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

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 The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr.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. ADJ16748364; ADJ16734273
Regular
Jun 18, 2025

PARK EDDY vs. ACTIVE CAPTIVE MANAGEMENT, ACCIDENT FUND INSURANCE COMPANY OF AMERICA

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration. The case involved an applicant who sustained industrial injuries and required overnight home healthcare. The central issue was whether the applicant's spouse was appropriate to provide this care. The Workers' Compensation Judge (WCJ) found that the spouse was capable and suitable, relying on their credible testimony and existing case law. The defendant challenged this finding, arguing insufficient medical evidence and questioning the spouse's ability while working. The Appeals Board affirmed the WCJ's decision, finding that the record supported the need for non-skilled attendant care and that the spouse was capable of providing it, noting that the spouse was not currently employed.

Petition for ReconsiderationLabor Code Section 5909Electronic Adjudication Management System (EAMS)Case EventsSent to ReconReport and RecommendationOvernight Nursing CareAttendant CareActivities of Daily Living (ADLs)Credibility Determinations
References
Case No. ADJ1224829
Regular
Mar 22, 2018

MARTIN REYES vs. NORTHRIDGE EQUIPMENT RENTALS, INC., STATE COMPENSATION INSURANCE FUND

This case affirmed an administrative law judge's finding that the applicant is entitled to home health care based on the substantial medical opinions of Dr. Miller and Dr. Brourman. The defendant contended these opinions were not substantial evidence, but the Board found they were sufficient to establish the need for home health care. The Board also agreed with the administrative law judge that further development of the record was necessary to determine the precise hours and nature of the required home health care services. The defendant's duty to investigate the need for these services was also highlighted.

home health careagreed medical examinerAMEpain managementsubstantial evidenceDeclaration of Readinessexpedited hearingindustrial injurypermanently and totally disabledactivities of daily living
References
Case No. ADJ2184096
Regular
Jun 25, 2009

MANUEL GARCIA vs. PILGRIM CONGREGATIONAL CHURCH

This case involved an applicant injured while performing work for a church. The Workers' Compensation Appeals Board granted reconsideration and reversed the administrative law judge's finding of employment. The Board determined the applicant was an independent contractor based on factors outlined in *S.G. Borello & Sons*, including the church's lack of control over work details, the applicant's distinct occupation, skill requirements, self-supply of tools, and the nature of the payment arrangement. Consequently, the applicant's claim for workers' compensation benefits was denied.

Workers' Compensation Appeals BoardIndependent ContractorEmployee StatusBorello factorsRight to ControlDistinct OccupationSkill RequiredTools and InstrumentalitiesMethod of PaymentIntegral Part of Business
References
Case No. ADJ8128282
Regular
Jan 23, 2014

ANGELA EGBIKUADJE vs. CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATIONS, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior award, returning the case for further proceedings. The defendant, California Department of Corrections and Rehabilitation, argued that the applicant's psychiatric injury claim was preempted by the ADA and not proven under Labor Code section 3208.3. The Board found the original decision lacked proper analysis regarding predominant industrial causation and the good faith personnel action defense. Therefore, the case was remanded for further development of the record, including expert medical opinion on these issues.

Workers' Compensation Appeals BoardAngela EgbikuadjeCalifornia Department of Corrections and RehabilitationLegally UninsuredState Compensation Insurance FundADJ8128282Van Nuys District OfficeReconsiderationFindings and AwardIndustrial cumulative trauma injury
References
Case No. ADJ8501790
Regular
Jul 29, 2015

Kelly Chase vs. St. Louis Blues Hockey Club, Federal Insurance Company

The Workers' Compensation Appeals Board (WCAB) reversed a prior finding of industrial injury for a professional hockey player against the St. Louis Blues. The WCAB found insufficient connection to California for jurisdiction, citing the player's limited games in the state compared to his overall career. This decision followed the precedent set in *Federal Insurance Co. v. Workers' Comp. Appeals Bd. (Johnson)*, which requires a legitimate and substantial connection to the state for jurisdiction. The WCAB concluded that 21 games out of 485 did not meet this standard for a cumulative injury claim.

