CompFox Logo
AboutWorkflowFeaturesPricingCase LawInsights

Updated Daily

Case Law Database

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

Case No. MON 0114910
Regular
Oct 02, 2007

TEDDIE GRIFFIN vs. STATE OF CALIFORNIA, DEPARTMENT OF SOCIAL SERVICES - IHSS, Legally Uninsured, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board dismissed a petition for reconsideration filed by lien claimants California Psychiatric Center and Neuro-Electro Diagnostic. The dismissal was based on the petition's failure to meet the verification requirement of Labor Code section 5902. The lien claimants sought reconsideration of a prior ruling that barred their claims due to latches, statute of limitations, and prejudice to the defendant.

Lien claimantsPetition for ReconsiderationWorkers' Compensation Appeals BoardAdministrative Law JudgeLabor Code section 4903.5statute of limitationslatchesprejudiceverificationLabor Code section 5902
References
Case No. ADJ17686288
Regular
May 07, 2025

VICTOR CRUZ vs. CHANNEL DEVELOPMENT, INC.; PREFERRED PROFESSIONAL INSURANCE COMPANY

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration regarding an award of further and continuing medical treatment for applicant Victor Cruz at the Centre for Neuro Skills. The defendant argued that the WCJ lacked jurisdiction due to a timely RFA denial. However, the Board affirmed the WCJ's decision, finding that the defendant failed to present substantial medical evidence to justify the discontinuation of previously authorized treatment. The decision emphasized the principle that once treatment is authorized, the burden shifts to the defendant to prove a change in circumstances to cease treatment.

Workers' Compensation Appeals BoardVictor CruzChannel DevelopmentInc.Preferred Professional Insurance CompanyOmaha NationalAdjudication Number ADJ17686288Petition for ReconsiderationFindings Order and AwardWCJ
References
Case No. ADJ4424610
Regular
Oct 14, 2014

Bruce Sanders vs. Federal Express, Sedgwick

Here's a summary of the case in four sentences for a lawyer: The Workers' Compensation Appeals Board denied reconsideration of an order dismissing lien claims filed by Beverly Neurological Medical Group and Neuro-Electro Diagnostic. These liens, for services rendered between 1989 and 1990, were filed over twenty years later in 2013, long after the applicant's case was resolved in 1993. The Board adopted the WCJ's reasoning that the lien claimants waived any objection to the timeliness issue by failing to object when the case was noticed for submission. The Board found Labor Code Section 4903.5, as revised in 2013, applicable, barring the untimely filed liens.

Workers' Compensation Appeals BoardPetition for ReconsiderationLabor Code Section 4903.5Lien claimantsTimelinessDismissal of liensWaiverJurisdictionWCJ reportContinuous trauma injury
References
Case No. ADJ9368263, ADJ9380293
Regular
Sep 15, 2015

JOSE MELCHOR vs. BRUTOCAO VINEYARDS, STAR INSURANCE COMPANY

This case involves a defendant's petition for removal regarding an order for a second Qualified Medical Examiner (QME) panel concerning the applicant's head injury. The Workers' Compensation Appeals Board (WCAB) granted removal to correct a clerical error in the original order. The WCAB affirmed the necessity of a second QME to further develop the medical record on the head injury claim, specifically in the specialty of Psychology-Clinical Neuro Psychology.

Petition for RemovalSecond QME PanelHead InjuryMedical Record DevelopmentWCJ Duty to Develop RecordPQME SpecialtyPSNPsychology-Clinical Neuro PsychologyMandatory Settlement ConferenceLack of Diligence
References
Case No. ADJ15763825
Regular
Sep 16, 2025

CLAUDIO CARDOZO vs. ROCK AND ROLL CAR WASH, REDWOOD FIRE AND CASUALTY INSURANCE COMPANY

The Workers' Compensation Appeals Board denied the Petition for Reconsideration filed by Redwood Fire and Casualty Insurance Company dba Berkshire Hathaway Homestate Companies. The petition challenged a lien trial decision concerning a medical-legal evaluation performed by Dr. Michaels of Premier Psychological Services. The WCJ found that a medical dispute regarding psyche existed at the time of the evaluation, Dr. Michaels was validly designated as the Primary Treating Physician, and the evaluation was not barred by the 60-day rule for new claims as it was an amendment to an already accepted claim. The Appeals Board adopted the WCJ's reasoning and denied the petition.

