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

Case No. ADJ8449286
Regular
Jul 07, 2014

DAVID SIRES vs. CONQUIP, INC., SENTRY SELECT

The applicant seeks reconsideration of a workers' compensation award, specifically challenging the attorney's fee amount. The Appeals Board granted reconsideration to address a procedural defect: the applicant's attorney failed to provide proof of notice to the applicant regarding the requested fee increase, as required by WCAB Rule 10778. The Board issued a notice of intention to dismiss the fee request unless the attorney promptly provides this proof of notice. The Board has deferred judgment on other issues raised in the petition.

WCABPetition for ReconsiderationWCJQualified Medical EvaluatorPanel Qualified Medical EvaluatorAttorney's FeeElectronic Adjudication Management System (EAMS)WCAB Rule 10778Notice of Intention to Dismiss (NIT)Adverse Interest
References
2
Case No. ADJ4194347 (SRO 135724), ADJ8065537
Regular
Aug 20, 2012

JONATHAN GREEN vs. T.J. and DENI MARRONE, INC., PREFERRED EMPLOYERS INSURANCE COMPANY

This case concerns a Petition for Reconsideration filed by applicant's attorney seeking an increased attorney's fee beyond what was awarded by the WCJ. The applicant's attorney is requesting a higher fee than the $11,819.24 total previously allowed. The Appeals Board granted reconsideration to provide the applicant's attorney an opportunity to comply with Rule 10778, which requires notice to the applicant of the attorney's adverse interest and the applicant's right to independent counsel. The Board will affirm the WCJ's decision unless proof of service, applicant's consent, or a verified explanation is provided within twenty days.

Petition for ReconsiderationAttorney's FeeCompromise and ReleaseWorkers' Compensation Appeals BoardAdministrative Law JudgeNotice of IntentionRule 10778Adverse InterestIndependent CounselVerified Explanation
References
0
Case No. ADJ2854263 (ANA 0400148)
Regular
Apr 21, 2014

MARIA QUEZEDA vs. TACO BELL, LIBERTY MUTUAL INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of an order dismissing a lien claim for failure to pay an activation fee. The WCAB is now giving notice of its intention to dismiss the lien claimant's Petition for Reconsideration because it was filed over three months late and by a representative who failed to comply with WCAB rules regarding notice of representation. The lien claimant must provide evidence of timely filing and compliance with representation rules within 15 days to avoid dismissal. The Board also notes the lien claimant may not have filed a required declaration to support their lien.

Lien activation feePetition for ReconsiderationWCAB Rule 10774.5Notice of RepresentationCollective ResourcesAngelotti Chiropractic v. BakerPreliminary injunctionLabor Code section 5903Timeliness of filingWCAB Rule 10510(a)(3)
References
1
Case No. ADJ6610233
Regular
Nov 18, 2014

WILLIAM WILLIAMS (Deceased) vs. STATE OF CALIFORNIA, CDCR - PLEASANT VALLEY STATE PRISON, Legally Uninsured; STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES, Adjusting Agency

This case concerns a deceased correctional officer whose dependent sons were awarded death benefits. The Appeals Board denied reconsideration of its prior order requiring an offset for a CalPERS special death benefit received by the decedent's widow, deeming it consistent with precedent and statutory intent. The Board also issued a notice of intention to disallow the applicant's attorney's requested fee increase due to non-compliance with a rule regarding notice to the client of adverse interests. Compliance with this rule is required for the fee increase to be considered by the trial judge.

CalPERSspecial death benefitoffsetdeath benefitsdependent childrenattorney's feesWCAB Rule 10778adverse interestindependent counselPetiton for Reconsideration
References
4
Case No. MISSING
Regular Panel Decision

Angulo v. City of New York

In a personal injury action, the defendant City of New York appealed an order from the Supreme Court, Queens County. The original order denied the City's motion to dismiss the complaint for failure to timely serve a notice of claim and granted the plaintiff's cross-motion to deem his notice of claim timely served nunc pro tunc. The plaintiff, injured in May 2005, served his notice of claim in August 2005, which the City rejected as untimely. The Appellate Division reversed the lower court's order, granting the City's motion to dismiss the complaint and denying the plaintiff's cross-motion. The court held that timely service of a notice of claim is a condition precedent to suing the City and that the plaintiff failed to make a timely application for leave to serve a late notice of claim. Furthermore, the court ruled that the plaintiff could not rely on the workers' compensation carrier's notice of claim.

