CompFox Logo
AboutWorkflowFeaturesPricingCase LawInsights

Updated Daily

Case Law Database

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

Case No. ADJ1754279
Regular
Dec 15, 2009

MARIA ROSALBA PANTOJA vs. EXPRESS PERSONNEL, AMERICAN ASSURANCE

The WCJ's decision is rescinded because the record did not contain substantial evidence to support any decision on the issue of causation of applicant's alleged hypertension, sexual dysfunction, and gastritis. The case is returned to the hearing level for further proceedings.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings Award and OrdersWCJStipulationsIndustrial InjuryHypertensionSexual DysfunctionGastritisCompensable Consequence
References
Case No. ADJ6707071
Regular
Nov 02, 2011

GINA STEWART vs. CITY OF LOS ANGELES

This case concerns applicant Gina Stewart's petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision. The WCAB denied reconsideration, affirming the administrative law judge's findings. Applicant sought reversal of the 95% permanent disability rating and the denial of industrial injury to her vision and gastritis. The WCAB found that the Agreed Medical Examiner's reports did not provide substantial evidence for these claims, citing a lack of reasoning and specificity.

Workers' Compensation Appeals BoardPetition for ReconsiderationIndustrial InjuryKidney InjuryHeart InjuryHypertensionLupusArterial FibrillationMitral Valve ProlapseHypertensive Heart Disease
References
Case No. ADJ7009099
Regular
Jun 08, 2015

Joseph Vivirito vs. CITY OF GLENDALE

The Workers' Compensation Appeals Board granted reconsideration and amended a prior award, reducing the applicant's permanent disability from 76% to 73%. The primary issue was the apportionment of the applicant's gastritis disability, with the Board finding that 20% should be attributed to non-industrial factors, as supported by an Agreed Medical Evaluator's opinion. The Board also noted a mathematical error in the initial indemnity calculation and deferred the issue of attorney's fees to the Disability Evaluation Unit.

Workers' Compensation Appeals BoardReconsiderationPetition for ReconsiderationFindings and AwardPermanent DisabilityApportionmentIndustrial InjuryGastritisPsycheBilateral Upper Extremities
References
Case No. ADJ8015216
Regular
Aug 27, 2018

RAMON CANO-RODRIGUEZ vs. ODONA CENTRAL SECURITY CORP.; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

The WCAB granted reconsideration for both applicant and defendant, rescinding the prior award and remanding the case for further proceedings. The board found that the secondary physicians' reports, relied upon by the WCJ for findings on headaches, hypertension, diabetes, and gastritis, lacked substantial medical evidence due to inadequate history and review of medical records. The WCAB also granted applicant's petition to allow further development of the record concerning the proper method for calculating permanent disability, specifically regarding the rebuttal of scheduled ratings. This ensures substantial justice by preventing undeveloped matters from being left unaddressed.

WCABPetition for ReconsiderationIndustrial InjuryCervical SpineLumbar SpineRight ShoulderPsycheSleep DisorderGastritisHeadaches
References
Case No. ADJ1915420
Regular
Jun 01, 2010

Maurice Douglass vs. New York Giants, The PMA Insurance Group, Gallagher Bassett, Chicago Bears, Risk Enterprise Management, TIG

This case concerns a professional football player's workers' compensation claim for cumulative trauma injury. The defendant argued against the finding of cumulative trauma, claiming the applicant sustained specific injuries, and challenged the apportionment and rating of permanent disability. The Appeals Board affirmed the original award, finding substantial medical evidence supported a cumulative trauma injury and proper apportionment. The Board also upheld the use of the 1997 permanent disability rating schedule and the three-month temporary disability award.

Workers' Compensation Appeals BoardCumulative TraumaProfessional Football PlayerApportionmentPermanent Disability Rating ScheduleTemporary DisabilityMedical-Legal ReportLabor Code Section 4660(d)Substantial EvidenceQME
References
Case No. ADJ2804761 (LAO0886335)
Regular
Jun 13, 2014

RUBEN PEREZ ARAUJO vs. CENTIMARK CORPORATION, ARCH INSURANCE COMPANY, BROADSPIRE

The Workers' Compensation Appeals Board granted reconsideration to address the defendant's contentions regarding the applicant's Petition to Reopen. The Board found no good cause to reopen the claim for new and further disability related to the applicant's left upper extremity, left lower extremity, insomnia, urological, or internal conditions. This decision was based on the applicant's failure to present substantial evidence of new and further disability beyond what was previously adjudicated or known at the time of the initial award. However, the Board noted that the employer's liability for medical treatment for these conditions may still exist, irrespective of disability findings.

