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

Case No. ADJ7673518, ADJ7647749
Regular
Jan 23, 2015

ANA DE AYALA vs. AO-THE UNIVERSITY CORPORATION / CALIFORNIA STATE UNIVERSITY NORTHRIDGE

The Workers' Compensation Appeals Board granted reconsideration and reversed a prior ruling, finding the applicant sustained industrial injury to her neck. While the applicant testified to injuring her neck in a workplace incident and this was partially corroborated, the Board found insufficient evidence for other claimed injuries. The Board specifically disagreed with the administrative law judge's credibility assessment concerning the neck injury itself, relying on medical reports and testimony supporting the neck injury claim. The Board affirmed the denial of claims for all other alleged injuries, finding insufficient medical evidence to link them to the incident.

Petition for ReconsiderationFindings and OrderIndustrial InjuryNeck InjuryBack InjurySpine InjuryUpper ExtremitiesPsycheGastroesophageal SystemInternal System
References
Case No. ADJ8026817
Regular
Apr 22, 2013

MARIA OCHOA vs. RANGERS DIE CASTING COMPANY, COMPWEST INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a decision finding the applicant sustained injury to her respiratory system and psyche AOE/COE. The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr. Lipper and Dr. Curtis lacked substantiality. Specifically, the physicians failed to provide clear diagnoses, quantify exposures, or adequately explain causation. The Board noted contradictory testimony from the applicant's supervisor and insufficient evidence to support the initial findings.

Workers' Compensation Appeals BoardMaria OchoaRangers Die Casting CompanyCOMPWEST INSURANCE COMPANYADJ8026817Los Angeles District OfficeOpinion and Order Granting ReconsiderationDecision After ReconsiderationFindings of FactWorkers' Compensation Administrative Law Judge (WCJ)
References
Case No. ADJ1838694 (VNO 0559106) ADJ1492476 (VNO 0559109) ADJ1676245 (VNO 0559105) ADJ1967335 (VNO 0559104) ADJ2606977 (VNO 0559107) ADJ4131879 (VNO 0559108) ADJ757546 (VNO 0559110) ADJ6867252
Regular
Nov 05, 2012

MARTIN LOPEZ vs. HOMEMAKERS FURNITURE, ILLINOIS MIDWEST INSURANCE As Administrator On Behalf of TOWER SELECT INSURANCE

This case involves multiple workers' compensation claims for applicant Martin Lopez, with dates of injury spanning from 1999 to 2008. The defendant sought removal after an administrative law judge (WCJ) took two cases off calendar, arguing insufficient development of applicant's psychiatric and internal medicine claims. The Appeals Board granted removal, finding the record insufficient to determine case readiness or relationships. The matters are remanded for a status conference to assess trial readiness and necessary further discovery, aiming for a prompt resolution of these long-pending claims.

Petition for RemovalOff Calendar OrderDeclaration of Readiness to ProceedObjectionsPsychiatric ClaimInternal Medicine ClaimMedical TreatmentMandatory Settlement ConferenceStatus ConferenceTrial Level
References
Case No. ADJ3525697 (LAO 0534774) ADJ2342373 (LAO 0512482) ADJ1310306 (LAO 0568035) ADJ2645702 (LAO 0519888) ADJ1384751 (LAO 0568036) ADJ2871875 (ANA 0235799)
Regular
Feb 03, 2017

ALICE BRYANT vs. REGENTS OF THE UNIVERITY OF CALIFORNIA, permissibly self-insured, UCLA MEDICAL CENTER; SEDGWICK CLAIMS MANAGEMENT SERVICES

This case involves applicant Alice Bryant's petition for reconsideration of prior dismissed workers' compensation claims and a Labor Code section 132a retaliation claim. The Workers' Compensation Appeals Board (WCAB) denied reconsideration, upholding the administrative law judge's findings. The WCAB concluded that Bryant's claims were previously dismissed, with some dismissed by her own request and others for failure to prosecute. Furthermore, the WCAB found that Bryant failed to demonstrate extrinsic fraud and lacked the required diligence to reopen these final dismissals, even with newly discovered evidence.

Workers' Compensation Appeals BoardRegents of the University of CaliforniaSedgwick Claims Management ServicesPetition for ReconsiderationFindings and OrdersWorkers' Compensation Administrative Law JudgeLabor Code section 132aRetaliation claimExtrinsic fraudDismissed claims
References
Case No. ADJ1282419 (LAO 0846452) ADJ915214 (LAO 0854736)
Regular
Feb 01, 2010

VALERIE VANCE DILLON vs. TJ MAXX, CNA CLAIMS PLUS

This case involves a Compromise and Release agreement between the applicant and defendants. The Board granted reconsideration, rescinded the prior decision, and returned the matter to the trial level. This action is contingent on the workers' compensation administrative law judge approving the settlement. If not approved, the original decision could be reinstated, with the right to seek reconsideration.

