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Case Law Database

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

Case No. ADJ120949 (LBO 0345949)
Regular
Mar 28, 2011

RON CURTIS vs. C.J. SEGERSTROM & SONS, AMERICAN CLAIMS MANAGEMENT FOR EVEREST NATIONAL INSURANCE, AMERICAN SAFETY CASUALTY COMPANY

This case concerns American Safety Casualty Company's petition for reconsideration of an arbitrator's decision regarding contribution. The arbitrator found that Everest National Insurance Company timely instituted contribution proceedings based on a subsequent Compromise and Release Agreement that redefined the cumulative trauma injury dates. American argued that a prior, rescinded award determining earlier injury dates should control, but the Board affirmed the arbitrator's conclusion that the rescission rendered the prior finding void. The Board clarified that this decision only addresses the timeliness of contribution proceedings, not final liability, allowing for further litigation.

Workers' Compensation Appeals BoardCumulative Trauma ClaimContribution ProceedingsArbitrator's Findings and AwardCompromise and Release AgreementDate of Cumulative Trauma InjuryLabor Code Section 5500.5Rescinded Findings and AwardStatus Quo AntePetition for Reconsideration
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. ADJ6607637
Regular
Jul 01, 2010

NATHAN WINES vs. SDA SECURITY SYSTEMS, INC., INSURANCE COMPANY OF THE WEST, ZENITH INSURANCE COMPANY

This case involves a workers' compensation claim where Insurance Company of the West (ICW) seeks reconsideration of an arbitration decision barring its contribution claim against Zenith Insurance Company. The arbitrator initially found ICW's contribution proceedings were untimely, but now recommends granting reconsideration based on new case law. The Workers' Compensation Appeals Board agreed that a Declaration of Readiness to Proceed can satisfy the "institute proceedings" requirement for contribution claims under Labor Code §5500.5(e), reversing the prior decision and returning the matter for further proceedings.

Workers' Compensation Appeals BoardArbitration DecisionStatute of LimitationsContribution ProceedingsDeclaration of ReadinessLabor Code §5500.5(e)Stipulated AwardCumulative InjuryIndustrial InjuryInsurance Coverage
References
Case No. ADJ2497883 (SFO 0450940) ADJ3261393 (SFO 0504693)
Regular
Apr 30, 2010

JANETTE HARDIN vs. COUNTY OF ALAMEDA, SEDGWICK CLAIMS MANAGEMENT SERVICES, CHARTIS INSURANCE, TRISTAR RISK MANAGEMENT

This case involves Chartis Insurance seeking reconsideration of an arbitrator's decision setting the date of cumulative trauma injury for Janette Hardin's breast cancer as May 28, 1997, not the previously stipulated date of May 16, 2001. Chartis argued the stipulated date was res judicata and could not be altered, especially in a contribution proceeding. The Workers' Compensation Appeals Board denied the petition, affirming that contribution proceedings allow for a relitigation of liability and the determination of the true date of injury based on facts, not prior stipulations between the applicant and one defendant. The Board reasoned that findings of liability in the primary case are not binding in supplemental contribution proceedings.

Cumulative traumaDate of injuryContribution proceedingsRes judicataStipulated awardLabor Code section 5500.5Apportionment of liabilityCase-in-chiefSupplemental proceedingsGreenwald v. Carey Distribution Company
References
Case No. SAC 0339541
Regular
Oct 17, 2007

HOPE HAYES vs. GOTTSCHALK'S, INC., THE HARTFORD, SPECIALTY RISK SERVICES

This case involved a dispute over contribution between insurance carriers for a cumulative trauma injury. The Workers' Compensation Appeals Board (WCAB) granted reconsideration, finding that the initial petition for joinder did not timely "institute proceedings" for contribution under Labor Code § 5500.5. Consequently, the WCAB held that the claim for contribution against The Hartford was barred due to untimeliness.

