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

Case No. ADJ8026817
Regular
Apr 22, 2013

MARIA OCHOA vs. RANGERS DIE CASTING COMPANY, COMPWEST INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a decision finding the applicant sustained injury to her respiratory system and psyche AOE/COE. The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr. Lipper and Dr. Curtis lacked substantiality. Specifically, the physicians failed to provide clear diagnoses, quantify exposures, or adequately explain causation. The Board noted contradictory testimony from the applicant's supervisor and insufficient evidence to support the initial findings.

Workers' Compensation Appeals BoardMaria OchoaRangers Die Casting CompanyCOMPWEST INSURANCE COMPANYADJ8026817Los Angeles District OfficeOpinion and Order Granting ReconsiderationDecision After ReconsiderationFindings of FactWorkers' Compensation Administrative Law Judge (WCJ)
References
Case No. ADJ9160815
Regular
Jun 10, 2014

ALMA CEDILLO vs. CEDARS SINAI MEDICAL CENTER, TRISTAR RISK MANAGEMENT

This case involves an applicant, Alma Cedillo, seeking workers' compensation benefits from Cedars Sinai Medical Center and Tristar Risk Management. The Workers' Compensation Appeals Board (WCAB) issued an order denying a Petition for Removal filed in the case. The WCAB adopted the reasoning of the workers' compensation administrative law judge (WCJ) in reaching its decision to deny removal. Therefore, the applicant's request to remove the case from the current process was rejected.

Petition for RemovalWorkers' Compensation Appeals BoardCedars Sinai Medical CenterTristar Risk ManagementAdministrative Law JudgeADJ9160815Van Nuys District OfficeAlma Cedillodenying removalworkers' compensation
References
Case No. ADJ7167333; ADJ7167413
Regular
Mar 24, 2015

ROSA LOPEZ vs. SUPERIOR CENTER CONCEPTS, INC., CARE WEST and PEGASUS RISK MANAGEMENT, PATRIOT RISK SERVICES for CIGA

In this workers' compensation case, CIGA sought reconsideration of a decision finding it liable for a portion of medical treatment and legal expenses. CIGA argued that because Care West provided "other insurance," it should not be liable. However, the Board denied CIGA's petition, upholding the original findings. This decision was based on a prior stipulation between Ullico (whose claims CIGA now administers) and Care West, which contractually apportioned liability. The Board found that CIGA is bound by this pre-liquidation stipulation, which supersedes CIGA's statutory exclusion for claims covered by other insurance.

CIGAUllicoCare WestPatriot Risk ServicesPegasus Risk ManagementSuperior Center Concepts Inc.Rosa LopezPetition for ReconsiderationFindings and OrderCompromise and Release
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. 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. 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
Case No. ADJ13571625
Regular
Apr 12, 2023

MARITZA CANALES vs. EAST WEST EYE INSTITUTE, INC., NOVA CASUALTY COMPANY, TRISTAR RISK MANAGEMENT

This case concerns a petition for reconsideration by Nova Casualty Company, the insurer for East West Eye Institute, Inc., challenging a finding of joint employment. The applicant, Maritza Canales, worked as a nanny/housekeeper, receiving simultaneous payments from East West/Premier Practice Management (PPM) and an individual, Naomi Kurata. The Workers' Compensation Appeals Board (WCAB) denied the petition, adopting the judge's report which found sufficient connection to East West/PPM to establish employment based on payroll and benefits provided. The judge also found Naomi Kurata credible, rejecting arguments of witness contradiction and mischaracterization of facts regarding overtime pay.

JOINT EMPLOYMENTALTER EGOEMPLOYMENT FOLLOWS PAYROLLCORPORATE ENTITIESRESIDENTIAL EMPLOYEEHOMEOWNER'S INSURANCEWITNESS CREDIBILITYCOMPENSATION JUDGEPETITION FOR RECONSIDERATIONWORKERS' COMPENSATION APPEALS BOARD
References
Case No. ADJ2987188 (LBO 0277672) ADJ6543172
Regular
Sep 15, 2015

LUPE CHAVEZ vs. COUNTY OF LOS ANGELES, TRISTAR RISK MANAGEMENT

This order denies Lupe Chavez's Petition for Reconsideration in her workers' compensation case against the County of Los Angeles and Tristar Risk Management. The Workers' Compensation Appeals Board adopted the reasoning of the workers' compensation administrative law judge's report. Therefore, the denial of reconsideration stands.

Petition for ReconsiderationWorkers' Compensation Appeals BoardAdministrative Law Judge ReportDenying ReconsiderationCounty of Los AngelesTristar Risk ManagementCase Number ADJ2987188Case Number ADJ6543172San FranciscoCalifornia
References
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