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Case Law Database

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

Case No. FRE 0200624
Regular
Sep 04, 2007

Amber Osborn vs. Community Medical Centers, Tristar Risk Management

The Workers' Compensation Appeals Board dismissed a petition for reconsideration filed by California Pharmacy Management because it appealed a non-final order, warning of potential sanctions. Conversely, the Board granted reconsideration for PSPM Ripu Arora, M.D., rescinding the dismissal of its lien claim and remanding the matter for further proceedings. This decision addresses two separate lien claimant challenges to administrative law judge orders.

Workers' Compensation Appeals BoardPetition for ReconsiderationLien ClaimantsDismissalNotice of IntentionMandatory Settlement ConferenceFinal OrderSanctionsRescindReturn to Trial Level
References
0
Case No. MON 0304723
Regular
Jul 15, 2008

KHALIL TANTAWI vs. UNIFORMS, INC., MICROSOURCE MANAGEMENT, INC., GRANITE STATE INSURANCE COMPANY, AIG CLAIM SERVICES, INC., STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration of an arbitrator's decision that Granite State Insurance Company and State Compensation Insurance Fund only covered clerical and outside sales staff for Microsource Management, Inc. The Board found the arbitrator's decision lacked required express findings of fact and a determination of rights, and rescinded the decision. The case is returned to the trial level for further development of evidence regarding the applicant's exact job role on the date of injury and to issue a new decision with proper findings and an order.

Workers Compensation Appeals BoardKhalil TantawiUniforms IncMicrosource Management IncGranite State Insurance CompanyAIG Claim Services IncState Compensation Insurance Fundspecial employergeneral employeroutside salesperson
References
3
Case No. ADJ8094646
Regular
Jan 17, 2014

ALEJANDRINA BARRETO vs. OUT OF THE SHELL, SOUTHERN INSURANCE COMPANY, REPUBLIC INDEMNITY COMPANY, PHARMAFINANCE, LLC, HEALTHCARE FINANCE MANAGEMENT, LLC

This case involves lien claimants PharmaFinance and Healthcare Finance Management, and their representatives Landmark Medical Management and Brian Hall, who sought reconsideration of a decision disallowing their liens for medical treatment. The Appeals Board granted reconsideration solely to notice its intention to impose sanctions of up to $2,500 against the lien claimants and their representatives. This action is due to a pattern of allegedly filing petitions containing false statements about not receiving notices, which violates the Board's Rules of Practice and Procedure and Labor Code Section 5813. The Board found these claims not persuasive and indicative of a tactic to avoid responsibility.

Workers' Compensation Appeals BoardPetition for ReconsiderationSanctionsLien ClaimantsHearing RepresentativesIndustrial InjuryFindings and OrderCompromise and ReleaseNotice of IntentionLabor Code section 5813
References
0
Case No. MISSING
Regular Panel Decision
Mar 15, 2005

Doe v. Educational Credit Management Corp. (In Re Doe)

The Debtor, Jane Doe, aged 46, sought to discharge student loans managed by Educational Credit Management Corporation (ECMC) due to "undue hardship" under § 523(a)(8) of the Bankruptcy Code. The Court found that the Debtor met the three-part Brunner test, demonstrating an inability to maintain a minimal standard of living, additional circumstances likely to persist (chronic illnesses, support for her dependent mother, and grim employment prospects), and good faith efforts to repay her loans when able. The decision grants the discharge of her student loans, emphasizing the specific and challenging circumstances of her case.

Student Loan DischargeUndue HardshipBankruptcyBrunner TestDependent SupportFinancial DistressChapter 7Income Contingent RepaymentMedical ExpensesEmployment Prospects
References
41
Case No. MISSING
Regular Panel Decision

In re the Claim of Meyerovich

The claimant, a maintenance technician, was discharged for misconduct after his manager observed him loafing on the job and he subsequently filed a workers' compensation claim for a back injury, which the employer alleged was false. The Unemployment Insurance Appeal Board disqualified the claimant from receiving benefits due to misconduct, a decision it adhered to upon reconsideration. The appellate court affirmed the Board's decision, finding substantial evidence in the manager's testimony that she did not observe the claimant using a shovel during her observation, thus supporting the finding of a false workers' compensation claim and misconduct. The court also noted that conflicting testimony presented a credibility issue for the Board to resolve and that prior Workers' Compensation Board decisions were not final regarding the accidental injury issue, thus lacking collateral estoppel effect.

