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

Case No. ADJ426447 (RDG 0129495)
Regular
Jul 16, 2010

Shane Guest vs. Barrett Business Services

The Appeals Board dismissed the applicant's petition for reconsideration as he was not aggrieved by a final order. The applicant sought to set aside a settlement concerning the Employment Development Department's (EDD) lien, arguing it was made in error. However, the Board found that the WCJ had not yet made a final determination on the EDD lien, which is a prerequisite for the Board to have jurisdiction to approve or disapprove such a settlement. Therefore, the matter is returned to the trial level for a final determination of the EDD's lien.

WCABPetition for ReconsiderationDismissalEDD LienTrial LevelFinal DeterminationTemporary DisabilityEmployment Development DepartmentStipulationDeferred Lien
References
1
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
0
Case No. SFO 0458811 SFO 0458812
Regular
Aug 20, 2007

KATHLEEN BARRAGAN vs. EASTERN PLUMAS HOSPITAL, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board dismissed the Employment Development Department's (EDD) petition for reconsideration because there was no final order yet concerning the EDD's liability for attorney fees. The EDD is not yet aggrieved as the calculation of the applicant's attorney fees from any EDD lien recovery is still subject to adjustment. The EDD will have an opportunity to address attorney fees if party negotiations fail.

Lien claimantPetition for ReconsiderationFindings and Awardcompensable injuryright handleft handcertified nursing assistantcumulative periodattorney feestemporary disability benefits
References
0
Case No. ADJ4718149 (GRO 0034104) ADJ708995 (GRO 0034105)
Regular
Jul 03, 2012

ART QUIROS vs. SUPERIOR TANK COMPANY, INC., SEABRIGHT INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration and rescinded an earlier order awarding reimbursement to the Employment Development Department (EDD). The Board found that EDD's claim for reimbursement was invalid because EDD failed to provide the defendant with proper written notice of the lien claim and its extent, as required by Labor Code section 4904(a). Although EDD argued oral notice was given at hearings, the Board held that statutory law mandates written notification for a lien to be valid. Therefore, EDD's claim for reimbursement was disallowed.

Workers' Compensation Appeals BoardSuperior Tank CompanySeabright Insurance CompanyEmployment Development Departmentlien claimCompromise and Releasewritten noticeLabor Code section 4904(a)actual or constructive noticetemporary disability benefits
References
0
Case No. ADJ8269580
Regular
Nov 30, 2015

RALPH LARUE vs. SANTA CLARA VTA, permissibly self-insured; administered by TRISTAR RISK MANAGEMENT

The Workers' Compensation Appeals Board (WCAB) granted the defendant's petition for reconsideration, rescinding the prior award that allowed the Employment Development Department (EDD) a $2,300 lien. The WCAB found the record lacked sufficient evidence to establish EDD's lien, as defendant argued EDD failed to prove benefits were for the same industrial injury. The Board clarified that EDD's lien attaches to permanent disability caused solely by the industrial injury, not to the apportionment of disability. The case is remanded for further proceedings to develop the record on EDD's lien claim.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings of Fact and AwardEmployment Development Department (EDD)Lien ClaimPermanent Disability IndemnityApportionmentLabor Code 4904(b)Causation of InjuryCausation of Disability
References
1
Case No. ADJ1975641 (SRO 0139288)
Regular
Nov 15, 2010

LETEBRHAN BERHE vs. DLK VENTURES INC. dba HANNA HOUSE, RIDLEY NURSING HOME; VIRGINIA, SURETY INSURANCE COMPANY as, administered by FIRSTCOMP OMAHA

Defendant seeks reconsideration of an award finding applicant sustained a work injury and granted benefits, including reimbursement to EDD from applicant's permanent disability award. The defendant contends the WCJ erred by not ordering applicant to reimburse EDD directly. The Appeals Board granted reconsideration, rescinded the decision, and returned the matter to the trial level. This action was taken to allow the WCJ to determine EDD's entitlement to reimbursement directly from the defendant, given the defendant's failure to notify EDD of permanent disability payments after receiving EDD's lien notice.

WORKERS' COMPENSATION APPEALS BOARDDLK VENTURES INC.HANNA HOUSERIDLEY NURSING HOMEVIRGINIA SURETY INSURANCE COMPANYFIRSTCOMP OMAHAADJ1975641SRO 0139288LETEBRHAN BERHEFindings and Award
References
0
Case No. ADJ13831018
Regular
Apr 21, 2023

Toshi Kuwata vs. Implant Direct, LLC, Ace American Insurance Company, Sedgwick CMS

The Workers' Compensation Appeals Board dismissed the Employment Development Department's (EDD) petition for reconsideration. The Board found the EDD was not aggrieved because its lien claim was not adjudicated and the award for temporary disability expressly excluded periods for which the EDD could assert a credit. The EDD's lien can still be adjudicated separately, and the defendants are advised to resolve the credit to avoid further interest.

Workers' Compensation Appeals BoardPetition for ReconsiderationEmployment Development DepartmentAggrieved PartyLien ClaimantFindings and AwardTemporary DisabilityEDD CreditUnemployment Insurance CodeStipulation
References
0
Case No. ADJ9258192
Regular
Aug 03, 2015

Thomas Senczakiewicz vs. Boeing Company, Sedgwick Claims Management Services, Inc.

The Appeals Board granted reconsideration to address the applicant's attorney fee claim under Labor Code § 4903.2, related to EDD lien reimbursement. The Board affirmed the original award of temporary total disability but deferred the issue of attorney fees against the EDD lien. They found the applicant's attorney instrumental in securing EDD's reimbursement, as EDD had notice of hearings but did not participate. The matter is returned to the WCJ for further proceedings on the attorney's fee.

Workers' Compensation Appeals BoardPetition for ReconsiderationAmended Findings Award and OrderAdministrative Law JudgeProduction Operation SpecialistThoracic SpineLumbar SpineRight ShoulderTemporary Total DisabilityPost-Retirement Period
References
0
Case No. VNO 0413963
Regular
Dec 26, 2007

KATHLEEN FREEMAN vs. FOTO-KEM INDUSTRIES, CNA INSURANCE COMPANY

This case involves the Employment Development Department's (EDD) lien claim. The Appeals Board initially dismissed EDD's petition for reconsideration as untimely, but upon review of new evidence, found it was timely filed. Despite the timely filing, the Appeals Board denied EDD's petition on its merits, affirming the WCJ's decision to disallow EDD's lien due to improper notice to the administering defendant, resulting in a double recovery for the applicant.

Workers' Compensation Appeals BoardReconsiderationEmployment Development DepartmentPetition for ReconsiderationWCJ DecisionLienReimbursementDouble RecoveryMisdirected NoticeStipulation
References
1
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
0
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