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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. ADJ1707650 (SAL 0075628)
Regular
Jun 20, 2011

KAREN CLARK (Deceased) JEFFREY J. CLARK(Dependent) vs. AIRBORNE EXPRESS/DHL, AMERICAN MANUFACTURER'S INSURANCE COMPANY/SEDGWICK CLAIMS MANAGEMENT SERVICES

The applicant sought reconsideration of a decision that barred their death benefit claim due to the statute of limitations. They argued that compensable consequence injuries should be treated as new injuries, with the date of knowledge of industrial causation being the relevant date. The Workers' Compensation Appeals Board granted reconsideration, adopting the judge's report, and amended the findings. The amended finding clarifies the injured worker's death from a Fentanyl overdose and asserts it was a compensable consequence of a prior industrial injury.

Workers' Compensation Appeals BoardDeath CaseLabor Code section 5406Compensable consequence injuriesStatute of limitationDate of knowledgeIndustrial injuryFentanyl overdosePetition for reconsiderationFindings and Order
References
Case No. ADJ9761409, ADJ10946911
Regular
Sep 11, 2018

ANGELA COLE vs. MARCONI CONFERENCE CENTER, STATE COMPENSATION INSURANCE FUND, AMERICAN INSURANCE CO.

The Workers' Compensation Appeals Board granted reconsideration, reversing a prior finding that SCIF was solely liable for applicant's cumulative injury. The Board determined the correct Labor Code section 5412 date of injury was December 10, 2014, based on the concurrence of disability and knowledge of its industrial nature. Consequently, the Labor Code section 5500.5(a) liability period is the year preceding that date, making American Insurance Company, the carrier during that period, solely liable for compensation. The Board rescinded the prior award and issued a new decision and award against American Insurance Company.

Labor Code section 5500.5Labor Code section 5412cumulative injurydate of injurydisabilityknowledgeliability periodconcurrent disability and knowledgetemporary disabilitypermanent disability
References
Case No. LAO 823855, LAO 823856
Regular
Oct 03, 2007

PEDRO M. RODRIGUEZ vs. RALPHS GROCERY COMPANY

The applicant sought reconsideration of a denial of workers' compensation benefits, which was based on the finding that his claims were filed after notice of termination. The Board affirmed the denial, concluding that the applicant's job abandonment led to a termination prior to the filing of his claims. The Board also determined that the employer properly denied both the specific and cumulative trauma claims, thus negating a presumption of compensability.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and OrderFindings of FactAdministrative Law JudgeApplicantDefendantRalphs Grocery CompanySecurity GuardIndustrial Injury
References
Case No. POM 0253265
Regular
Aug 27, 2007

DUANE JOHNSTON vs. BOB REMY AUTOMOTIVE, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied the State Compensation Insurance Fund's (SCIF) petition for reconsideration. SCIF argued the WCJ erred in determining the date of cumulative trauma and that its due process rights were violated. The Board affirmed the WCJ's finding that the applicant's knowledge of the industrial nature of his injury arose on January 5, 2001, placing SCIF on risk for the claim.

Cumulative traumaDate of injuryDate of knowledgeIndustrial injurySCIFCIGAWCJPetition for reconsiderationDeniedMedical evaluation
References
Case No. ADJ10232171
Regular
Apr 10, 2017

HERMAN O'BERRY vs. WORLD LEAGUE OF AMERICAN FOOTBALL aka NATIONAL FOOTBALL LEAGUE EUROPE (NFL EUROPE), ST. LOUIS RAMS, FAIRMONT PREMIER INSURANCE COMPANY (TIG)

This case concerns a workers' compensation claim for cumulative injury filed by a former professional football player against his former employers and their insurer. The primary issue was the statute of limitations, specifically the date of injury under Labor Code Section 5412, which is when the employee first suffered disability and knew or should have known it was work-related. The Board granted reconsideration to clarify this date, finding that the applicant's filing of his claim application on December 17, 2015, was the earliest documented evidence of his knowledge of the connection between his employment and his cumulative injury, establishing this as the date of injury. The employer's exemption from providing notice under Section 3600.5(e) did not alter this determination regarding the applicant's actual knowledge.

Workers' Compensation Appeals BoardNFL EuropeSt. Louis RamsLabor Code section 5405Labor Code section 5412cumulative injurydate of injurystatute of limitationspetition for reconsiderationApplication for Adjudication of Claim
References
Case No. ADJ8739571
Regular
Dec 11, 2015

MARVIN BENARD vs. SAN FRANCISCO GIANTS, ACE INSURANCE COMPANY, U.S. FIDELITY AND GUARANTY INSURANCE COMPANY

In this workers' compensation case, the Appeals Board reversed the WCJ's decision, finding the applicant's claim was not barred by the statute of limitations. The Board determined the defendant failed to meet its burden of proving the applicant had actual knowledge of his workers' compensation rights more than one year before filing his claim. Crucially, the defendant did not provide notice of these rights, and the applicant's knowledge of his injury's industrial cause did not equate to knowledge of his rights to benefits. Therefore, the case was returned for further proceedings.

Cumulative traumaStatute of limitationsDate of injuryKnowledge of rightsTollingAffirmative defenseReconsiderationBurden of proofProfessional athleteNotice of rights
References
Case No. ADJ7270261
Regular
Mar 01, 2012

MEKAL FARUKI vs. MACY'S DEPARTMENT STORES

This case involves Mekal Faruki's petition for reconsideration of a Workers' Compensation Appeals Board decision. The Board dismissed the petition as untimely. Labor Code section 5903 establishes a strict 20-day deadline for filing reconsideration petitions, with a possible 5-day extension for mailing. Critically, the petition is considered filed upon receipt, not mailing date. Faruki's petition was filed over 25 days after the December 10, 2010 decision, rendering it jurisdictionally barred.

Mekal FarukiMacy's Department StoresPetition for ReconsiderationUntimely FilingLabor Code Section 5903WCAB Rule 10507Jurisdictional Time LimitDismissalWorkers' Compensation Appeals BoardSacramento District Office
References
Case No. GRO 024430
En Banc
Dec 08, 2004

Myron Abney vs. Aera Energy, Liberty Mutual Insurance Company

The Appeals Board held that the amended Labor Code section 5814, which changed penalty calculations for unreasonable delay of compensation, applies to delays that occurred before its June 1, 2004 operative date, if the finding of unreasonableness is made on or after that date.

SB 899Labor Code section 5814unreasonable delaypenaltyoperative datetemporary disability indemnityHofmeister v. Workers' Comp. Appeals Bd.prior to operative dateon or after operative dateconclusive presumption
References
Case No. ADJ10881718
Regular
Jul 19, 2019

WANDA JACKSON vs. CVS PHARMACY, INC., NEW HAMPSHIRE INSURANCE COMPANY

This case, *Jackson v. CVS Pharmacy, Inc.*, concerns the date of injury for a cumulative trauma claim under Labor Code section 5412. The Workers' Compensation Appeals Board denied reconsideration, upholding the finding that the applicant did not know her disability was work-related until receiving medical advice. The applicant's belief that her pain was caused by work activities was insufficient without knowledge that it constituted a compensable cumulative injury. Therefore, the date of injury was determined to be when she gained this medical knowledge, not when she first experienced symptoms or had a general belief about their origin.

Workers' Compensation Appeals BoardPetition for ReconsiderationLabor Code section 5412date of injurycumulative injuryoccupational diseasedisabilityknowledge of industrial origintemporary disabilitypermanent disability
References
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