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Case Law Database

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

Case No. MISSING
Regular Panel Decision
Jan 08, 2014

Claim of Angela Page v. Liberty Central School District

The claimant, a school librarian, sought workers' compensation benefits in July 2004 for a disability from toxic mold exposure, leading to an established claim for hypersensitivity and awards for temporary total disability. In 2006, the claim was amended to include multiple chemical sensitivity, and awards for marked disability continued. A Workers’ Compensation Law Judge (WCLJ) later classified the claimant with a permanent total disability in March 2010, but the Workers' Compensation Board rescinded this finding and referred the matter to an impartial medical specialist, Theodore Them. Them testified that multiple chemical sensitivity is not a medically recognized condition and that the claimant had no causally-related disability, which the Board credited in its December 2012 decision, finding no further causally-related disability and closing the case. The claimant's subsequent appeal of this decision was not perfected, and an application for reconsideration was denied. An April 2013 WCLJ decision to further develop the record on disability was challenged by the employer, who argued the December 2012 Board decision had resolved the issue. The Board panel agreed with the employer in January 2014, precluding further development of the record, a decision which this Court affirmed on appeal, stating the issue of causally-related disability had been decided and the claimant's remedy was a timely appeal of the prior Board decision.

References
2
Case No. ADJ8799770
Regular
Sep 24, 2014

RICHARD RICARDY vs. PACIFIC GAS & ELECTRIC COMPANY

The applicant, Richard Ricardy, had filed a Petition for Reconsideration of a decision issued on July 18, 2014. The petitioner, likely the applicant or their representative, has subsequently withdrawn this petition. Consequently, the Workers' Compensation Appeals Board has issued an order dismissing the Petition for Reconsideration. This order effectively finalizes the July 18, 2014 decision as there is no longer an active request for review.

Petition for Reconsideration withdrawnOrder of DismissalWorkers' Compensation Appeals BoardPermissibly Self-InsuredADJ8799770Redding District OfficeJuly 18 2014 decisionMarguerite SweeneyDeidra E. LoweSan Francisco filing
References
0
Case No. MISSING
Regular Panel Decision
Jul 15, 1998

Claim of Baldo v. Daily News

This case involves an appeal from a Workers' Compensation Board decision setting the date of disablement for claimant Joseph Baldo, a former newspaper pressman who suffered from work-related lung cancer, as July 29, 1992. Baldo's widow filed for death benefits after his passing in 1994, leading to a dispute between workers' compensation carriers over liability. The appealing carrier contended that the disablement date should be earlier, citing diagnoses in 1990 or 1991. However, the court affirmed the Board's decision, emphasizing the Board's discretion in selecting a disablement date and finding no medical evidence to establish disability prior to July 29, 1992, even though earlier diagnoses existed.

Workers' Compensation LawLung CancerDate of DisablementAppellate ReviewSubstantial EvidenceCarrier ResponsibilityOccupational DiseaseMedical EvidenceClaimant DisabilityBoard Discretion
References
3
Case No. ADJ476925, ADJ2247284, ADJ3324647, ADJ236582, ADJ2374280, ADJ648207
Regular
Sep 26, 2008

IRMA GUERECA vs. LSG SKY CHEFS, LIBERTY MUTUAL INSURANCE

Reconsideration granted; rescinding WCJ's July 18, 2008 decision; matter returned for further proceedings and new decision. Insufficient evidence to determine if employer provided required MPN notice.

MPNMedical Provider NetworkNotice requirementsLabor Code sections8 Cal. Code RegulationsKnight v. United Parcel Serviceemployer's burden of proofreasonable medical treatmentself-procured treatmenttimeliness of notice
References
1
Case No. MISSING
Regular Panel Decision

Claim of Patel v. Tal Transportation, Inc.

Claimant, a driver for Tal Transportation, Inc. (TTI), was injured in an automobile accident in April 1996 and filed for workers' compensation benefits. A Workers’ Compensation Law Judge (WCLJ) found claimant to be an employee of TTI and established the case for accident, notice, and causal relationship for various injuries. The Workers’ Compensation Board affirmed the WCLJ's decision on October 18, 2000, confirming the employment relationship. Subsequently, based on a stipulation with the Uninsured Employer’s Fund, the WCLJ awarded claimant a 17½% schedule loss of use of the left arm, which the Board affirmed on December 18, 2001. TTI appealed this latter decision, attempting to challenge the employment relationship, but the court found that TTI's appeal was untimely regarding the employment finding. Since TTI did not challenge the schedule loss of use award itself, the Board's December 18, 2001 decision was affirmed.

