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

Case No. ADJ1139186 (OAK 0308001) ADJ483865 (OAK 0308002) ADJ6524430
Regular
Jan 06, 2011

PATRICK RECORDS vs. WASTE MANAGEMENT OF ALAMEDA COUNTY AND CIGA, CONVERIUM, ACE, ET AL.

The Workers' Compensation Appeals Board granted reconsideration to address CIGA's claim for contribution against Converium for a cumulative trauma injury ending February 15, 2000. CIGA argued that the statute of limitations was tolled by medical treatment and payments made under a Compromise and Release Agreement. However, the Board found the record insufficient, lacking crucial medical evidence regarding the cumulative trauma injury and benefit payment details. Therefore, the case was returned to the trial level to allow the admission of necessary documents, including the Agreed Medical Examiner's reports and a clear benefit payment printout, to determine the validity of CIGA's contribution claim.

CIGAConverium InsuranceContribution claimCumulative traumaStatute of limitationsCompromise and Release AgreementTollingMedical treatmentAgreed Medical ExaminerApplication for Adjudication of Claim
References
2
Case No. Motion sequence Nos. 002 and 005
Regular Panel Decision

UMG Recordings, Inc. v. Escape Media Group, Inc.

UMG Recordings, Inc. sued Escape Media Group, Inc. for common-law copyright infringement and unfair competition. Escape asserted DMCA safe harbor and CDA preemption defenses, along with Donnelly Act and tortious interference counterclaims. The court denied UMG's motion to dismiss the DMCA safe harbor defense, ruling it applies to pre-1972 recordings. However, the court granted UMG's motion to dismiss the CDA preemption defense, clarifying that the CDA's intellectual property exemption covers both federal and state laws. Additionally, Escape's Donnelly Act counterclaim was dismissed, but UMG's motions to dismiss the tortious interference counterclaims were denied, rejecting defenses like the Noerr-Pennington doctrine and economic interest.

Copyright InfringementDMCA Safe HarborPre-1972 RecordingsUnfair CompetitionCommunications Decency ActTortious InterferenceDonnelly ActNew York Common LawInternet Service ProvidersAntitrust
References
34
Case No. MISSING
Regular Panel Decision

Garden State Anesthesia Associates, PA v. Progressive Casualty Insurance

Garden State Anesthesia Associates (GSAA) sued Progressive Casualty Insurance Company for unpaid first-party no-fault benefits after providing services to Angela Gowan-Walker. Progressive delayed payment, citing the need for Gowan-Walker's examination under oath (EUO) and extensive medical and workers' compensation records. Although Gowan-Walker completed her EUO, Progressive continued to issue delay letters, requesting information primarily from third parties and Gowan-Walker's attorney, without directly contacting GSAA for verification. The court denied Progressive's motion for summary judgment, ruling that an insurer cannot indefinitely toll the 30-day payment period by requesting verification unrelated to the specific provider's claim or by failing to request verification directly from the provider.

No-fault benefitsSummary JudgmentInsurance LawVerification RequestDelay LetterEUOMedical RecordsInsurance ClaimsTimelinessTolling
References
9
Case No. MISSING
Regular Panel Decision

Iannaci v. Independent Cement Corp.

The Special Fund for Reopened Cases appealed a Workers’ Compensation Board decision from April 7, 2008, which shifted liability to the Fund under Workers’ Compensation Law § 25-a for a claim reopened in 2007, originally stemming from a 1992 injury. The Board had affirmed a Workers’ Compensation Law Judge's decision, which, despite an affidavit from the claimant indicating unchanged wages for lighter duties, denied further record development on the issue of advance payments of compensation. The appellate court found the Board's determination, which stated "absolutely no evidence" supported the Special Fund's contention of advance payments, to be erroneous. It highlighted that unchanged wages for lighter work could constitute an advance payment, potentially relieving the Special Fund of liability. Consequently, the court reversed the Board's decision, citing a lack of substantial evidence, and remitted the matter for further development of the record regarding advance payments.

Workers' Compensation Law § 25-aSpecial Fund for Reopened CasesAdvance Payments of CompensationLighter DutiesSubstantial EvidenceRemittalBoard Decision AppealLiability ShiftReopened CaseWorkers' Compensation Board
References
12
Case No. ADJ2820557 (RDG 0106325), ADJ3301737 (RDG 0110776)
Regular
Oct 18, 2011

DEAN LAGOE vs. GRASS VALLEY FORD by RISK ENTERPRISE MANAGEMENT

The defendant, Grass Valley Ford, petitioned for removal to vacate an order vacating submission, arguing irreparable harm from ongoing temporary disability payments. The WCJ vacated submission due to an insufficient evidentiary record lacking stipulations on temporary disability payments and claimant's claims. The Appeals Board denied the petition, finding the WCJ was correct that a sufficient record was needed for a proper decision. The case is remanded for further proceedings to develop the record.

