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Case Law Database

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

Case No. MISSING
Regular Panel Decision

Barriger v. Bowen

This memorandum decision and order addresses an application for attorney's fees by plaintiff Bessie L. Barriger, following a court reversal of a Social Security Administration decision that awarded her past-due benefits. Barriger sought fees under both 42 U.S.C. § 406(b) and the Equal Access to Justice Act (EAJA), with the defendant Secretary of Health and Human Services challenging certain billed hours. The court ruled that hours spent on a default motion, which directly related to the substantive claim due to the government's delay, were compensable, and found the time spent on the fee application reasonable. However, clerical tasks such as mailing and serving were deemed non-compensable. The court further clarified that the fee limitation under § 406 does not restrict EAJA recovery, establishing a protocol for attorneys to refund the smaller amount to the client when both fee awards are received. The final award for EAJA fees was $3,244.89, with administrative fees to be disbursed separately.

Attorney's FeesEAJASocial Security BenefitsContingency FeeDefault JudgmentJudicial ReviewFee ApplicationPrevailing PartyStatutory InterpretationFederal Court
References
13
Case No. ADJ4522242 (VNO 0452421) ADJ522765 (VNO 0452422)
Regular
May 26, 2011

PAUL ALLGOOD vs. COUNTY OF LOS ANGELES

The Workers' Compensation Appeals Board granted lien claimant's petition for removal to rescind an Administrative Law Judge's order compelling Dr. Baden's appearance at trial. The Board found no good cause was established for Dr. Baden's direct examination and that the order was not a final, appealable decision. Removal was granted to prevent prejudice to the lien claimant, and the order for Dr. Baden's appearance was rescinded. The Board also dismissed the lien claimant's prior petition for reconsideration.

Lien ClaimantPetition for ReconsiderationPetition for RemovalWCJ OrderDr. Scott BadenGood CauseMedical WitnessDirect ExaminationWritten ReportsBoard Rule 10606
References
11
Case No. ADJ7264206
Regular
Jan 12, 2017

SERGIO RUAN vs. SUPER MERCADO MI TIERRA, FARMERS INSURANCE

The Workers' Compensation Appeals Board dismissed the defendant's Petition for Reconsideration because it was not taken from a "final" order, decision, or award. The Board clarified that a final order must determine substantive rights or liabilities, or a fundamental threshold issue. In this case, the WCJ's decision only awarded attorney fees to the applicant's counsel, and the defendant was not aggrieved by this specific award. Therefore, the petition was dismissed.

Petition for ReconsiderationAggrieved PartyFinal OrderSubstantive RightThreshold IssueAttorney FeesWCJ ReportDismissed PetitionWorkers' Compensation Appeals BoardSergio Ruan
References
4
Case No. ADJ11665754
Regular
Mar 17, 2020

MELISSA RIVERA vs. AURORA LAS ENCINAS, TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, TRAVELERS COMPANIES

The Workers' Compensation Appeals Board dismissed the defendant's Petition for Reconsideration because it was filed from a non-final order. A valid petition must address a "final" order that determines substantive rights, liabilities, or a fundamental threshold issue. In this case, the January 10, 2020 decision was a "Findings and Order," not a final award. Therefore, the defendant was not an aggrieved party from a final decision, and their petition was dismissed.

Petition for ReconsiderationAggrieved PartyFinal OrderSubstantive RightLiability DeterminationThreshold IssueFindings and OrderAwardAdministrative Law JudgeWorkers' Compensation Appeals Board
References
0
Case No. ADJ7489572
Regular
Apr 13, 2012

Francisco Castillo vs. Duran Contracting (dba), Star Insurance Company

The Workers' Compensation Appeals Board granted reconsideration and rescinded an interim award finding applicant sustained an industrial injury to his eye. The Board found the award premature because the hearing was not concluded, evidenced by an order to take the matter off calendar for an Agreed Medical Examiner evaluation and the absence of a submission order. The case is returned to the trial level for further proceedings, clarification of evidence, and a final decision after completion of discovery and submission on all issues.

Workers' Compensation Appeals BoardInterim Findings and AwardAgreed Medical Examinerindustrial injuryleft eyeleft foreheadfarm laborerapplicant's testimonycontradictory evidenceapplicant's credibility
References
3
Case No. ADJ1940742 (SRO 0119298) ADJ4521061 (SRO 0119299)
Regular
Dec 15, 2008

ROSE SCARBERRY vs. WILLITS HOSPITAL, LIBERTY MUTUAL INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a decision that issued separate permanent disability awards for two industrial injuries, relying on the then-current *Benson* ruling. The WCAB deferred the issues of permanent disability and attorney's fees pending a Court of Appeal decision on *Benson*, which addressed whether successive injuries becoming permanent and stationary simultaneously should be combined or rated separately. The WCAB ordered the defendant to issue advances for permanent disability indemnity based on the original award amounts while withholding a portion pending the final resolution.

