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

Case No. MISSING
Regular Panel Decision

Claim of Findling v. Community General Hospital

Claimant sustained a work-related injury in July 1995 and subsequently experienced intermittent lost time from work. In April 1998, claimant was awarded eight weeks of intermittent lost time, but sought review from the Workers’ Compensation Board, submitting a spreadsheet that indicated 13 weeks of lost time. The Board declined to consider the merits of her application, categorizing the spreadsheet as new evidence and citing claimant's failure to explain its prior non-submission. On appeal, the Court found that the Board erred in deeming the spreadsheet new evidence, a point the employer conceded. This error precluded the Board from fulfilling its fact-finding role and deprived the claimant of a review on the merits. Consequently, the decision was reversed, and the case remitted to the Board for further proceedings consistent with the Court's decision.

Workers' CompensationIntermittent Lost TimeEvidence AdmissibilityBoard ReviewRemittalProcedural ErrorAppellate Court DecisionDisability BenefitsFact-Finding RoleClaimant Rights
References
1
Case No. MISSING
Regular Panel Decision

Claim of Schwartz v. State Insurance Fund

Claimant appealed two Workers' Compensation Board decisions. The first decision, filed April 25, 2012, ruled that her alleged cardiac conditions were not causally related to her established work-related stress claim. The second decision, filed May 2, 2012, denied her payment for intermittent lost time. The court affirmed both decisions, finding that the employer's independent medical examiner complied with Workers' Compensation Law § 137, and the Board's resolution of conflicting medical opinions regarding cardiac conditions was supported by substantial evidence. Additionally, the Board's determination that the claimant's Friday absences were for convenience, not disability, was also upheld by substantial evidence.

Workers' Compensation Board AppealsCausally Related DisabilityCardiac ConditionsHypertensionMitral Valve InsufficiencyTricuspid Valve InsufficiencyEnlarged Left AtriumWork-Related StressAdjustment DisorderIntermittent Lost Time Benefits
References
4
Case No. ADJ4198635
Regular
Aug 20, 2009

ANGELIQUE LARSON vs. WALGREENS, Permissibly Self-Insured, adjusted by SEDGWICK CMS

The Workers' Compensation Appeals Board denied Walgreens' petition for reconsideration regarding Angelique Larson's industrial injury. Walgreens argued the administrative law judge exceeded her authority by not allowing a further deposition of Dr. Tacheff and that his opinion lacked substantial evidence. The Board found Dr. Tacheff's opinion on the applicant's TMJ and dental injury, caused by a fall as a retail clerk, to be substantial medical evidence. The Board affirmed that adequate discovery occurred and that medical treatment is not apportionable, thus the need for future TMJ treatment was established.

Workers' Compensation Appeals BoardIndustrial InjuryNeck InjuryTMJ-dentalWalgreensSedgwick CMSPetition for ReconsiderationFindings of FactAwardOrder
References
13
Case No. 516033
Regular Panel Decision
Sep 04, 2014

MatterofSchwartzvStateInsuranceFund

Amara B. Schwartz appealed two decisions from the Workers' Compensation Board. The first appeal concerned a ruling that her alleged cardiac conditions were not causally related to an established claim of adjustment disorder with mixed depressed mood and anxiety and chronic emotional stress. The second appeal challenged the Board's decision denying payment for intermittent lost time. The Supreme Court, Appellate Division, Third Judicial Department, affirmed both decisions. The court found that the independent medical examiner complied with Workers' Compensation Law § 137, and that the Board's determination regarding a further causally-related disability was supported by substantial evidence. Additionally, the Board's denial of intermittent lost time benefits was upheld, as claimant's psychologist testified there was no psychological reason for her to take entire days off from work.

Workers' CompensationAppellate ReviewCausally Related DisabilityCardiac ConditionsHypertensionMitral Valve InsufficiencyLost Time BenefitsIndependent Medical ExaminationMedical OpinionsSubstantial Evidence
References
4
Case No. MISSING
Regular Panel Decision

the Claim of Jimerson v. New York City Police Department

Claimant, a senior administrative aide, applied for workers' compensation benefits due to hand, neck, and back injuries from repetitive movements while employed by the New York City Police Department. A work-related injury was established, and she received benefits for intermittent lost time. Claimant ceased working in March 2005, asserting her injuries prevented her from performing duties. A Workers' Compensation Law Judge and the Workers' Compensation Board determined she voluntarily removed herself from the labor market, denying further benefits, though the Board remitted for further development on intermittent lost time awards. The appellate court reversed the Board's determination regarding voluntary withdrawal, finding it unsupported by substantial evidence. Medical reports from treating physicians, Marc Levinson and Dwiref Mehta, indicated her disability contributed to her decision to stop working. The matter was remitted to the Workers' Compensation Board for further proceedings.

