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

Case No. ADJ8089436
Regular

Ruben Magana vs. Jason Hall, Joel Hall, Green Tree Nursery, Seabright Insurance Company

The Workers' Compensation Appeals Board (WCAB) has dismissed Ruben Magana's petition for removal. This dismissal is based on the advice that a settlement is pending in the case. Consequently, no further action will be taken on the petition. The file will be returned to the district office for the submission of the settlement to the Workers' Compensation Administrative Law Judge.

Petition for RemovalSettlement PendingDismissedWorkers' Compensation Appeals BoardWCJStockten District OfficeSeabright Insurance CompanyGreen Tree NurseryJoel HallJason Hall
References
Case No. ADJ843966 (SDO 0338705)
Regular
Dec 13, 2013

Reed Thomas Kirby vs. Arthur Gonzales, STATE FARM INSURANCE COMPANY, KEITH PATRICK DONNELLY, UNINSURED EMPLOYERS BENEFITS TRUST FUND

The Workers' Compensation Appeals Board (WCAB) granted reconsideration to amend a prior award. The WCAB affirmed the finding that the applicant sustained an injury while employed as a tree trimmer by an uninsured employer, Keith Patrick Donnelly. However, the WCAB amended the award to reflect that liability rests solely with the uninsured employer, not the Uninsured Employers Benefits Trust Fund (UEBTF), as UEBTF's liability is derivative. The WCAB rejected arguments that the City of San Diego was also responsible and confirmed the applicant is entitled to benefits from Donnelly.

Uninsured Employers Benefits Trust FundUEBTFKeith Patrick DonnellyTarzan Tree SpecialistsArthur GonzalesState Farm Insurance Companytree trimmerderivative defendantLabor Code section 3352(h)City of San Diego
References
Case No. ADJ850378 (OAK 0327145)
Regular
Jul 20, 2009

JUAN C. CAMPOS vs. EXPERT TREE SERVICE, STATE COMPENSATION INSURANCE FUND

This case involves an applicant injured while working as a tree climber, who sustained multiple physical injuries and sought compensation for a psychological injury. The defendant contested the psychological injury claim, arguing it didn't meet the "sudden and extraordinary employment condition" exception to the six-month employment rule for such claims. The Board granted reconsideration, reversing the finding of a compensable psychological injury because the event, while sudden, was not extraordinary for the nature of the employment. The case is remanded for a new rating of orthopedic permanent disability.

Labor Code section 3208.3sudden and extraordinary employment conditionpsychiatric injurypermanent disabilityAMA Guidessequelaecompensable consequenceindustrial injuryreconsiderationfindings award and order
References
Case No. ADJ9625293, ADJ9625295, ADJ9545692
Regular
Feb 22, 2016

JUAN MIRAMONTES vs. NATURE'S TREE SERVICE, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied the petition for reconsideration, upholding the judge's finding that the applicant was an employee of Nature's Tree Service. This decision was based on the judge's credibility determination, which the Board gave great weight. The judge found ample evidence of employment, including direction from David Salas, wearing a company uniform, and using company vehicles. The Board concluded there was no substantial evidence to overturn the judge's findings.

WORKERS' COMPENSATION APPEALS BOARDPETITION FOR RECONSIDERATIONWCJCREDIBILITY DETERMINATIONGARZANATURE'S TREE SERVICESTATE COMPENSATION INSURANCE FUNDJUAN MIRAMONTESEMPLOYEEINDEPENDENT CONTRACTOR
References
Case No. ADJ9120523
Regular
Jan 25, 2018

Guillermo Reyes Perez vs. Colorama Wholesale Nursery, Zenith Insurance Company

This Workers' Compensation Appeals Board case concerns disputed payments for copying services provided by lien claimant Citywide Scanning Services, Inc. The Board granted reconsideration to amend the original decision based on the WCJ's report. While most of the lien claimant's invoices were deemed satisfied due to failure to request a second review after receiving Explanations of Review (EORs), two invoices were specifically addressed. The Board found the defendant failed to provide valid EORs for services related to Colorama Wholesale Nursery and the California Secretary of State. Therefore, the lien claimant is entitled to full payment for these two invoices, less any amounts already paid by the defendant.

