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

Case No. ADJ7870415
Regular
Apr 30, 2012

SHARON BEAUDOIN vs. PEGASUS PRESS, INC., TRAVELERS INDEMNITY COMPANY OF CONNECTICUT

The Workers' Compensation Appeals Board granted reconsideration of a prior decision finding an employee's injury arose out of and occurred in the course of employment (AOE/COE) because she was on a special mission. The Board found reconsideration was necessary to allow further study of the factual and legal issues to ensure a just and reasoned decision. All future filings are to be submitted directly to the Appeals Board Commissioners in San Francisco, not to the district office.

AOE/COEgoing and coming rulespecial missionPetition for ReconsiderationWorkers' Compensation Appeals BoardFindings and OrderWCJTravelers Indemnity Company of ConnecticutPegasus PressInc.
References
Case No. ADJ6777284, ADJ6777302, ADJ7465280
Regular
Jan 07, 2013

DEBBIE DAY vs. ALBERTSONS, SEDWICK CMS

This Workers' Compensation Appeals Board case involved three cumulative trauma injuries sustained by applicant Debbie Day while employed by Albertsons and SaveMart Supermarkets. The arbitrator issued a Findings, Award, and Order, and subsequently a Report on Petition for Reconsideration. The Board denied the Petition for Reconsideration, adopting the arbitrator's report which clarified that SaveMart/Pegasus's claims for contribution and reimbursement in earlier injury years were moot as their liability stemmed solely from the 2009 injury. The arbitrator's Opinion on Decision was amended to reflect this clarification regarding SaveMart/Pegasus's sole liability for the 2009 injury.

WCABPetition for ReconsiderationArbitrator's ReportAmended OpinionCumulative Trauma InjuriesDate of InjuryContributionReimbursementSaveMart SupermarketsAlbertsons
References
Case No. ADJ2750886 (VNO 0423874)
Regular
Apr 01, 2011

ROSALIND PRESS vs. LOS ANGELES UNIFIED SCHOOL DISCTRICT, Permissibly Self-Insured, administered by SEDGWICK CMS

The Appeals Board granted reconsideration and rescinded the WCJ's Findings and Award, finding the applicant sustained industrial injury resulting in psychosomatic disorder. The Board noted the WCJ's decision heavily relied on applicant's credibility, but crucial evidence, the April 13, 2010 Minutes of Hearing, was missing from the record. The matter was returned to the trial level for further proceedings and a new decision to ensure a complete record for review. Removal was denied as reconsideration provided an adequate remedy.

Workers' Compensation Appeals BoardRosalind PressLos Angeles Unified School DistrictSEDGWICK CMSADJ2750886VNO 0423874Opinion and Order Denying RemovalGranting ReconsiderationDecision After ReconsiderationFindings and Award
References
Case No. ADJ1355980 (SAC 0285830) ADJ760169 (SAC 0285829)
Regular
May 28, 2013

BETTY FRISBY (Deceased), GEORGE FRISBY (Spouse) vs. THE PRESS TRIBUNE, INC.; TIG INSURANCE CO., TRISTAR RISK MANAGEMENT; RELIANCE INSURANCE CO., CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, administered by TPA SEDGWICK CMS

This case concerns a deceased worker's cumulative injury claims against multiple insurers. The Appeals Board rescinded the arbitrator's decision, finding that crucial findings regarding the period of cumulative injury and whether the worker was an employee were missing. The Board remanded the case for the arbitrator to determine the precise injury dates, body parts affected, and the insurer(s) liable during the statutory period. This is necessary to ascertain if TIG Insurance provided coverage and thus constitutes "other insurance" before determining CIGA's liability.

Workers' Compensation Appeals BoardBetty FrisbyGeorge FrisbyThe Press TribuneTIG Insurance Co.Tristar Risk ManagementReliance Insurance Co.California Insurance Guarantee Association (CIGA)Sedgwick CMScumulative injury
References
Case No. ADJ8970618
Regular
Jun 27, 2017

DANIEL GUERRERO vs. RAMCAST STEEL FABRICATION, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration to clarify an industrial injury finding. The Board affirmed a judge's award of $79\%$ permanent disability for an applicant who lost fingers in a punch press. The judge correctly determined the applicant's psychiatric injury qualified for compensation under the "violent act" exception to Labor Code section 4660.1(c)(1), finding the severe amputation constituted such an event. The Board amended the award to explicitly state the applicant sustained a psyche injury arising out of and occurring in the course of employment.

