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

Case No. ADJ5010233
Regular
Sep 20, 2010

RICHARD MARQUEZ vs. O'BRYANT ELECTRICAL, INDEMNITY INSURANCE CO OF NORTH AMERICA

The Appeals Board granted reconsideration to clarify the issue of credit for time worked on temporary disability indemnity. While denying removal, the Board affirmed the original award of temporary disability through June 26, 2008, deferring the credit calculation. The Board adopted the Arbitrator's reasoning, except for the recommendation to grant removal. The matter is returned for further proceedings to clarify the credit issue, with temporary disability payments to continue unaffected by this deferral.

Workers' Compensation Appeals BoardRemovalReconsiderationFindings Award and OrderArbitratorStipulationsIndustrial InjuryRight KneeTemporary DisabilityPermanent Disability
References
0
Case No. ADJ4713554
Regular
Oct 19, 2010

JULIAN ARVIZU vs. COUNTY OF FRESNO

The Appeals Board rescinded the original award due to a factual error regarding the calculation of temporary disability indemnity and its interaction with Labor Code section 4656(c)(1). The case is remanded for the WCJ to re-determine the correct amount of the third-party credit and the overpayment of temporary disability indemnity. Crucially, any credit for overpayment of temporary disability indemnity must be applied before the third-party recovery credit to avoid double recovery. The WCJ must also reconsider whether credit against future medical treatment is appropriate based on case law.

Third-party recoverycredittemporary disability indemnityoverpaymentfuture medical treatmentLabor Code section 4850Labor Code section 4656(c)(1)permanent and stationary dateAgreed Medical Examinerrescinded decision
References
17
Case No. 2019 NY Slip Op 04295 [172 AD3d 655]
Regular Panel Decision
May 30, 2019

Capital Bus. Credit LLC v. Tailgate Clothing Co., Corp.

The Appellate Division, First Department, affirmed a Supreme Court order regarding a dispute between Capital Business Credit LLC (plaintiff) and Tailgate Clothing Company, Corp. (defendant). Plaintiff purchased accounts receivable from a nonparty related to clothing manufacturing. Defendant paid some invoices but left 12 outstanding. Defendant claimed an equitable recoupment credit for payments made to the Worker Rights Consortium (WRC) for severance pay to Honduran workers, which became due after the manufacturer violated local law by not paying severance. The Court found issues of fact precluding summary judgment on the account stated claim and correctly sustained the equitable recoupment defense, noting it was based on transactions linked to the defendant's licensing and manufacturing agreements. The court also rejected plaintiff's waiver and estoppel arguments.

Equitable recoupmentAccount stated claimSummary judgmentAccounts receivableBreach of contractTimeliness of objectionLicensing agreementManufacturing agreementHonduran labor lawSeverance pay
References
6
Case No. ADJ7318712
Regular
Jul 03, 2013

MARGUERITE KINSELLA vs. SIMI VALLEY HOSPITAL, ADVENTIST HEALTH

The Appeals Board granted reconsideration to allow the defendant a credit for overpaid temporary disability indemnity against retroactive temporary disability indemnity, subject to proof. The Board affirmed the WCJ's findings on the industrial injury and permanent disability, except for the credit issue. Defendant's claim for credit for overpaid permanent disability was denied as the award was already paid, though the possibility of future credit upon reopening was noted. The Board also clarified the attorney's fees award, requiring payment with "new money" if prior awards were already paid.

Petition for ReconsiderationFindings and AwardTemporary Disability IndemnityPermanent DisabilityCredit for OverpaymentWCJAppeals BoardSubstantial EvidenceLabor Code Section 4909Equitable Principles
References
6
Case No. ADJ7878653, ADJ7060658
Regular
May 13, 2013

DONALD LUMB vs. CITY OF CHULA VISTA

The Workers' Compensation Appeals Board (WCAB) granted reconsideration, amending two prior Findings and Awards. The WCAB allowed the defendant, City of Chula Vista, a credit of $2,499.73 for an overpayment of permanent disability indemnity in a specific injury case against indemnity owed in a cumulative trauma injury case. This decision overturned the original finding that such a credit would be inequitable. The WCAB determined the credit was permissible as the overpayment amount was small and would not significantly interrupt applicant's benefits.

Cumulative traumaSpecific injuryPermanent disability indemnityOverpaymentCreditApportionmentAgreed Medical EvaluatorPrimary treating physicianFindings and AwardPetition for Reconsideration
References
5
Case No. ADJ9158320, ADJ6695957
Regular
Oct 23, 2017

Marvin Rogers vs. American Medical Response, ACE American Insurance Company

This case concerns a workers' compensation insurer seeking credit for overpaid temporary disability benefits. The applicant, Marvin Rogers, sustained a lumbar spine injury as a paramedic. The insurer paid temporary disability benefits beyond the applicant's permanent and stationary date, but sought credit at the full overpaid amount against permanent disability indemnity. The Appeals Board denied the defendant's petition for reconsideration, upholding the administrative law judge's decision to allow credit only at the lower permanent disability indemnity rate. This denial was based on equitable principles and the fact that the applicant did not act in bad faith, preventing prejudice to the injured worker.

