CompFox Logo
AboutWorkflowFeaturesPricingCase LawInsights

Updated Daily

Case Law Database

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

Case No. ADJ4025440 (VNO 0557895)
Regular
Mar 12, 2012

CHARLES B. HANLON vs. WYLE HOLDINGS, INC., AIG adjusted by CHARTIS CLAIMS, INC.

The Workers' Compensation Appeals Board granted reconsideration to clarify an ambiguous award for temporary disability benefits. The applicant sustained a cumulative injury resulting in temporary and permanent disability. The defendant argued the award was unclear regarding the coordination of temporary disability payments with benefits already paid by the Employment Development Department (EDD). The Board clarified that the applicant is to be compensated for temporary disability, less amounts paid by EDD, with adjustments potentially needed to match the agreed-upon temporary disability rate. Furthermore, the Board clarified that EDD's overpayments of unemployment benefits made after the applicant's permanent and stationary date are to be reimbursed from the applicant's permanent disability benefits.

Cumulative industrial injuryTemporary disability indemnityPermanent disability benefitsPetition for ReconsiderationFindings and AwardAmbiguous awardEDD benefitsLabor Code §4904Agreed Medical ExaminerTemporary total disability
References
Case No. ADJ9103955
Regular
Aug 25, 2014

EMMANUEL BRISENO vs. CALTRANS, Permissibly Self-Insured, Adjusted By STATE COMPENSATION INSURANCE FUND

This case concerns a workers' compensation appeal where the defendant, Caltrans, sought reconsideration of an award of temporary disability benefits. Caltrans argued the award should credit benefits already paid by the Employment Development Department (EDD) to prevent double recovery. The Appeals Board granted reconsideration, agreeing that the award needed adjustment for the EDD's potential lien. Consequently, the Board amended the award to require the parties to adjust the benefit amount, taking into account the EDD's potential lien interest.

Workers' Compensation Appeals BoardADJ9103955Emmanuel BrisenoCALTRANSPermissibly Self-InsuredState Compensation Insurance FundTemporary Disability IndemnityEmployment Development Department (EDD)EDD LienDouble Recovery
References
Case No. ADJ6604427, ADJ8192308
Regular
Jul 31, 2014

CHERRICE MORRIS-GAINES vs. AC TRANSIT, SEDGWICK CLAIMS MANAGEMENT SERVICES

In this workers' compensation case, the applicant initially stipulated to a lower average weekly wage, which the Board found to be a final determination that could not be revisited due to lack of good cause and the five-year statute of limitations. The Board affirmed the employer's credit for payments made to the Employment Development Department (EDD) to prevent double recovery. Furthermore, the Board found no unreasonable delay by the employer in payments to EDD, thus denying the applicant's penalty claim. Finally, the Board rescinded the order requiring the applicant's attorney to repay fees voluntarily paid by EDD, as such repayment was not mandated by law.

Workers' Compensation Appeals BoardAC TransitSedgwick Claims Management ServicesADJ6604427ADJ8192308bus drivercumulative traumatemporary disability indemnityLabor Code section 4656(c)(2)mandatory settlement conference
References
Case No. ADJ7108719
Regular
Dec 10, 2012

MARIA RAYA vs. CARL'S JR., TRAVELERS INSURANCE COMPANY

The Workers' Compensation Appeals Board granted the defendant's petition for reconsideration to address an issue with the Employment Development Department (EDD) lien. The original award was rescinded and returned to the trial level for further proceedings to determine the existence and impact of an EDD lien on benefits. This determination is necessary as the applicant testified to receiving disability payments from the EDD. The WCJ must also address the defendant's other contentions and recalculate attorney's fees if an EDD lien is established.

WCABPetition for ReconsiderationFirst Amended FindingsAward and Orderbilateral upper extremitiescooktemporary total disabilityEmployment Development Department (EDD) lienLabor Code section 4905Labor Code section 4904
References
Case No. VNO 541859
Regular
Jan 03, 2008

FAUSTINO SANDOVAL vs. NUTRITION PLUS, INC., PREFERRED EMPLOYERS INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration to amend a Stipulation and Award, allowing defendants credit for EDD payments made to the applicant. The Board affirmed the $\$ 240.00$ temporary disability rate, finding no basis to set aside the stipulation as defendant attempted to rely on a wage statement that was available prior to the agreement. The amendment ensures reimbursement to EDD for benefits paid during the applicant's temporary disability period.

