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. ADJ8871359
Regular
Feb 25, 2015

WILLIAM BERMUDEZ vs. LOS ANGELES COUNTY OFFICE OF EDUCATION

This case concerns the defendant's attempt to transfer the applicant's ongoing medical treatment into its Medical Provider Network (MPN). The Workers' Compensation Appeals Board (WCAB) granted reconsideration to address whether the applicant's condition qualifies as a "serious chronic condition" under Rule 9767.9, which would permit continued treatment outside the MPN. The Board rescinded the prior order and returned the matter for further proceedings to resolve this dispute. The WCAB noted that a designated physician's report indicating the need for ongoing care could prevent the MPN transfer.

MPNMedical Provider NetworkReconsiderationPetition for ReconsiderationWCJAdministrative Director's RuleLabor Codedenial of carePetition to Reopenstipulated award
References
0
Case No. ADJ1524412 (RDG 0043469)
Regular
Oct 18, 2011

STEPHEN FLESHMAN vs. MANDINA'S CUSTOM CABINETS, STATE COMPENSATION INSURANCE FUND

This case involves a dispute over ongoing chiropractic treatment for a back injury sustained in 1989. The defendant sought reconsideration of a prior award granting weekly chiropractic visits, arguing the treatment wasn't providing functional restoration after 21 years. The Appeals Board affirmed the award of 90 days of weekly chiropractic treatment, finding it supported by the treating chiropractor's reports and testimony. However, the Board amended the order to require further medical evaluation after the 90 days to determine future treatment needs.

Workers' Compensation Appeals BoardIndustrial InjuryBack and SpineStipulated AwardPermanent DisabilityFurther Medical TreatmentChiropractic TreatmentChronic Pain Medical Treatment GuidelinesFunctional RestorationProgress Report
References
1
Case No. SBR 0338719, SBR 0338720
Regular
Mar 24, 2008

SANDRA SERNA vs. CORNER DRUG STORE, AMERICAN AUTO INSURANCE COMPANY, FIREMAN'S FUND

This case involves a dispute over temporary disability indemnity and ongoing medical treatment for an applicant's low back injury. The defendant sought reconsideration arguing the WCJ erred in awarding temporary disability benefits past the physician's declared permanent and stationary date and awarding medical treatment not properly submitted for decision. The Appeals Board granted reconsideration, rescinded the WCJ's award, and remanded the case for further proceedings to clarify the permanent and stationary date and the medical treatment award.

Workers' Compensation Appeals BoardReconsiderationPermanent and Stationary DateTemporary Disability IndemnityModified DutyMedical TreatmentLabor Code Section 4600Primary Treating PhysicianFindings and AwardRescinded
References
3
Case No. ADJ984347 (FRE 0202559)
Regular
Apr 01, 2014

ENRICA TORRES vs. CLOVIS UNIFIED SCHOOL DISTRICT

This Workers' Compensation Appeals Board case involves an applicant who sustained a psyche injury due to cumulative trauma from workplace sexual harassment. The defendant, Clovis Unified School District, sought reconsideration of an award for further medical treatment. The Agreed Medical Examiner's (AME) opinions on the applicant's need for ongoing treatment were contradictory, leading to ambiguity. Therefore, the Board amended the award to defer the determination of further medical treatment pending clarification, requiring a supplemental AME report or stipulation.

Enrica TorresClovis Unified School DistrictYORK RISK SERVICES GROUPINC.ADJ984347ADJ4520728WORKERS' COMPENSATION APPEALS BOARDRECONSIDERATIONPERMANENT DISABILITYFURTHER MEDICAL TREATMENT
References
0
Case No. ADJ401125 (LAO 0843257)
Regular
Dec 24, 2010

ORETHA BOYD vs. SERVICE CRAFT LOGISTICS, COLONIAL RISK

The Workers' Compensation Appeals Board granted reconsideration to reverse the finding of temporary total disability and the need for future medical treatment for the applicant's heart condition and hypertension. The Board found insufficient substantial medical evidence to support that these pre-existing conditions, aggravated by work stressors, caused the claimed period of disability. Applicant's prior carpal tunnel injury and its ongoing treatment were identified as the primary cause of her absence from work. The award was modified to remove temporary disability and future medical treatment for the heart/hypertension, and attorney fees were adjusted accordingly.

Workers' Compensation Appeals BoardOretha BoydService Craft LogisticsColonial RiskAmended Findings and Awardindustrial injuryheart conditionhypertensiondiabetestemporary total disability
References
8
Case No. ADJ586942, ADJ687483
Regular
May 24, 2013

CHARLES KINDELBERGER vs. CITY OF LOS ANGELES

Here's a summary for a lawyer: The Workers' Compensation Appeals Board granted reconsideration, rescinded the judge's decision, and returned the case for further proceedings. The judge had disallowed a lien claimant's services from March 19, 1999, to April 14, 2007, finding it barred by the statute of limitations under Labor Code §4903.5(a). The Board disagreed, noting that the claimant continued to provide treatment and receive payments over a twelve-year period, and that the "date services were provided" in the context of ongoing treatment refers to the last date of service. The Board found the defendant's interpretation would create a statute of limitations for each individual date of treatment, which is not supported by the statute's wording and would lead to an impractical flood of liens.

