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

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 The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr.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. ADJ1016521
Regular
May 09, 2012

DEBRA KENNEDY vs. KAISER FOUNDATION HEALTH PLAN

This Workers' Compensation Appeals Board case involves applicant Debra Kennedy and defendant Kaiser Foundation Health Plan. The Board issued an Order dismissing the Petition for Reconsideration filed by the petitioner. This dismissal is due to the petitioner's voluntary withdrawal of their reconsideration request. Therefore, the Board has officially dismissed the petition concerning the March 7, 2012 decision.

Petition for ReconsiderationWithdrawnDismissedWorkers' Compensation Appeals BoardKaiser Foundation Health PlanApplicantDefendantCase NumberOrderDecision
References
Case No. ADJ1583406 (AHM 0127701)
Regular
Oct 27, 2008

VERONICA SINGH vs. KAISER FOUNDATION HEALTH PLAN, Permissibly Self-Insured

The Workers' Compensation Appeals Board denied Kaiser Foundation Health Plan's petition for reconsideration, upholding the administrative law judge's order for a hospital bed and lift chair. The Board found the applicant's treating physician provided substantial medical evidence supporting the necessity of these items for pain relief and recovery post-surgery. Defendant's arguments regarding the lack of medical evidence and attorney fees were rejected.

Workers' Compensation Appeals BoardKaiser Foundation Health Planhospital bedlift chairindustrial injuryspine surgerylumbar spineProdisc replacementneuropathic paindurable medical equipment
References
Case No. ADJ1654619
Regular
Jun 29, 2011

PATRICIA MEEHAN vs. KAISER FOUNDATION, COMPREHENSIVE COMM. HOME HEALTH, UCSF, FRANKLIN BENEVOLENT CENTER; INTERCARE ROSEVILLE, KAISER OAKLAND, COUNTY OF CONTRA COSTA, SEDGWICK UC 14533 OAKLAND

This case, ADJ1654619, concerns Patricia Meehan's workers' compensation claim against Kaiser Foundation and other entities. The Workers' Compensation Appeals Board has issued an order denying reconsideration of a prior decision. The Board adopted and incorporated the report of the workers' compensation administrative law judge as the basis for this denial. Therefore, the petitions for reconsideration are denied.

Patricia MeehanKaiser FoundationWorkers' Compensation Appeals BoardReconsideration DeniedAdministrative Law Judge ReportADJ1654619WCK 0059968Comprehensive Comm. Home HealthUCSFFranklin Benevolent Center
References
Case No. ADJ11369357, ADJ11369329
Regular
May 21, 2025

GLORIA DAVIS vs. KAISER FOUNDATION HOSPITAL, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

Gloria Davis, the applicant, sought reconsideration of Findings and Orders issued on February 7, 2025. The original orders found she sustained a lumbar spine injury but denied her Labor Code section 132a claim for discrimination. Davis contended that the F&O was a result of fraud and WCJ bias, specifically regarding her termination from Kaiser Foundation Hospital for alleged HIPAA violations. The Workers' Compensation Appeals Board reviewed the petition, the defendant's answer, and the WCJ's report. The Board denied reconsideration, upholding the WCJ's credibility determination and finding no evidence that Davis was discriminated against due to her industrial injuries.

WORKERS' COMPENSATION APPEALS BOARDGLORIA DAVISKAISER FOUNDATION HOSPITALSEDGWICK CLAIMS MANAGEMENT SERVICESINC.ADJ11369357ADJ11369329Oakland District OfficeOPINION AND ORDER DENYING PETITION FOR RECONSIDERATIONpatient care technician
References
Case No. ADJ9964338
Regular
Jan 30, 2018

LYNN KLEIN vs. KAISER FOUNDATION HEALTH PLAN, SEDGWICK CLAIMS MANAGEMENT

The defendant's petition for reconsideration of the Workers' Compensation Judge's January 10, 2017 Findings and Order has been withdrawn by the petitioner. Consequently, the Workers' Compensation Appeals Board has dismissed the petition. The Board did not review the merits of the petition as it was withdrawn.

Petition for ReconsiderationFindings and OrderWCJDismissedWithdrawnWorkers' Compensation Appeals BoardOpinion and Decision After ReconsiderationKaiser Foundation Health PlanSedgwick Claims ManagementADJ9964338
References
Case No. ADJ8140937
Regular
Nov 19, 2015

MICHELE CHAPMAN vs. KAISER FOUNDATION HEALTH PLAN

This case involves Kaiser Foundation Health Plan's Petition for Removal challenging an order closing discovery and setting a trial date. Kaiser argued the order prejudiced its ability to conduct discovery after being joined late in the proceedings. However, the Board discovered the parties had already entered into a Stipulated Award on the scheduled trial date, resolving the dispute. Consequently, the Petition for Removal became moot and was dismissed. The Board also noted the defendant's failure to inform them of the resolution, which led to an unnecessary review.

Petition for RemovalWCJ OrderDiscovery ClosureTrial SettingPermissibly Self-InsuredSedgwick Claims ManagementStipulations with Request for AwardAward Pursuant to StipulationsMoot PetitionUnnecessary Review
References
Case No. AHM 98231
Regular
Sep 24, 2007

MYLINH WHITMAN vs. CINGULAR WIRELESS, SEDGWICK CLAIMS MANAGEMENT

The Appeals Board is reconsidering whether the defendant, Cingular Wireless, is entitled to a credit for salary continuation benefits paid to the applicant. The key issue is whether these benefits were of the "same general character" as workers' compensation, which would permit integration and a credit. The case is returned to the trial level for further evidence development on this specific point, rescinding the prior award of a credit.

Workers' Compensation Appeals BoardCreditSalary continuation planWage loss planMetropolitan Life Short Term Disability PolicyHealth and Welfare Benefits PlanSummary plan descriptionEmployer policyTaxable benefitsPermanent disability indemnity
References
Case No. ADJ3015289 (FRE 0242633)
Regular
Jan 06, 2012

SHARON LONG vs. KAISER FOUNDATION HOSPITALS administered by KAISER PERMANENTE

This case involves applicant Sharon Long's claim for workers' compensation benefits due to cumulative trauma sustained as a registered nurse for Kaiser Foundation Hospitals. The Workers' Compensation Appeals Board granted reconsideration, reversing the initial denial of industrial injury. The Board found that Dr. Dureza's opinion, which attributed 33% of applicant's injuries to cumulative trauma from her nursing duties, constituted substantial evidence of industrial causation. The Board remanded the case for further proceedings on orthopedic benefits and the psychiatric injury claim, deferring the EDD lien.

Workers' Compensation Appeals BoardKaiser Foundation HospitalsSharon LongIndustrial InjuryCumulative TraumaRegistered NurseNeck InjuryLow Back InjurySpine InjuryPsyche Injury
References
Case No. SFO 0409187, SFO 0409188
Regular
May 31, 2007

ROSEANNE GUILD vs. KAISER PERMANENTE/KAISER FOUNDATION HOSPITAL, KAISER FOUNDATION HEALTH PLAN

The Workers' Compensation Appeals Board dismissed the defendant's petition for reconsideration as untimely because it was filed on the wrong floor of the building, violating Rule 10840. However, the Board granted reconsideration on its own motion to further study the complex factual and legal issues presented by the case. This action was influenced by the history of the case and a policy favoring decisions on the merits.

WCAB Rule 10840Petition for ReconsiderationUntimely FilingSan Francisco District OfficeNinth Floor FilingBoard Motion ReconsiderationPermanent Total DisabilityApportionmentMedical ExaminerCompensable Consequence
References
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