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

Case No. 159 AD3d 1319
Regular Panel Decision
Mar 29, 2018

Matter of Fernandes v. Del Frisco's Rest. Grp

Michelle Fernandes, a bartender, applied for workers' compensation benefits after allegedly falling at work and sustaining injuries. The employer's carrier disputed the claim, asserting the incident didn't occur as described and that Fernandes made false representations. A Workers' Compensation Law Judge initially awarded benefits, but the Workers' Compensation Board reversed, disallowing the claim and finding false representations, though no penalty was assessed. The Appellate Division, Third Department, affirmed the Board's decision, concluding that substantial evidence supported the Board's rejection of claimant's testimony and medical proof, particularly given video evidence that contradicted her account of the fall and the Board's role in resolving credibility issues.

Workers' CompensationFall at WorkCredibility DisputeVideo EvidenceFalse RepresentationCompensable InjuryMedical Proof RejectionAppellate ReviewBoard DecisionSubstantial Evidence
References
8
Case No. AJD3114841 (SFO 0467014)
Regular
Nov 21, 2003

KIN HO vs. CALIFORNIA HIGHWAY PATROL, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration, upholding the finding that the 1997 Permanent Disability Rating Schedule applies to applicant Kin Ho's case. This decision relies on the rationale in *Genlyte Group v. WCAB (Zavala)*, which established that an indication of permanent disability prior to reaching "permanent and stationary" status is sufficient to trigger the earlier schedule for pre-June 1, 2005 injuries. The Board also found that the defendant's arguments regarding the applicant's alleged fraud and the substantiality of Dr. Petrakis's opinion were previously litigated and are now res judicata.

Workers' Compensation Appeals BoardCalifornia Highway PatrolState Compensation Insurance FundPetition for ReconsiderationAdministrative Law JudgeZenith Insurance Company v. Workers' Comp. Appeals Bd.Genlyte Group v. WCAB (Zavala)Vera v. WCABPermanent Disability Rating ScheduleCumulative Trauma
References
3
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