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

Case No. GRO 27301 GRO 28637
Regular
Jan 25, 2008

HERMAN DENNLER vs. TIMEC CO., INC.; ST. PAUL TRAVELERS, Adjusted By BROADSPIRE; OPEN WAVES SYSTEMS; LUMBERMAN'S MUTUAL CASUALTY COMPANY, Adjusted By BROADSPIRE

This case involves two industrial injuries to the applicant's spine sustained while employed by different employers. The Workers' Compensation Appeals Board granted reconsideration to overturn a prior joint award, ruling that recent legislative changes require separate permanent disability ratings for each injury. Consequently, the Board issued separate awards for each injury and clarified that St. Paul Travelers is responsible for administering future medical care.

Wilkinson ruleSB 899apportionmentcausationcombined disabilitypermanent stationaryseparate awardsfuture medical careSt. Paul TravelersLumberman's Mutual Casualty Company
References
3
Case No. GRO 27301, GRO 28637
Regular
Feb 11, 2008

HERMAN DENNLER vs. TIMEC CO., INC., ST. PAUL TRAVELERS, OPEN WAVES SYSTEMS, LUMBERMAN'S MUTUAL CASUALTY COMPANY

This Workers' Compensation Appeals Board opinion corrects a clerical error in a previous decision, specifically removing the incorrect statement that St. Paul Travelers was adjusted by Broadspire. The case involves two injuries sustained by Herman Dennler in 2002, with awards of permanent disability indemnity and future medical treatment granted against Timec Co., Inc. (insured by St. Paul Travelers) and Open Wave Systems (insured by Lumberman's Mutual Casualty Company). The correction clarifies that St. Paul Travelers was the insurance carrier for Timec Co., Inc. and was not adjusted by Broadspire.

Workers' Compensation Appeals Boardclerical errorreconsiderationaward correctionpermanent partial disabilitytemporary disability indemnitymedical treatmentattorney's feeslienTimec Co.
References
0
Case No. ADJ3262542 (GRO 27301) ADJ437058 (GRO 28637)
Regular
Jan 25, 2010

Herman Dennler vs. TIMEC CO., INC., ST. PAUL TRAVELERS, OPEN WAVES SYSTEMS, LUMBERMAN'S MUTUAL CASUALTY COMPANY, BROADSPIRE

The Workers' Compensation Appeals Board denied St. Paul Travelers' petition for reconsideration regarding a Findings and Award. The WCJ found the applicant needed surgery as recommended by Dr. Khoo and that Travelers unreasonably delayed its authorization. The Board affirmed the WCJ's findings, citing Labor Code § 4062(b) which mandates employer authorization of surgery when a second opinion evaluator recommends it. Travelers' failure to authorize the recommended revision surgery, despite a second opinion report, constituted an unreasonable delay warranting increased compensation and attorney fees.

Labor Code § 4062(b)Petition for ReconsiderationFindings and AwardPetition for ReconsiderationOpinion and OrderWCJLabor Code § 5814Labor Code § 5814.5Industrial InjuryLumbar Spine
References
1
Case No. GRO 031512; GRO 031648 GRO 033806; GRO 033807 GRO 033808
Regular
Mar 18, 2008

SHEILA M. PASQUA vs. ERNIE BALL, INC. \& PALADAR MFG. I; CIGA/CASUALTY RECIPROCAL EXCHANGE

The applicant sought reimbursement for services from Wallace & Associates, claiming it was a reasonable cost under Labor Code section 5811. The Appeals Board affirmed the WCJ's finding that the defendant was not liable for this bill. The applicant failed to prove the services were reasonable and necessary, especially given the stipulation to use the 1997 rating schedule, rendering the evidence's purpose unclear.

Workers' Compensation Appeals BoardPetition for ReconsiderationIndustrial InjuryPermanent Disability Rating ScheduleLabor Code section 5811Reasonable CostsWallace & AssociatesCosta v. Hardy DiagnosticMedical-Legal CostsVocational Rehabilitation Expert
References
1
Case No. GRO 031996 GRO 031997 GRO 031998 GRO 032300
Regular
Dec 07, 2007

CHARLES CACCIOLA vs. CALIFORNIA MEN'S COLONY, STATE COMPENSATION INSURANCE FUND

This case involves the applicant, Charles Cacciola, seeking workers' compensation benefits for multiple industrial injuries. The Workers' Compensation Appeals Board is reconsidering prior decisions concerning the applicable permanent disability rating schedule and the extent of permanent disability. While affirming an award for vocational expert costs, the Board is remanding the permanent disability and attorney fee issues to the trial level for further determination based on recent legal precedents.