Workers' Compensation Appeals BoardPetition for ReconsiderationLabor Code Section 5909Adjudication NumberOpinion and Order Denying PetitionWCJ ReportEAMS TransmissionNotice of TransmissionProof of ServiceFindings and Order
References
Case No. ADJ3007686 (POM 0276960)
Regular
Jul 11, 2016

VICTOR GUEVARA vs. LONGO TOYOTA/PENSKE CORPORATION, ACE AMERICAN c/o SEDGWICK CMS

The Workers' Compensation Appeals Board granted the defendant's Petition for Reconsideration to clarify a prior award. The Board rescinded the original award and substituted new Findings and Award. While confirming an injury to the back, neck, knees, right leg, and head, the Board deferred issues of temporary and permanent disability pending further record development. The Board also admonished the defendant's attorney for procedural filing errors.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardWCJHead InjuryVertigoTinnitusNeuroTemporary DisabilityPermanent Disability
References
Case No. ADJ559742 (LAO 0886579) ADJ2524675 (LAO 0886580)
Regular
Oct 18, 2010

Maureen Simmons vs. TELEPACIFIC COMMUNICATIONS, HARTFORD WORK COMP PROGRAM, GALLAGHER BASSETT SERVICES

The Appeals Board dismissed the applicant's untimely petition for reconsideration of the WCJ's August 19, 2010 Findings and Orders denying benefits. However, the Board granted reconsideration on its own motion due to the applicant's inability to attend trial approximately 400 miles from her home and her claim that her attorney failed to inform the court. The Board rescinded the WCJ's decision and returned the matter for further proceedings, also noting the applicant's request for a change of venue due to hardship.

Workers' Compensation Appeals BoardTelepacific CommunicationsHartford Work Comp ProgramGallagher Bassett ServicesPetition for ReconsiderationDismissing PetitionGranting ReconsiderationDecision After ReconsiderationFindings and OrdersAdministrative Law Judge
References
Case No. ADJ11489310
Regular
Oct 26, 2020

KEITH BRADFORD vs. PACIFIC ARCHITECTS AND ENGINEERS, ESIS, INC.

The Appeals Board granted reconsideration and found that the applicant sustained industrial injury to his left pinkie. The Board rejected the applicant's claim for other body parts, finding no substantial evidence of injury beyond the pinkie. The matter is returned to the trial level to further develop the record regarding injury to other parts of the left upper extremity. The intoxication defense and Labor Code Section 5402 presumption were also addressed.

Labor Code Section 3600(a)(4)intoxication defenseWCJADJ11489310reconsiderationfindings of factleft pinkieleft handneuropsyche
References
Case No. ADJ10564535
Regular
May 17, 2018

DIANA ZAPATA vs. NORDSTROM

The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration, upholding the finding of no injury to the applicant's back and neck. The Board gave great weight to the judge's credibility determination, finding no substantial evidence to reject it. The applicant failed to provide sufficient medical evidence or testimony to support claims for injuries beyond the left ankle and foot. Furthermore, the applicant's attorney did not adequately develop the record for alleged non-orthopedic injuries, despite opportunities to do so.

ADJ10564535Petition for ReconsiderationWorkers' Compensation Appeals BoardWCJ credibility determinationGarza v. Workmen's Comp. Appeals Bd.Petition for Reconsideration deniedTailorbilateral kneesbackinternal
References
Case No. ADJ4496653 (SJO 0211862) ADJ1988083
Regular
Nov 17, 2015

MICHAEL ROSILES vs. COUNTY OF SANTA CLARA

Both the applicant and the defendant sought reconsideration of a workers' compensation award finding the applicant 88% permanently disabled due to multiple industrial injuries. The applicant argued for 100% permanent disability, citing vocational expert testimony and preclusion from the open labor market under *LeBoeuf*. The defendant contested the rating, disputing findings of vertigo, sleep disorder, and cognitive disability. The Appeals Board denied both petitions, adopting the judge's report and affirming the 88% disability rating. A dissenting commissioner would have granted the applicant's petition for total permanent disability, emphasizing medical and vocational evidence of unemployability.

RosilesCounty of Santa ClaraPermanent DisabilityVocational ExpertLeBoeufVertigoNeuro-opthamologyGainful EmploymentTotal Permanent DisabilityLabor Market Preclusion
References
Showing 1-10 of 13 results

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.

CompFox Logo

The AI standard for workers' compensation professionals. Faster research, deeper analysis, better outcomes.

Product

  • Platform
  • Workflow
  • Features
  • Pricing

Solutions

  • Defense Firms
  • Applicants' Attorneys
  • Insurance carriers
  • Medical Providers

Company

  • About
  • Insights
  • Case Law

Legal

  • Privacy
  • Terms
  • Trust
  • Cookies
  • Subscription

© 2026 CompFox Inc. All rights reserved.

Systems Operational