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

Case No. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. ADJ9945229
Regular
Feb 20, 2018

THERESA HAVENS vs. KAISER PERMANENTE MEDICAL GROUP, ATHENS ADMINISTRATORS

The Workers' Compensation Appeals Board granted reconsideration and rescinded an Order for Costs, which directed the defendant to pay $\$500.00$ for a deposition. The Board found that an Order for Costs constitutes a "final" order as it determines a substantive liability for the defendant. Therefore, reconsideration was the appropriate remedy, and the case was returned to the trial level for further proceedings.

Petition for ReconsiderationOrder for CostsRescinded OrderTrial LevelWCJ ReportAdministrative Law JudgeFinal OrderSubstantive LiabilityThreshold IssueInterlocutory Orders
References
Case No. ADJ8050106 ADJ9468937 ADJ9154032
Regular
Nov 03, 2018

ANTONIO VAZQUEZ vs. CARSON TRAILERS, AMTRUST NORTH AMERICA

The Appeals Board dismissed the petition for reconsideration because it was taken from an interlocutory procedural order, not a final decision. The Board also denied the petition for removal, finding no substantial prejudice or irreparable harm, and that reconsideration would be an adequate remedy if a final decision issues. The order pertains to multiple cases involving Antonio Vazquez and Carson Trailers. The WCJ's order directing the use of a specific bill reviewer was deemed an evidentiary/procedural matter.

Workers' Compensation Appeals BoardPetition for ReconsiderationPetition for RemovalFinal OrderInterlocutory OrderEvidentiary OrderProcedural OrderSubstantive RightThreshold IssueExtraordinary Remedy
References
Case No. ADJ3709124 (BAK 0150236) ADJ3345421 (BAK 0144525) ADJ2925427 (BAK 0144602)
Regular
Aug 08, 2016

AMANDA PEREZ vs. VALLEY STATE PRISON FOR WOMEN, SIERRA CONSERVATION CENTER, STATE COMPENSATION INSURANCE FUND

This case involves a lien claimant seeking reimbursement for disability benefits paid to the applicant. The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a previous order because the administrative judge's decision lacked specific findings and did not cite the evidence relied upon. Consequently, the WCAB rescinded the prior order and returned the matter for further proceedings. The original decision had limited the lien claimant's reimbursement to a specific period, which the claimant argued was too restrictive.

CCPOA Benefit Trust FundPetition for ReconsiderationIndustrial Disability LeaveReimbursementJoint Findings of FactAwardOrderOpinion on DecisionWorkers' Compensation Administrative JudgeMinutes of Hearing
References
Case No. ADJ9274305
Regular
Dec 15, 2014

SALVADOR REYES vs. AVP&H A CALIFORNIA CORPORATION, MEADOWBROOK INSURANCE GROUP

The Workers' Compensation Appeals Board dismissed Salvador Reyes's Petition for Reconsideration because it was filed against an interlocutory order, not a final decision. The Petition for Removal was dismissed as moot, as the underlying issue regarding a specific Qualified Medical Examiner appeared to be resolved. Both petitions were denied as they did not address substantive rights or liabilities. The order reflects standard practice for non-final and moot petitions.

Petition for ReconsiderationPetition for RemovalFinal OrderInterlocutory OrderSubstantive RightLiabilityMootnessQMEOrder to CompelMeet and Confer
References
Case No. ADJ1775959 (ANA 0387306) ADJ2257120 (ANA 0386617)
Regular
May 17, 2010

SILVIA MORA vs. STEELCASE, INC., LIBERTY MUTUAL INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded a prior decision that ordered a lien claimant to reimburse the defendant for chiropractic treatment exceeding the statutory limit. The WCAB held that Labor Code section 4604.5(d)(1) limits chiropractic visits but does not authorize restitution for voluntary payment of excessive treatment. Citing the equitable principles established in *American Psychometric Consultants, Inc. v. Workers' Compensation Appeals Board (Hurtado)*, the Board found that both parties were equally aware of the legal limits, and the defendant voluntarily paid the excess charges. The WCAB emphasized transactional stability, stating that undoing such payments would negatively impact the workers' compensation system.

