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

Case No. ADJ2790090 (LAO 0278759) ADJ2006433 (LAO 0799986)
Regular
Aug 01, 2011

ORANGE PORTER vs. WESTEC GEAR CORPORATION, CNA CASUALTY OF CALIFORNIA

This case involves competing petitions for reconsideration of a workers' compensation award. The primary issue is the lack of a complete record, specifically the absence of served Minutes of Hearing and Summary of Evidence, which prevents meaningful review. Consequently, the Appeals Board granted reconsideration, rescinded the prior award, and returned the case to the trial level for further proceedings and a new decision. The parties raised various contentions regarding injury findings, apportionment, and indemnity rates, which will be addressed on remand.

Workers' Compensation Appeals BoardReconsiderationJoint Findings and AwardIndustrial InjuryCervical SpineLumbar SpineUpper ExtremitiesBilateralLeft Lower ExtremityPsyche
References
Case No. ADJ8621962
Regular
Oct 07, 2013

RANDY EISTER vs. TCI TRANSPORTATION, PROTECTIVE INSURANCE INDIANAPOLIS

This case involves a truck driver, Randy Eister, who filed a workers' compensation claim for back and chest injuries allegedly sustained on October 7, 2012. The claim was denied, and Eister was terminated for cause prior to filing. The Workers' Compensation Appeals Board (WCAB) denied Eister's petition for reconsideration. The WCJ found Eister's testimony not credible, citing inconsistencies and a lack of corroboration for his alleged injury. The Board adopted the WCJ's report, emphasizing the deference given to the judge's credibility findings.

Petition for ReconsiderationWCABEisterTCI TransportationProtective Insurance IndianapolisTruck DriverAOE/COEPost-termination defenseCredibilityTimeliness
References
Case No. ADJ7032862 ADJ8942352
Regular
Jan 31, 2019

Robert Lockhart vs. Lexmar Distribution, Inc., Safety National Casualty Company, MATRIX, Redwood Fire, BHHC, California Insurance Guarantee Association, SEDGWICK CLAIMS MANAGEMENT SERVICES, ULLICO CASUALTY COMPANY

Here's a summary of the case in four sentences for a lawyer: The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior award finding a cumulative trauma injury. The Board found that neither of the medical evaluators adequately understood the applicant's specific job duties as a hostler driver. Without a proper understanding of the cumulative physical impact of these duties, their opinions lack substantial evidence to support a finding of cumulative trauma. The matter is returned to the trial level for further development of the medical record regarding the applicant's job duties.

Workers' Compensation Appeals BoardCumulative TraumaSpecific InjuryPermanent DisabilityMedical EvidenceAgreed Medical EvaluatorPanel Qualified Medical ExaminerJob DutiesHostler DriverTruck Driver
References
Case No. ADJ9293237
Regular
Dec 12, 2017

MIGUEL GARCIA vs. AMERICAN WEST WORLDWIDE EXPRESS, INC., BLUE STAR CLAIMS MANAGEMENT

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a decision finding applicant Miguel Garcia an independent contractor. The WCAB found that the applicant established a prima facie case of employment, shifting the burden to the employer to prove independent contractor status. The Board determined that the employer exercised significant control over the applicant's work, despite the written agreement, but found insufficient evidence regarding the right to control and differences between employee and owner-operator drivers. Consequently, the WCAB rescinded the prior order and returned the case for further development of the record and a new decision.

Independent contractorEmployee statusBorello testRight to controlTruck driverOwner-operatorLabor Code section 2750.5WCABReconsiderationFindings and Order
References
Case No. ADJ552778 (LBO 0362055)
Regular
May 10, 2015

PROYLAND CAMARILLO HURTADO vs. APL LOGISTICS

The Workers' Compensation Appeals Board denied the applicant's petition for removal, which sought to continue the trial date. The applicant wished to undergo further surgery and reevaluations to assess his final disability after an industrial injury to his back and knee. The Board found that these issues could be addressed by the trial judge on the scheduled trial date, who has the discretion to continue the matter if further discovery is deemed necessary. Therefore, the applicant's request to remove the case from the trial calendar was denied.

