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

Case No. ADJ8701916
Regular
Jan 30, 2015

CHRISTOPHER RICE vs. CITY OF JACKSON, Permissibly Self-Insured, Adjusted by YORK SERVICES GROUP, INC.

The Workers' Compensation Appeals Board granted reconsideration to review the administrative law judge's apportionment of the applicant's permanent disability. The applicant, a police officer injured on the job, argued that the Qualified Medical Evaluator's apportionment to genetic factors was not supported by substantial evidence. The Board agreed, finding that apportionment to immutable genetic factors was impermissible and that the QME's opinion lacked sufficient reasoning on the specific causation of the disability. Consequently, the Board amended the decision to defer the issue of permanent disability and returned the matter for an unapportioned award.

Workers' Compensation Appeals BoardChristopher RiceCity of JacksonYork Services GroupCumulative traumaNeck injuryPolice officerPermanent disabilityApportionmentPanel Qualified Medical Evaluator (QME)
References
Case No. ADJ7191263
Regular
Aug 17, 2010

CHRISTOPHER PAPPAS vs. COUNTY OF SANTA BARBARA

The Workers' Compensation Appeals Board denied the County of Santa Barbara's petition for reconsideration, upholding an award for surgical treatment in Germany for Christopher Pappas. The County argued the award was improper because the treating physician's request lacked the required authorization format. However, the Board found the County waived its right to object by not raising this issue earlier and presented no evidence that the surgery was not reasonably necessary. Therefore, the Board affirmed the administrative law judge's decision to grant the award.

Workers Compensation Appeals BoardChristopher PappasCounty of Santa BarbaraPetition for ReconsiderationFindings of Fact and Awardsurgical treatmenttreating physicianindustrial injurycumulative traumaspinal surgery
References
Case No. ADJ6540543
Regular
Jun 07, 2013

Christopher Toms vs. Marvin Lee Weatherbee dba BEELINE TRANSPORTATION, illegally uninsured, KIEWIT PACIFIC COMPANY, permissibly self-insured

This case involves Christopher Toms, an applicant injured while employed as a truck driver by Beeline Transportation, an illegally uninsured entity. The Workers' Compensation Appeals Board granted reconsideration of a finding that Kiewit Pacific Company, permissibly self-insured, was a dual employer. The Board rescinded the prior award, finding that Kiewit was a contracting party who engaged Beeline as an independent contractor. No statutory basis existed to deem Toms an employee of Kiewit, therefore Kiewit is not liable for workers' compensation benefits.

Workers Compensation Appeals BoardChristopher TomsMarvin Lee WeatherbeeBeeline TransportationKiewit Pacific Companyillegally uninsuredpermissibly self-insureddual employersultimate hirerjoint and severally liable
References
Case No. ADJ6458788
Regular
Mar 16, 2012

JOSE MELGOZA ARIAS vs. FARMERS RICE COOPERATIVE, INNOVATIVE CLAIMS RANCHO CORDOVA

Defendant Farmers Rice Cooperative petitioned for reconsideration of a December 22, 2011 decision. The Workers' Compensation Appeals Board granted reconsideration based on an initial review and statutory time constraints. This action allows the Board sufficient opportunity to thoroughly study the factual and legal issues to issue a just decision. All future communications must be filed in writing with the Board's Commissioners' office.

Workers' Compensation Appeals BoardReconsiderationPetition for ReconsiderationDecision After ReconsiderationElectronic Adjudication Management SystemAlfonso J. MoresiFrank M. BrassDeidra E. LoweJose Melgoza AriasFarmers Rice Cooperative
References
Case No. GOL 0099340
Regular
May 27, 2008

SARAH FRYE RICE (SARAH RICE-SIŞCO) vs. VONS GROCERY COMPANY

The Workers' Compensation Appeals Board granted reconsideration, rescinding the prior decision. The Board found that Vons Grocery Company was only entitled to credit for $3,485.71 in permanent disability advances as specified in the approved Compromise and Release, not the greater amount unilaterally taken. Consequently, Vons must pay the applicant the full balance of $20,274.29, and the case is returned for further proceedings on penalties and attorney fees.

