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

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 The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr.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. ADJ7232076
En Banc
Sep 26, 2011

Tsegay Messele vs. Pitco Foods, Inc.; California Insurance Company

The Appeals Board holds that the 10-day period for agreeing on an AME under Labor Code § 4062.2(b) is extended by five days when the initial proposal is served by mail, and clarifies the method for calculating this time period, finding both parties' panel requests premature.

Workers' Compensation Appeals BoardTsegay MesselePitco FoodsInc.California Insurance CompanyADJ7232076Opinion and Decision After ReconsiderationOrder Granting RemovalDecision After RemovalEn Banc
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. ADJ3196685 (PAS 0043967)MF ADJ2175299 (PAS 0043966)
Regular
Oct 02, 2019

ALICIA SZUMAN vs. JAY NOLAN COMMUNITY SERVICES, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION on behalf of HIH INSURANCE in liquidation, administered by INTERCARE, STATE OF CALIFORNIA, DEPARTMENT OF SOCIAL SERVICES-IN HOME SUPPORT SERVICES

This case involved applicant Alicia Szuman alleging cumulative and specific injuries as a home health provider resulting in multiple physical and psychological conditions. The administrative law judge initially awarded permanent total disability against the State of California, Department of Social Services (DSS), dismissing CIGA, which defendant DSS sought to overturn. The parties subsequently reached a Compromise and Release agreement for $618,313, providing an annuity and lump sum payment to the applicant. The Workers' Compensation Appeals Board approved this agreement, rescinding the prior award and deeming the settlement adequate and in the applicant's best interest.

COMPROMISE AND RELEASECALIFORNIA INSURANCE GUARANTEE ASSOCIATIONHIH INSURANCEINTERCAREDEPARTMENT OF SOCIAL SERVICESIN-HOME SUPPORT SERVICESYORK SERVICES GROUPCUMULATIVE INJURYPERMANENT TOTAL DISABILITYPERMANENT PARTIAL DISABILITY
References
Case No. ADJ6891058
Regular
Jul 16, 2015

Robin Hill vs. California Department of Social Services

This order dismisses Robin Hill's Petition for Reconsideration in the workers' compensation case against the California Department of Social Services. The Workers' Compensation Appeals Board adopted and incorporated the reasoning of the Workers' Compensation Administrative Law Judge's report. Therefore, the petition is officially dismissed by the Board.

Workers' Compensation Appeals BoardPetition for ReconsiderationDismissal OrderWorkers' Compensation Administrative Law JudgeWCJ ReportCalifornia Department of Social ServicesYork Risk Services GroupADJ6891058Riverside District OfficeMarguerite Sweeney
References
Case No. ADJ10108024
Regular
Jun 21, 2018

SUSAN N. GALLEGO vs. IHSS - CALIFORNIA DEPARTMENT OF SOCIAL SERVICES, Legally Uninsured, Administered by YORK RISK SERVICES GROUP

The Workers' Compensation Appeals Board granted the defendant's Petition for Reconsideration to correct the employer's identity. The Board amended the Findings of Fact to accurately reflect the employer as "IHSS - California Department of Social Services, Legally Uninsured, Administered by York Risk Services Group." This amendment supersedes the previous identification of the employer. Otherwise, the original Findings of Fact remain affirmed.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings of FactLegally UninsuredYork Risk Services GroupJointly EmployedIHSSCalifornia Department of Social ServicesAdministrative Law JudgeDecision After Reconsideration
References
Case No. ADJ3274521 (POM 0289674)
Regular
Mar 06, 2012

ANTONIO ORTIZ (ANTONIO ORTIZ CUEVAS) vs. NEW REAL INC.; AMERICAN ALL RISK LOSS

The Workers' Compensation Appeals Board dismissed applicant Antonio Ortiz's petition for reconsideration. The petition was untimely as it was filed significantly after the deadline for reconsideration. Furthermore, the petition lacked proof of service on the opposing parties, and it was deemed "skeletal" for failing to cite any facts, evidence, or legal principles from the record. The Board strongly advised the applicant to consult with the Information and Assistance Officer for future filings.

Workers' Compensation Appeals BoardPetition for ReconsiderationProof of ServiceUntimely FilingSkeletal PetitionLabor Code § 5900(a)California Code of Regulations § 10507Jurisdictional Time LimitService OmissionDismissal
References
Case No. ADJ2300229 (FRE 0183072) ADJ2635018 (FRE 0183073) ADJ3725774 (FRE 0183074)
Regular
Jul 19, 2016

ROBERT D. TULL vs. GENERAL LIGHTING SERVICE, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for CALIFORNIA COMPENSATION, In Liquidation

This case concerns Robert D. Tull's workers' compensation claims against General Lighting Service and the California Insurance Guarantee Association. The Workers' Compensation Appeals Board has issued an Opinion and Order Granting Petition for Reconsideration. Pending their Decision After Reconsideration, all future communications related to these cases must be directed to the Board's San Francisco office. This order reflects a procedural step in the ongoing appeals process for Tull's claims.

Workers' Compensation Appeals BoardPetition for ReconsiderationCalifornia Insurance Guarantee AssociationLiquidationDecision After ReconsiderationOffice of the CommissionersMullen & FilippiService by MailDouglas LowRobert D. Tull
References
Case No. ADJ768135 (SFO 0444123)
Regular
Dec 19, 2013

DINESH KUMAR vs. J'S TRADE BINDERY SERVICE, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, CAMBRIDGE INTEGRATED SERVICES, INC./SEDGWICK, FREMONT INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) affirmed the Administrative Law Judge's (WCJ) July 25, 2013 decision in the case of Dinesh Kumar versus J's Trade Bindery Service and the California Insurance Guarantee Association. The WCAB granted reconsideration to thoroughly review the case's facts and law. After reviewing the record and adopting the WCJ's report and recommendations, the WCAB found no grounds to overturn the original findings, order, and award. Therefore, the WCJ's decision remains in full effect.

Workers' Compensation Appeals BoardReconsiderationAdministrative Law JudgeFindingsOrderAwardFremont Insurance CompanyLiquidationCambridge Integrated ServicesSedgwick
References
Case No. ADJ736716 (ANA 0400973) ADJ3010829 (ANA 0400924) ADJ7503662 ADJ8980493
Regular
Nov 08, 2013

JAIME RAMIREZ vs. HIGH GRADE FORM, BARRETT BUSINESS SERVICES, STATE COMPENSATION INSURANCE FUND, ZURICH, CHARTIS

This case involved a Petition for Reconsideration challenging a lien dismissal. The Appeals Board dismissed the petition, adopting the WCJ's report. The lien was dismissed because the $100 lien activation fee required by Labor Code section 4903.06(a) was not paid, making the necessity of the services irrelevant. While the dismissal applied to services pre-dating July 31, 2012, the Board noted potential future claims for services rendered on May 6, 2013, would require a $150 filing fee and could be pursued as a petition for costs.

Workers' Compensation Appeals BoardPetition for ReconsiderationLien dismissalLabor Code section 4903.06(a)Lien activation feeInterpreting servicesWCAB hearingINJAB RefundablePetition for costsCalifornia Lien Services
References
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