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

Case No. ADJ7673518, ADJ7647749
Regular
Jan 23, 2015

ANA DE AYALA vs. AO-THE UNIVERSITY CORPORATION / CALIFORNIA STATE UNIVERSITY NORTHRIDGE

The Workers' Compensation Appeals Board granted reconsideration and reversed a prior ruling, finding the applicant sustained industrial injury to her neck. While the applicant testified to injuring her neck in a workplace incident and this was partially corroborated, the Board found insufficient evidence for other claimed injuries. The Board specifically disagreed with the administrative law judge's credibility assessment concerning the neck injury itself, relying on medical reports and testimony supporting the neck injury claim. The Board affirmed the denial of claims for all other alleged injuries, finding insufficient medical evidence to link them to the incident.

Petition for ReconsiderationFindings and OrderIndustrial InjuryNeck InjuryBack InjurySpine InjuryUpper ExtremitiesPsycheGastroesophageal SystemInternal System
References
Case No. ADJ2529270 (MON0205624)
Regular
Dec 17, 2010

ZOI FOVOS vs. LOS ANGELES UNIFIED SCHOOL DISTRICT permissibly self insured c/o SEDGWICK CLAIMS MANAGEMENT SERVICES

The Workers' Compensation Appeals Board granted reconsideration of a prior decision that found an award was paid timely without penalties. Applicant contended the defendant failed to include interest with the award payment, entitling them to penalties and attorney fees. The Board found the WCJ's decision failed to address the timeliness of interest payment and the applicability of penalties under Labor Code sections 5814 and 5814.5. The case is returned to the WCJ for further proceedings and a new decision regarding potential penalties and attorney fees for the delayed interest payment.

Workers Compensation Appeals BoardPetition for ReconsiderationFindings of FactAwardPenaltyAttorney's FeeInterest on AwardLabor Code Section 4650Labor Code Section 5814Labor Code Section 5814.5
References
Case No. LAO 0784069
Regular
Feb 11, 2008

RICARDO LOPEZ vs. HYON SEOP KIM, Individually and dba H.B. CONSTRUCTION, AARON SONG, an Individual, Illegally Uninsured, THE DIRECTOR OF INDUSTRIAL RELATIONS, As Administrator of THE UNINSURED EMPLOYERS BENEFITS TRUST FUND

The Uninsured Employers Benefits Trust Fund (UEBTF) was not liable for a penalty on an attorney's fee award due to unreasonable delay. However, Labor Code section 3716.2 obligates the UEBTF to seek such penalties in civil enforcement actions against uninsured employers. Therefore, the Appeals Board amended the award to clarify that while UEBTF is not directly liable for the penalty, it remains part of the underlying award that UEBTF must pursue from the uninsured employers.

Uninsured Employers Benefits Trust FundUEBTFAttorney's fee awardLabor Code section 5814Labor Code section 3716.2Civil suitReconsiderationFindings and AwardWCJPenalty
References
Case No. RIV 0077306
Regular
May 09, 2008

D. ENVER CLAWSON vs. PIER ONE IMPORTS, ZURICH INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) rescinded an award of attorney's fees, finding they are only available under Labor Code § 5814.5 "in addition to" a penalty award under Labor Code § 5814 for unreasonable delay or refusal of treatment. Because the applicant did not seek a § 5814 penalty, the WCAB returned the case for further proceedings to allow the applicant to pursue such a penalty.

Workers' Compensation Appeals BoardReconsiderationLabor Code § 5814.5Labor Code § 5814Attorney's FeesMedical TreatmentStipulated AwardUnreasonable DelayRefusal to Provide TreatmentPenalty
References
Case No. VNO 450531
Regular
May 30, 2007

Claudia Cisneros, Guardian Ad Litem for Summer Corina Pimentel vs. DAYNITE FACILITIES, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration of a prior award, rescinded the decision, and returned the case to the trial level for further proceedings. The applicant sought reconsideration regarding denial of penalties for delayed death benefit payments and her attorney sought a higher fee. The Board found no error in denying penalties but remanded the attorney fee issue due to insufficient notice to the applicant. Additionally, the Board noted and will require correction of a clerical error in the original award regarding the weekly payment amount for death benefits.