EORLabor Code section 4622WCAB Rule 9794(c)Petition for ReconsiderationLien claimantCopying servicesSecond reviewInvoicesDefendant's answerReport and Recommendation
References
Case No. ADJ6650757
Regular
Nov 05, 2010

SANTOS BUENO vs. GOLDEN TREE HARVEST ENTERPRISES, ZENITH INSURANCE COMPANY

This case involves an applicant, Santos Bueno, versus Golden Tree Harvest Enterprises and Zenith Insurance Company. The Workers' Compensation Appeals Board (WCAB) has issued an order denying reconsideration of a prior decision. The WCAB adopted the findings of the administrative law judge and found no basis to overturn the initial ruling. Therefore, the petitions for reconsideration have been officially denied.

WORKERS' COMPENSATION APPEALS BOARDSANTOS BUENOGOLDEN TREE HARVEST ENTERPRISESZENITH INSURANCE COMPANYADJ6650757San Fernando District OfficeORDER DENYING RECONSIDERATIONPetitions for Reconsiderationworkers' compensation administrative law judgedenial of reconsideration
References
Case No. ADJ9778324
Regular
Nov 08, 2017

JAIRO RAMOS vs. JTS JOSE TREE SERVICE, INC., JOSE MIGUEL SOTO, DANIEL SOTO, UNINSURED EMPLOYERS BENEFITS TRUST FUND

This case involves a workers' compensation claim where the applicant sustained an admitted industrial injury. The primary issue is determining the identity of the employer(s), with allegations of joint ownership/operation between JTS Jose Tree Service, Inc., Jose Miguel Soto, and Daniel Soto. Jose Soto's petition for reconsideration was dismissed as untimely and procedurally deficient. Daniel Soto's petition was granted because the original findings lacked evidentiary support and the record required further development regarding employment status and potential licensing issues. The case is remanded to the trial level for further proceedings.

Workers Compensation Appeals BoardJTS Jose Tree ServiceJose Miguel SotoDaniel SotoUninsured Employers Benefits Trust FundFindings of FactOrder of DeferralPetition for ReconsiderationJoint EmployersSubstantial Shareholder
References
Case No. SFO 0499272
Regular
Jul 07, 2008

Helen Miller vs. Green Gulch Farm and Zen Center, EVEREST NATIONAL INSURANCE

The Workers' Compensation Appeals Board affirmed the administrative law judge's finding that Helen Miller was an employee of Green Gulch Farm and Zen Center and sustained an industrial injury to her left ankle. The Board found Miller was not a volunteer due to the extensive benefits received and the employer's control, and her jogging injury during a lunch break was a reasonable expectancy of employment, not barred by Labor Code section 3600(a)(9). Therefore, her injury arose out of and occurred in the course of her employment.

Workers' Compensation Appeals BoardHelen MillerGreen Gulch Farm and Zen CenterEverest National InsuranceGallagher BassettSFO 0499272Opinion and Decision After ReconsiderationLabor Code Section 3351Labor Code Section 3352(i)Employee definition
References
Case No. ADJ9198868
Regular
Aug 19, 2014

CURTIS GREEN vs. JBS USA, INC., AMRICAN ZURICH INSURANCE COMPANY

The Workers' Compensation Appeals Board denied Curtis Green's Petition for Reconsideration. Green claimed injury from a fall during an interview for a Human Resource Generalist position with JBS USA, Inc. The Board affirmed the WCJ's finding that Green was not an employee at the time of the interview, as no employment contract or relationship existed. Therefore, his injury did not arise out of and occur in the course of employment, and he was awarded nothing.

WCABPetition for ReconsiderationHuman Resource Generalistfall from chairtryoutemployment relationshipprospective employerbusiness visitorcontractual relationshippreponderance of the evidence
References
Case No. ADJ976241 (VNO 0301388)
Regular
Feb 14, 2013

JACQUELINE GREEN vs. GENERAL MOTORS, ARROWOOD INDEMNITY INSURANCE CO.

Applicant Jacqueline Green and lienholder Theodore Green filed a document over a year late, seeking to overturn an approved Compromise and Release (C&R). The C&R clearly stipulated the dismissal of Theodore Green's liens with prejudice, a term signed by both Jacqueline and Theodore. As the petition for reconsideration was untimely filed, exceeding the 20-day limit, the Board lacked jurisdiction. Consequently, the Board dismissed their motion.

Workers' Compensation Appeals BoardPetition for ReconsiderationCompromise and ReleaseOrder Approving Compromise and ReleaseLien ClaimantDismissal with PrejudiceUntimely PetitionLabor Code section 5903Non-medical BenefitsPermanent Disability
References
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