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

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. ADJ6951586
Regular
Apr 08, 2015

MICHAEL MICHAELSON (Deceased) vs. JF SHEA, AIG CLAIMS

The Workers' Compensation Appeals Board denied reconsideration of an order regarding a deceased worker's settlement. The Petitioner, Riverside County Department of Child Support Services, sought to satisfy a child support lien from the settlement allocated to dependents. The Board adopted the WCJ's reasoning that Labor Code §4700 dictates that only accrued and unpaid compensation is payable to dependents, and a child support lien under Labor Code §4903(e) attaches only to such benefits. As there were no accrued benefits owed to the deceased applicant, the child support lien could not be satisfied from the death benefit settlement.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJ ReportRiverside County Department of Child Support ServicesState Bar NumbersWCAB Rule 10498SanctionsADJ6951586DeceasedJF Shea
References
Case No. ADJ6968147
Regular
Nov 18, 2010

JAMES SAUNDERS vs. SEASIDE REFRIGERATED TRANSPORT, STATE FUND COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration to address a lien for unpaid child support filed by the Stanislaus County Department of Child Support Services (SCDCSS). The original award, approved without knowledge of this lien, needs amendment to account for the $1,867.75 owed. Both the defendant insurer and the applicant agree the lien should be paid from the remaining $2,618.00 in permanent disability benefits. The Board rescinded the award and returned the case to the trial level for a new award incorporating this payment.

Stipulations and AwardPetition for ReconsiderationStanislaus County Department of Child Support ServicesChild Support LienPermanent DisabilityLack of NoticeGood CauseInadvertenceAmendment of AwardRescinded Award
References
Case No. ADJ7688855
Regular
Jul 13, 2012

JOHN SANTANA vs. ZIM INDUSTRIES, ZURICH NORTH AMERICA

The Workers' Compensation Appeals Board (WCAB) granted reconsideration for Kern County Department of Child Support Services (Kern) due to a child support lien not being properly addressed in a compromise and release (C&R) agreement. The WCAB found that the C&R failed to comply with Labor Code section 4903(e) by not resolving Kern's lien. Consequently, the WCAB rescinded the original order approving the C&R. The case was returned to the trial level for further proceedings to determine and address Kern's child support lien claim.

Workers Compensation Appeals BoardPetition for ReconsiderationCompromise and ReleaseLien ClaimantChild Support LienLabor Code Section 4903(e)Code of Civil Procedure Section 695.221Order Approving Compromise and ReleaseRescindedTrial Level Proceedings
References
Case No. ADJ7189229
Regular
May 23, 2014

CLIQUN JIANG vs. NOGALES PHARMACY INC., STATE FARM INSURANCE

Lien claimants Khristine Eroshevich, M.D., and Ayako Nakano, D.C., petitioned for reconsideration after their liens were dismissed for failing to appear at a lien conference. The Workers' Compensation Appeals Board denied the petition, adopting the WCJ's report that found the lien claimants received notice and failed to establish excusable neglect. The Board emphasized that lien claimants are responsible for maintaining proper office procedures to track notices. The Board found no legal authority supporting a defendant's duty to contact absent lien claimants and noted the lien claimants' failure to object to the Notice of Intent to Dismiss.

Workers' Compensation Appeals BoardLien ClaimantsPetition for ReconsiderationDismissal of LiensLien ConferenceNotice of Intent to Dismiss LiensExcusable NeglectCivil Code of Procedure section 473(b)WCABAdministrative Law Judge
References
Case No. ADJ315009 (VNO 0413634)
Regular
Dec 06, 2010

RAUL FLORES vs. SIERRA MAINTENANCE, STATE COMPENSATION INSURANCE FUND

This case involves a dispute over a child support lien within a workers' compensation settlement. The lien claimant, San Bernardino County Department of Child Support Services, sought reconsideration of an approved Compromise and Release (C&R) because the settlement did not fully satisfy their agreed-upon lien amount and they were not properly notified. The Appeals Board granted reconsideration, rescinded the C&R order, and remanded the case. The Board found the record insufficiently developed regarding the lien's satisfaction, notice to the lien claimant, and the specific terms of any agreement.

Workers' Compensation Appeals BoardLien claimantCompromise and ReleasePetition for ReconsiderationChild Support LienHold Harmless ProvisionFurther Development of RecordMandatory Settlement ConferenceAdjudication FileSubstantial Evidence
References
Case No. ADJ3205611
Regular
Oct 03, 2011

Pedro Valencia vs. TSL, LTD, LIBERTY MUTUAL INSURANCE COMPANY

This case involves a lien claimant, Ventura County Medical Transportation, seeking reconsideration of their lien's dismissal. The lien was dismissed with prejudice by the WCJ for failing to object to a Notice of Intention to Dismiss Lien. The lien claimant argued their representative was attending another hearing and claimed a response was mailed but not received. The Appeals Board denied the petition, finding the WCJ correctly followed regulations by dismissing the lien after the claimant failed to appear at the lien trial and subsequently failed to respond to the notice of dismissal.

Workers' Compensation Appeals BoardPetition for ReconsiderationOrder Dismissing LienLien claimantNotice of Intention to Dismiss LienGood cause objectionLien trialAdministrative law judgeCompromise and releaseAffidavit of lien resolution
References
Case No. ADJ2178733 (BAK 0154115)
Regular
May 27, 2014

LIDIA BUENO vs. RAVILA FARM LABOR SERVICES, REDWOOD FIRE AND CASUALTY INSURANCE COMPANY

This case involves a lien claimant, Biocare RX Specialty Pharmacy, whose lien was dismissed by the Workers' Compensation Appeals Board (WCAB). Biocare argued the dismissal was erroneous because it had not yet filed a lien. The WCAB granted reconsideration, rescinding the dismissal order. The Board found it lacked jurisdiction to dismiss a lien that had not been filed and that Biocare was improperly dismissed for non-appearance at a lien conference for which it received no notice.

Lien claimantPetition for ReconsiderationOrder to Dismiss LiensWCJBiocare RX Specialty PharmacyElite Lien Servicesjurisdictionfiled lienLabor Code section 4903.5industrial injury
References
Case No. ADJ7224294; ADJ6597177
Regular
Dec 31, 2012

GIOVANNI MENDOZA vs. COBY ELECTRONICS CORP., CHUBB INSURANCE

The Workers' Compensation Appeals Board denied Dr. Nachman Brautbar's petition for reconsideration regarding the disallowance of his lien. The Board affirmed the finding that Dr. Brautbar failed to meet his evidentiary burden to prove the reasonableness and necessity of his services, and that he was not the applicant's treating physician. The Board clarified that lien claimants, like defendants, must prove their case by a preponderance of the evidence, and reliance on outdated case law like *Keifer* is misplaced due to legislative amendments. Furthermore, Dr. Brautbar's failure to appear at conferences and present evidence on raised issues, coupled with procedural errors in his petition, supported the denial.

Lien claimantPetition for ReconsiderationJoint Findings and OrdersWCJindustrial injurypsychelower extremityinternalherniacervical spine
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
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