Workers' Compensation Appeals BoardCalifornia Men's ColonyState Compensation Insurance Fundreconsiderationpermanent disability2005 Schedule1997 ScheduleLabor Code section 4660(d)vocational expertlitigation costs
References
8
Case No. GRO 0020213, GRO 0020214, GRO 0031041, GRO 0031829
Regular
Aug 06, 2007

SANDRA K. CARNAHAN vs. ALBERTSON'S STORES, INC., SPECIALTY RISK SERVICES

The Appeals Board granted reconsideration of a WCJ's findings due to a poorly organized record and unclear rulings, allowing untimely petitions to proceed due to improper service. The Board rescinded the original award and returned the case to the trial level for proper record preparation and a new decision addressing all submitted issues. Sanctions may be imposed for future procedural violations by the applicant.

Petitions for ReconsiderationFindings and AwardIndustrial injuryPermanent disabilityApportionmentFurther medical treatmentCompensable consequenceCumulative traumaHousekeeping servicesAttorney's fees
References
2
Case No. GRO 0032759, GRO 0032760, GRO 0032761
Regular
Jul 16, 2008

CALIFORNIA MEN'S COLONY vs. Legally Uninsured; STATE COMPENSATION INSURANCE FUND

This case involves an applicant's claim for permanent disability benefits arising from multiple injuries, including specific and cumulative trauma to the left knee and high blood pressure. The original decision apportioned liability for the knee injury per the *Wilkinson* standard, but the Appeals Board rescinded this due to new case law (*Benson*) requiring apportionment based solely on causation. The matter is returned for further proceedings to apply the *Benson* standard and potentially consider other relevant legal decisions.

Workers' Compensation Appeals BoardReconsiderationPermanent DisabilityApportionmentWilkinsonCumulative TraumaDiminished Earning CapacityLabor Code Section 4660Permanent Disability Rating ScheduleBoughner
References
5
Case No. GRO 32620 GRO 32621 GRO 34520
Regular
Aug 13, 2007

ROSS COVELLO vs. CITY OF SANTA MARIA, GREGORY BRAGG & ASSOCIATES

The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration, upholding the administrative law judge's findings on lumbar spine injuries and excluding certain medical reports. The Board also removed the case on its own motion and issued a notice of intention to impose sanctions against the applicant's representative for disrespectful statements about judges and misrepresentation of facts. The denial was based on the merits of the case and the WCJ's report, while the removal and potential sanctions addressed the conduct of the representative.

Workers' Compensation Appeals BoardPetition for ReconsiderationOrder of RemovalSanctionsLabor Code § 5813Labor Code § 4062.2Agreed Medical EvaluatorEx Parte CommunicationsWCJHearing Representative
References
0
Case No. GRO 017747 GRO 017748 GRO 019264
Regular
Jul 17, 2007

CRAIG ANTISTA vs. JORDANOS; CIGA By Its Servicing Facility INTERCARE INSURANCE SERVICES For CALIFORNIA COMPENSATION INSURANCE COMPANY, In Liquidation

The Workers' Compensation Appeals Board granted CIGA's petition for removal, rescinding a previous order compelling arbitration. The Board found that CIGA's reimbursement claim against TIG for successive injuries was not a mandatory arbitration matter under Labor Code Section 5500.5, but rather a matter governed by Insurance Code Section 1063.2. The case is returned to the trial level for further proceedings on CIGA's reimbursement petition.

CIGARemovalArbitrationContributionReimbursementInsurance Code Section 1063.2(b)Labor Code Section 5500.5WCJSuccessive InjuriesCumulative Injury
References
0
Case No. GRO 0030299 GRO 0033215 GRO 0034583
Regular
Jan 24, 2008

DEBRA A. FLORES vs. FACTORY 2 U STORES, INC.; ROYAL SUN & ALLIANCE, Adjusted by INTEGRATED INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration to address the defendant's argument that the WCJ erred in applying the *Wilkinson* doctrine for combining permanent disability awards in successive injury cases. The Board rescinded the previous award, remanding the case for further development of the record and reanalysis under the *Benson* en banc decision. This decision clarifies that *Benson* mandates apportionment based on causation, effectively superseding the *Wilkinson* rule for cases decided after SB 899.

SB 899Wilkinson doctrineBenson v. The Permanente Medical Groupapportionmentcausationsuccessive injuriespermanent disabilityindustrial injuryretail storesupervisor
References
10
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