Petition for RemovalPetition for ReconsiderationLabor Code Section 5500.5Institution of ProceedingsThreshold IssueContributionJoinder of Party DefendantClerical ErrorStipulations with Compromise and ReleaseCumulative Trauma Injury
References
Case No. ADJ12096808
Regular
2020-01-33

LARRY REASNER vs. CASEY JOHNSON, dba ROCKIN CJ TRANSPORT COMMERCE & INDUSTRY INSURANCE COMPANY, AIG; NEW YORK MARINE AND GENERAL INSURANCE COMPANY

This case concerns a Petition for Removal filed by Commerce and Industry Insurance Company regarding an order to proceed to trial on an injury AOE/COE. The dispute arises from a prior Stipulated Award between the applicant and New York Marine and General Insurance Company for a cumulative trauma injury. Commerce and Industry argues that its contribution claim against New York Marine is subject to mandatory arbitration under Labor Code section 5500.5. The Appeals Board granted removal, rescinded the trial order, and found that the inter-insurer dispute over contribution must be arbitrated, as the applicant is not involved in this separate proceeding.

Petition for RemovalStipulated AwardCumulative TraumaPetition for ContributionMandatory ArbitrationLabor Code Section 5500.5Successive EmployersInsurers Jointly and Severally LiableContribution ProceedingsDe Novo
References
Case No. ADJ1690383 (LAO 0818718) ADJ253066 (LAO 0811576) ADJ1849347 (LAO 0845486)
Regular
Dec 07, 2010

TRINI RIVERA vs. FREMONT COMPENSATION INSURANCE, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, ESIS, INC., ARGONAUT INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration, rescinding an arbitrator's decision that had determined specific injury dates binding for contribution proceedings. The Board ruled that ESIS, Inc. was not bound by its prior stipulation with the applicant regarding injury dates for the purpose of determining contribution from other defendants. The case is remanded for the arbitrator to independently determine the dates of injurious exposure, as required by Labor Code section 5500.5, to properly address ESIS's contribution claim.

Workers' Compensation Appeals BoardReconsiderationContribution ProceedingCumulative Trauma InjuryDates of InjuryStipulated AwardInjurious ExposureLabor Code Section 5500.5De Novo DeterminationApportionment of Liability
References
Case No. ADJ3674251 (SDO 0355041)
Regular
Jun 02, 2010

JACQUELINE NGUYEN vs. MPEX PHARMACEUTICALS, INC., EMPLOYERS COMPENSATION INSURANCE COMPANY

This case involves an insurer's petition for removal after a WCJ denied their request to join a prior employer and its insurer for contribution. The applicant has received benefits from two prior awards. The Appeals Board granted the removal, rescinded the denial of joinder, and returned the matter to the trial level. This action is to facilitate arbitration regarding the date of last injurious exposure and coverage status, which are prerequisites for contribution proceedings under Labor Code section 5500.5.

Petition for RemovalOrder Denying Petition for JoinderPetition for ContributionJoinder of PartiesContribution ProceedingsLabor Code Section 5500.5Date of Last Injurious ExposureDate of Injury Section 5412ArbitrationRescinded Order
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
Case No. ADJ857793
Regular
Oct 30, 2008

OLIVIA SOSA vs. NUPLA CORPORATION, STATE COMPENSATION INSURANCE FUND, CALIFORNIA INDEMNITY INSURANCE COMPANY

The Appeals Board rescinded the WCJ's decision because the finding of a specific date of injury was vague, unsupported by substantial evidence, and deprived California Indemnity Insurance Company (CIIC) of due process. The Board held that under Labor Code § 5500.5, the elected insurer (SCIF) should not have been dismissed at this stage, and any determination of liability among insurers should be deferred to a separate contribution proceeding. The case was returned to the trial level for further proceedings to determine if the applicant sustained an industrial injury and to address potential liability of all involved insurers.

Cumulative traumaDate of injuryLabor Code 5500.5Due processReconsiderationWCJ FindingsSubstantial evidenceJoinderPetition for DismissalContribution proceedings
References
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