Petition for RemovalAgreed Medical EvaluatorQualified Medical EvaluatorWCJoff calendarrevaluationsfinal disabilityindustrial injuryforklift operatordriver
References
Case No. ADJ8910480
Regular
Oct 02, 2015

SIMONA MONTALVO vs. DRIVER'S MANAGEMENT, LLC, ACE AMERICA

The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration. The Board upheld the Administrative Law Judge's decision that the applicant, a truck driver, did not sustain a psychiatric injury arising out of and occurring in the course of employment. This denial was based on the ALJ's finding of applicant's lack of credibility due to inconsistent statements and the absence of substantial evidence to overturn this determination. The Board also admonished applicant's representative for misrepresenting an exhibit's status in the petition.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and OrderWCJpsychiatric injuryLabor Code section 3208.3(d)credibility determinationReport and RecommendationMandatory Settlement Conference (MSC)Pre-Trial Conference Statement
References
Case No. ADJ2393396 (VNO 0518987) ADJ1912573 (VNO 0518986)
Regular
May 05, 2015

CHRISTOPHER COLON vs. MILES CHEMICAL COMPANY, STATE COMPENSATION INSURANCE FUND

This case involves a workers' compensation claim where the applicant alleged serious and willful misconduct by his employer, Miles Chemical Company. The applicant claimed the employer failed to provide adequate safety equipment, specifically respiratory filters, leading to injuries from chemical exposure. The Workers' Compensation Appeals Board denied reconsideration, affirming the trial judge's finding that the employer's actions did not constitute serious and willful misconduct. The Board found the applicant's injuries were caused by third-party forklift drivers and lacked sufficient evidence that the alleged inadequate respiratory filters were the proximate cause of the injury or that the employer acted with the requisite intent or recklessness.

Workers' Compensation Appeals BoardSerious and willful misconductLabor Code section 4553Industrial injuryChemical exposureRespiratory filtersNegligenceProximate causeSubstantial evidenceManaging officer
References
Case No. ADJ4093711 (AHM 0140492)
Regular
Jul 14, 2010

ROBERTO DELGADILLO vs. CONSTRUCTION FORKLIFT SERVICES, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) granted petitions for reconsideration filed by both the applicant and the defendant. This decision arose from the April 27, 2010 ruling in the case of Roberto Delgadillo v. Construction Forklift Services; State Compensation Insurance Fund. The WCAB cited statutory time constraints and the need for further study of the factual and legal issues as reasons for granting reconsideration. This action is intended to ensure a complete understanding of the record and to enable a just and reasoned decision after further proceedings.

Workers' Compensation Appeals BoardReconsiderationPetitions for ReconsiderationApplicantDefendantConstruction Forklift ServicesState Compensation Insurance FundStatutory time constraintsFactual and legal issuesDecision After Reconsideration
References
Case No. ADJ9326556 ADJ9768185
Regular
Mar 16, 2018

Walter Donovan vs. United Parcel Service, Liberty Mutual Insurance Company

This case involves applicant Walter Donovan, a UPS truck driver, seeking a higher occupational group number (460, material handlers) than the WCJ's finding (350, truck drivers). The Appeals Board granted reconsideration, applying the "dual occupation" rule. They found Donovan's duties as a delivery driver included significant loading and unloading, thus entitling him to the higher-rated group number 460 for permanent disability calculations. The Board's decision amends the original award to reflect this occupational group assignment.

Dual occupation ruleOccupational group numberTruck driversMaterial handlersMachine loadersPackage deliveryPermanent disabilityPetition for reconsiderationWorkers' Compensation Appeals BoardQualified Medical Evaluator
References
Case No. ADJ3855987 (OAK 0344425)
Regular
Aug 22, 2012

FRANCIS CRUZ vs. UNIVERSITY ELECTRIC COMPANY, INC., AMTRUST NORTH AMERICA

The Workers' Compensation Appeals Board granted reconsideration of an order allowing an Employment Development Department lien claim. The Board rescinded the original order, finding that the parties had reached a new stipulation based on a mutual mistake regarding the application of a time-off-work cap to the lien. The case is returned to the trial level for further proceedings to approve the replacement stipulation or for the judge to re-issue the original order if the new stipulation is not approved. The Petition for Removal was dismissed as reconsideration was deemed an adequate remedy.

Workers Compensation Appeals BoardPetition for RemovalPetition for ReconsiderationOrder Allowing Lien ClaimEmployment Development DepartmentMutual Mistake of FactTTD CapCompromise and ReleaseStipulationWCJ
References
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