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

Case No. ADJ6853853
Regular
Oct 05, 2012

KYB FUGFUGOSH vs. SAN QUENTIN STATE PRISON, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied reconsideration of a finding that San Quentin State Prison committed serious and willful misconduct. The applicant, an inmate kitchen worker, sustained a right shoulder injury on June 18, 2008, after being ordered to work despite presenting medical documentation of his injury and post-surgical condition. The Board upheld the Administrative Law Judge's finding that prison officials' failure to acknowledge and act on the applicant's medical limitations constituted a reckless disregard for his safety, proximately causing his injury. The employer's arguments regarding perjured testimony and newly discovered evidence were rejected.

Workers' Compensation Appeals BoardSan Quentin State PrisonState Compensation Insurance Fundserious and willful misconductadmitted injurykitchen workerarthroscopic acromioplastyrotator cuff tearsfailure to reportinmate request for interview
References
1
Case No. ADJ11500341
Regular
May 06, 2025

David Evans vs. Chuckawalla Valley State Prison, State Compensation Insurance Fund

Applicant David Evans sustained an industrial injury to his circulatory system while employed at Chuckawalla Valley State Prison. The case in chief was resolved by a Stipulated Award. Lien claimant California Correctional Peace Officers Association (CCPOA) Benefit Trust Fund sought reconsideration of a Findings and Order (F&O) that disallowed its lien for living expenses due to time limitations. The Workers' Compensation Appeals Board granted the petition for reconsideration but ultimately found that CCPOA failed to properly notify the defendant of its lien before benefits were paid, thus the defendant is not liable, and CCPOA takes nothing on its lien.

California Workers' CompensationLabor Code section 4903.5Labor Code section 4903.1(a)(3)(A)Lien ClaimantPetition for ReconsiderationStipulated AwardTemporary DisabilityIndustrial InjuryCirculatory SystemCorrectional Officer
References
0
Case No. ADJ11604315
Regular
Mar 20, 2023

JOSEPH HERNANDEZ vs. PLEASANT VALLEY STATE PRISON, CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILATION, STATE COMPENSATION INSURANCE FUND

This case concerns Joseph Hernandez's workers' compensation claim for heart trouble against Pleasant Valley State Prison. The applicant's claim was initially denied but subsequently granted after reconsideration. The defendant's Petition for Reconsideration was denied by the Appeals Board. The core issue revolved around the timing of the applicant's hypertension diagnosis, with the defense relying on a non-existent medical record to establish it as pre-existing. The Board found the defendant failed to rebut the statutory heart trouble presumption for correctional officers.

Workers' Compensation Appeals BoardPetition for ReconsiderationDeniedADJ11604315Pleasant Valley State PrisonCalifornia Department of Corrections and RehabilitationLegally UninsuredState Compensation Insurance FundJoseph HernandezCorrections Officer
References
7
Case No. ADJ4653074 (BAK 0152415)
Regular
Oct 03, 2013

ROBERT HUFF vs. STATE OF CALIFORNIA, CDCR - CORCORAN STATE PRISON, STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES

This case involves Robert Huff's workers' compensation claim against the State of California, CDCR - Corcoran State Prison. The defendant filed a petition for reconsideration of a previous decision. The Workers' Compensation Appeals Board (WCAB) granted this petition because they need more time to thoroughly review the factual and legal issues. This action is taken to ensure a just and reasoned decision after further study and potential proceedings. All future filings related to this case must be submitted in writing directly to the WCAB Commissioners' office, not to any district office or via e-filing.

Workers Compensation Appeals BoardPetition for ReconsiderationGrantedCorcoran State PrisonLegally UninsuredState Compensation Insurance FundCase Number ADJ4653074Opinion and OrderStatutory Time ConstraintsFactual and Legal Issues
References
0
Case No. MISSING
Regular Panel Decision

United States v. State of New York

The United States sued the State of New York and several state entities, including SBOE, SUNY, and CUNY, alleging violations of the National Voter Registration Act of 1993 (NVRA). The core issue was whether state-funded Disabled Student Services (DSS) offices at public colleges and universities, including SUNY and CUNY campuses and community colleges, must be designated as mandatory voter registration agencies (VRAs) under 42 U.S.C. § 1973gg-5(a)(2)(B). The State defendants argued these offices were not 'primarily engaged' in serving persons with disabilities, and that the NVRA did not apply to them. The Court rejected the defendants' arguments regarding subject matter jurisdiction and the interpretation of the NVRA, citing legislative intent and prior circuit court decisions. The Court concluded that DSS offices at all SUNY and CUNY campuses and their respective community colleges are indeed state-funded programs primarily engaged in providing services to persons with disabilities, and therefore must be designated as mandatory VRAs. The plaintiff's motion for summary judgment was granted.