Labor Code section 4660.1violent act exceptionpsychiatric disorderphysical injurysudden and extraordinarycatastrophic injurypanel opinionsciteable authorityadministrative constructionPOST-TRAUMATIC STRESS DISORDER
References
Case No. ADJ8845585
Regular
Oct 09, 2025

WESLEY RENTFROW vs. COUNTY OF MERCED, PEGASUS RISK MANAGEMENT

Defendant, County of Merced, filed a petition for removal from an order taking the matter off calendar, contending further discovery was unnecessary. The Workers' Compensation Appeals Board (WCAB) considered the petition, the applicant's answer, and the WCJ's report, ultimately denying removal. The WCAB stated that removal is an extraordinary remedy and found no showing of substantial prejudice or irreparable harm. Furthermore, the Board noted the issue appeared moot as the defendant had not taken steps to place the matter back on calendar in the three years since filing the petition.

Petition for RemovalOff Calendar OrderWCJ ReportSubstantial PrejudiceIrreparable HarmReconsiderationMoot IssueDeclaration of Readiness to ProceedCOBRA PremiumsAdjudication Number
References
Case No. ADJ8458574
Regular
Jun 27, 2014

IRMA BUSANE vs. SAVE MART SUPERMARKETS, PEGASUS RISK MANAGEMENT

The Workers' Compensation Appeals Board (WCAB) granted the defendant's petition for reconsideration of a prior decision. This action was taken to allow the Board more time to thoroughly review the factual and legal aspects of the case. The WCAB deemed this necessary for a complete understanding and a just resolution. All future filings related to this case must be submitted in writing to the WCAB Commissioners' office in San Francisco, not to any district office or e-filed.

Workers' Compensation Appeals BoardPetition for ReconsiderationSave Mart SupermarketsPegasus Risk ManagementADJ8458574April 24 2014statutory time constraintsfactual issueslegal issuesjust and reasoned decision
References
Case No. ADJ3789891 (STK0214135)
Regular
Sep 07, 2010

JESSE GIMENO vs. SAVE MART SUPERMARKETS, PEGASUS RISK MANAGEMENT

This case involves a petition for reconsideration by lien claimant Dawdy Chiropractic regarding a Notice of Intention to Dismiss Lien. The lien claimant failed to appear at a mandatory settlement conference and argued they never received the dismissal notice. The Workers' Compensation Appeals Board (WCAB) denied the petition for reconsideration. The WCAB adopted the judge's report, which likely found insufficient cause to overturn the dismissal. Ultimately, the lien claimant's petition for reconsideration was dismissed.

Workers' Compensation Appeals Boardlien claimantpetition for reconsiderationNotice of Intention to Dismiss Lienmandatory settlement conferencegood cause showingadministrative law judgereport and recommendationdismissalself-insured
References
Case No. ADJ7255523
Regular
Dec 10, 2015

JEAN THOMPSON vs. LUCKY SAVEMART SUPERMARKETS, PEGASUS RISK MANAGEMENT

In this workers' compensation case, the applicant sought to disqualify the Administrative Law Judge (ALJ) assigned to a lien conference. The applicant based their request on grounds specified in Code of Civil Procedure section 641. However, the ALJ subsequently recused himself, and the matter was reassigned to a different ALJ. Consequently, the Workers' Compensation Appeals Board (WCAB) dismissed the petition for disqualification as moot.

WCABPetition for DisqualificationWCJLien ConferenceCode of Civil Procedure section 641MootRecusedAdministrative Law JudgeWorkers' Compensation Appeals BoardPegasus Risk Management
References
Case No. ADJ7308695
Regular
Apr 16, 2014

MARIA ZAMUDIO vs. STAFF CHEX, CARE WEST INSURANCE COMPANY, PEGASUS RISK MANAGEMENT

This case involves Maria Zamudio's workers' compensation claim against Staff Chex and its insurer. The Workers' Compensation Appeals Board (WCAB) issued an order dismissing Zamudio's petition for reconsideration. The dismissal was based on the petition being filed untimely, as detailed in the administrative law judge's report which the WCAB adopted. Therefore, Zamudio's reconsideration request was denied.

Petition for ReconsiderationUntimelyDismissedWorkers' Compensation Appeals BoardAdministrative Law JudgeReport and RecommendationWorkers' CompensationStaff ChexCare West Insurance CompanyPegasus Risk Management
References
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