ScarberryWillits HospitalLiberty Mutual InsuranceADJ1940742ADJ4521061Licensed Vocational NurseIndustrial InjuryNeck InjuryLow Back InjuryPermanent Disability
References
3
Case No. ADJ3378722 (SBR 0326546) ADJ1273783 (SBR 0335209)
Regular
Mar 04, 2009

VICTOR YSLAS vs. CITY OF BARSTOW, Permissibly Self-Insured, CORVEL CORPORATION (Adjusting Agent)

The Workers' Compensation Appeals Board granted reconsideration to the defendant, City of Barstow, regarding an interlocutory order. The Board found that although titled "interlocutory," the WCJ's December 30, 2008 order addressed substantive rights and liabilities, making it a final order subject to reconsideration. The Board rescinded the prior order because the WCJ failed to provide a summary of evidence and reasoning as required by Labor Code section 5313, and the medical treatment award was ambiguous. The case is returned to the trial level for further proceedings and a new decision.

Workers' Compensation Appeals BoardReconsiderationInterlocutory OrderFindings and OrderLabor Code Section 4656(c)(1)Temporary DisabilityMedical TreatmentIndustrial InjuryRight KneeWCJ
References
6
Case No. ADJ8049678, ADJ6600007
Regular
Dec 16, 2016

AARON BRANSCOMB vs. COUNTY OF MENDOCINO, YORK RISK SERVICES GROUP, INC., CITY OF WILLITS, REDWOOD EMPIRE MUNICIPAL INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) dismissed the City of Willits' Petition for Reconsideration because the prior Findings and Award were not a final order. The WCAB granted the City's Petition for Removal, rescinded the prior award, and returned the case to the Administrative Law Judge (ALJ). This was done because both parties agreed the record was sufficient, and deferring the decision for informal resolution would cause unnecessary delay and prejudice. The matter will be returned to the ALJ for a decision based on the existing trial record.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationPetition for RemovalFindings and AwardAdministrative Law JudgeFurther Development of RecordAllocation of LiabilityMedical Treatment CostsIndustrial Injuries
References
0
Case No. ADJ2789055 (SAL 0090971) ADJ3651266 (SAL 0098921) ADJ3642697 (SAL 0115568)
Regular
Oct 06, 2017

MARIA CAMACHO vs. AGRILINK FOODS, LUMBERMENS MUTUAL CASUALTY COMPANY, NATIONAL CUSTOM PACKING, STATE COMPENSATION INSURANCE FUND

This case involves an appeal by Agrilink Foods regarding a WCJ's order that an arbitrator's decision did not extinguish prior medical awards. The WCJ directed the State Compensation Insurance Fund to administer existing medical awards and noted that the apportionment of current treatment needs to prior injuries was a medical issue requiring further development. The Appeals Board dismissed Agrilink's petition for reconsideration because it was not aggrieved by a final order, as the Opinion on Decision was not the operative decision. Any disputes regarding further medical record development should be addressed by the arbitrator, whose decisions remain subject to reconsideration.

Workers' Compensation Appeals BoardPetition for ReconsiderationDismissedAggrieved PartyFinal OrderArbitrator DecisionMedical AwardCumulative InjurySpecific InjuryAdministrative Law Judge
References
2
Case No. ADJ1282717 (LBO 0332013) ADJ1437663 (LBO 0333033) ADJ1830483 (LBO 0332918)
Regular
Mar 24, 2011

SUSAN RICHARDSON vs. PROSPECT HEALTH SOURCE MEDICAL GROUP, JAMES DANIEL, DANA EISENMAN, GRANITE STATE INSURANCE COMPANY, CHARTIS CLAIMS, INC., CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for FREMONT INSURANCE, STATE COMPENSATION INSURANCE FUND

This Nunc Pro Tunc Order corrects a clerical error in a prior Workers' Compensation Appeals Board decision. The applicant's attorney, Vernon Goldwater, was erroneously misidentified in the Award section of the January 27, 2011 Decision. The Order amends the Award nunc pro tunc to correctly identify Mr. Goldwater as the attorney entitled to a 12% fee for temporary disability indemnity. All other aspects of the January 27, 2011 Decision remain unchanged.

nunc pro tuncclerical errorcorrecting awardtemporary disability indemnityself-procured medical treatmentmedical-legal costsfuture medical treatmentGranite State Insurance CompanyState Compensation Insurance FundCalifornia Insurance Guarantee Association
References
1
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