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. 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. ADJ8860181
Regular
Jul 16, 2015

GARY GATSON vs. BIMBO BAKERIES USA, INC., ACE AMERICAN INSURANCE COMPANY

This case involves a dispute over the Employment Development Department's (EDD) lien for temporary disability benefits paid to the applicant. The original award found the applicant sustained a cumulative trauma injury and awarded temporary disability benefits, but only allowed partial reimbursement to EDD. Both EDD and the employer sought reconsideration, with EDD arguing for full reimbursement and the employer challenging the EDD lien finding. The Appeals Board granted EDD's petition, denied the employer's, and will allow further proceedings to determine the correct amount of EDD's lien and temporary disability award.

WCABcumulative traumaAchilles tendonpermanent disabilitytemporary disabilityEDD lienreconsiderationsubstantial evidencestandingLabor Code section 4904
References
Case No. ADJ9282902
Regular
Oct 10, 2017

JUAN CARRILLO vs. ASKEW INDUSTRIAL CORPORATION, TWIN CITY FIRE INSURANCE COMPANY

The Workers' Compensation Appeals Board dismissed the Employment Development Department's (EDD) petition for reconsideration. The EDD sought interest on reimbursement awarded for disability benefits, but the original Findings and Award did not specify the reimbursement amount or rule on interest. The Board found the EDD was not aggrieved by the initial award, as the parties were instructed to adjust the amount themselves. Therefore, the EDD must first seek a final order on the reimbursement amount before pursuing reconsideration.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and Awardtemporary disability indemnityreimbursementEmployment Development Department (EDD)lienUnemployment Insurance Code section 2629.1interestadministrative law judge (WCJ)
References
Case No. ADJ7176518
Regular
Nov 13, 2013

TRAVIS RIEL vs. STATE OF CALIFORNIA, DEPARTMENT OF FORESTRY, Lawfully Uninsured

This case concerns Travis Riel's workers' compensation claim for a 2007 spinal injury. The Appeals Board dismissed Riel's petition for reconsideration as premature, as it concerned a non-final order regarding EDD reimbursement, and Riel failed to serve EDD. The Board denied the defendant's petition, affirming the finding that Riel sustained new and further permanent disability, and that his claim was not barred by the statute of limitations. The WCJ's conditional order for EDD reimbursement was not a final determination and Riel is not yet liable to reimburse EDD.

New and further disabilityPetition to reopenStatute of limitationsLabor Code section 4656(c)(1)Employment Development Department (EDD)ReimbursementPermanent and stationary dateAggrieved partyFinal orderPetition for reconsideration
References
Case No. ADJ7231381
Regular
Oct 24, 2011

ERIN HEALY vs. WE ARE 6J INCI, FARMERS INSURANCE

The Workers' Compensation Appeals Board granted the Employment Development Department's (EDD) petition for reconsideration. The Board found the original decision failed to properly address EDD's lien for State Disability Indemnity (SDI) benefits paid to the applicant. Specifically, the decision did not provide for EDD's reimbursement when temporary and permanent disability indemnity were awarded for the same periods applicant received SDI. The matter was remanded for further proceedings and a new decision that will satisfy EDD's statutory entitlement to reimbursement.

EDD lienSDI benefitsPetition for ReconsiderationFindings Award and Ordertemporary disability indemnitypermanent disability indemnityLabor Code section 4903(f)Labor Code section 4904(b)defective servicestatutory interest
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. ADJ7024559
Regular
Sep 24, 2013

ANTONIA PEDRO vs. KAISER FOUNDATION HOSPITAL, SEDGWICK CLAIMS MANAGEMENT SERVICES

Defendant Kaiser Foundation Hospital sought reconsideration of an award, claiming newly discovered evidence of EDD payments to the applicant during a period of permanent disability advances. The parties subsequently reached an agreement resolving the issue of EDD reimbursement. Consequently, the Appeals Board granted reconsideration, rescinded the original award, and remanded the matter to the WCJ. The WCJ is to issue an amended award based on the parties' revised stipulations.

Workers' Compensation Appeals BoardPetition for ReconsiderationStipulations with Request for AwardAwardNewly Discovered EvidenceEDDPermanent Disability AdvancesPermanent Disability IndemnityAmended AwardReimbursement
References
Case No. ADJ9551175
Regular
May 12, 2016

MANUEL ARZATE vs. WEST PICO FOODS, BARRETT BUSINESS SERVICES, INC.

The Workers' Compensation Appeals Board dismissed the defendant's Petition for Removal and denied their Petition for Reconsideration. The defendant sought to overturn an award of temporary disability indemnity, alleging a mutual mistake of fact regarding potential EDD reimbursement. The Board found the defendant improperly filed a Petition for Removal and treated it as a Petition for Reconsideration. They denied reconsideration, adopting the WCJ's reasoning, and noted that any EDD lien issue could be addressed in future proceedings.

Workers' Compensation Appeals BoardStipulation Award and OrderPetition for RemovalPetition for Reconsiderationtemporary disability indemnitymutual mistake of factEmployment Development DepartmentEDDreimbursementfinal order
References
Case No. ADJ11612609, ADJ12184014, ADJ10616694
Regular
Sep 26, 2025

VERONICA RINCON vs. THE PERMANENTE MEDICAL GROUP, INC.; ATHENS ADMINISTRATORS

Applicant Veronica Rincon filed a Petition for Reconsideration challenging an Order approving a Stipulation between The Permanente Medical Group, Inc. and the Employment Development Department (EDD) to settle EDD's lien interests for temporary disability benefits. The Workers' Compensation Appeals Board determined that the applicant was not a party to the Stipulation and therefore not directly aggrieved by it. The Board noted that the stipulation between defendant and EDD was proper for reimbursement purposes, ensuring the applicant does not receive double payments. The Petition for Reconsideration was dismissed.

Workers' Compensation Appeals BoardPetition for ReconsiderationStipulationEmployment Development DepartmentTemporary DisabilityEDD LienLabor Code Section 5909Electronic Adjudication Management SystemWCJFindings and Award
References
Showing 1-10 of 877 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