Personal InjuryNotice of ClaimTimelinessCondition PrecedentCPLR 3211(a)(7)General Municipal Law § 50-eDismissal of ComplaintLate Notice of ClaimNunc Pro TuncWorkers' Compensation Carrier
References
7
Case No. MISSING
Regular Panel Decision

Claim of Elias v. New York City Human Resources Administration

The Workers’ Compensation Board ruled that the claimant’s workers’ compensation benefits claim, filed on March 10, 1987, was timely. This decision came despite the claimant's initial failure to provide timely written notice, which was excused because the employer had actual notice of the injury. The claimant suffered a back injury on October 15, 1985, while at work, pushing a file cabinet. The Board found that the two-year Statute of Limitations under Workers’ Compensation Law § 28 did not bar the claim. The appellate court affirmed the Board's decisions, ruling in favor of the claimant.

Workers' CompensationStatute of LimitationsTimely NoticeActual NoticeBack InjuryEmployer LiabilityBoard DecisionAppealExcused NoticeOccupational Injury
References
0
Case No. ADJ7516108
Regular
Jun 06, 2011

ANGELICA CROTTE vs. UFO, INC., ILLINOIS MIDWEST INSURANCE AGENCY, VIRGINIA SURETY COMPANY, INC.

The Workers' Compensation Appeals Board (WCAB) dismissed Virginia Surety's petition for removal because it was unverified, violating WCAB Rule 10843(b). The WCAB also noted the petition's excessive length and improper attachments, which violated multiple rules, including CA Rule 10232(a)(10) and WCAB Rule 10842(c). Based on these egregious violations, the WCAB issued a notice of intention to impose a $500 sanction on Virginia Surety's counsel, Sophia E. Martinez, pursuant to Labor Code section 5813.

Petition for RemovalUnverified PetitionWCAB RulesLabor Code 5813SanctionsFrivolousWillful Failure to ComplyWCJAdministrative Law JudgeVirginia Surety Company
References
1
Case No. MISSING
Regular Panel Decision

Claim of Miller v. North Shore University Hospital

Claimant, a registered nurse, allegedly exacerbated an abdominal injury in September 1994 while at work, but did not file a workers' compensation claim until May 1996, after undergoing surgery. The workers' compensation carrier subsequently controverted the claim, citing untimely notice. Both a Workers' Compensation Law Judge and the Workers' Compensation Board determined that the claimant failed to provide timely notice to the employer as mandated by Workers’ Compensation Law § 18. On appeal, the court affirmed the Board's decision, concluding that the emergency room report was insufficient to constitute proper notice. Furthermore, the claimant did not meet his burden of proving that the employer was not prejudiced by the delay in notice, as the delay prevented an investigation prior to his surgery.

Timely NoticeEmployer KnowledgePrejudiceAbdominal InjuryRegistered NurseAccident ReportEmergency RoomSurgeryAppellate ReviewWorkers' Compensation Law § 18
References
5
Case No. MISSING
Regular Panel Decision

Claim of Brian VV. v. Chenango Forks Central School District

Petitioners filed a notice of claim after their six-year-old daughter was allegedly sexually assaulted on a school bus. The respondent, a school district, subsequently served a notice to orally examine the infant and petitioners. While petitioners submitted to examination, they refused to produce their child. The Supreme Court initially granted petitioners’ motion to strike the notice to examine the infant, deeming prior informal interviews with the child as substantial compliance. However, the appellate court reversed this decision, emphasizing that General Municipal Law § 50-h mandates a pre-action examination as a condition precedent. The court ruled that the prior interviews did not fulfill the statutory purpose and that the child's submission to an examination is required. Due to the child's young age, the matter was remitted to the Supreme Court to conduct a hearing to determine the child's competency to testify under oath before the examination takes place.

General Municipal Law § 50-hEducation Law § 3813Infant examinationSexual assault claimCondition precedentAppellate procedureCompetency hearingSchool district liabilityPre-action discoveryOath requirement
References
13
Case No. ADJ7144166
Regular

PAULINA CORTEZ vs. KOOSHAREM CORP. dba SELECT STAFFING, ACE AMERICAN RISK COMPANY, C/O ESIS, INC.

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration, finding it was not a final order. The WCAB granted removal on its own motion to issue a notice of intention to impose sanctions against the lien claimant and its representatives. This action stems from the lien claimant's failure to appear at a properly noticed conference, misrepresentations regarding notice, and violations of procedural rules, constituting bad-faith tactics. Sanctions of $1,000 are proposed jointly and severally against the lien claimant and its representatives for these violations.

Labor Code 5813Rule 10561Petition for ReconsiderationNotice of Intention to DismissRemovalSanctionsBad Faith ActionsFrivolous TacticsLien ClaimantUnnecessary Delay
References
0
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