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. ADJ3596861; ADJ5802453
Regular
Jul 06, 2012

MARK HOPKINS vs. COUNTY OF LOS ANGELES, INTERCARE INSURANCE SERVICES

The Workers' Compensation Appeals Board denied reconsideration of a decision that disallowed a defendant's attempt to offset an overpayment of disability indemnity from one workers' compensation case against liability in a separate, independent case. The Board affirmed the judge's reasoning, emphasizing that mutual mistake was not established and that crediting overpayments across distinct claims is impermissible. Despite the defendant's argument of oversight and an $8500 overpayment, the Board found no basis to deviate from established legal principles. The decision upholds the integrity of separate claim resolutions.

Workers' Compensation Appeals BoardReconsideration DeniedDisability IndemnityOverpaymentCreditStipulation with Request for AwardCumulative TraumaSpecific InjuryMedical TreatmentPermanent Disability
References
Case No. ADJ6616107
Regular
May 16, 2013

LILIANA JARAMILLO vs. CALIFORNIA MARKETING INC, STATE FARM FIRE & CASUALTY COMPANY

This case involves a Petition for Reconsideration by lien claimants whose liens were dismissed after failing to appear at a scheduled lien conference. The Workers' Compensation Appeals Board denied the petition, finding that the lien claimants' stated reasons of inadvertence or oversight were insufficient to excuse their non-appearance. Furthermore, the Board noted that a previous requirement for defendants to contact lien claimants by phone was superseded by new regulations requiring attendance at conferences. The Board also warned the lien claimant about potential sanctions for procedural violations and disingenuous claims.

Lien claimantsPetition for ReconsiderationOrders of DismissalFailure to appearLien conferenceNotices of Intent to DismissLien regulationsRegulation 10770.1(d)WCAB Rules of Practice and ProcedureSanctions
References
Case No. ADJ18918866, ADJ18919434
Regular
Jul 07, 2025

LOUIS ROGELIO SANCHEZ vs. FFBH MOTORS LLC, OCCUSURE CLAIMS SERVICES

The Workers' Compensation Appeals Board granted a petition for reconsideration filed by defendant Occusure Claims Services, challenging a monetary sanctions order issued by a WCJ. Occusure was sanctioned for failing to appear at status and mandatory settlement conferences, despite being served with an amended application joining them as a party. Occusure contended it was erroneously joined as AmTrust Claims administered the injury claims and its non-appearance was due to clerical oversight, not intentional disregard. The Board found that Occusure's due process rights were violated by not having an opportunity to be heard on its claims of erroneous joinder and procedural failures within its organization. Consequently, the Board rescinded the sanctions order and returned the case to the trial level for further proceedings to ensure a full hearing on these issues.

Labor Code section 5813Board Rule 10561Petition for ReconsiderationMonetary SanctionsAdministrative OversightExcusable NeglectCode of Civil Procedure section 473Labor Code section 5909Electronic Adjudication Management SystemApplication for Adjudication of Claim
References
Case No. ADJ7219588
Regular
Oct 07, 2011

NOEMI MENDOZA vs. AMERICAN APPAREL, SRS

Lien claimants sought reconsideration of a Notice of Intent to Disallow their claims due to non-appearance. The Board dismissed the petition for reconsideration, finding the Notice of Intent was not a final order. However, the Board granted removal and rescinded the Notice of Intent to allow the lien claimants to proceed at the trial level.

Lien claimantsPetition for ReconsiderationNotice of Intent to Issue Order of DisallowancePetition for RemovalDecision After RemovalRescindedFinal OrderSubstantive RightsLiabilityWCAB
References
Case No. ADJ7086267
Regular
Feb 14, 2013

Branden Robinson vs. Circulating Air, SEABRIGHT INSURANCE COMPANY

This case concerns Branden Robinson's attempt to recover vocational expert fees through an Alternative Dispute Resolution (ADR) process. The Ombudsman found the reimbursement request improperly raised due to insufficient documentation and service. The Workers' Compensation Appeals Board dismissed reconsideration, as no final determination was made, and denied removal. Applicant was advised to properly initiate proceedings with the Ombudsman by providing sufficient specificity regarding the claim.

