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

Case No. ADJ10983565
Regular
Aug 18, 2025

DERRYL THOMPSON vs. VICTORY OUTREACH CHINO, CHURCH MUTUAL INSURANCE CO., MISSION ACTS MINISTRIES, MECUM ACUTIONS, INC., ZURICH AMERICAN INS. CO.

Applicant Derryl Thompson claimed injury while working for alleged employers Victory Outreach Chino (general employer), Mission Acts Ministries (employer and personnel staffing agency), and Mecum Auctions, Inc. (special employer). Defendants Zurich American Insurance Company and Church Mutual Insurance Company sought reconsideration of the Findings and Order that established this dual employment relationship. The Appeals Board denied both petitions for reconsideration, affirming the WCJ's finding that the applicant was an employee and not a volunteer, and that Victory was a general employer while Mecum was a special employer, rejecting the defendants' arguments for exclusion under Labor Code sections 3352(a)(2) and (a)(9).

General employerSpecial employerVolunteer exclusionLabor Code 3352(a)(2)Labor Code 3352(a)(9)Aid or sustenanceRemunerationDual employmentStaffing agencyNon-profit status
References
Case No. SFO 0438557 SFO 0438562
Regular
May 05, 2008

LISA BURKE vs. WINTERLAND PRODUCTIONS, HARTFORD INDEMNITY & ACCIDENT COMPANY

The Workers' Compensation Appeals Board granted reconsideration to address whether reimbursed expenses should be included in calculating an applicant's temporary disability indemnity rate. The Board reversed the prior award, ruling that reimbursed expenses for meals, lodging, and fuel are special expenses, not remuneration, and therefore should not be included in calculating the applicant's average weekly wage. The decision clarifies that such reimbursements do not constitute "advantages received by the injured employee as part of his remuneration" under Labor Code section 4454.

Workers' Compensation Appeals BoardTemporary Disability IndemnityReimbursed ExpensesEarnings CalculationLabor Code Section 4454RemunerationSpecial ExpensesAverage Weekly WageCumulative TraumaConcert Tour Salesperson
References
Case No. ADJ4680684 (LAO 0878962) ADJ2228561 (LAO 0878963)
Regular
Feb 19, 2016

ARTURO AVILA vs. CARIMEX INTERNATIONAL TRADING, EVEREST NATIONAL INSURANCE CO., SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., STATE COMPENSATION INSURANCE FUND

This case involves a dispute over contribution liability between two insurance carriers for an applicant's cumulative trauma injury. The original Findings and Award determined Everest National Insurance was 68% liable and SCIF 32% liable, ordering Everest to pay SCIF $31,513.97. Everest's petition for reconsideration focuses solely on the monetary calculation, not the proportional liability. The Appeals Board granted reconsideration to rescind the original award, as the WCA's attempt to rescind it was untimely. The matter is returned to the WCA for further proceedings and a proper decision on the monetary calculations.

Petition for ReconsiderationFindings and AwardPetition for ContributionEquitable ContributionCumulative Trauma InjurySpecific InjuryJoint Compromise and ReleaseCredit for PaymentsSupplemental ProceedingsLabor Code Section 5500.5
References
Case No. ADJ9098975
Regular
May 16, 2025

SHELLY REESE vs. COUNTY OF KERN, KERN COUNTY SHERIFF, SHERIFF'S RESERVE ASSOCIATION, UNINSURED EMPLOYERS BENEFITS TRUST FUND

Shelly Reese, a reserve deputy for the County of Kern, was injured during a motocross demonstration at the 2013 Stampede Days, an annual fundraising event for the Sheriff's Department. The Workers' Compensation Appeals Board (WCAB) granted reconsideration to determine if Reese was an employee under the Workers' Compensation Act. The WCAB found that Reese established a presumption of employment due to receiving remuneration in the form of training and uniforms, therefore overriding the public agency volunteer exclusion. Concluding she was performing peace officer duties, the Board rescinded the prior finding of her as a professional athlete and reclassified her employment as a Peace Officer, Occupational Group Number 490.

Workers' Compensation Appeals BoardReconsiderationReserve DeputyStampede DaysMotocross DemonstrationProfessional AthletePeace OfficerLabor Code Sections 335133573352(a)(9)
References
Case No. ADJ1180690
Regular
May 14, 2009

KAREN GORY vs. U.S. FOOD SERVICE, INC., SENTRY INSURANCE

The WCAB vacated the Order Imposing Monetary Sanctions against Medicare for failure to appear at a duly noticed conference due to lack of proper notice and service, and jurisdictional issues.

