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Case Law Database

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

Case No. ADJ18437146
Regular
Jun 30, 2025

SHANNON BROWN vs. LOS ANGELES LAKERS, FEDERAL INSURANCE C/O CHUBB GROUP LOS ANGELES

Defendant Los Angeles Lakers and Federal Insurance Company sought removal of a Workers' Compensation Administrative Law Judge's (WCJ) order denying their petition to extend the cumulative trauma period and join additional defendants. The Appeals Board granted the petition for removal, finding that the WCJ's summary denial of the amended petition without a hearing or record violated due process. Consequently, the Board rescinded the WCJ's April 3, 2025 order and returned the matter to the trial level for further proceedings.

RemovalPetition for RemovalCumulative TraumaJoinderParty DefendantsWCJ OrderDue ProcessFair HearingAdjudicationRescinded
References
11
Case No. ADJ8949346, ADJ10021120
Regular
Aug 16, 2016

ANTHONY BERNARD EDWARDS (DEC) vs. CITY OF LOS ANGELES, LOS ANGELES WORLD AIRPORTS

The Workers' Compensation Appeals Board (WCAB) has granted the defendant's petition for reconsideration in the case of Anthony Bernard Edwards, deceased, versus the City of Los Angeles and Los Angeles World Airports. This decision allows for further review of the factual and legal issues to ensure a just and reasoned outcome. All future communications regarding the petition must be filed directly with the WCAB Commissioners in San Francisco, not with the district office or through the Electronic Adjudication Management System. The order specifies that trial-level documents unrelated to the reconsideration petition should continue to be e-filed normally.

WORKERS' COMPENSATION APPEALS BOARDPETITION FOR RECONSIDERATIONGRANTING RECONSIDERATIONCITY OF LOS ANGELESLOS ANGELES WORLD AIRPORTSVAN NUYS DISTRICT OFFICEDECISION AFTER RECONSIDERATIONSTATUTORY TIME CONSTRAINTSFACTUAL AND LEGAL ISSUESJUST AND REASONED DECISION
References
0
Case No. ADJ8620182
Regular
Jul 28, 2016

ANSON CARTER vs. CAROLINA HURRICANES, LOS ANGELES KINGS, CHUBB INSURANCE

The Appeals Board denied Chubb Insurance's Petition for Removal on behalf of the Carolina Hurricanes and Los Angeles Kings. The Board found that the Kings failed to demonstrate substantial prejudice or irreparable harm despite concerns about discovery and the completeness of the medical record. Because the teams had a shared defense agreement, the Kings had access to the master claims file. Any remaining arguments regarding the medical record can be addressed at trial.

Petition for RemovalDue ProcessDiscoveryQualified Medical Evaluator (QME)Medical-Legal EvaluatorPrimary Treating PhysicianShared Defense Consent AgreementCumulative TraumaMaster FileClaims Information
References
0
Case No. ADJ7138854, ADJ7135575
Regular
Mar 15, 2013

EVA PATRICIA MARTINEZ vs. HEALTH CARE SERVICES GROUP, ZURICH LOS ANGELES

This case concerns Eva Patricia Martinez and her workers' compensation claims against Health Care Services Group and Zurich Los Angeles. A petition for reconsideration of a December 20, 2012 decision was filed. However, the petitioner has since withdrawn this petition. Consequently, the Workers' Compensation Appeals Board has dismissed the petition for reconsideration.

Petition for ReconsiderationDismissedWithdrawn PetitionerWorkers' Compensation Appeals BoardZurich Los AngelesHealth Care Services GroupADJ7138854ADJ7135575
References
0
Case No. ADJ15563281
Regular
Mar 17, 2025

LENIN QUIROZ vs. CITY OF LOS ANGELES

This case concerns a Petition for Reconsideration filed by the City of Los Angeles, challenging an arbitrator's findings that applicant Lenin Quiroz sustained an industrially caused testicular cancer. The Workers' Compensation Appeals Board reviewed the defendant's contentions regarding the statute of limitations, the substantiality of medical evidence from Agreed Medical Evaluator Dr. Fred Kuyt, and the proper occupational group number. The Board denied the petition, affirming the arbitrator's findings that the statute of limitations did not bar the claim, Dr. Kuyt's medical opinion constituted substantial evidence, and Occupational Group Number 490 was appropriate based on the applicant's job duties.

