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

Case No. MON 0316299
Regular
Mar 20, 2008

ROBERT WYATT vs. RALPHS GROCERY COMPANY, SEDGWICK CMS

The Workers' Compensation Appeals Board (WCAB) dismissed the petition for reconsideration because it was not filed from a "final" order that determined substantive rights or liabilities. The WCAB also denied the petition for removal, finding no showing of substantial prejudice or irreparable harm. Finally, the WCAB ordered a technical correction to the headings of the Workers' Compensation Judge's decision to properly reflect the Appeals Board's authority.

Petition for ReconsiderationFinal OrderInterlocutory DecisionSubstantive RightLiability DeterminationPetition for RemovalSubstantial PrejudiceIrreparable HarmWCJ's ReportJudicial Authority
References
Case No. ADJ9781533
Regular
Aug 02, 2017

Rodolfo Boate vs. Truegreen Landcare, Zurich American Insurance Company

This case involves Rodolfo Boate's workers' compensation claim against Truegreen Landcare and Zurich American Insurance Company for injuries sustained during an altercation with a coworker. The defendant argued the claim was barred because Boate was the initial aggressor, citing his physical advance towards the coworker. However, the Workers' Compensation Appeals Board (WCAB) denied reconsideration of the Administrative Law Judge's (WCJ) finding that Boate's actions were in reasonable fear of bodily harm due to the coworker's prior severe threats and aggressive behavior. The WCAB adopted the WCJ's credibility determinations, finding no substantial evidence to reject them. Therefore, Boate's injury was deemed industrial.

Workers' Compensation Appeals BoardRODOLFO BOATETRUGREEN LANDCAREZURICH AMERICAN INSURANCE COMPANYADJ9781533Petition for ReconsiderationDeniedWCJCredibility determinationsGarza v. Workmen's Comp. Appeals Bd.
References
Case No. ADJ7345520
Regular
Sep 07, 2011

ANTONIO NAVARRO vs. CBS FASTENERS, INC., CYPRESS INSURANCE COMPANY, BERKSHIRE HATHAWAY HOMESTATE COMPANIES

This case involves applicant Antonio Navarro's petition for reconsideration of a denial of workers' compensation benefits. The administrative law judge found applicant was the initial aggressor in an altercation with a co-worker on December 4, 2008, rendering his injury non-compensable under Labor Code § 3600(a)(7). Applicant argued the defendant failed to prove initial aggressor status and that he reasonably felt threatened, but his petition misrepresented the record and contradicted his own trial testimony where he denied initiating the physical contact. The Appeals Board denied reconsideration, adopting the judge's report and finding overwhelming evidence, including witness testimony and a police report, that applicant was the initial aggressor.

initial aggressoraltercationsLab. Code § 3600(a)(7)Mathews v. Workmen's Comp. Appeals Bd.credibility determinationwitness testimonypolice reportWCJ credibilityPetition for ReconsiderationReport and Recommendation
References
Case No. ADJ8128282
Regular
Jan 23, 2014

ANGELA EGBIKUADJE vs. CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATIONS, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior award, returning the case for further proceedings. The defendant, California Department of Corrections and Rehabilitation, argued that the applicant's psychiatric injury claim was preempted by the ADA and not proven under Labor Code section 3208.3. The Board found the original decision lacked proper analysis regarding predominant industrial causation and the good faith personnel action defense. Therefore, the case was remanded for further development of the record, including expert medical opinion on these issues.

Workers' Compensation Appeals BoardAngela EgbikuadjeCalifornia Department of Corrections and RehabilitationLegally UninsuredState Compensation Insurance FundADJ8128282Van Nuys District OfficeReconsiderationFindings and AwardIndustrial cumulative trauma injury
References
Case No. ADJ9567245
Regular
Apr 01, 2016

JASON SUMMERS vs. SANTA CLARA COUNTY VALLEY TRANSPORTATION AUTHORITY, TRISTAR RISK MANAGEMENT

This case concerns a petition for reconsideration by Santa Clara County Valley Transportation Authority regarding a psychological injury claim sustained by applicant Jason Summers. The petitioner argued the applicant was the initial physical aggressor, barring his claim under Labor Code section 3600(a)(7). The Workers' Compensation Appeals Board denied the petition, adopting the WCJ's finding that the petitioner failed to meet its burden of proof. The WCJ's credibility determination, favoring a neutral witness over conflicting applicant and co-worker testimony, was central to this decision.