National Voter Registration Act (NVRA)Voter Registration Agencies (VRAs)Disabled Student Services (DSS)State-funded programsPublic universitiesCommunity collegesFederalismSummary judgmentDeclaratory reliefInjunctive relief
References
24
Case No. ADJ6652737
Regular
Nov 16, 2017

ANTRON LEE vs. STATE OF CALIFORNIA, DEPARTMENT OF CORRECTIONS AND REHABILITATION, PLEASANT VALLEY STATE PRISON, legally uninsured, administered by STATE COMPENSATION INSURANCE FUND

The WCAB granted reconsideration, rescinded the previous decision, and returned the case to the trial level for further proceedings. The Board found the deposition transcript of the Agreed Medical Examiner, Dr. Markovitz, should have been admitted into evidence. Crucially, the record lacked substantial evidence to determine the date(s) of injury for the applicant's Valley Fever and alleged heart condition. Additionally, the Board noted Valley Fever likely qualifies for the Labor Code Section 3212.10 pneumonia presumption.

Valley FeverCoccidioidomycosisPresumptionLabor Code Section 3212.10Date of InjuryCumulative TraumaAgreed Medical Examiner (AME)ReconsiderationPetitionPermanent Partial Disability
References
9
Case No. ADJ13254756
Regular
Aug 05, 2025

MARK EVANS vs. CORCORAN STATE PRISON, STATE COMPENSATION INSURANCE FUND/STATE EMPLOYEES

Applicant Mark Evans sustained injuries during employment at Corcoran State Prison, leading to a WCJ order for medical treatment. Defendant petitioned for reconsideration, arguing the Utilization Review (UR) decision denying the treatment was timely and challenging the WCAB's jurisdiction over the medical necessity dispute. The Workers' Compensation Appeals Board granted the petition for reconsideration, classifying the WCJ's order as a final threshold order. The Board deferred a final decision, ordering further review of the merits and the entire record.

WCABPetition for ReconsiderationUtilization ReviewTimelinessRequest for AuthorizationDubon IIFinal OrderThreshold IssueLabor Code Section 4610Medical Treatment
References
14
Case No. MISSING
Regular Panel Decision

United States Liability Ins. v. Mountain Valley Indemnity Co.

This diversity action involves an insurance dispute between plaintiffs United States Liability Insurance Co. (U.S. Liability) and Mobile Air Transport, Inc., and defendant Mountain Valley Indemnity Co. The conflict arose from a fatal truck accident involving a Mobile Air employee driving a truck leased from Leroy Holding Company, Inc. After an underlying personal injury action settled, U.S. Liability and Mountain Valley each paid $225,000 towards the remaining $450,000 portion of the settlement. The core disagreement is whether the Truck Lease Agreement, which designates Mobile Air's insurance as primary, or the specific 'other insurance' clauses within U.S. Liability's and Mountain Valley's respective policies, which would make Mountain Valley's coverage primary, should govern. Applying New York law, the court ruled that the insurance policy provisions take precedence over the lease agreement. Consequently, U.S. Liability's motion for summary judgment was granted, and Mountain Valley's cross-motion was denied, holding Mountain Valley liable for the entire $450,000 in dispute.

Insurance DisputePrimary vs Excess CoverageTruck Lease AgreementInsurance Policy InterpretationSummary JudgmentNew York LawDiversity JurisdictionIndemnificationSubrogationAutomobile Accident
References
5
Case No. ADJ9414071 ADJ10133403
Regular
Aug 13, 2018

Kevin McCoy vs. State of California - Pleasant Valley State Prison

This case involves an appeal regarding the permanent disability ratings for a correctional officer's right ankle and respiratory system (Valley Fever) injuries. The Appeals Board granted reconsideration, rescinded the prior award, and returned the case to the WCJ for further proceedings. The Board found that the Agreed Medical Examiner's (AME) ankle impairment rating was properly calculated, but the Qualified Medical Examiner's (QME) report on the respiratory injury did not sufficiently explain its deviation from strict AMA Guides application. The Board emphasized that medical evaluators must adhere to the AMA Guides or clearly justify any deviations to ensure substantial evidence.

WCABPleasant Valley State Prisonlegally uninsuredState Compensation Insurance FundKevin McCoyADJ9414071ADJ10133403permanent disabilityright anklerespiratory system
References
5
Case No. ADJ10002681
Regular
Sep 07, 2018

ALLISON WIGGINS vs. KERN VALLEY STATE PRISON, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration to address the applicant's claim of industrial heart injury, which was initially denied by the administrative law judge despite a finding of industrial hypertension. The Board found that the applicant, a correctional officer, is entitled to a rebuttable presumption of industrial causation for heart trouble under Labor Code § 3212.2. Crucially, the Court determined that the record needs further development to clarify industrial contribution to the applicant's valvular insufficiency, considering the absence of an anti-attribution clause in § 3212.2 which differs from other related statutes. Therefore, the case is returned to the trial level for further development of evidence and a decision on rebuttal of the presumption.

Labor Code section 3212.2heart trouble presumptioncorrectional officerbicuspid aortic valvevalvular diseaseindustrial injurypermanent disabilitycumulative periodrebuttal of presumptionagreed medical evaluator
References
7
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