Workers' Compensation AppealVoluntary Withdrawal from Labor MarketRepetitive Movement InjuryCarpal Tunnel SyndromeNeck and Back InjuryPermanent Partial DisabilityTreating Physician ReportMedical EvidenceSubstantial Evidence ReviewBoard Decision Reversed
References
5
Case No. VNO 0444524
Regular
Nov 20, 2007

JANET M. WINKLER vs. DEPARTMENT OF INDUSTRIAL RELATIONS

The Workers' Compensation Appeals Board rescinded a prior decision, finding the administrative law judge failed to address key issues including the date of injury, causality for orthopedic and psychiatric claims, and proper apportionment of disability. The Board remanded the case for further development of the record and new findings, particularly regarding the applicant's cardiovascular, TMJ, orthopedic, and psychiatric conditions, and ordered attorney's fees to be considered for temporary disability.

Workers' Compensation Appeals BoardIndustrial injuryCardiovascular systemTachycardiaAtrial fibrillationTMJWork stressorsPsyche injuryRolda v. Pitney BowesInc.
References
2
Case No. FRE 0193970
Regular
Aug 07, 2007

STEVEN L. SMITH vs. IMC CHEMICAL, INC.

The Court of Appeal remanded this case for the Appeals Board to award attorney's fees for responding to the defendant's petition for writ of review. The applicant's attorney requested $15,600 for 52 hours of work, citing extensive research and numerous case citations. The Appeals Board awarded $3,750, finding the requested amount excessive and deeming 15 hours at $250/hour reasonable for the slightly above-average complexity of the appellate issues.

WCABLabor Code § 5801Petition for Writ of ReviewAttorney's FeesFifth Appellate DistrictRemandSupplemental AwardPetition for ReconsiderationSubstantial EvidenceNovel Issue
References
2
Case No. ADJ10170946
Regular
Oct 03, 2017

MARIA PADRON vs. EDGEWOOD MANAGEMENT, HARTFORD SACRAMENTO

This case involves a defendant's petition for reconsideration of a prior workers' compensation award. The Workers' Compensation Appeals Board (WCAB) granted the petition to address an issue with the timing of a rescinding order. Although the WCJ's rescinding order was served slightly outside the permissible 15-day window, the WCAB found it was a clerical error and affirmed the rescinding order. The WCAB specifically avoided ruling on the merits of the defendant's original petition for reconsideration.

Petition for ReconsiderationOrder RescindingWCJWCABTimelinessClerical MistakeAffirmationAdministrative Law JudgeFindings Award OrderDecision After Reconsideration
References
0
Case No. ADJ9771839
Regular
Jan 27, 2020

MICHAEL KARLIS vs. CITY OF GLENDALE

This case involves a firefighter's workers' compensation claim for injuries including to his spine, skin, and cardiovascular system. The defendant appealed the initial award, arguing for a cardiac MRI, disputing the cause of GERD, and questioning the disability rating for the skin condition. The Appeals Board granted reconsideration to address these issues. Ultimately, the Board affirmed the award, reducing the permanent disability rating slightly to 87% due to a re-evaluation of the skin condition impairment rating.

GERDNSAIDLVHechocardiogramcardiac MRIactinic keratosisprecancerous lesionsdisfigurementAMA Guidespermanent disability rating
References
0
Case No. GOL 98805
Regular
Aug 14, 2007

ILDELISA VARGAS vs. NATURE'S WEST, HORTICA INSURANCE COMPANY

This case involves a dispute over the duration of temporary disability indemnity payments. The Appeals Board granted reconsideration to address the defendant's contention that the claimant was improperly awarded temporary disability payments beyond the two-year statutory limit. The Board rescinded the prior award and remanded the case to determine the initial date of temporary disability payments, clarifying that the two-year/104-week limit begins from the defendant's first payment, not subsequent intermittent ones.

WCABReconsiderationTemporary Disability104 weekstwo-year limitLabor Code § 4656(c)(1)Hawkins v. Amberwood ProductsHamilton v. Lockheed Corp.WCAB Rule 10566(c)commencement of temporary disability payment
References
2
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