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

Case No. ADJ13021836; ADJ13022571; ADJ17282642; ADJ20509785; ADJ20509813
Regular
Sep 08, 2025

MARTINA VARELAS vs. PALMDALE LODGING ASSOCIATES, ZURICH AMERICAN INSURANCE COMPANY, GREAT AMERICAN INSURANCE COMPANY, EMPLOYERS ASSURANCE COMPANY, SECURITY NATIONAL INSURANCE COMPANY

Defendant Security National Insurance Company sought reconsideration of a Workers' Compensation Administrative Law Judge's (WCJ) decision regarding injuries sustained by applicant Martina Varelas. The WCJ had found that the applicant sustained injury arising out of and in the course of employment (AOE/COE) to her excretory and reproductive systems across multiple employment periods and adjudication numbers. The Workers' Compensation Appeals Board granted the petition for reconsideration, concluding that the WCJ had not sufficiently explained the basis for the decision on injury AOE/COE and liability, and that the record needed further development. A final decision on the merits has been deferred pending further review.

AOE/COEexcretory system injuryreproductive system injurycumulative traumaspecific injuryslip and falldate of injuryLabor Code section 5412Labor Code section 5500.5Petition for Reconsideration
References
25
Case No. ADJ12294911
Regular
Apr 14, 2025

KHADIJAH BROWN vs. REGINALD AJAKWE, MD, RAYMOND TATEVOSSIAN, MD, MID-CENTURY INSURANCE COMPANY

Applicant Khadijah Brown sought reconsideration of a WCJ's decision that she did not sustain a psychiatric injury arising out of and occurring in the course of employment (AOE/COE) and that a good faith personnel action defense was established. The Appeals Board granted reconsideration, finding that the WCJ erroneously concluded applicant did not sustain injury to her psyche AOE/COE and failed to recognize objective evidence of harassment. The Board rescinded the original findings and substituted new findings, determining that applicant did sustain injury to her psyche AOE/COE and that this injury resulted from actual events of employment. The issue of the defendant's good faith personnel action defense was deferred for further proceedings.

AOE/COEpsychiatric injuryLabor Code Section 3208.3(b)(1)actual events of employmentharassmentgood faith personnel actionVerga v. Workers' Comp. Appeals Bd.racial epithetsuspensiontermination
References
8
Case No. MISSING
Regular Panel Decision

Claim of Littles v. New York State Department of Corrections

A claimant was injured in an automobile accident approximately 10 feet from her workplace entrance, a prison. She applied for workers' compensation benefits. A Workers’ Compensation Law Judge initially established the claim, but the Workers’ Compensation Board reversed this decision, finding that the claimant did not sustain an accidental injury arising out of and in the course of her employment. On appeal, the court affirmed the Board's decision, concluding that there was no evidence of a special hazard at the accident location or a close association of the access route with the employer's premises that would make the accident compensable as a risk of employment.

Workers' CompensationAutomobile AccidentCourse of EmploymentArising Out of EmploymentSpecial HazardAccess RoutePublic RoadOff-premises InjuryCommuting AccidentWorkers' Compensation Board Appeal
References
8
Case No. ADJ10065069
Regular
May 16, 2018

MARCIA FARRAR vs. STATE OF CALIFORNIA, UNEMPLOYMENT INSURANCE APPEALS BOARD, legally uninsured, administered by STATE COMPENSATION INSURANCE FUND

This case concerns defendant's petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) finding of injury arising out of and occurring in the course of employment (AOE/COE) to the applicant's right upper extremity. Defendant argued that no evidence supported injury to other alleged body parts and that the WCJ should have made findings on those parts instead of deferring the issue. The WCAB denied reconsideration, affirming the WCJ's decision to limit the trial to the threshold issue of right upper extremity injury AOE/COE. The WCAB found Dr. Amster's opinion constituted substantial evidence for the right upper extremity injury and that the WCJ acted within their authority by deferring other issues.

Workers' Compensation Appeals BoardAOE/COEQualified Medical ExaminerReconsiderationCumulative TraumaRepetitive Strain InjuryPreexisting ConditionAggravationContributing CauseMandatory Settlement Conference
References
7
Case No. ADJ4628737
Regular
Mar 08, 2010

FREDDIE HENSON vs. COUNTY OF FRESNO

The Workers' Compensation Appeals Board denied the County of Fresno's petition for reconsideration, affirming the finding that Freddie Henson sustained injury arising out of and occurring in the course of employment (AOE/COE). The Board found that Henson's training, though part of a university program, was directly beneficial to his role as a reserve deputy sheriff and was impliedly authorized by the County. The injury occurred during a training scenario, exposing him to dangers inherent in his employment as a law enforcement officer. Therefore, the Board concluded Henson was acting within the course of his employment when injured.