Workers' Compensation Appeals BoardLien claimantReconsiderationFindings and OrderLabor Code section 4604.5(d)(1)Chiropractic visitsReimbursementPetition for ReimbursementMedical treatment lienEquitable restitution
References
Case No. LBO 0384614
Regular
Jan 23, 2008

CAROLINA SALES vs. ROSS STORES, INC. and XL SPECIALTY INSURANCE, MJO STAFFING and AMERICAN HOME ASSURANCE

The Workers' Compensation Appeals Board (WCAB) dismissed the defendant's petition for reconsideration of an order vacating a Compromise and Release (C&R). The Board then granted reconsideration on its own motion to rescind the original C&R approval. This action affirmed the WCJ's decision to vacate the C&R, effectively returning the parties to their pre-settlement status, due to the applicant's expressed confusion and potential lack of full understanding of the agreement's terms.

Compromise and ReleasePetition for ReconsiderationOrder VacatingFinal OrderLabor Code Section 5900Good CauseUnverified PetitionIndustrial InjuryApplicant's UnderstandingWCJ Discretion
References
Case No. ADJ9120917, ADJ6899995
Regular
Sep 16, 2016

RICK STEIN vs. CITY OF HUNTINGTON BEACH

The WCAB dismissed the defendant's petition for reconsideration because the WCJ's order vacating a prior order approving a compromise and release was not a final order. The Board granted the defendant's petition for removal to amend the vacating order, specifying the matter should be set for a status conference. This action was taken under WCAB Rule 10859, allowing the WCJ to rescind an order and conduct further proceedings within 30 days. The case is returned to the WCJ to determine if good cause exists to set aside the compromise and release.

Workers' Compensation Appeals BoardPetition for ReconsiderationPetition for RemovalCompromise and ReleaseOrder Approving Compromise and ReleaseOrder Vacating Order Approving Compromise and ReleaseWCJLabor Code Section 132(a)Cumulative Trauma InjuryLeft Knee Injury
References
Case No. ADJ4430483 (SJO 0217023) ADJ3454827 (SJO 0226616)
Regular
Mar 10, 2011

JUAN L. ROMERO vs. ORLANDI TRAILER; CIGA by its servicing facility SEDGWICK CMS for LEGION INSURANCE in liquidation

The applicant, Juan L. Romero, sustained two industrial injuries. Defendant CIGA sought reconsideration of a prior order that allocated liability between these injuries and ordered reimbursement. CIGA later withdrew its petition for reconsideration after receiving clarification from the Workers' Compensation Arbitrator regarding its reimbursement entitlement. The Board vacated its previous order granting reconsideration and dismissed CIGA's petition.

CIGALegion Insurance in liquidationSedgwick CMSFindings and Orderreconsiderationliability allocationcumulative industrial injuryspecific industrial injuryreimbursementpre-liquidation benefits
References
Case No. ADJ1 10515 (ANA 0410502)
Regular
Apr 14, 2016

SILVIA ARZATE, et al. vs. UMPCO, INC. insured by LIBERTY MUTUAL INSURANCE GROUP, INC.

Lien claimants sought removal from a WCJ's discovery and sanctions order, arguing numerous procedural and substantive defects. The Board found the petition for removal improper, as the order contained both interim and final provisions. Despite a filing irregularity, the Board deemed the petition timely filed electronically. Ultimately, the Board affirmed the WCJ's order, finding it properly issued after reconsideration, denying all lien claimant contentions.

Workers' Compensation Appeals BoardPetition for RemovalDiscovery OrderSanctionsStay of ProceedingsLien ClaimantsLiberty Mutual Insurance GroupWCJReconsiderationFinal Order
References
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