WORKERS' COMPENSATION APPEALS BOARDSARAH FRYE RICEVONS GROCERY COMPANYGOL 0099340OPINION AND ORDER GRANTING RECONSIDERATIONFINDINGS AND ORDERPERMANENT DISABILITYCOMPROMISE AND RELEASELABOR CODE SECTION 5814ORDER APPROVING COMPROMISE AND RELEASE
References
Case No. ADJ11233611
Regular
Jun 06, 2019

JOANNE RICE vs. SAN DIEGO UNIFIED SCHOOL DISTRICT

The Workers' Compensation Appeals Board denied Joanne Rice's petition for reconsideration of a decision finding she did not sustain an injury arising out of and in the course of employment. The administrative law judge found Rice not credible, citing conflicting medical reports where she initially denied trauma. However, one commissioner dissented, arguing that uncontradicted evidence, including medical reports and a witness's testimony, supported Rice's claim of injury from a student's wheelchair. The dissent suggests the WCJ's credibility determination was not supported by substantial evidence and should be overturned.

AOE/COEPetition for ReconsiderationWCJ credibility determinationFriedberg's diseaseunimpeached testimonysubstantial evidenceindependent judgmentrescinding decisiondissenting opinionspecial education teacher
References
Case No. ADJ18001417
Regular
Sep 05, 2025

CHRISTOPHER CANDIA vs. CITY AND COUNTY OF SAN FRANCISCO

The Workers' Compensation Appeals Board (WCAB) denied the defendant's Petition for Reconsideration in the case of Christopher Candia v. City and County of San Francisco. The Board adopted the Arbitrator's Report and Recommendation, which found applicant Christopher Candia's meningioma to be a compensable industrial injury. The decision was based on the cancer presumption under Labor Code section 3212.1 for firefighters, as the medical opinion of treating neurosurgeon Dr. Bruce McCormack classified the tumor as Grade II, indicating malignant features, and evidence showed Candia's exposure to carcinogens during his employment. The Board upheld the arbitrator's determination, giving greater weight to Dr. McCormack's opinion over the IME Dr. Raye Bellinger's.

Workers' Compensation Appeals BoardPetition for ReconsiderationArbitrator's ReportLabor Code Section 5909Electronic Adjudication Management Systemsubstantial evidenceneurosurgeontreating physicianIMEmeningioma
References
Case No. ADJ7558401
Regular
May 28, 2013

ROBERT RICE vs. PROCUT, LLC, ZENITH INSURANCE COMPANY

The WCAB granted reconsideration to address the defendant's challenge to the 45% permanent disability award. The defendant argued the Qualified Medical Evaluator's (PQME) opinion was unsubstantiated, particularly regarding the lumbar spine rating and the inclusion of pain impairment. The WCAB found the PQME's reports lacked sufficient rationale and explanation, failing to adequately justify the Almaraz-Guzman rating. Consequently, the WCAB rescinded the award and returned the case for further medical record development.

Workers' Compensation Appeals BoardProCut LLCZenith Insurance CompanyRobert Ricepermanent disabilityqualified medical evaluatorPQMEDr. Sanjay Chauhanwhole person impairmentAMA Guides
References
Case No. MON 0334705
Regular
Aug 25, 2008

CHRISTOPHER MURRAY vs. MAJOR'S WHOLESALE MEDICAL SUPPLY, EMPLOYERS' COMPENSATION INSURANCE COMPANY

Reconsideration granted; amended decision reduces permanent disability indemnity to $15,510 payable over 70.5 weeks.

Workers' Compensation Appeals BoardChristopher MurrayMajor's Wholesale Medical SupplyEmployers' Compensation Insurance CompanyReconsiderationFindings and AwardIndustrial InjuryNeck InjuryBack InjuryRight Shoulder Injury
References
Case No. SFO 0497157, SFO 0497158, SFO 0497159
Regular
Feb 07, 2008

CHRISTOPHER BALDWIN vs. CITY OF DALY CITY; Permissibly SelfInsured and Administered by INNOVATIVE CLAIM SOLUTIONS

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration. The defendant argued that Labor Code §4850 salary continuation benefits should not trigger the notice requirements of Labor Code §4061, thereby preventing the applicant's permanent disability from being rated under the 1997 Schedule. The Board affirmed the judge's finding that the defendant failed to provide the required §4061 notice, entitling the applicant to a 24% permanent partial disability rating under the 1997 PDRS.

WORKERS' COMPENSATION APPEALS BOARDDALY CITYINNOVATIVE CLAIM SOLUTIONSSFO 0497157SFO 0497158SFO 0497159CHRISTOPHER BALDWINFIREFIGHTERINDUSTRIAL INJURYBACK INJURY
References
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