MisconductUnemployment Insurance BenefitsFalse Workers' Compensation ClaimSubstantial EvidenceCredibility IssueDischarge from EmploymentLoafingProbationAppeal Board DecisionAffirmation
References
6
Case No. ADJ4153143, ADJ1964837 and ADJ1933860
Regular
Nov 05, 2010

JACK L. MARCUM vs. OUTSOURCE MANAGEMENT, INC. dba THE MANAGEMENT CONNECTION, SUPERIOR NATIONAL INSURANCE CO., now liquidation, administered by CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, KLEEGE INDUSTRIES, INC. dba HANDS-ON EVENT LABOR SERVICES, STATE COMPENSATION INSURANCE FUND

This case involves an applicant who sustained shoulder injuries in 1999 and 2000, with a compensation judge awarding 4% permanent disability. The California Insurance Guarantee Association (CIGA) is appealing a decision holding it liable, arguing the applicant was not employed by a company insured by Legion Insurance (now handled by CIGA) but rather by Kleege Industries, insured by SCIF. CIGA contended there was a general/special employment relationship and that SCIF's policy should cover the applicant. The Appeals Board granted reconsideration, affirmed the previous awards, and corrected a clerical error to accurately reflect Legion Insurance as the insurer for Outsource Management, Inc. during the relevant period.

California Insurance Guarantee AssociationLegion Insurance CompanyOutsource Management Inc.The Management ConnectionKleege Industries Inc.Hands-On Event Labor ServicesState Compensation Insurance Fundcumulative traumaright shoulder injurypermanent disability
References
1
Case No. MISSING
Regular Panel Decision
May 06, 1998

Claim of MacKenzie v. Management Recruiters

In this workers' compensation appeal, the claimant, an office manager for Management Recruiters, sought benefits for injuries sustained in a single-car accident in Ulster County. Her claim was denied by the employer's insurance carrier, arguing the injuries were not work-related and were willfully self-inflicted. After initial reversals, the Workers' Compensation Board ultimately disallowed the claim, concluding the injuries resulted from the claimant's deliberate intent to harm herself, thereby overcoming the statutory presumption against self-injury. The Appellate Division affirmed the Board's decision, finding substantial evidence, including accident reconstruction and psychiatric testimony, supported the finding of willful intent. The court reiterated that conflicting evidence creates a question of fact for the Board, whose determinations are upheld if supported by substantial evidence.

Workers' CompensationWillful Intent to InjureUnexplained AccidentStatutory PresumptionSubstantial EvidencePsychiatric IllnessSuicidal IdeationAppellate ReviewQuestion of FactMedical Testimony
References
11
Case No. ADJ7206850
Regular
Jun 17, 2013

CARLOS HERNANDEZ vs. HDSI MANAGEMENT, INC., CYPRESS INSURANCE

The Workers' Compensation Appeals Board granted reconsideration and rescinded the WCJ's previous decision in *Hernandez v. HDSI Management, Inc.* The Board found that further proceedings and a new decision by the WCJ were necessary. This order is not a final determination on the merits of the case. The matter is returned to the trial level for further action.

Workers' Compensation Appeals BoardPetition for Reconsiderationworkers' compensation administrative law judgeWCJReconsideration GrantedDecision RescindedFurther ProceedingsTrial Level DecisionOpinion and OrderCalifornia WCAB
References
0
Case No. ADJ7719327
Regular
Dec 03, 2013

JOSE MEJIA vs. TERRA VISTA MANAGEMENT, INC., TRAVELERS CASUALTY & SURETY COMPANY

This is an interim order by the Workers' Compensation Appeals Board (WCAB) granting a petition for removal in the case of Jose Mejia v. Terra Vista Management, Inc. The WCAB found good cause to remove the case from the trial level, adopting the Workers' Compensation Judge's (WCJ) report. The matter is now returned to the WCJ for further proceedings and a new decision. This decision is not final and parties retain the right to seek reconsideration of the WCJ's future ruling.

Petition for RemovalWorkers' Compensation Appeals BoardDecision After RemovalAdministrative Law JudgeTrial LevelFurther ProceedingsNot a Final DecisionReconsiderationTravelers Casualty & Surety CompanyTerra Vista Management
References
0
Case No. MISSING
Regular Panel Decision

Americredit Financial Services, Inc. v. Oxford Management Services

AmeriCredit Financial Services, Inc. (AmeriCredit) commenced an action to confirm an arbitration award against Oxford Management Services (OMS). OMS cross-moved to vacate the award, alleging the arbitrator exceeded his powers by dismissing a counterclaim and manifestly disregarded the law. The arbitrator had dismissed OMS's counterclaim for spoilation of evidence. The Court affirmed the arbitrator's decision, finding he did not exceed his authority under the RSA by dismissing the counterclaim or by interpreting the contract terms regarding account termination. The Court also found no manifest disregard for the law, concluding the arbitrator's decision was rationally supported by the record. Consequently, AmeriCredit's motion to confirm the award was granted, and OMS's motion to vacate was denied.

Arbitration Award ConfirmationArbitration Award VacaturFederal Arbitration ActManifest Disregard of LawArbitrator PowersSpoilation of EvidenceContract InterpretationCollection Agency DisputeSummary ProceedingJudicial Review of Arbitration
References
41
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