Workers' Compensation Appeals BoardPetition for ReconsiderationLabor Code Section 5909Sixty-Day RuleTransmission of CaseEAMSNotice of TransmissionSubstantial Medical EvidenceAOE/COEAgreed Medical Evaluator
References
14
Case No. ADJ964606 (OXN 0129495) ADJ800629 (OXN 0143959)
Regular
Jun 30, 2010

MARIA DE LOS ANGELES SEGURA vs. TECHNICOLOR, CHUBB GROUP LOS ANGELES, SPECIALTY RISK LA HABRA

The Workers' Compensation Appeals Board granted reconsideration, rescinded the prior award, and found that Westlake Spine and Outpatient Surgery Center's lien was barred by the statute of limitations under Labor Code section 4903.5(a). Westlake provided services in January 2005, but only filed its lien in January 2008, over five years after the injury date and more than six months after the approval of a compromise and release agreement. The Board found Westlake's delay and failure to properly file and serve its lien estopped it from recovery. Therefore, Westlake is not entitled to further reimbursement beyond the amount already paid.

Workers Compensation Appeals BoardLien ClaimStatute of LimitationsLachesReconsiderationIndustrial InjuryReimbursementLabor Code Section 4903.5Compromise and ReleaseMandatory Settlement Conference
References
0
Case No. ADJ19483147
Regular
Jun 19, 2025

MICHAEL LEWIS vs. CITY OF LOS ANGELES

The Workers' Compensation Appeals Board (WCAB) rescinded the arbitrator's Amended Findings and Award from April 8, 2024, in the case of Michael Lewis v. City of Los Angeles. The Board previously granted reconsideration due to an incomplete record, specifically missing exhibits and vocational evidence. The defendant, City of Los Angeles, sought reconsideration, asserting errors in the arbitrator's finding of catastrophic injury and permanent total disability. The WCAB emphasized the importance of due process and a complete evidentiary record for meaningful review, citing several legal precedents. The matter is returned to the arbitrator for further proceedings and to supplement the record.

WCABReconsiderationAmended Findings and AwardArbitratorCity of Los AngelesCatastrophic injuryPermanent total disabilityLabor CodeBack injuryPetition for Reconsideration
References
22
Case No. ADJ1116172 (VNO 0542851 ADJ4496371 (LAO 0867566) ADJ3831355 (LAO 0828400)
Regular
Jul 13, 2011

DENISE MEEKS vs. COUNTY OF LOS ANGELES MARTIN LUTHER KING HOSPITAL #225, COUNTY OF LOS ANGELES METRO SO. CHC/HEATH CTRS. #226

The defendant in this workers' compensation case, County of Los Angeles, filed a petition for reconsideration of an award, alleging mutual mistake of fact regarding an overpayment of temporary disability indemnity. However, the defendant's legal representative subsequently informed the Board that the parties had informally resolved the dispute. Consequently, the defendant withdrew their petition for reconsideration. The Workers' Compensation Appeals Board has formally dismissed the defendant's petition as a result.

Petition for ReconsiderationStipulations with Request for AwardTemporary Disability IndemnityOverpaymentMutual Mistake of FactAdministrative Law JudgeWorkers' Compensation Appeals BoardDismissal
References
0
Case No. ADJ7621873
Regular
Dec 02, 2016

STACEY LACIETA RIDGEWAY vs. COUNTY OF LOS ANGELES

The Workers' Compensation Appeals Board denied the County of Los Angeles' petition for reconsideration of an order approving a stipulation to pay a lien claim to Sobol Orthopedic Medical Group. The defendant argued the administrative law judge erred by approving the stipulation and depriving them of due process. However, the Board found no evidence to support these claims and adopted the judge's report, which characterized the defendant's allegations as misrepresentations. The Board admonished the defendant for making serious unsupported allegations.

Workers' Compensation Appeals BoardPetition for ReconsiderationStipulation and OrderLien ClaimantWCJDue ProcessLien TrialPre-trial Conference StatementsSelf-InsuredCounty of Los Angeles
References
0
Case No. ADJ8684392;ADJ8683271; ADJ8680023; ADJ8903649; ADJ8903648
Regular
Jul 07, 2016

LEOPOLDINA INSUASTI vs. LOS ANGELES UNIFIED SCHOOL DISTRICT

This case involves an appeal by the Los Angeles Unified School District challenging a prior award of 39% permanent disability. The Board granted reconsideration, finding that the correct occupational group number is 211 and that 10% apportionment to non-industrial causes is appropriate for the lumbar spine injury. Additionally, the Board ruled that sleep disorder is not separately ratable and returned the matter for the WCJ to re-rate permanent disability based on these findings.

Workers' Compensation Appeals BoardOccupational Group NumberPermanent DisabilityApportionmentPQMEJoint Findings and AwardPetition for ReconsiderationAdministrative Law JudgeSubstantial Medical EvidenceLumbar Spine
References
2
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