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

Case No. MISSING
Regular Panel Decision

Claim of Appley v. American Food

A claimant's 2003 work-related injury was classified as a permanent partial disability in 2009. A Workers' Compensation Law Judge (WCLJ) ordered the employer's carrier to deposit the present value of the uncapped benefit award into the aggregate trust fund, a decision the Workers' Compensation Board affirmed. Subsequently, the WCLJ issued a supplemental decision specifying a lump-sum payment of $111,182.53. The employer appealed this supplemental decision, raising arguments identical to its first appeal, prompting the Board to not only reject the arguments but also penalize the employer for a frivolous appeal. The appellate court reviewed the Board's decision and reversed the penalty, concluding that the employer's rationale for the second appeal, though ultimately lacking merit, was not frivolous given the timing of a clarifying Board policy regarding statutory stays during appeals.

Workers' CompensationAggregate Trust FundLump-sum PaymentFrivolous AppealPenalty ReversalStatutory StayPre-2007 AmendmentsDisability BenefitsAppellate ReviewBoard Decision
References
4
Case No. ADJ8073207
Regular
Mar 07, 2014

STEVEN PRISK vs. LOS ANGELES UNIFIED SCHOOL DISTRICT

The Appeals Board granted reconsideration and affirmed the WCJ's decision awarding applicant industrial psychiatric injury, temporary disability, and further medical treatment against the Los Angeles Unified School District. The Board amended the decision to clarify the Labor Code section 5814 penalty for unreasonably withheld temporary disability benefits is capped at $10,000. The Board strongly condemned the defendant's petition for its numerous mischaracterizations, frivolous arguments, and unprofessional tone, cautioning against future violations. The defendant's arguments regarding asbestos exposure and termination were deemed irrelevant or unsubstantiated.

Workers' Compensation Appeals BoardPsychiatric InjuryCumulative TraumaTemporary DisabilityLabor Code Section 5814PenaltyReconsiderationAdministrative Law JudgeMedical TreatmentAsbestos Exposure
References
0
Case No. ADJ7628834
Regular
Apr 28, 2014

DAVID GUINDON vs. ROBERTSON'S READY MIX

The Workers' Compensation Appeals Board (WCAB) denied the defendant's Petition for Reconsideration, finding their arguments regarding industrial injury stipulations and utilization review objections to be factually inaccurate and misleading. The WCAB also granted removal on its own motion to announce its intention to sanction the defendant's counsel, Corey A. Ingber and Ingber & Weinberg, LLP, for presenting a petition with substantial misrepresentations and frivolous arguments. The WCAB found the administrative law judge's award of a Sleep Number adjustable bed to be equitable and legally correct, noting the defendant's delaying tactics. Sanctions will be imposed unless counsel shows good cause otherwise.

WCABReconsiderationRemovalSanctionsLabor Code Section 4062Utilization ReviewStipulationMedical NecessityNurse Case ManagerPrimary Treating Physician
References
4
Case No. MISSING
Regular Panel Decision

Matter of Kover

Attorneys Burton Citak and Donald L. Citak appealed orders that imposed sanctions and denied legal fees related to an article 81 guardianship proceeding for Eva Dworecki, an alleged incapacitated person. The attorneys were sanctioned for frivolous conduct, including making misrepresentations and false statements in court filings and arguments, and accusing the court of misconduct, despite previously consenting to the guardianship. The appellate decision, in this concurring opinion by Tom, J.P., found ample support for the Supreme Court's finding that the attorneys' conduct warranted sanctions. The matter was remanded for further proceedings to determine the appropriate costs, reduce the award to judgment, and set reasonable legal fees for the Citak firm's representation of Dr. Dworecki prior to the frivolous filings.

SanctionsAttorneysGuardianshipArticle 81Frivolous ConductAppellate ReviewProfessional MisconductLegal FeesCostsCourt Orders
References
0
Case No. SBR 0239874
Regular
Sep 20, 2007

JOHN BASSETTE vs. MORENO VALLEY UNIFIED SCHOOL DISTRICT

This case involves John Bassette's repeated attempts to seek reconsideration from the Workers' Compensation Appeals Board (WCAB) regarding a prior denial of his petitions. The WCAB is denying his current petition for reconsideration, incorporating prior reasoning and warning the applicant of potential sanctions for filing frivolous and repetitious claims. The Board finds his arguments lack merit and have already been decided.