Guardian Ad LitemDeath BenefitStatutory Death BenefitReconsiderationAwardPetition for PenaltiesUnreasonable DelayStipulated AwardAttorney FeesMandatory Settlement Conference
References
Case No. LAO 843759
Regular
Jul 16, 2007

JOSE GALARRETA vs. H.R. STAFFING, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded a prior administrative law judge's (WCJ) award due to confusion regarding the defendant's compensation payments, the applicant's penalty claims, and the WCJ's reasoning. The WCAB returned the case to the trial level for clarification on specific payment delays, penalty calculations, and the basis for attorney's fees awarded under Labor Code § 5814.5. The WCAB emphasized the need for specific findings on what compensation was delayed, when it was due and paid, and why any penalty was imposed to ensure fair and substantial justice between the parties.

Workers' Compensation Appeals BoardReconsiderationFindings and AwardLabor Code § 5800Labor Code § 4650Labor Code § 5814Labor Code § 5814.5Attorney's FeesUnreasonable DelayPenalty
References
Case No. ADJ781247 (VNO 0510125)
Regular
Feb 01, 2010

Clifford Nichols vs. California Department of Consumer Affairs, STATE COMPENSATION INSURANCE FUND (Adjusting Agent)

The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration regarding a Labor Code section 5814 penalty, affirming the penalty was correctly applied to the delayed interest amount, not the underlying award. However, the Board granted reconsideration on its own motion to reverse an attorney's fee award under section 5814.5, as state entities are exempt from this provision. The applicant's attorney was awarded a lien against the penalty and interest, equivalent to 15% of the total amount secured.

Workers' Compensation Appeals BoardLegally UninsuredState Compensation Insurance FundPetition for ReconsiderationFindings of Fact and AwardWCJUnreasonable DelayInterest PaymentTemporary Disability AwardStipulations with Request for Award
References
Case No. ADJ8835104
Regular
Feb 21, 2023

SHERRY DULANEY vs. JOHN MUIR MEDICAL CENTER, SAFETY NATIONAL CASUALTY COMPANY

The Workers' Compensation Appeals Board granted reconsideration to clarify that Labor Code section 5814 penalties for delayed compensation are payable to the applicant, not their attorney. The Board affirmed the WCJ's decision to award penalties due to the defendant's unreasonable delay in paying a settlement award. The issue of separate section 5814.5 fees was deferred for further consideration. The decision confirms the applicant's entitlement to penalties for late payment of compensation.

WCABPetition for ReconsiderationLabor Code section 5814penaltiesunreasonable delayattorney feesStipulation with Request for AwardAdjudication Numberpermanent disabilityindustrial injury
References
Case No. ADJ2353136 (STK 0213635)
Regular
Dec 19, 2016

AHMED SHOAIB vs. CAMBELL SOUP COMPANY

This case concerns a dispute over the payment of a workers' compensation settlement. The applicant, Ahmed Shoaib, settled a discrimination claim against Campbell Soup Company for $55,000. Campbell Soup unilaterally withheld over $19,000 from the applicant's share of the settlement for alleged payroll taxes. The Workers' Compensation Appeals Board denied Campbell Soup's petition for reconsideration, finding that the company unreasonably delayed payment by taking a unilateral credit. The Board affirmed the WCJ's decision and the awarded 25% penalty for the delayed payment.

Workers' Compensation Appeals BoardPetition for ReconsiderationStipulation and AwardLabor Code Section 132aAmended Petition for PenaltyDelayed PaymentLabor Code Section 5814Labor Code Section 5814.5Contract EnforcementUnilateral Credit
References
Case No. GRO 0027359 GRO 0031626
Regular
May 14, 2008

TERESA FOSTER-KENNEDY vs. SANSUM SANTA BARBARA MEDICAL FOUNDATION, ARROWOOD INDEMNITY COMPANY, DYNAMIC CLAIM SERVICE

The Appeals Board granted reconsideration, affirming only the initial penalty and attorney's fee for the unreasonable delay in authorizing follow-up care with Dr. Billy. However, the Board reversed all other penalties and attorney's fees related to the payment of prior attorney's fees, finding those issues either rescinded, not properly presented, or mooted by settlement agreements. The employer is now liable for the initial penalty and associated attorney's fee regarding Dr. Billy, but not for any subsequent penalties or fees concerning attorney fee disputes.

Labor Code section 5814Labor Code section 5814.5unreasonable delayfollow-up careattorney's feespenalty petitionreconsiderationawardFindings of FactReport and Recommendation
References
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