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

Case No. ADJ994369
Regular
Jan 19, 2014

JOSE JUAREZ vs. WATKINS MANUFACTURING CORPORATION

The Workers' Compensation Appeals Board (WCAB) is reconsidering a decision that awarded the applicant medical mileage and a penalty for unreasonable delay in compensation payments but denied attorney's fees. The WCAB believes attorney's fees are warranted under Labor Code section 5814.5 for enforcing the payment of awarded compensation. The case is being returned to the trial level for the judge to determine and award these attorney's fees.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardMedical Mileage Expense ReimbursementAttorney's FeesLabor Code Section 5814Labor Code Section 5813Labor Code Section 5814.5Cumulative Industrial InjuryPulmonary System Injury
References
0
Case No. ADJ1309169 (AHM 0045971)
Regular
Jul 30, 2009

MARY PRUITT vs. CNA INSURANCE CO., AMERICAN CASUALTY

The Workers' Compensation Appeals Board granted reconsideration and rescinded the prior award of attorneys' fees under Labor Code § 5814.5. The Board found the prior decision lacked a proper evidentiary record and the necessary predicate finding of increased compensation under Labor Code § 5814 required for § 5814.5 attorneys' fees. The case was returned to the trial level for further proceedings to ensure compliance with evidentiary record requirements and to re-evaluate the § 5814.5 attorneys' fees issue.

WCABReconsiderationLabor Code § 5814.5Attorneys' FeesIncreased CompensationLabor Code § 5814Findings and AwardWCJEvidence RecordMinutes of Hearing
References
1
Case No. ADJ3905674 (SRO 0031254)
Regular
Feb 02, 2011

DAVID PELLETIER vs. UNITED STRUCTURES, INC., CIGA by its Servicing Facility CAMBRIDGE on behalf of FREMONT COMPENSATION, in liquidation

The Workers' Compensation Appeals Board denied reconsideration of its decision regarding attorney's fees. The applicant's attorney sought fees under Labor Code sections 4607 and 5814.5, arguing the defendant unreasonably failed to appoint a new case manager and pay prior bills. The Board affirmed the judge's finding that Labor Code § 4607 fees are inapplicable when the entire award is not terminated, and Labor Code § 5814.5 fees require an existing award and unreasonable refusal to pay. The Board found no evidence of unreasonable delay by the defendant in appointing a new case manager, thus denying the petition.

Workers' Compensation Appeals BoardReconsiderationAttorney's FeesLabor Code Section 4607Labor Code Section 5814.5Medical TreatmentCompromise and ReleasePetition for PenaltyNurse Case ManagerStipulations
References
2
Case No. ADJ2155279 (RIV 0040729)
Regular
Nov 28, 2012

JACK RAMSEY vs. CALIFORNIA PAVEMENT MAINTENANCE, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, Sedgwick CMS, LEGION INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) amended a previous award to defer the issue of attorney fees for enforcing an award of Labor Code section 5710 fees. The WCAB affirmed the remainder of the award, including a $100 penalty for unreasonable delay in authorizing medical treatment, finding the 100-day delay in authorizing treatment with the applicant's chosen physician was unreasonable. The Board also affirmed the award of attorney fees under Labor Code section 5814.5 for enforcing the medical treatment award. The case was returned to the trial level for further proceedings regarding the amount of section 5814.5 fees, with a dissenting opinion arguing for further proceedings on the unreasonable delay issue due to insufficient evidence.

Workers' Compensation Appeals BoardCIGALegion Insurance CompanySedgwick CMSJack RamseyLabor Code section 5814Labor Code section 5814.5Labor Code section 5710Medical Provider NetworkMPN
References
2
Case No. RIV 0077306
Regular
May 09, 2008

D. ENVER CLAWSON vs. PIER ONE IMPORTS, ZURICH INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) rescinded an award of attorney's fees, finding they are only available under Labor Code § 5814.5 "in addition to" a penalty award under Labor Code § 5814 for unreasonable delay or refusal of treatment. Because the applicant did not seek a § 5814 penalty, the WCAB returned the case for further proceedings to allow the applicant to pursue such a penalty.