Workers' Compensation Appeals BoardReconsiderationMonetary SanctionsCompromise and ReleaseMedicare LienAgreed Medical EvaluatorUnited Government ServicesMSPRCDismissal of LienSovereign Immunity
References
Case No.
Regular
Oct 29, 2009

TONY PACHECO, ANDREW ARMIJO, MARTHA MARIN, JOSE CONTRERAS, PERRY LOFTON, VITALINO AJVIX, MARTHA HERNANDEZ vs. GLOBAL WIRELESS, INC.; and STATE COMPENSATION INSURANCE FUND, CUTTING EDGE SUPPLY COMPANY; and STATE COMPENSATION INSURANCE FUND, AVEC SERVEALL; and STATE COMPENSATION INSURANCE FUND, GEHR INDUSTRIES, INC.; and STATE COMPENSATION INSURANCE FUND, AMERICAN METAL RECYCLING; and STATE COMPENSATION INSURANCE FUND, STRICTLY WHOLESALE ADA KENDALL SIGN; and STATE COMPENSATION INSURANCE FUND, MARRIOTT INTERNATIONAL, INC.

The Appeals Board issued an Order consolidating cases and a notice of intention (NIT) to impose monetary sanctions on CMS Network, Inc. and its representatives for misstatements of law. A hearing is set for November 18, 2009.

Workers Compensation Appeals BoardMonetary SanctionsNotice of Intention (NIT)Petitions for ReconsiderationMisstatements of LawGood CauseHearingObjectionAttorney ServiceRecusal
References
Case No. ADJ1982767
Regular
Oct 14, 2009

ENRIQUE RUIZ vs. ARMS TRANSPORTATION, INC., UNINSURED EMPLOYERS' BENEFITS TRUST FUND

The WCJ's decision to increase applicant's permanent disability indemnity by 15% pursuant to section 4658(d)(2) was rescinded because the injury occurred before the effective date of that section. Attorney's fees are amended to 15% of monetary benefits.

Workers' Compensation Appeals BoardUninsured Employers' Benefits Trust FundReconsiderationPermanent DisabilityAttorney's FeesLabor Code Section 4658(d)(2)Labor Code Section 3716(a)Industrial InjuryDriver/LoaderTemporary Total Disability
References
Case No. ADJ2077858 (OAK 332331)
Regular
Oct 14, 2009

GERARDO SANCHEZ-GRIMALDO vs. TWE ENTERPRISES, INC., SEABRIGHT INSURANCE COMPANY

Defendant sought reconsideration of a monetary sanction. The WCJ's report recommended granting the petition, vacating the sanctions, and ordering defendant to pay fees and release withheld indemnity. Reconsideration was granted, the prior order was rescinded, and a new order was substituted.

Workers' Compensation Appeals BoardMonetary SanctionsLabor Code section 5813Notice of IntentionTemporary DisabilityPetition to TerminateIndustrial InjuryCarpenterRight KneeDue Process
References
Case No. ADJ3395089 (STK 0177203) ADJ2229380 (STK 0196966)
Regular
Apr 20, 2009

ROBERT MILLER vs. CAROL-CARTER DESIGN & CONSTRUCTION, STATE COMPENSATION INSURANCE FUND

The Appeals Board initially proposed sanctions against attorney Michael Linn, Esq., mistakenly listing the service date for his objection period. Despite Mr. Linn filing objections on March 4th and April 6th/9th, which were not technically untimely based on the actual service dates, the Board granted him further opportunities to respond. Ultimately, the Board extended the deadline to May 20, 2009, for Mr. Linn to file any additional objections to the proposed $\$ 500.00$ monetary sanction, citing potential service discrepancies and aiming to avoid any appearance of prejudice.

Workers' Compensation Appeals Boardmonetary sanctionsnotice of intentiondue processservice date discrepancyobjection to sanctionsadditional timeCalifornia Code of Regulationsfurlough directivesstate holidays
References
Case No. ADJ10531138
Regular
Mar 10, 2025

JOAN MARASON vs. QUALITY COMP. INC.; ATHENS ADMINISTRATORS

Lien claimant representative Alex Kauffman sought reconsideration of a WCJ's Findings and Order (F&O) which imposed monetary sanctions for disruptive and unprofessional conduct during a lien conference. Kauffman contended the F&O lacked adequate basis and did not reflect a review of the entire record. The Workers' Compensation Appeals Board granted reconsideration, rescinded the F&O, and returned the matter to the trial level for further proceedings. This decision was based on concerns that a reasonable person might doubt the WCJ's impartiality given the WCJ was a potential witness to the events leading to the sanctions.

ADJ10531138Alex KauffmanPetition for ReconsiderationMonetary SanctionsDisruptive ConductUnprofessional ConductLien ConferenceNotice of Intent to Impose SanctionsWCJ ImpartialityRescinded Order
References
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