Workers' Compensation Appeals BoardPetition for ReconsiderationAmended Findings and AwardPsyche injuryTemporary disabilityInitial physical aggressorLabor Code section 3600(a)(7)Burden of proofWCJ credibility determinationGarza v. Workmen's Comp. Appeals Bd.
References
Case No. ADJ1060696
Regular
Jan 14, 2016

MARIA URIBE RAMOS vs. PATTERSON FROZEN FOODS, INC., CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for FREMONT INDEMNITY

This case involves an applicant's appeal of Independent Medical Review (IMR) determinations regarding prescription medication refills for Flexeril and Norco. The Workers' Compensation Appeals Board (WCAB) granted the appeal for Flexeril, finding the initial IMR determination was issued in excess of the Administrative Director's powers due to an incomplete medical record. The WCAB affirmed the IMR determination for Norco, agreeing that the record was complete for that medication. A dissenting opinion argued that both IMR determinations for Flexeril and Norco, and an additional IMR determination for clonidine, were flawed and should have been remanded for further review.

Workers' Compensation Appeals BoardIndependent Medical ReviewLabor Code Section 4610.6(h)Plainly Erroneous Finding of FactIncomplete Medical RecordExcess of PowersRemandUtilization ReviewMedical Treatment Utilization ScheduleCompromise and Release
References
Case No. ADJ9653109
Regular
Sep 06, 2016

William Morales vs. Bonsal American Oldcastle, Inc., Liberty Mutual Insurance Company

The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration. The applicant sought review of a decision that denied his injury claim because he was the initial physical aggressor in a workplace altercation. The Board deferred to the administrative law judge's credibility findings, which found the applicant less credible than defense witnesses and a video recording that was inconclusive. Therefore, the Board affirmed the original finding that the applicant was the initial physical aggressor and is barred from compensation.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and OrderInitial Physical AggressorLabor Code Section 3600(a)(7)Credibility DeterminationsVideo FootageOccupational InjuryMachine OperatorPhysical Altercation
References
Case No. ADJ15544152
Regular
May 02, 2025

TALIBAH COFFEE vs. COUNTY OF LOS ANGELES, SEDGWICK

Applicant, Talibah Coffee, sought reconsideration of a finding that her claimed industrial injury was non-compensable due to her being the initial physical aggressor in an altercation. The Workers' Compensation Appeals Board reviewed the applicant's petition, the defendant's answer, and the WCJ's report. The Board concurred with the WCJ's analysis, which found that the applicant's act of physically touching and moving a cameraman's equipment constituted the initial physical aggression, thereby barring compensation under Labor Code section 3600(a)(7). Consequently, the Petition for Reconsideration was denied.

Initial physical aggressorLabor Code section 3600(a)(7)Deputy Probation Officer IIaltercationphysical conductreal and present threat of bodily harmPetition for ReconsiderationWCJReport and Recommendationinjury AOE/COE
References
Case No. ADJ11795460
Regular
Oct 17, 2019

GABRIEL MORA vs. SB ENTERTAINMENT VENTURES INC. dba 340 RESTAURANT AND NIGHTCLUB, EMPLOYERS PREFERRED INSURANCE COMPANY

This case involves a workers' compensation claim where the applicant alleges injury during an altercation at work. The employer, SB Entertainment Ventures Inc., denied the claim, asserting the applicant was the initial aggressor. The applicant sought a video of the incident, which the employer failed to produce despite a subpoena and court order. The WCJ issued a finding that the video showed the applicant was not the initial aggressor, implying the employer's non-production led to this conclusion. The Appeals Board treated the employer's petition as a request for reconsideration, rescinded the WCJ's finding, and remanded the case. This action was taken because the prior hearing lacked sufficient admitted evidence to support the finding, and due process requires a proper evidentiary record before determining such a threshold issue as initial aggressor status.

WCABRemoval PetitionReconsiderationInitial AggressorDue ProcessSubpoena Duces TecumAdverse InferenceWillful SuppressionBad Faith ActionsSanctions
References
Case No. ADJ10762593
Regular
Feb 06, 2023

NICHOLAS KOBE vs. CITY OF LOS ANGELES, AIMS

The Workers' Compensation Appeals Board denied the City of Los Angeles' petition for reconsideration, upholding the finding that firefighter Nicholas Kobe's TMJ/myofascial pain injury was compensable. The Board adopted the judge's report, which determined that the applicant was not the initial physical aggressor in an altercation with a fellow firefighter, as the initial physical contact was initiated by the other firefighter. Therefore, Labor Code §3600(a)(7) did not bar the claim, and the applicant was awarded temporary and permanent disability benefits. The defense exclusively argued the initial physical aggressor defense, which the Board found inapplicable based on the facts.

Initial physical aggressor defenseLabor Code §3600(a)(7)TMJ/myofascial painPanel Qualified Medical EvaluatorNina Nattiv DDSfirefighter injurytemporary disabilitypermanent disabilitywage calculationattorney fees
References
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