Workers' Compensation Appeals BoardReconsiderationLabor Code § 5814.5Labor Code § 5814Attorney's FeesMedical TreatmentStipulated AwardUnreasonable DelayRefusal to Provide TreatmentPenalty
References
1
Case No. ADJ11035614
Regular
Feb 07, 2020

EDELIA CARDONA vs. VALJEN, INC. DBA CAESARS PIZZA, STATE FARM CALIFORNIA WORKERS' COMPENSATION

In this case, the applicant sought reconsideration after the WCJ denied attorney's fees under Labor Code Section 5814.5. The applicant's attorney incurred fees attempting to collect a previously awarded attorney's fee that the defendant unreasonably delayed paying. The Appeals Board rescinded the prior decision, finding Section 5814.5 applicable in this scenario, as established by precedent in *Turner*. The matter was returned to the trial level to further develop the record on sanctions under Sections 5813, 5814, and 5814.5.

Labor Code sections 581358145814.5attorney's feesunreasonable delaybad faithstipulated attorney's feePetition for ReconsiderationReport and Recommendationcase of first impression
References
7
Case No. AHM 108812 AHM 108813 AHM 108814
Regular
Nov 06, 2007

OLIVIA ZAVALA vs. METROPOLITAN WATER DISTRICT

This case involves an award of attorney's fees under Labor Code § 5801 following a successful defense against the defendant's Petition for Writ of Review. The Court of Appeal remanded the matter for the Board to determine reasonable attorney's fees for the applicant's counsel's services. The applicant's attorney requested $5,171.89, but both parties ultimately stipulated to a total of $5,000.00 for attorney's fees and appellate costs.

Workers' Compensation Appeals BoardAttorney's FeeLabor Code § 5801Petition for Writ of ReviewCourt of AppealStipulationAppellate CostsMetropolitan Water DistrictReasonable Attorney's Fees
References
1
Case No. OXN 0140967
Regular
Jan 07, 2008

HILDA HERNANDEZ vs. AMERICAN TOOTH INDUSTRIES, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) granted reconsideration, rescinded the prior award, and amended the decision. The WCAB affirmed the Labor Code section 5814 penalty for the employer's unreasonable delay in paying a portion of the deposition attorney's fees. However, the WCAB rescinded the Labor Code section 5814.5 attorney's fees award because there was no prior enforcement of an award to justify them, and remanded the issue of sanctions for further proceedings.

Workers' Compensation Appeals BoardLabor Code section 5710deposition attorney's feesLabor Code section 5814unreasonable delayLabor Code section 5814.5attorney's feesenforcement of awardreconsiderationWCJ
References
0
Case No. OAK 242409, OAK 242410
Regular
Nov 11, 2008

TINA CHASE vs. BOB'S FOAM FACTORY, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, SUPERIOR NATIONAL INSURANCE COMPANY, BROADSPIRE

The WCAB granted reconsideration, affirming the applicant's award for acupuncture treatment as recommended by Dr. Lin. However, the Board denied attorney fees under Labor Code sections 5814 and 5814.5 due to the defendant's arguments regarding delay and date of injury applicability. The issue of attorney fees under Labor Code section 4607 was deferred pending California Supreme Court decisions addressing similar attorney fee disputes.

Workers' Compensation Appeals BoardBob's Foam FactoryCalifornia Insurance Guarantee AssociationSuperior National Insurance CompanyBroadspirePetition for ReconsiderationAcupuncture TreatmentDr. LinLabor Code section 5814.5Attorney Fees
References
2
Case No. ADJ2589823, ADJ3219675, and ADJ2540345
Regular
Jan 15, 2018

KIM RIVERS vs. AON CORPORATION

The Workers' Compensation Appeals Board granted reconsideration, rescinding the prior award. The Board found the defendant unreasonably delayed both permanent and temporary disability indemnity payments, warranting two separate $10,000 Labor Code section 5814 penalties. The applicant's counsel was awarded $6,000 in attorney's fees under Labor Code section 5814.5 for enforcing the prior award. Further penalties and fees for delays after the initial award were deferred.

Labor Code section 5814Labor Code section 5814.5Petition for ReconsiderationFindings and AwardStipulation and Awardpermanent disability indemnitytemporary disability indemnityunreasonably delayedattorney feesWCJ
References
1
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