Petition for ReconsiderationTemporary Disability IndemnityPermanent DisabilityCreditOverpaymentLabor Code section 4909Discretionary AuthorityEquitable PrinciplesGood FaithEstoppel
References
9
Case No. ADJ1408531
Regular
Sep 22, 2008

DULCE STONE vs. COUNTY OF LOS ANGELES/SHERIFF'S DEPARTMENT, TRISTAR RISK MANAGEMENT

Reconsideration granted; WCJ's finding limiting credit to temporary disability indemnity reversed; defendant entitled to $8,446.76 credit against temporary and permanent disability indemnity.

Workers' Compensation Appeals BoardReconsiderationFindings and AwardTemporary Disability IndemnityPermanent DisabilityLabor Code section 4658(d)Credit for OverpaymentAgreed Medical Examiner (AME)Permanent and Stationary (P&S)Vocational Rehabilitation
References
0
Case No. MISSING
Regular Panel Decision

Credit One Financial v. Anderson (In re Anderson)

Plaintiff Orrin Anderson, a debtor, had his credit card debt with Credit One discharged in bankruptcy, but the debt remained on his credit report as 'charged off.' Anderson reopened his bankruptcy case and filed a class action complaint against Credit One for alleged violations of the discharge injunction. Credit One moved to compel arbitration, strike class allegations, and dismiss for lack of subject matter jurisdiction, which the Bankruptcy Court denied. Credit One appealed the denial to compel arbitration as of right and sought leave to appeal the denials to strike class allegations and dismiss for lack of subject matter jurisdiction. The District Court denied Credit One's motion for leave to appeal, finding no basis for pendent appellate jurisdiction or interlocutory appeal for the additional issues.

Bankruptcy Discharge InjunctionClass Action WaiverSubject Matter JurisdictionInterlocutory AppealPendent Appellate JurisdictionArbitration AgreementFederal Statutory ClaimsContempt PowerPunitive DamagesInjunctive Relief
References
49
Case No. MISSING
Regular Panel Decision

Thoms v. Educational Credit Management Corp. (In Re Thoms)

Kashima Thoms, a Chapter 7 debtor, initiated an adversary proceeding seeking the discharge of her substantial student loan obligations totaling $90,948.58, citing "undue hardship" under 11 U.S.C. § 523(a)(8). Educational Credit Management Corp. (ECMC) became the primary defendant, administering all of Thoms's student loans. The U.S. Bankruptcy Court applied the Second Circuit's stringent three-part Brunner test, which requires demonstrating an inability to maintain a minimal living standard, persistence of this hardship, and good faith repayment efforts. The Court found that Thoms, earning $48,000 annually, had sufficient disposable income, and her financial prospects were likely to improve, particularly with potential changes in childcare expenses and family living arrangements. Crucially, Thoms had made only minimal payments years prior and failed to utilize available loan restructuring options, thereby failing to prove good faith. Consequently, the Court ruled that Thoms did not establish undue hardship, denying the discharge of her student loan debts.

Bankruptcy LawStudent Loan DischargeUndue Hardship DoctrineBrunner TestChapter 7 BankruptcyAdversary ProceedingFinancial DistressRepayment EffortsFederal Student LoansDebtor-Creditor Law
References
4
Case No. 15 Civ. 3975 (NRB)
Regular Panel Decision

National Indemnity Co. v. IRB Brasil Resseguros S.A.

This case involves a dispute between National Indemnity Company (NICO) and IRB Brasil Resseguros S.A. (IRB) over reinsurance obligations. Following contentious arbitrations, a tribunal issued three awards favoring NICO. NICO petitioned the U.S. District Court to confirm these awards, while IRB cross-petitioned for vacatur, citing alleged 'evident partiality' of the neutral umpire, Daniel Schmidt, due to his concurrent service in an unrelated arbitration involving a NICO affiliate (Equitas) and challenging the tribunal's jurisdiction. The court found Schmidt's disclosures reasonable and his concurrent assignments insufficient to demonstrate partiality. It also affirmed the arbitration panel's jurisdiction over the disputed 2008 premium and associated fees. Consequently, the court granted NICO's petition to confirm the awards and denied IRB's cross-petition to vacate them.

ArbitrationReinsurance DisputeEvident PartialityUmpire DisclosureVacatur of Arbitration AwardConfirmation of Arbitration AwardFederal Arbitration ActNew York ConventionArbitration ClauseContract Interpretation
References
42
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