Workers' Compensation Appeals BoardReserve Deputy SheriffCriminology 108Fresno StateAOE/COEcourse of employmentimpliedly authorizeddirect benefitjob functionstraining scenario
References
7
Case No. ADJ13090134
Regular
Aug 14, 2025

OLIVIA RAMIREZ vs. ISIDRO A. MEJIA, ZINDER JANITORIAL CO., UNINSURED EMPLOYERS BENEFITS TRUST FUND, BOURBON PUB/PARADIES LAGARDERE, SENTRY INSURANCE

Applicant Olivia Ramirez sustained an injury to her knee and ankle on November 17, 2019, while employed by Isidro A. Mejia and Zinder Janitorial Co., who were uninsured for workers' compensation. The Uninsured Employers Benefits Trust Fund (UEBTF) successfully joined Paradies Lagardere as a co-defendant, alleging joint employer status. The Workers' Compensation Administrative Law Judge (WCJ) initially found Paradies to be a joint employer in Findings of Fact issued on May 15, 2025. Paradies sought reconsideration, disputing the joint employer finding and the injury arising out of and in the course of employment (AOE/COE). The Appeals Board reviewed the petition, the UEBTF's answer, and the WCJ's report, ultimately granting reconsideration but deferring a final decision on the merits, indicating further review of the record and applicable law is necessary. The decision also clarified that Labor Code sections 2775 and 2776, related to employee classification, do not apply retroactively to the date of injury in this case.

Joint employerUninsured employersParadies LagardereZinder JanitorialIsidro MejiaWCJPetition for ReconsiderationAOE/COELabor Code section 5909EAMS
References
17
Case No. MISSING
Regular Panel Decision

Claim of Huggins v. Masterclass Masonry

A bricklayer claimant was injured in a municipal bus shelter across from his worksite while eating lunch. A Workers’ Compensation Law Judge initially found the injury compensable, but the Workers’ Compensation Board reversed this decision. On appeal, the court affirmed the Board’s decision, holding that lunchtime injuries are generally outside the scope of employment unless the employer maintains control, which was not established. The court also rejected arguments regarding proximity to the worksite, finding no causal relationship or special hazard, and dismissed the presumption of compensability under Workers’ Compensation Law § 21 (1), noting it does not wholly relieve the claimant of the burden of proving the injury arose out of and in the course of employment.

Lunch Break InjuryBus Shelter AccidentScope of EmploymentEmployer ControlCausal RelationshipSpecial HazardFortuitous CoincidenceWorkers' Compensation LawAppellate ReviewWorkers' Compensation Board Decision
References
14
Case No. ADJ1966949 (GOL 0095232)
Regular
Mar 19, 2012

ARMANDO OROZCO (ARMANDO OROZCO JUAREZ) vs. PACIFIC VINEYARD COMPANY, STATE COMPENSATION INSURANCE FUND

This case involves a defendant employer's petition for reconsideration of a finding that the applicant sustained an injury arising out of and in the course of employment (AOE/COE). The employer contended the AOE/COE finding lacked substantial evidence, particularly questioning the applicant's account of falling off a tractor and being run over. The Workers' Compensation Appeals Board (WCAB) denied the petition, adopting the WCJ's report which found the applicant's testimony persuasive, supported by employer witnesses attesting to his trustworthiness, and contradicted by unreliable defense expert testimony. The WCJ also noted a prior employer letter disputing the *nature* of the injury, not its occurrence, and the fact the applicant showed scarring.

AOE/COEPetition for ReconsiderationFinding of FactCompromise and Releasesubstantial evidenceWCJdefendant employerapplicantState Compensation Insurance Fundinjury
References
1
Case No. ADJ15799667
Regular
Mar 08, 2023

RICARDA DURAN SONIA TINEO TOLEDO vs. PRIORITY WORKFORCE, INC. dba MVP PAYROLL FINANCING LLC, PRIORITY BUSINESS SERVICES INC., UNITED WISCONSIN INSURANCE COMPANY administered by NEXT LEVEL ADMINISTRATORS

This case involves an applicant injured by a car while waiting for a ride home on her employer's premises after work. The Workers' Compensation Appeals Board (WCAB) granted reconsideration and found the injury compensable, holding that it arose out of and occurred in the course of employment (AOE/COE). The Board clarified that the applicant's presence on employer premises while waiting for transportation home was within the scope of employment, not a material deviation. The WCAB rescinded the prior order and substituted a new one finding AOE/COE injury to the applicant's head, deferring other issues.

AOE/COECourse and Scope of EmploymentGoing and Coming RulePremises RulePersonal ConvenienceSubstantial DeviationMedical OpinionsPermanent Disability RatingQMEAMA Guides
References
27
Case No. ADJ16007451
Regular
Aug 25, 2025

MINA RADJABI vs. CENTURY COMMUNITIES, INC./INSPIRE HOME LOAN; BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY dba BERKSHIRE HATHAWAY HOMESTATE COMPANIES

The applicant, Mina Radjabi, alleged a cumulative trauma injury to multiple body parts from July 2019 to February 2022 while employed by Century Communities, Inc./Inspire Home Loan. The case initially settled by Compromise and Release in March 2023, with the defendant maintaining a denial of injury AOE/COE. A lien claimant, Woodland Psyche Center, represented by PureMD Group Lomita, filed a petition for reconsideration after its lien for treatment was denied by a Workers' Compensation Administrative Law Judge (WCJ). The WCJ denied the lien because Woodland Psyche Center failed to prove injury arising out of and in the course of employment (AOE/COE) and its medical reports did not comply with regulatory requirements for proving a contested claim. The Appeals Board, after reviewing the petition and the WCJ's report, adopted the WCJ's findings and denied the petition for reconsideration, concluding that the lien claimant did not establish causation or due process violations, and that the treatment provided was outside the employer's Medical Provider Network.

Workers' Compensation Appeals BoardPetition for ReconsiderationLabor Code section 5909TimelinessTransmission Date60-Day RuleNotice of TransmissionElectronic Adjudication Management System (EAMS)Report and RecommendationLien Claimant
References
10
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