Petition for RemovalVacating SubmissionInsufficient EvidenceTemporary Disability IndemnityIrreparable HarmStipulated AwardsEAMSCumulative TraumaAmended Minutes of HearingStipulation
References
1
Case No. ADJ3872960
Regular
May 06, 2013

ALONZO WATKINS vs. LONG BEACH UNIFIED SCHOOL DISTRICT

This case concerns applicant Alonzo Watkins' petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision denying his claim for unpaid benefits totaling $14,269.10. The WCAB denied reconsideration, finding that Watkins failed to provide substantial evidence of non-payment, as the employer presented proof of payment via checks issued over 16 years prior. The WCAB also ruled that Watkins raised the issue of the employer's failure to produce payment records for the first time on appeal, which is impermissible. Furthermore, the WCAB clarified that the record retention requirements for adjusting agencies do not mandate indefinite maintenance of claim files.

Petition for ReconsiderationFindings and OrderIndustrial InjuryBack InjuryLower ExtremitiesTeacherCompromise and ReleasePayment RecordsProof of PaymentNon-Payment
References
2
Case No. MISSING
Regular Panel Decision

Claim of Schroeder v. US Foodservice

In March 2003, the claimant sustained a work-related back injury and was awarded workers’ compensation benefits, leading to the case's closure. Seven years later, in August 2010, the employer sought to transfer liability to the Special Fund for Reopened Cases under Workers’ Compensation Law § 25-a. The Workers’ Compensation Law Judge and Board affirmed this transfer, determining that no advance payments had been made. However, the Special Fund appealed, arguing that the record lacked sufficient evidence to determine if the claimant received full wages while performing lighter duties, which could constitute advance payments and prevent the liability shift. The Court reversed the Board’s decision, remitting the matter for further development of the record on the issue of advance payments.

Workers' CompensationSpecial FundReopened CasesAdvance PaymentsLiability ShiftSubstantial EvidenceRemittalWorkers' Compensation Law § 25-aFactual DisputeBoard Decision Reversal
References
6
Case No. MISSING
Regular Panel Decision

New York State Police v. Charles Q.

A State Trooper, acquitted of criminal charges, had his criminal records sealed. His employer, the State Police (petitioner), subsequently sought to unseal these records for use in a disciplinary proceeding. The County Court initially granted the application to unseal. On appeal, the court reversed the County Court's order, ruling that the State Police, when conducting a disciplinary proceeding against one of its employees, is not acting as a 'law enforcement agency' under CPL 160.50 (1) (d) (ii) and thus has no statutory right to access sealed records. Furthermore, the court found that the petitioner failed to meet the 'compelling demonstration' required for exercising the court's inherent power to unseal records, as it did not demonstrate that other investigative avenues had been exhausted or were unavailable. Consequently, the application to unseal the records was denied.

Sealed recordsCriminal Procedure Law 160.50Disciplinary proceedingState TrooperPublic employerLaw enforcement agencyInherent court powerUnsealing recordsAppellate reviewAdministrative determination
References
6
Case No. MISSING
Regular Panel Decision

Employers' Mutual Liability Insurance v. McLellan

This motion, brought by a plaintiff insurance carrier and Flying Tigers, Inc., sought to stay payment to defendant John Johnstone. The payment was awarded by Deputy Commissioner McLellan under the Longshoremen’s and Harbor Workers’ Compensation Act for the death of James M. Johnstone. Plaintiffs argued that the Deputy Commissioner's findings on dependency and jurisdiction were erroneous and that they would suffer irreparable harm without a stay due to no provision for repayment under the Act. However, the court found the application inadequate, citing insufficient facts, rebutted dependency claims, and legally insufficient assertions of irreparable injury. Consequently, the motion for a stay of payment was denied.

Longshoremen's and Harbor Workers' Compensation ActWorkers' CompensationStay of PaymentPreliminary InjunctionIrreparable HarmDependencyJurisdictionCompensation AwardPenalty for Non-PaymentInsurance Carrier
References
8
Case No. MISSING
Regular Panel Decision

Mister Vee Productions, Inc. v. LeBlanc

This case involves a dispute over copyright infringement and breach of contract. Three corporations—Mister Vee, Delightful, and Vigor—sued individuals known as The Rhythm Makers, Paul Service, and corporations Arista Records, G.Q. Publishing, and Arista Music. Delightful alleged copyright infringement for the song 'Soul On Your Side.' Mister Vee and Vigor claimed The Rhythm Makers breached an exclusive agreement by recording other songs with Arista. The court addressed defendants' motion to dismiss non-copyright claims due to lack of pendent jurisdiction. The court ultimately declined jurisdiction and dismissed the state law claims, finding they did not share a 'common nucleus of operative fact' with the federal copyright claim.

Copyright InfringementBreach of ContractPendent JurisdictionFederal CourtState Law ClaimsMusic Industry DisputeExclusive Recording AgreementMotion to DismissJudicial EconomyCommon Nucleus of Operative Fact
References
12
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