Workers Compensation Appeals BoardLien ClaimantStatute of LimitationsLabor Code Section 4903.5Petition for ReconsiderationFindings of Fact and OrdersAdministrative Law JudgeDate of ServiceCumulative Trauma InjuryPolice Officer
References
1
Case No. ADJ4494642 (SBA 0026287)
Regular
Jun 18, 2009

MARY CONTRERAS vs. DAVID EARTHCRAFT, INC., ZENITH INSURANCE COMPANY

In this case, the applicant, Mary Contreras, sought attorney fees under Labor Code section 4607 after successfully challenging the denial of specific requested medications by the defendant. The Workers' Compensation Appeals Board (WCAB) reversed a prior award of attorney fees, holding that section 4607 only applies when an employee successfully resists an employer's attempt to terminate an entire award of medical treatment, not just specific treatment requests. The WCAB relied on the California Supreme Court's decision in *Smith v. Workers' Comp. Appeals Bd.*, which clarified this statutory interpretation. Therefore, the applicant was denied attorney fees as the defendant did not attempt to terminate the applicant's ongoing medical treatment award.

Utilization reviewAgreed medical evaluatorsAttorney feesSection 4607Termination of awardMedical treatmentMedication authorizationPermanent disabilityIndustrial injuryWCJ
References
1
Case No. ADJ4157637
Regular
Mar 18, 2010

BEATRICE WEISS vs. TECHNOLOGY FUNDING, LUMBERMEN'S MUTUAL CASUALTY COMPANY, BROADSPIRE, a CRAWFORD COMPANY

This case involves an applicant who sustained a spinal injury in 2000 and was awarded permanent total disability and ongoing medical treatment, including assisted living. The Workers' Compensation Appeals Board (WCAB) clarified that the applicant is entitled to full reimbursement for assisted living costs incurred after exhausting long-term care insurance, as medical treatment for industrial injuries is not apportionable, even if concurrent non-industrial conditions exist. However, the WCAB reversed an award for personal duty aides, finding insufficient evidence of their necessity due to the industrial injury, and denied claims for interest on unpaid bills and guardianship costs. The WCAB affirmed reimbursement for dental expenses necessitated by medication for the industrial injury, while excluding attorney fees for enforcing treatment denials.

Workers' Compensation Appeals BoardBeatrice WeissTechnology FundingLumbermen's Mutual Casualty CompanyBroadspireCrawford CompanyADJ4157637SFO 0445495Opinion and Decision After Reconsiderationpermanent total disability
References
5
Case No. MISSING
Regular Panel Decision
Jan 22, 2004

Mete v. New York State Office of Mental Retardation

This class action alleged age discrimination in employment against the New York State Office of Mental Retardation and Development Disabilities (OMRDD). Plaintiffs, former Chiefs of Developmental Center Treatment Services, claimed disparate treatment and disparate impact arising from a 1989 reduction in force (RIF) that eliminated their positions. All 46 Chiefs, who were over 40, were either demoted or retired, and statistical evidence showed a disproportionate impact on employees over 40. The Supreme Court granted defendants’ motion for summary judgment, dismissing all causes of action. The appellate court affirmed, finding that while plaintiffs established a prima facie case, OMRDD provided a legitimate, nondiscriminatory reason for the RIF (economic conditions and long-standing concerns about the position's utility), which plaintiffs failed to adequately prove was a pretext for discrimination.

Age DiscriminationClass ActionSummary JudgmentDisparate TreatmentDisparate ImpactReduction in ForceEmployment LawPretextPrima Facie CaseStatistical Evidence
References
11
Case No. ADJ992523 (SBR 0278781)
Regular
Jun 24, 2009

ARGELIA VASQUEZ vs. COLTON UNIFIED SCHOOL DISTRICT, Permissibly Self-Insured, administered by SCRMA

The Workers' Compensation Appeals Board granted reconsideration to modify a prior award. While the Board found the employer's challenge to the necessity of laser therapy moot due to failure to conduct timely utilization review, it agreed the judge exceeded authority by ordering ongoing treatment. Consequently, the award was amended to allow only ten laser treatments, as originally requested by the physician.

Workers' Compensation Appeals BoardReconsiderationFindings and AwardLaser TherapyMedical TreatmentUtilization ReviewLabor Code Section 4610Primary Treating PhysicianIndustrial InjuryWCJ Authority
References
1
Showing 1-10 of 2,510 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