Workers' Compensation Appeals BoardIn pro perPetition for reconsiderationOrder Dismissing PetitionDenying ReconsiderationLabor Code Section 5814Irreparable harmSignificant prejudicePetition for removalVexatious litigant
References
1
Case No. ADJ4440540 (LAO 0862447)
Regular
May 13, 2013

MODESTO VARGAS vs. SPEARS MANUFACTURING CO., ZURICH INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration of orders dismissing lien claimants' liens. Lien claimants argued they never received notices of intention to dismiss, but the Board found their petition miscited rules and contained arguments previously rejected. The Board intends to impose sanctions up to $2,500 against the lien claimants and their representatives for frivolous actions and misrepresentation of the law.

WCABPetition for ReconsiderationOrders Dismissing LiensLien ClaimantsNotice of Intention to DismissAppeals Board Rule 10562Labor Code Section 5813SanctionsBad Faith ActionsQualified Billing and Collections
References
4
Case No. ADJ8340453
Regular
May 06, 2013

JESUS GARCIA vs. LIHWA GROUP, INC. dba JACK IN THE BOX, CALIFORNIA RESTAURANT MUTUAL BENEFIT CORPORATION

The Workers' Compensation Appeals Board dismissed the defendant's Petition for Reconsideration because it was improperly filed from a non-final interlocutory order. The Board also denied the petition for removal, finding no showing of significant prejudice or irreparable harm. The Board admonished defense counsel for miscaptioning the petition and misapplying Labor Code section 5313. Sanctions may be considered by the Workers' Compensation Judge for frivolous arguments.

Petition for ReconsiderationFinal OrderInterlocutory OrderSubstantive RightRemovalWCJ Report and RecommendationPrejudiceIrreparable HarmSanctionsMedical Panel
References
8
Case No. ADJ3149068 (LAO 0875000)
Regular
Jan 23, 2013

RITA PINELA vs. ASCOT ENTERPRISES, INC.; STATE COMPENSATION INSURANCE FUND; THE HARTFORD

The applicant sought reconsideration of an order dismissing her workers' compensation claim without prejudice. The claim was initially dismissed on April 19, 2011, due to failure to prosecute, which the applicant did not contest. A subsequent dismissal on November 9, 2012, also for failure to prosecute after the applicant again failed to respond to notices, was properly issued. The Appeals Board denied the petition for reconsideration, finding the applicant's arguments frivolous.

Workers' Compensation Appeals BoardPetition for ReconsiderationOrder of DismissalMedical-legal costsIndustrial injuryMachine operatorCervical spineThoracic spineLumbar spineNeck
References
0
Case No. ADJ162857 (LAO 0788261)
Regular
Jul 13, 2015

SANDRA GUNN vs. SAN DIEGO DEPARTMENT OF SOCIAL SERVICES (IN-HOME SUPPORTIVE SERVICES), YORK RISK SERVICES GROUP

The WCAB denied the defendant's petition for reconsideration regarding an order for medical transportation services. The defendant argued no physician requested authorization, the order was vague, and transportation wasn't reasonable. The Board found the physician's reports clearly requested authorization, the order was sufficiently specific, and transportation was necessary for the applicant's industrial injuries. Furthermore, the Board indicated potential sanctions against the defendant and its attorney for misrepresentation, delay, and frivolous arguments.

Workers Compensation Appeals BoardReconsiderationFindings and OrderIndustrial InjuryLive-in CaregiverPulmonary SystemOrthopaedic InjuriesMedical Transportation ServicesLabor Code Section 4600Treating Physician
References
5
Case No. ADJ8098671
Regular
Jun 27, 2013

MARIA PORTILLO vs. KIM LIGHTING DIVISION OF HUBBELL, LIBERTY MUTUAL INSURANCE

The Workers' Compensation Appeals Board denied a lien claimant's petition for reconsideration of an order dismissing its lien. The dismissal was based on the lien claimant's failure to appear at a properly noticed lien trial, as evidenced by multiple mailings by the defendant that were not returned as undeliverable. The Board found the lien claimant's arguments regarding lack of notice to be unsubstantiated by the record. Additionally, the Board indicated it would consider sanctions against the lien claimant for prosecuting a frivolous petition.

Lien claimantPetition for ReconsiderationOrder Dismissing Lienfailure to appearlien trialNotice of Intention to Dismiss LiensBoard Rule 10562service of noticeOfficial Address Recordsanctions
References
0
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