Workers' Compensation Appeals BoardBranden RobinsonCirculating AirSeabright Insurance CompanyOmbudsmanVocational ExpertReimbursementAlternative Dispute ResolutionSheet Metal Workers International AssociationLabor Management Safety Oversight Committee
References
Case No. ADJ3945740 (ANA 0316546)
Regular
Apr 27, 2018

CYNTHIA AMADOR vs. STATE OF CALIFORNIA, DEPARTMENT OF BUSINESS OVERSIGHT, Legally Uninsured, STATE COMPENSATION INSURANCE FUND

This case involves an applicant found to have sustained $100\%$ permanent disability from a 1997 injury. The defendant sought reconsideration of the award, primarily arguing the applicant was not entitled to temporary disability indemnity beyond a 2001 stipulation and that the permanent disability finding lacked support. The Workers' Compensation Appeals Board denied the petition, affirming the judge's findings. The Board found the defendant failed to meet a condition for terminating temporary disability and that the defendant's petition for reconsideration was untimely filed.

Workers' Compensation Appeals BoardLegally UninsuredPermanent DisabilityApportionmentTemporary Disability IndemnityStipulations with Request for AwardPetition for ReconsiderationAgreed Medical ExaminerJurisdictionCredibility Determinations
References
Case No. ADJ1760143
Regular
Aug 12, 2010

JAMES FREDRICKSON vs. FOSTER LUMBER YARD, HARTFORD FIRE INSURANCE COMPANY, SEDGWICK CMS a.k.a. SEDGWICK SACRAMENTO

This order denies reconsideration of a Workers' Compensation Appeals Board decision. The Board adopted the WCJ's report as the basis for denial. The Board also retroactively deemed the petition timely filed due to administrative oversight preventing earlier review. The petition for reconsideration is therefore denied.

Workers' Compensation Appeals BoardPetition for ReconsiderationWorkers' Compensation Administrative Law JudgeLab. Code§ 5909Due ProcessTimely FiledShipley v. WCABState Farm Fire and Casualty v. WCAB (Felts)Denial of Reconsideration
References
Case No. STK 0173870
Regular
Aug 21, 2007

JOHNNY MENDEZ vs. CITY OF SACRAMENTO; RISK MANAGEMENT

The Workers' Compensation Appeals Board granted reconsideration on its own motion to amend a previous decision. The Board increased the applicant's permanent disability award from 39% to 49% and adjusted the indemnity rate, acknowledging a prior oversight in adopting the judge's recommendation. The Board also affirmed the denial of a psychiatric injury claim and the decision not to further develop the record on orthopedic disability.

WORKERS' COMPENSATION APPEALS BOARDOPINION AND ORDER GRANTING RECONSIDERATIONBOARD MOTIONPERMANENT DISABILITY INDEMNITYPSYCHIATRIC INJURYORTHOPEDIC DISABILITYWCJ REPORT AND RECOMMENDATIONFINDINGS AWARD AND ORDERTEMPORARY DISABILITY INDEMNITYATTORNEY FEES
References
Case No. SRO 0133914
Regular
Jan 16, 2008

JUAN PRADO vs. JOINT INDUSTRY BOARD, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration to amend a prior decision, increasing applicant's permanent disability rating from 81% to 85.5% due to error in apportionment and a lack of substantial evidence. The Board found that the defendant failed to prove apportionment of the applicant's disability to a prior injury. Consequently, the applicant was awarded a life pension, which was an oversight in the original decision.

Workers' Compensation Appeals BoardJoint Industry BoardState Compensation Insurance Fundcarpenter's assistantindustrial injurypermanent disabilityapportionmentunreasonable delaypenaltyCompromise and Release
References
Case No. ADJ2947263
Regular
Jul 11, 2011

PATRICIA VILLEGAS vs. ORACLE CORPORATION, AMERICAN PROTECTION INSURANCE COMPANY, BROADSPIRE, THE CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, SEDGWICK, FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) denied Patricia Villegas's petition for reconsideration of an arbitrator's decision. The WCAB adopted the arbitrator's report as the basis for denial. Although the petition was filed late due to administrative oversight, the WCAB retroactively deemed it timely filed to ensure due process, citing relevant case law. Therefore, the petition for reconsideration was formally denied.

WORKERS' COMPENSATION APPEALS BOARDDENYING RECONSIDERATIONLABOR CODE § 5909DUE PROCESSTIMELY FILEDSTATUTORY TIME LIMITSHIPLEY V. WCABSTATE FARM FIRE AND CASUALTY V. WCABCIGNA INSURANCE COMPANYLIQUIDATION
References
Showing 1-10 of 25 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