Workers' CompensationSchedule Loss of UseEmployment RelationshipTimeliness of AppealAutomobile AccidentUninsured Employer's FundDriverInjuryNew York Workers' Compensation BoardAdministrative Law
References
1
Case No. MISSING
Regular Panel Decision
Jul 22, 2002

Claim of Ostuni v. Town of Ramapo

Claimant appealed from a decision of the Workers’ Compensation Board, filed July 22, 2002, which denied her application for reconsideration and/or full Board review of a prior decision. The prior decision had ruled that claimant did not sustain a work-related injury, citing insufficient credible evidence. The appellate court affirmed the Board's denial, finding that the Board fully considered all evidence and no new, previously unavailable evidence was offered to warrant altering its decision. Furthermore, the court found substantial evidence supported the Board’s September 2001 decision that claimant’s injuries were not compensable, as her recurring lower back pain stemmed from injuries predating or following the alleged November 1990 incident, rather than the incident itself. The court also upheld the Board's rejection of contrary testimony as not credible.

Workers' CompensationBack InjuryWork-Related InjuryReconsiderationBoard ReviewAppellate ReviewAbuse of DiscretionArbitrary and CapriciousSubstantial EvidenceMedical Testimony
References
5
Case No. ADJ7781989; ADJ8262771
Regular
Oct 03, 2013

MIRIAN GARCIA vs. COOPER COLD FOODS, INC., ILLINOIS MIDWEST INSURANCE AGENCY as administrator for STAR INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) is granting reconsideration of its own prior decision and rescinding a July 23, 2013 decision that had overturned a prior finding of 2% permanent disability for applicant's right knee injury. The WCAB determined that its August 9, 2012 order granting reconsideration was improvidently granted because the applicant had already filed a successive and improper petition for reconsideration. Consequently, the prior order and the subsequent rescinded decision are vacated, and the applicant's petition for reconsideration is dismissed.

WCABReconsiderationPetition for ReconsiderationFindings and AwardAdministrative Law JudgePermanent DisabilityIndustrial InjurySuccessive PetitionImprovidently GrantedVacated
References
4
Case No. ADJ1210556 (AGO 0018589)
Regular
Oct 10, 2008

EDWIN MILLER vs. KEEBLER COMPANY

The Workers' Compensation Appeals Board (WCAB) dismissed the defendant's petition for removal and granted reconsideration of the WCJ's prior decisions regarding medical mileage and penalties. The Board found the WCJ failed to properly consider statutory factors in determining a "reasonable geographic area" for the applicant's medical treatment. Consequently, the WCAB rescinded the WCJ's decisions and returned the case to the trial level for further proceedings and a new decision addressing all outstanding issues, including the definition of a reasonable geographic area for treatment.

WCABPetition for RemovalPetition for ReconsiderationMedical MileageReasonable Geographic AreaLabor Code Section 4600Administrative Director Rule 9780(h)WCJBoltonRamirez
References
2
Case No. MISSING
Regular Panel Decision

Claim of Ford v. New York City Transit Authority

Claimant, a public relations director, filed for workers' compensation benefits in April 1994 due to work-related posttraumatic stress disorder, but later withdrew the claim in March 1997 due to a parallel federal civil rights action, leading to its closure without a decision on merits. In March 2003, claimant sought to reopen the case, which the Workers' Compensation Board denied in February 2004, citing Workers' Compensation Law § 123 as a bar. The Board subsequently denied an application for reconsideration and/or full Board review in July 2004, prompting the claimant's appeal. The appellate court affirmed the Board's decision, finding no new evidence was presented for reconsideration and that the Board had properly determined the claim was truly closed and time-barred under Workers' Compensation Law § 123, as over seven years had lapsed since the accident. Consequently, the appellate decision concluded that the Board's denial was not arbitrary, capricious, or an abuse of discretion.

Workers' Compensation AppealReconsideration DenialTime-Barred ClaimPosttraumatic Stress DisorderFederal Civil Rights ActionJurisdictionReopening ClaimMedical EvidenceDue ProcessWorkers' Compensation Law § 123
References
5
Case No. ADJ9825294 ADJ8708979
Regular
Feb 21, 2017

JOSUE CASTILLO vs. FG PROPERTY MANAGEMENT, INC., TRUCK INSURANCE EXCHANGE/FARMERS

The Workers' Compensation Appeals Board denied reconsideration of a decision barring a lien claim by Tri-County Medical Group. The WCAB found that the lien for services rendered between January 9, 2013, and July/August 2014 was untimely filed more than 18 months after the last date of service, per Labor Code section 4903.5(a). Despite the lien claimant's argument that services began before July 1, 2013, triggering a three-year statute of limitations, the WCAB applied the 18-month limit based on the last date of service being after July 1, 2013. The WCAB upheld prior precedent finding this interpretation reasonable and rejected the unconstitutional vagueness argument.

Labor Code § 4903.5(a)Lien ClaimStatute of LimitationsPetition for ReconsiderationWorkers' Compensation Appeals BoardContinuous TreatmentDate of Service18-Month Period3-Year PeriodUnconstitutionally Vague
References
8
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