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

Case No. ADJ7826039
Regular
Nov 07, 2014

Jason Horton vs. Oakland Raiders, ACE American Insurance

In this workers' compensation case, the Appeals Board granted reconsideration to address the defendant's contentions. The Board rescinded the finding of industrial psychiatric injury, finding it barred by the six-month employment rule under Labor Code section 3208.3(d). The Board affirmed the original decision regarding the 15% increase in permanent disability pursuant to Labor Code section 4658(d). Ultimately, the applicant's permanent disability rating was adjusted to 64%, and attorney fees were modified accordingly.

Industrial injuryProfessional football playerCumulative traumaPsychiatric injurySix-month ruleLabor Code § 3208.3(d)Employment contractActual servicePermanent disabilityLabor Code § 4658(d)
References
0
Case No. ADJ9602695
Regular
Sep 26, 2019

KELLY MULDROW vs. AMS OUTSOURCING/STAFFCHEX, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION (CIGA), ULLICO, SEDGWICK CMS, SENBA USA, INC., MITSUI SUMITOMO

This case concerns applicant Kelly Muldrow's claim for psychiatric injury stemming from her employment. The primary dispute revolves around the applicability of Labor Code section 3208.3(d), which generally requires six months of employment for psychiatric injury claims. The Appeals Board rescinded the initial findings, remanding the case to the trial level for further proceedings. This is because the prior ruling improperly deferred the threshold issue of section 3208.3(d)'s applicability without fully adjudicating it.

Workers' Compensation Appeals BoardKelly MuldrowAMS OutsourcingStaffchexCalifornia Insurance Guarantee AssociationCIGAUllicoSedgwick CMSSenba USAMitsui Sumitomo
References
15
Case No. ADJ9162432
Regular
Oct 23, 2017

TEODORO LARIOS vs. EASTBAY EQUITIES, INC. dba WENDY'S OLD FASHIONED HAMBURGERS, AMTRUST NORTH AMERICA

This case concerns a defendant's petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision that awarded lien claims for psychiatric treatment. The defendant argues that Labor Code section 3208.3(d) bars these claims due to insufficient employment duration and that the prior WCAB opinion is res judicata. The WCAB granted reconsideration, rescinded the WCJ's decision, and remanded the case for further proceedings. The WCAB clarified that while psychiatric conditions may be claimed as compensable consequence injuries post-January 1, 2013, they do not increase permanent impairment ratings, and the six-month employment requirement under section 3208.3(d) still applies unless the treatment was essential for a physical injury.

Workers' Compensation Appeals BoardLabor Code Section 3208.3(d)Res JudicataMedical Treatment Utilization Schedule (MTUS)Official Medical Fee Schedule (OMFS)Independent Bill ReviewCompensable Consequence InjuryPsychiatric InjuryPermanent ImpairmentLength of Employment
References
5
Case No. ADJ7329234; ADJ7432894; ADJ7434559; ADJ7433683
Regular
Dec 02, 2014

KATHY WASSON vs. COUNTY OF PLUMAS

The Appeals Board granted reconsideration, rescinding the prior denial of industrial injury for psyche and heart claims. While applicant sustained a compensable psychiatric injury due to workplace events, compensation is barred by Labor Code section 3208.3(h) as it was substantially caused by good faith personnel actions. However, applicant's heart injury, presumed compensable under Labor Code section 3212, remains compensable as the presumption was not rebutted and section 3208.3(h) does not apply. Further proceedings will address the sleep disorder claim and other deferred issues.

Workers' Compensation Appeals BoardDeputy SheriffPsychiatric injuryHypertensionSleep dysfunctionGood faith personnel actionLabor Code section 3208.3(h)PresumptionLabor Code section 3212Heart trouble
References
24
Case No. 03-03-00079-CV
Regular Panel Decision
Oct 02, 2003

Jeanne N. Taylor, D.D.S., D/B/A Jeanne N. Taylor D.D.S., Individually, and on Behalf of All Others Similarly Situated v. State Farm Lloyds, Inc.

Jeanne N. Taylor, D.D.S., appealed a district court's summary judgment in favor of State Farm Lloyds, Inc. Taylor had sued State Farm, alleging that the insurer violated the Texas Insurance Code by issuing her business a multi-peril insurance policy with "hired and non-owned auto liability" coverage without mandatory personal injury protection (PIP) or uninsured/underinsured motorist (UM/UIM) coverage. The Court of Appeals, Third District, at Austin, affirmed the summary judgment, ruling that hired and non-owned auto liability insurance is distinct from "auto liability insurance" as defined in Article 5, Subchapter A of the Texas Insurance Code. The court further concluded that the Texas Department of Insurance (TDI) had the authority under Article 5.02 to regulate such policies under other rating laws, thus making PIP and UM/UIM coverage not mandatory for Taylor's specific policy.