Workers' Compensation Appeals BoardPetition to ReopenNew and Further DisabilityGood CauseLabor Code Section 5410Agreed Medical ExaminerFindings and AwardInsomniaUrological IssuesInternal Systems
References
Case No. ADJ6990021
Regular
Mar 28, 2016

MAIRA GARCIA vs. LOS ANGELES COUNTY OFFICE OF EDUCATION, permissibly self-insured, administered by CORVEL

The Workers' Compensation Appeals Board granted the defendant's petition for reconsideration of an award finding industrial injury to the applicant's psyche and resulting physical ailments. The Board rescinded the award, returning the case to the trial level for further development of the medical record. This action was taken because the Qualified Medical Evaluator's opinion on causation was not substantial medical evidence, as it was based on an incomplete personnel file and was subject to change. The Board emphasized the need for complete medical evidence to properly assess the claim, especially regarding the defense of good faith personnel actions.

Labor Code section 3208.3(h)good faith personnel actionspredominant causationpsychiatric injuryGERDgastritisirritable bowel syndromemigraine headachessubstantial medical evidencequalified medical evaluator
References
Case No. ADJ3100377 (MON 0353282)
Regular
Nov 29, 2010

ANGELA RHYMES vs. LOS ANGELES UNIFIED SCHOOL DISTRICT, Permissibly Self-Insured, Administered By SEDGWICK CMS

The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded a prior award due to insufficient medical evidence. The WCAB found that the primary treating physician's impairment ratings were conclusory and lacked a solid basis, particularly regarding lower extremity and skin impairment. Furthermore, the WCAB questioned the inclusion of a digestive system impairment claim, as it was not raised in the original claim or at the initial hearing. The case is remanded for further development of the record, including supplemental reports from both physicians, to properly determine permanent disability and the digestive system injury claim.

Workers' Compensation Appeals BoardReconsiderationPermanent DisabilitySubstantial Medical EvidencePrimary Treating PhysicianQualified Medical EvaluatorAMA GuidesWhole Person ImpairmentLeft Ankle InjuryKeloid Scar
References
Case No. ADJ8446188
Regular
Apr 20, 2020

MARTHA BARKER vs. POMONA UNIFIED SCHOOL DISTRICT, YORK RISK SERVICES

The Workers' Compensation Appeals Board rescinded a prior award and remanded the case for further development of the record regarding Martha Barker's industrial injury claim against Pomona Unified School District. The Board found that Barker sustained injury to her left knee, low back, and upper gastrointestinal system but not her right knee, and requires future medical care. However, the specific liability for her stomach surgery and the exact level of her permanent disability remain unresolved due to conflicting medical reports and WCJ findings. Therefore, all issues beyond the confirmed injuries and need for future care are deferred.

Workers' Compensation Appeals BoardPomona Unified School DistrictYork Risk ServicesFindings and AwardWorkers' Compensation Administrative Law Judgepermanent disabilityLabor Code Section 4658temporary disability indemnityself-procured medical treatmentstomach surgery
References
Case No. ADJ10268942, ADJ10268936, ADJ10268937, ADJ12179713
Regular
Aug 06, 2019

SANDRA VELASQUEZ vs. CITY OF HOPE NATIONAL MEDICAL , CENTER

The Workers' Compensation Appeals Board granted reconsideration to address applicant's claims of injury to her right knee and fibromyalgia. The Board found that the Agreed Medical Examiner's opinions on fibromyalgia were not substantial evidence as the physician deferred to a specialist, and further development of the record was needed for the right knee claim. The Board rescinded the original award and returned the matter to the judge for further proceedings on these deferred issues, affirming all other aspects of the original decision.

WCABAOE/COEPetition for ReconsiderationJoint Findings and AwardWCJAgreed Medical Examiner (AME)Substantial EvidenceFibromyalgiaRheumatologistRight Knee Arthroscopy
References
Showing 1-10 of 16 results

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.

CompFox Logo

The AI standard for workers' compensation professionals. Faster research, deeper analysis, better outcomes.

Product

  • Platform
  • Workflow
  • Features
  • Pricing

Solutions

  • Defense Firms
  • Applicants' Attorneys
  • Insurance carriers
  • Medical Providers

Company

  • About
  • Insights
  • Case Law

Legal

  • Privacy
  • Terms
  • Trust
  • Cookies
  • Subscription

© 2026 CompFox Inc. All rights reserved.

Systems Operational