Supplemental Job Displacement BenefitWCAB exclusive jurisdictionadministrative director authoritybona fide work offerinmate laborstatutory authorityadjudicatory poweren banc decisionreconsideration
References
Case No. ADJ17550375; ADJ17550386
Regular
Jul 29, 2025

JOHN RICHARD SEDANO vs. LIVE ACTION GENERAL ENGINEERING INC.; NATIONAL CASUALTY INSURANCE

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a 'Findings of Fact, Award & Order' (F&A) issued on March 24, 2025, by a WCJ, and issued a Notice of Intent to impose sanctions. The WCJ had found that the defendant did not provide a bona fide offer of modified duty to the applicant, John Richard Sedano, and awarded temporary disability. Defendant argued that temporary disability should not have been awarded because an offer of work was made, the award lacked substantial medical evidence, and the WCJ failed to apply apportionment under Labor Code sections 4663 and 4664. The WCAB affirmed the March 24, 2025 F&A and imposed sanctions of $750.00$ jointly and severally against the employer, insurer, administrator, and their attorneys for errors in the petition for reconsideration, including failure to cite the evidentiary record, improperly attaching documents, raising new issues, and citing non-existent legal authority. The Board also found the defendant was equitably estopped from asserting the modified work offer as a bar to temporary disability, and that the modified work offer was independently invalid due to a conflict in medical restrictions.

Temporary DisabilityModified DutyBona Fide OfferApportionmentLabor Code Sections 4663Labor Code Sections 4664SanctionsEquitable EstoppelMaximum Medical ImprovementWork Restrictions
References
Case No. ADJ9346293
Significant
Apr 13, 2020

Anthony Dennis, Applicant vs. State of California – Department of Corrections and Rehabilitation Inmate Claims, State Compensation Insurance Fund

The Workers’ Compensation Appeals Board holds that Administrative Director Rule 10133.54 is invalid because it exceeds the AD's statutory authority and that an employer must make a bona fide offer of work to avoid liability for a supplemental job displacement benefit voucher.

AD Rule 10133.54Supplemental Job Displacement BenefitSJDB voucherexclusive jurisdictionWorkers' Compensation Appeals BoardWCABAdministrative Directorstatutory authoritybona fide offerregular work
References
Case No. ADJ9346293
Significant
Jan 13, 2020

ANTHONY DENNIS vs. STATE OF CALIFORNIA – DEPARTMENT OF CORRECTIONS AND REHABILITATION INMATE CLAIMS, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board issued a Notice of Intention to find Administrative Director Rule 10133.54 invalid, asserting it oversteps the Administrative Director's authority and infringes upon the WCAB's exclusive jurisdiction to adjudicate disputes over supplemental job displacement benefits (SJDB). The Board also intends to hold that an employer must make a bona fide offer of work to avoid liability for an SJDB voucher.

Supplemental Job Displacement BenefitSJDB voucherAdministrative DirectorAD Rule 10133.54Workers' Compensation Appeals BoardWCABexclusive jurisdictionstatutory authoritybona fide offerregular work
References
Case No. ADJ9346293
Regular
Jul 03, 2018

ANTHONY DENNIS vs. STATE OF CALIFORNIA - DEPARTMENT OF CORRECTIONS INMATE CLAIMS, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration and overturned a prior decision finding the applicant, an inmate, ineligible for Supplemental Job Displacement Benefits (SJDB). The Board determined that while the applicant's appeal of the Administrative Director's presumed denial was untimely under specific regulations, the Board retains exclusive jurisdiction to adjudicate SJDB eligibility. They found the employer's offer of modified work was not bona fide as the applicant was released from prison, thus the statutory exception to SJDB did not apply. Therefore, the applicant is entitled to SJDB.

Workers' Compensation Appeals BoardSupplemental Job Displacement BenefitSJDBAdministrative DirectorRule 10133.54untimely appealdue processexclusive jurisdictioninmate laborervocational rehabilitation
References
Case No. ADJ8869367
Regular
Nov 07, 2013

LUIS CENDEJAS vs. AMERICAN LABOR POOL, INC., OLD REPUBLIC GENERAL INSURANCE CORPORATION, GALLAGHER BASSETT SERVICES, INC.

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration. The defendant argued that they made a valid offer of modified work, relieving them of temporary disability obligations. However, the Board affirmed the judge's finding that the work offers were not sufficiently clear, lacked specificity regarding physical appropriateness, and failed to convey the exact terms to the applicant. Consequently, the employer did not meet their burden of proving a valid offer of modified work was made.

Petition for ReconsiderationModified Work OfferTemporary DisabilityPhysical AppropriatenessDoctor's RestrictionsVocational RehabilitationSupplemental Job Displacement VoucherOffer ValidityCommunication of OfferEmployer's Burden of Proof
References
Case No. ADJ11555555
Regular
Mar 13, 2020

BRYANT DOUGLASS vs. HERTZ CORPORATION, ACE AMERICAN INSURANCE COMPANY, SEDGWICK CLAIMS MANAGEMENT SERVICES, INCORPORATED

The Workers' Compensation Appeals Board denied reconsideration of an administrative law judge's decision, upholding the denial of temporary disability indemnity for the applicant. The applicant claimed entitlement to benefits due to refusal of modified work at a third-party organization, arguing the offer was inappropriate and the defendant's notice was non-compliant. The Board found the applicant's reasons for refusal were not sufficiently communicated to the defendant and did not constitute good cause, as the modified work itself did not violate medical restrictions and the surrounding circumstances were not unduly burdensome. The applicant's claims regarding notice compliance were also dismissed as not having been raised at trial.

WCABPetition for ReconsiderationTemporary Disability IndemnityModified WorkRefusal of WorkAD RulesCredibility DeterminationBona Fide OfferPrimary Treating PhysicianAdministrative Law Judge
References
Case No. ADJ7900836
Regular
Jul 24, 2012

JUAN MONROY CURIEL vs. NEENAH ENTERPRISES, WAUSAU INSURANCE COMPANY

The defendant sought reconsideration of an order denying their petition to set aside a Compromise and Release agreement. The defendant argued the agreement contained a clerical error by not allocating funds for future medical care, thus violating Medicare Secondary Payer laws. The Board denied reconsideration, finding the defendant failed to demonstrate sufficient cause to set aside the agreement. The Board noted parties may file an addendum to allocate settlement proceeds for future Medicare-covered expenses due to bona fide disputes.

Workers' Compensation Appeals BoardReconsiderationCompromise and ReleaseOrder Approving Compromise and ReleaseSet Aside OrderClerical ErrorMedicare Secondary PayerFuture Medical CareAllocation of SettlementBona Fide Dispute
References
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