Insurance LawMulti-peril PolicyHired and Non-Owned Auto LiabilityPersonal Injury Protection (PIP)Uninsured/Underinsured Motorist (UM/UIM)Texas Insurance CodeStatutory InterpretationSummary JudgmentDeclaratory JudgmentAdministrative Remedies Exhaustion
References
21
Case No. ADJ1499047 (SAC 0273786)
Regular
Feb 07, 2011

ROBERT DOVE vs. CONTRACTOR'S LABOR POOL/PRODUCTION FRAMING, CALIFORNIA INSURANCE GURANTEE ASSOCIATION, LIBERTY MUTUAL

The Appeals Board granted the applicant's petition for removal, reversing a prior order that denied rejoining CIGA. The applicant sustained a shoulder and spine injury and claims psychiatric sequelae, alleging general employment by Contractors Labor Pool (CLP), insured by CIGA via California Compensation Insurance Company in liquidation, and special employment by Production Framing Systems (PFS), insured by Liberty Mutual. Because the applicant may have worked for CLP for over six months but less than six months for PFS, CIGA is a necessary party to determine liability for potential psychiatric injury, as Labor Code section 3208.3(d) has specific six-month employment requirements. The Board rejoined CIGA to protect its due process rights and promote judicial economy, allowing it to participate in the adjudication of these complex liability issues.

Workers' Compensation Appeals BoardPetition for RemovalMandatory Settlement ConferenceGeneral EmploymentSpecial EmploymentCalifornia Insurance Guarantee Association (CIGA)Labor Code Section 3208.3(d)Psychiatric InjuryLiberty Mutual Insurance CompanyContractors Labor Pool
References
1
Case No. MISSING
Regular Panel Decision

Owens Corning v. Carter

This case involves consolidated direct appeals to the Texas Supreme Court concerning the constitutionality of several sections of the Texas Civil Practice and Remedies Code: 71.031(a)(3) (borrowing statute), 71.051 (forum non conveniens), and 71.052(b) and (c) (asbestos claim dismissal provisions). Alabama plaintiffs challenged these sections on various constitutional grounds, including retroactivity, open courts, privileges and immunities, equal protection, and special laws. The trial court's judgment was affirmed regarding the constitutionality of section 71.051, which does not violate the Privileges and Immunities Clause. However, the Supreme Court reversed the trial court's findings on sections 71.031(a)(3), 71.052(b), and 71.052(c), holding that they do not violate any asserted constitutional provisions and instructed the trial court to vacate related injunctions.

Constitutional LawTexas Civil Practice and Remedies CodeAsbestos LitigationForum Non ConveniensBorrowing StatuteRetroactivityPrivileges and Immunities ClauseEqual Protection ClauseSpecial LawsStatutory Interpretation
References
55
Case No. MISSING
Regular Panel Decision

Whiteco Metrocom, Inc. v. Texas Utilities Electric Co.

Texas Utilities Electric Company (TU Electric) sued Metrocom, Inc. d/b/a Whi-teco, and Whiteco Industries, Inc. d/b/a Whiteco (Whiteco) for indemnification of costs incurred after a Whiteco employee was injured by a high-voltage power line. Whiteco appealed a summary judgment granted to TU Electric, claiming immunity under the Texas Workers’ Compensation Act, Labor Code section 417.004. The court considered whether this immunity statute precluded TU Electric's right to indemnification under Health and Safety Code section 752.008, which addresses liability for contact with electrical power lines. The court affirmed the trial court’s judgment, concluding that the immunity statute does not apply to a suit for indemnity arising from a breach of the statutory duty imposed by the health and safety code.

Workers' CompensationIndemnificationStatutory DutyHigh Voltage Power LineSummary JudgmentEmployer LiabilityHealth and Safety CodeLabor CodeCode Construction ActStatutory Interpretation
References
6
Case No. 08-04-00232-CV
Regular Panel Decision
Aug 25, 2005

W. E. Stephens MFG. Co. v. Howard Goldberg, in His Individual Capacity and D/B/A Supreme Laundry and D & G Investment Company

W.E. Stephens Manufacturing Company (Stephens) appealed a summary judgment granted in favor of Howard Goldberg, d/b/a Supreme Laundry, and D & G Investment Company (D & G). Stephens, a garment manufacturer, contracted with Tony Flores to assemble and finish garments. Flores sub-contracted the laundering to D & G. When Flores failed to pay D & G, D & G refused to release garments belonging to Stephens, asserting a lien. Stephens sued D & G for conversion and breach of a bailment contract. D & G claimed a constitutional and statutory lien. The trial court granted summary judgment for D & G. The appellate court reversed and remanded, finding that the garment lien under Section 70.002 of the Texas Property Code did not apply as D & G had returned multiple lots of garments prior to payment, and the contract specified a future time of payment.

Summary JudgmentConversionBailment ContractGarment LienPossessory LienTexas Property CodeContract LawAppellate ReviewRemandSubcontractor
References
20
Case No. 07-06-0379-CV
Regular Panel Decision
Oct 25, 2007

Dawn Gayken, D.D.S. v. Ann D. Ewton, Individually and as Independent of the Estate of Merle Clement Ewton, D.D.S.

Dawn Gayken, D.D.S. (appellant) appealed a trial court's order. The appellant's counsel informed the court that Dawn Gayken had filed a voluntary petition as debtor under the United States Bankruptcy Code. Consequently, any further action in this appeal is automatically stayed pursuant to 11 U.S.C. § 362. For administrative purposes, the appeal is removed from the docket of this court and abated. The appeal will be reinstated upon a proper motion showing that the stay has been lifted or that the court may otherwise proceed with the disposition of the cause.

BankruptcyAutomatic StayAbatementAppellate ProcedureVoluntary PetitionDebtorStay LiftedJurisdictionTexas Court of AppealsCivil Procedure
References
1
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