Stipulation and AwardPetition for ReconsiderationAgreed Medical ExaminersMPNTemporary Disability RateCredit for EDD PaymentsWeatherall v. WCABFraudMutual MistakeNewly Discovered Evidence
References
Case No. ADJ9349646
Regular
Jul 05, 2016

JONATHAN BASSETT vs. CITY OF VISALIA

The Workers' Compensation Appeals Board granted reconsideration and rescinded the prior award because it was unclear and unenforceable. The Board found the Administrative Law Judge erred by issuing an award with unspecified credits for payments to EDD and the applicant, and by not clearly defining defendant's liability. The case is returned to the trial level to clarify the exact amounts due, resolve the EDD lien, determine attorney's fees, and clearly outline the defendant's credit for indemnity already paid. The Board affirmed the ALJ's analysis on all other respects.

Workers' Compensation Appeals BoardReserve Police OfficerTemporary Partial DisabilityTemporary Total DisabilityPetition for ReconsiderationCredit for IndemnityWage LossInsurance PremiumsLabor Code Section 4458.2Maximum Temporary Disability Rate
References
Case No. ADJ7041403
Regular
Feb 22, 2013

GARY ARMSTRONG vs. RIO TINTO MINERALS, SEDGWICK CMS

The Workers' Compensation Appeals Board granted reconsideration and admitted a lien claim into evidence, thereby amending the original award. The Board affirmed the finding of temporary total disability but deferred the issue of reimbursement for EDD benefits. Jurisdiction was reserved at the trial level for both the EDD lien and temporary disability indemnity, pending further proceedings. The Board also affirmed the award of permanent partial disability and attorney's fees.

Workers' Compensation Appeals BoardReconsiderationNotice of Intention to Admit EvidenceLien ClaimEmployment Development Department (EDD)Temporary Disability IndemnityPermanent Partial DisabilityIndustrial InjurySubstantial Medical EvidenceCredit for EDD Payments
References
Case No. ADJ4305719
Regular
Jun 18, 2015

HELEN BOUGH vs. DANA MANCHESTER, DMD, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied the defendants' petition for reconsideration in this case. The defendants argued the Workers' Compensation Judge erred in ordering the State Compensation Insurance Fund (SCIF) to reimburse the Employment Development Department (EDD). However, SCIF had prior knowledge of EDD's lien for benefits paid to the applicant but still proceeded to pay the full award. The Board found that EDD is entitled to reimbursement from SCIF and that the award does not constitute a double recovery for the applicant.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJSCIFEDDLienReimbursementDouble RecoveryCreditContinuous Trauma
References
Case No. ADJ7917429
Regular
Mar 10, 2014

ROBERTO SALAZAR vs. WTS INTERNATIONAL, INC., TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

This case concerns a dispute over defendant's credit for Employment Development Department (EDD) payments against the applicant's permanent disability award. Initially, the WCJ granted the defendant credit for the entire period EDD paid benefits. Upon reconsideration, the Appeals Board clarified that the defendant is only entitled to credit for EDD payments made from January 2, 2012, to May 10, 2012, as these were effectively permanent disability advances. The Board rescinded the original award and amended the findings to reflect this adjusted credit.

Petition for ReconsiderationStipulated AwardPermanent DisabilityTemporary DisabilityCredit for PaymentsEmployment Development DepartmentEDDState Disability InsuranceSDIReimbursement
References
Case No. ADJ9076930
Regular
Aug 11, 2015

Lorenzo Ramirez vs. Los Altos Food Products, Inc., Sampo Japan Nipponkoa America

The Appeals Board granted reconsideration, amending the original award to exclude the right arm as a compensable body part due to insufficient medical evidence. The Board found that the original finding on temporary total disability lacked substantial evidence and deferred this issue, along with credit for EDD payments, for further development at the trial level. The case was remanded for a new decision by the WCJ on these deferred issues. The original finding of injury to the right elbow, right shoulder, and neck was affirmed.

Workers' Compensation Appeals BoardPetition for ReconsiderationOpinion and Findings of Fact and Award and OrdersTemporary Total DisabilityPermanent and Stationary DateSubstantial EvidenceQualified Medical ExaminerMedical OpinionReasonable Medical ProbabilityDeveloping the Record
References
Showing 1-10 of 280 results

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.

CompFox Logo

The AI standard for workers' compensation professionals. Faster research, deeper analysis, better outcomes.

Product

  • Platform
  • Workflow
  • Features
  • Pricing

Solutions

  • Defense Firms
  • Applicants' Attorneys
  • Insurance carriers
  • Medical Providers

Company

  • About
  • Insights
  • Case Law

Legal

  • Privacy
  • Terms
  • Trust
  • Cookies
  • Subscription

© 2026 CompFox Inc. All rights reserved.

Systems Operational