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

Case No. ADJ10443669
Regular
Oct 04, 2017

Donna Carter vs. Rose International Group, OneBeacon Insurance Group

The Appeals Board affirmed the Workers' Compensation Judge's finding that Donna Carter sustained an industrial injury to her right knee and left wrist on May 18, 2016. Despite inconsistencies in the applicant's testimony regarding a slip and fall incident, her account was corroborated by a witness who found her on the floor. Medical records from the day of the incident also supported the applicant's claim, establishing a clear mechanism of injury. The Board found that the common sense nature of a slip and fall does not require expert medical opinion to establish industrial causation for the incident itself.

ADJ10443669Rose International GroupOneBeacon Insurance GroupDonna CarterWorkers' Compensation Appeals BoardOpinion and Decision After Reconsiderationslip and fallindustrial injuryright kneeleft wrist
References
Case No. ADJ11756808
Regular
Apr 04, 2023

JASON KOLB vs. TAMPA BAY DEVIL RAYS, TRAVELERS INDEMNITY COMPANY

This case involves a professional athlete claiming cumulative industrial injury to multiple body parts. The Appeals Board granted reconsideration, finding that the initial judge erred by solely awarding benefits for the left shoulder, despite unanimous medical evidence of injury to other areas. The Board adopted the opinions of Dr. Kim, finding industrial injury to the cervical spine, lumbar spine, right shoulder, left elbow, wrists, hands, fingers, hips, and left knee. Consequently, the applicant's permanent disability award was increased from 3% to 41%.

ADJ11756808Petition for ReconsiderationFindings and AwardPermanent DisabilityIndustrial InjuryCervical SpineLumbar SpineRight ShoulderLeft ElbowWrists
References
Case No. ADJ18492736
Regular
Sep 30, 2025

MARIA HERNANDEZ vs. VALLARTA FOOD ENTERPRISES, INC.; SAFETY NATIONAL CASUALTY CORPORATION

The Workers' Compensation Appeals Board reviewed a petition for reconsideration filed by Safety National Insurance, challenging a WCJ's finding that Maria Hernandez sustained injury to multiple body parts. The Board found the treating physician's report lacked substantial medical evidence due to inadequate records and a flawed job description. Additionally, the Qualified Medical Evaluator's (QME) reports were incomplete and inconsistent regarding all body parts except the left hand. Consequently, the Board granted reconsideration, rescinded the original decision, and substituted new findings, determining that Hernandez sustained a cumulative injury only to her left hand while deferring the issue of injury to other body parts for further development of the record.

WCABPetition for ReconsiderationFindings of Fact and Ordersubstantial medical evidenceQualified Medical Evaluator (QME)cumulative traumabilateral shoulderswristshandsleft hand injury
References
Case No. MON 0325089 MON 0325090
Regular
Oct 05, 2007

NORA MEDEARIS vs. COUNTY OF LOS ANGELES

This case concerns the denial of an applicant's petition for reconsideration of a workers' compensation award. The applicant sought further temporary disability benefits beyond the 104-week limit imposed by Labor Code § 4656(c)(1). The Workers' Compensation Appeals Board denied the petition, finding the applicant failed to prove equitable estoppel against the defendant's application of the statutory limit, despite the defendant's initial refusal to authorize shoulder surgery. The Board adopted the WCJ's reasoning that the applicant did not demonstrate reliance on any conduct by the defendant that prevented her from timely pursuing authorization for the surgery.

Workers' Compensation Appeals BoardNora MedearisCounty of Los AngelesPermissibly Self-InsuredMON 0325089MON 0325090Opinion and Order Denying Petition for ReconsiderationInterim Joint Findings and AwardCentral Services TechnicianIndustrial Injury
References
Case No. ADJ1950726 (MON 0361748), ADJ6963803, ADJ7198723
Regular
Mar 20, 2012

DANA BURREL vs. LONG BEACH UNIFIED SCHOOL DISTRICT, TRISTAR RISK MANAGEMENT

In three workers' compensation cases, the applicant sustained industrial injuries to her upper extremities on May 21, 2006, March 11, 2008, and July 28, 2008. The Appeals Board granted reconsideration to review the application of Labor Code section 4658(d)(2), which mandates a 15% increase in permanent disability payments when an employer fails to offer suitable work within 60 days of an injury becoming permanent and stationary. The employer stipulated to providing some medical treatment and returning the applicant to work, but failed to offer regular, modified, or alternative work for 12 months post-injury. The Board found the employer's contention of denial unsubstantiated by evidence and, following *Bontempo v. Workers' Comp. Appeals Bd.*, ruled that the 15% increase applies to all three cases.

