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

Case No. ADJ7673518, ADJ7647749
Regular
Jan 23, 2015

ANA DE AYALA vs. AO-THE UNIVERSITY CORPORATION / CALIFORNIA STATE UNIVERSITY NORTHRIDGE

The Workers' Compensation Appeals Board granted reconsideration and reversed a prior ruling, finding the applicant sustained industrial injury to her neck. While the applicant testified to injuring her neck in a workplace incident and this was partially corroborated, the Board found insufficient evidence for other claimed injuries. The Board specifically disagreed with the administrative law judge's credibility assessment concerning the neck injury itself, relying on medical reports and testimony supporting the neck injury claim. The Board affirmed the denial of claims for all other alleged injuries, finding insufficient medical evidence to link them to the incident.

Petition for ReconsiderationFindings and OrderIndustrial InjuryNeck InjuryBack InjurySpine InjuryUpper ExtremitiesPsycheGastroesophageal SystemInternal System
References
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 The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr.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. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. ADJ332528 (AHM 0104042)
Regular
Mar 22, 2011

ERNEST DANIELS vs. PIEDMONT ENGINEERS, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board imposed a $250.00 sanction against the State Compensation Insurance Fund and its attorney, Maria Frias Callejas. This sanction was issued due to their failure to respond to a Notice of Intention to Impose Sanctions and their violation of the Board's Rules of Practice and Procedure. No timely objection demonstrating good cause was filed. Consequently, they are jointly and severally liable for the payment of the sanction to the Appeals Board.

Workers' Compensation Appeals BoardSanctionsState Compensation Insurance FundMaria Frias CallejasRules of Practice and ProcedureNotice of IntentionGood CauseTimely ResponseJoint and Several LiabilityAttorney for Defendant
References
Case No. ADJ8423237
Regular
Nov 09, 2016

RUBEN SALINAS vs. MAGALY CORPORATION, AMTRUST NORTH AMERICA

The Workers' Compensation Appeals Board denied reconsideration, affirming that the lien claimant received due process despite the absence of a formal Notice of Intention to Impose Sanctions. The Board found that the lien claimant had multiple opportunities to respond to the defendant's detailed petitions for sanctions and costs, including a hearing and subsequent amended filings. Therefore, the lien claimant had adequate notice and the opportunity to be heard, satisfying due process requirements.

WCABPetition for Reconsideration DeniedLien ClaimantDue ProcessNotice and Opportunity to be HeardPetition for SanctionsLabor Code § 5813WCJ Report AdoptedSanctions IssueAmended Petition for Sanctions
References
Case No. ADJ3533713
Regular
Nov 07, 2011

JUANA LOPEZ vs. THE MERCHANT OF TENNIS, HARTFORD INSURANCE

The Workers' Compensation Appeals Board (WCAB) removed this matter for the purpose of imposing sanctions. The WCAB found that the petition for reconsideration filed by SIR Practice Solutions, LLC on behalf of several lien claimants was skeletal, unintelligible, and violated multiple WCAB rules regarding evidentiary and legal support. The lien claimants and SIR Practice Solutions, LLC failed to object to the Notice of Intention to Impose Sanctions within the allotted time. Therefore, the WCAB imposed sanctions of $250.00 against each individual lien claimant and found SIR Practice Solutions, LLC jointly and severally liable for these sanctions.

Workers' Compensation Appeals BoardRemovalSanctionsLien ClaimantsSIR Practice SolutionsPetition for ReconsiderationSkeletal PetitionAppeals Board Rule 10846Labor Code Section 5813Notice of Intention to Impose Sanctions
References
Case No. ADJ10092733
Regular
Feb 22, 2019

CHRISTIAN LOMELI vs. CLOSET WORLD INC., REDWOOD FIRE & CASUALTY INSURANCE, BERKSHIRE HATHAWAY HOMESTATE COMPANIES

This case concerns a lien claimant seeking reconsideration of sanctions imposed by a WCJ. The sanctions were based on the lien claimant's insistence on proceeding to trial for services rendered before the applicant filed their claim, despite lacking legal basis. The WCAB denied reconsideration, affirming that the lien claimant's position was frivolous and without merit. The Board found no abuse of discretion in the WCJ's imposition of sanctions under Labor Code section 5813.

Workers' Compensation Appeals BoardPetition for ReconsiderationOrder Imposing SanctionsLien ClaimantWCJApplication for Adjudication of ClaimSubpoenas Duces TecumMedical Legal ExpensesLabor Code section 5813Appeals Board Rule 10561
References
Case No. ADJ9125161
Regular
Dec 26, 2014

FAUSTINO SOLORIO vs. CHRISTOPHER WATKINS dba WATKINS SERVICES CONSTRUCTION LANDSCAPE, CASTLEPOINT NATIONAL INSURANCE COMPANY

This case involves a workers' compensation applicant who sustained an industrial injury. The defendant's Petition for Reconsideration was denied and sanctioned for failing to meet procedural requirements, including lacking specific record references and legal analysis. The Appeals Board found the petition skeletal, frivolous, and an attempt to retry the case. Ultimately, the defendants and their counsel were ordered to pay a $250.00 sanction for these deficiencies.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardTemporary DisabilityContinuing Medical TreatmentRemovalSanctionSkeletal PetitionFrivolous PetitionMaterial Deviation from Duties
References
Case No. ADJ809010 (LAO 0877737)
Regular
Feb 28, 2012

Jessica Leaser vs. Washington Mutual, Zurich North America, SRS/SEDGWICK Claims Management Services

The Appeals Board dismissed the lien claimant's petition for reconsideration as untimely, as it was filed three days after the statutory deadline. Although the administrative law judge (WCJ) issued a notice of intent to sanction the lien claimant for proceeding to trial without a legal basis, the Board granted removal on its own motion. The Board rescinded the sanctions, finding the WCJ's assessment of "no factual or legal basis" unsupported on the current record, and returned the case to the trial level for further proceedings.

Workers' Compensation Appeals BoardPetition for ReconsiderationUntimely PetitionJurisdictional Time LimitsRemoval on Board MotionMonetary SanctionsNotice of Intention to Impose SanctionsRescinded SanctionsLien ClaimantClaims Administrator
References
Case No. ADJ1977669 (LAO 0802562)
Regular
Nov 09, 2020

MYRA RYAN vs. CARLSON MESSER & TURNER, LLP, LUMBERMENS MUTUAL, in liquidation, administered by TRISTAR on behalf of CALIFORNIA INSURANCE GUARANTEE ASSOCIATION

This case concerns a petition for reconsideration or removal filed by lien claimant David Silver, M.D. and his representative, Dan Escamilla. The Appeals Board denied the petition, finding the WCJ's prior decisions on injury AOE/COE and costs/sanctions were final. The Board also admonished the petitioners for bad faith actions, citing their legally unsupportable and frivolous arguments regarding the medical fee schedule. This conduct constitutes a pattern, and further similar actions may result in sanctions.

Workers' Compensation Appeals BoardPetition for ReconsiderationPetition for RemovalWCJ reportfinal ordersubstantive right or liabilitythreshold issueinjury arising out of and occurring in the course of employmentAOE/COElien claimant
References
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