WCABSt. Louis Blues Hockey ClubFederal Insurance CompanyADJ8501790Opinion and Decision After Reconsiderationcumulative industrial injuryprofessional hockey playersubject matter jurisdictionstatute of limitationssubstantial medical evidence
References
Case No. ADJ226850 (RIV 0064373)
Regular
Oct 31, 2017

DEBRA CHADWELL vs. SCULLY DISTRIBUTION SERVICES, LIBERTY MUTUAL INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) overturned a prior decision, ruling that defendants must reinstate home health care and skilled nursing services for the applicant. The defendants had unilaterally terminated these previously authorized services without demonstrating a change in the applicant's condition or circumstances. The WCAB found that once authorized, such services must continue unless the employer proves they are no longer medically necessary. Therefore, the defendants are obligated to provide the services as recommended by the applicant's physician.

Workers' Compensation Appeals BoardUtilization ReviewNon-certificationHome Health CareSkilled Nursing ServicesPrimary Treating PhysicianUnilateral TerminationChange in CircumstancesReconsiderationIndustrial Injury
References
Case No. ADJ2006592 (SJO 0267090)
Regular
Jun 25, 2013

PEDRO SALVADOR vs. LION SUPERMARKET, COMPWEST INSURANCE COMPANY

The Workers' Compensation Appeals Board granted the lien claimant's petition for reconsideration, rescinding the dismissal of its lien claim. The dismissal stemmed from a failure to pay the lien activation fee before a lien conference, compounded by the lien claimant filing two similar liens and failing to appear at the conference. The Board found the fee was paid, but confusion from the dual filings led to the error. The matter is returned to the trial level, with the WCJ to consider a dismissal notice for non-appearance and potential sanctions.

Lien activation feePetition for ReconsiderationOrder Dismissing Lien ClaimantLien conferenceDeclaration of ReadinessLabor Code section 4903.06Compromise and ReleaseEAMS recordLabor Code section 5813Sanctions
References
Case No. ADJ9127012, ADJ9127010
Regular
Aug 10, 2015

ROSA RUIZ vs. BARON HR, LLC, ZURICH AMERICAN INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) dismissed the defendant's Petition for Reconsideration because it sought review of a non-final order. The Board granted removal and rescinded the Finding of Fact, which determined the correct Qualified Medical Evaluator (QME) specialty was chiropractic. The matter was returned to the WCJ for further proceedings to determine the validity of QME panels and reports. This included whether the defendant was properly served and if the selected QME specialty and report were valid.

QME specialty disputePetition for ReconsiderationPetition for Removalnon-final ordersubstantive right or liabilityprocedural non-final ordersprejudicial errorirreparable harmspecific injurycumulative trauma
References
Case No. ADJ9607136
Regular
Mar 13, 2023

NORMA PEREZ vs. CUSTOM PRODUCTS MANUFACTURING, EMPLOYERS COMPENSATION INSURANCE COMPANY

The Workers' Compensation Appeals Board denied the Petition for Reconsideration, upholding the Workers' Compensation Administrative Law Judge's (WCJ) decision. The WCJ found the applicant to be 100% permanently and totally disabled based on credible testimony and substantial medical and vocational evidence. The defendant's arguments regarding non-industrial apportionment and the vocational evaluator's reporting without an interpreter were rejected. The Board adopted the WCJ's report and decision, denying the defendant's request for reconsideration.

Petition for ReconsiderationReport and RecommendationWorkers' Compensation Appeals BoardDenying PetitionAdministrative Law JudgeCumulative TraumaNon-industrial Medical ApportionmentNon-industrial Vocational ApportionmentInterpreterVocational Evaluator
References
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