Compromise and ReleasePetition for ReconsiderationGrant ReconsiderationRescind DecisionTrial LevelWorkers' Compensation Appeals BoardAdministrative Law JudgeSalvage and ClaimsSalvage and ClaimsSalvage and Claims
References
Case No. ADJ10361270
Regular
Mar 15, 2018

DONNA MARSHBANKS vs. UC DAVIS MEDICAL CENTER, SEDGWICK CLAIMS MANAGEMENT SERVICES

The Workers' Compensation Appeals Board denied the defendant's Petition for Removal. The petition claimed the judge erred by allowing an additional PQME in internal medicine. However, the Board found no such order existed in the dismissed Case No. ADJ10361270, rendering the petition moot. Even if considered for a different case, removal is an extraordinary remedy requiring a showing of substantial prejudice or irreparable harm, which the defendant failed to demonstrate. Reconsideration was deemed an adequate remedy should an adverse decision arise.

Petition for RemovalQualified Medical Examiner (PQME)Internal MedicineDismissed with PrejudiceAggrievedExtraordinary RemedySubstantial PrejudiceIrreparable HarmReconsiderationAdministrative Law Judge (WCJ)
References
Case No. ADJ15763825
Regular
Sep 16, 2025

CLAUDIO CARDOZO vs. ROCK AND ROLL CAR WASH, REDWOOD FIRE AND CASUALTY INSURANCE COMPANY

The Workers' Compensation Appeals Board denied the Petition for Reconsideration filed by Redwood Fire and Casualty Insurance Company dba Berkshire Hathaway Homestate Companies. The petition challenged a lien trial decision concerning a medical-legal evaluation performed by Dr. Michaels of Premier Psychological Services. The WCJ found that a medical dispute regarding psyche existed at the time of the evaluation, Dr. Michaels was validly designated as the Primary Treating Physician, and the evaluation was not barred by the 60-day rule for new claims as it was an amendment to an already accepted claim. The Appeals Board adopted the WCJ's reasoning and denied the petition.

Workers' Compensation Appeals BoardPetition for ReconsiderationLabor Code Section 5909Adjudication NumberOpinion and Order Denying PetitionWCJ ReportEAMS TransmissionNotice of TransmissionProof of ServiceFindings and Order
References
Case No. ADJ8857482
Regular
Jan 28, 2014

RENE QUINTANA vs. NEW ALBERTSONS, INC.; SEDGWICK CLAIMS MANAGEMENT SERVICES

This case involved a petition for reconsideration that was denied by the Workers' Compensation Appeals Board. The Board adopted the findings of the workers' compensation administrative law judge, also denying reconsideration. The applicant's complaints regarding the Agreed Medical Evaluator's (AME) review of medical records, consideration of MRI films, and comments on an "internal injury/hernia" were rejected. The Board found no error in the AME's report or the approval of the compromise and release agreement given the applicant's claimed injuries and representation by counsel.

Workers' Compensation Appeals BoardPetition for ReconsiderationAgreed Medical EvaluatorOrthopedicsMedical Records ReviewMRI FilmInternal InjuryHerniaCompromise and Release AgreementWCJ Report
References
Case No. ADJ3486059 (OXN 0125841) ADJ1942145 (OXN 0125840)
Regular
Nov 19, 2018

SEATRIZ GONZALEZ vs. EOS CORPORATION, STATE COMPENSATION INSURANCE FUND, CYPRESS INSURANCE COMPANY

The Appeals Board rescinded the WCJ's prior decision and returned the case for further proceedings due to an incomplete medical record concerning apportionment of permanent disability. Specifically, the Board requires supplemental reports from the Agreed Medical Evaluator (AME) in orthopedics and the Qualified Medical Evaluator (QME) in internal medicine. The Board also noted that the issue of claims administration was not properly addressed and needs further consideration by the WCJ. Lastly, the WCJ must revisit the finding regarding the specific injury of November 1, 2001, ensuring parties have notice and an opportunity to be heard.

Workers' Compensation Appeals BoardDecision After ReconsiderationApportionmentLabor Code section 4663Benson v. Workers' Comp. Appeals Bd.Agreed Medical Evaluator (AME)Cumulative Trauma (CT)Specific InjuryPermanent DisabilityHypertension
References
Case No. LAO 823855, LAO 823856
Regular
Oct 03, 2007

PEDRO M. RODRIGUEZ vs. RALPHS GROCERY COMPANY

The applicant sought reconsideration of a denial of workers' compensation benefits, which was based on the finding that his claims were filed after notice of termination. The Board affirmed the denial, concluding that the applicant's job abandonment led to a termination prior to the filing of his claims. The Board also determined that the employer properly denied both the specific and cumulative trauma claims, thus negating a presumption of compensability.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and OrderFindings of FactAdministrative Law JudgeApplicantDefendantRalphs Grocery CompanySecurity GuardIndustrial Injury
References
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