Labor Code section 4658(d)(2)permanent disability increaseindustrial injuryright upper extremityright handright wristright shoulderright armleft wristleft hand
References
Case No. ADJ1046040 (AHM 0149418)
Regular
Apr 23, 2010

BLANCA REYES vs. CALIFORNIA RICE CENTER, INC., TRAVELERS INSURANCE

The Workers' Compensation Appeals Board (WCAB) dismissed Superior Med Surgical's petition for reconsideration because it was filed against a preliminary notice of intent to dismiss, not a final order. The lien claimant failed to properly file their petition and did not seek reconsideration of the subsequent dismissal order. However, the lien claimant may petition the trial judge to set aside the dismissal, and sanctions should be considered due to their failure to appear at the lien trial.

Lien claimantPetition for reconsiderationNotice of Intent to DismissCompromise & ReleaseIndustrial injuryLeft handLeft wristLeft forearmLeft shoulderPsyche
References
Case No. ADJ4167965 (FRE 0231376) ADJ3619518 (FRE 0231377) ADJ1898353 (FRE 0232205)
Regular
Jan 29, 2016

RICHARD ZAGORNIK vs. STATE OF CALIFORNIA, DEPARTMENT OF CORRECTIONS, CORCORAN STATE PRISON

The Workers' Compensation Appeals Board granted reconsideration of the WCJ's decision regarding applicant Richard Zagornik's multiple industrial injuries. The Board found the defendant's petition timely filed and affirmed the WCJ's findings of injury and the 1997 disability rating schedule application. However, the Board rescinded the WCJ's combined permanent disability award due to insufficient apportionment of the low back injury's causation between the specific knee injuries. The case was returned to the trial level for further proceedings to develop the record on permanent disability, apportionment, and attorney fees.

Workers' Compensation Appeals BoardPetition for ReconsiderationAmended Findings of FactAwardOrdercorrectional officeradmitted industrial injuryright kneeleft armleft wrist
References
Case No. ADJ6710475
Regular
Feb 22, 2011

GABRIEL HERRERA GONZALEZ vs. SELECT BUILD, ACE AMERICAN INSURANCE COMPANY, ESIS, INC.

This case involves a defendant's petition for reconsideration of a Workers' Compensation Appeals Board decision regarding industrial injury payments. The original award included temporary disability, permanent disability, and a penalty for late payment. The defendant argued the WCJ erred in calculating penalties and failed to account for prior payments. The Appeals Board granted reconsideration, finding a computational error in the penalty calculation. The Board affirmed the original award but amended it to correct the penalty and attorney fee calculations based on the adjusted unpaid sums.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings Award and OrderIndustrial InjuryLeft HandPsycheLeft ArmLeft WristLeft Small FingerLaborer Pipe Cutter
References
Case No. RDG 0119917
Regular
Feb 04, 2008

WILLIAM ROBERTS vs. BURGER KING, ZENITH INSURANCE COMPANY

This case affirmed a finding of 100% permanent disability for an industrial injury to an assistant manager's left knee, shoulder, hip, and leg. The Appeals Board ruled that a physician's report indicating the existence of permanent disability before reaching the "permanent and stationary" status qualified for using the older 1997 permanent disability rating schedule. The Board found substantial evidence supported the 100% rating, deferring to the WCJ's credibility assessment.

Workers' Compensation Appeals BoardPermanent Disability Rating ScheduleReconsiderationIndustrial InjuryAssistant ManagerLeft KneeLeft ShoulderLeft HipLeft LegPermanent Disability
References
Case No. ADJ1943752
Regular
Nov 09, 2009

ROSA VERA vs. LOS ANGELES UNIFIED SCHOOL DISTRICT

The WCJ's finding regarding the need for further medical treatment related to applicant's back is not justified by substantial medical evidence. Reconsideration is granted, the prior decision is rescinded, and the matter is returned to the WCJ for a new permanent disability rating.

Workers' Compensation Appeals BoardRosa VeraLos Angeles Unified School DistrictADJ1943752ReconsiderationFindings and AwardPermanent DisabilityMedical TreatmentLabor Code Section 5313Qualified Medical Evaluator
References
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