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. ADJ4261717 (FRE 0227914), ADJ2564944 (FRE 0224116)
Regular
Jan 19, 2017

Ann Swengel vs. CAMBRIDGE; AON CORPORATION, AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA

The Appeals Board granted the defendant's petition for reconsideration, reversing the prior order that mandated a gym membership. The Board found that because the defendant timely submitted the request for authorization (RFA) to Utilization Review (UR), the UR's denial is not subject to review by the Board, nor is it subject to Independent Medical Review (IMR) if not timely appealed. Consequently, the applicant's petition for reconsideration and for penalties was denied. The Board emphasized that their jurisdiction regarding UR determinations is limited to timeliness.

Utilization ReviewIndependent Medical ReviewPetition for ReconsiderationFindings of Fact and OrderPrimary Treating PhysicianRequest for AuthorizationAdministrative Director's DeterminationMedical Treatment Utilization ScheduleLabor Code Section 5814.5Stipulations with Request for Award
References
5
Case No. ADJ9500867
Regular
Aug 23, 2017

JUAN HERNANDEZ vs. SMITH'S BAKERIES, INC.; WILLIAMSBURG NATIONAL INSURANCE COMPANY, administered by ILLINOIS MIDWEST INSURANCE AGENCY

In *Hernandez v. Smith's Bakeries, Inc.*, the applicant initially filed a Petition for Reconsideration of a July 5, 2017, Findings of Fact & Order. The applicant then filed a subsequent document requesting to withdraw this petition and also seeking a "Petition for Review of Order." The Appeals Board dismissed the reconsideration petition as requested. Furthermore, the Board found the applicant's "Petition for Review of Order" insufficient as it failed to specify grounds or cite the record as required by Labor Code § 5902 and relevant Appeals Board Rules.

Workers' Compensation Appeals BoardPetition for ReconsiderationDismissalLabor Code § 5902Appeals Board RulesCal. Code Regs. tit. 8 § 10842Cal. Code Regs. tit. 8 § 10846Cal. Code Regs. tit. 8 § 10852Skeletal PetitionInsufficient Grounds
References
6
Case No. ADJ10098723
Regular
Dec 15, 2017

CARL GAITHER vs. CALIFORNIA RESOURCES CORPORATION, STAR INDEMNITY AND LIABILITY CO.

The Workers' Compensation Appeals Board (WCAB) dismissed the applicant's petition for reconsideration because it was filed more than 25 days after the original award, violating jurisdictional time limits. Conversely, the defendant's petition for reconsideration was granted to allow the Board further opportunity to review the factual and legal issues. This case turns on a procedural technicality regarding timely filing. The WCAB will now review the merits of the defendant's petition.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardLab. CodeCal. Code Regs.jurisdictionaluntimely petitiondismissalgrantDecision After Reconsideration
References
4
Case No. ADJ7014015, ADJ7585119
Regular
Oct 13, 2015

ARMANDO SANCHEZ vs. RICHARD I KORAL, dba JESSICA'S, CYPRESS INSURANCE COMPANY

This case consolidates two workers' compensation claims related to applicant Armando Sanchez's back injury. Lien claimants Monrovia Memorial Hospital, Los Angeles Orthopedics, and Dr. Satish Kadaba sought reconsideration of a decision awarding their liens in part, based on the defendant's bill review. The Appeals Board dismissed Monrovia Memorial Hospital's petition as untimely and denied Dr. Kadaba's and Los Angeles Orthopedics' petitions because the admissibility of the defendant's bill review was not raised earlier. Ultimately, the Board adopted the WCJ's findings and recommendations, denying the lien claimants' requests for reconsideration.

Workers' Compensation Appeals BoardPetition for ReconsiderationJoint Findings and AwardIndustrial InjuryWarehousemanBack InjuryLabor Code section 3208.3Lien ClaimantsBill ReviewAdmissibility of Evidence
References
6
Case No. ADJ7284005 ADJ7912473
Regular
Mar 04, 2020

RONALD PHILPOT vs. PERFORMANCE DAIRY SERVICES, INC., CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, ULLICO CASUALTY COMPANY, IMPERIUM INSURANCE COMPANY

The Workers' Compensation Appeals Board granted the applicant's petition for reconsideration, rescinding the prior findings and ordering that reports from Drs. Miner and Van de Bittner be admitted into the record and provided to the IME. The Board found it was error to strike these reports, as admissibility and substantiality are distinct issues, and the IME should review all relevant evidence for a complete evaluation. Consequently, the record will be further developed, and the defendant CIGA's petition for reconsideration was dismissed.

Workers' Compensation Appeals BoardCIGAULLICOIMPERIUM INSURANCE COMPANYTRISTAR RISK MANAGEMENTJoint Findings of FactAward and OpinionAOE/COEIndependent Medical EvaluatorAgreed Medical Evaluator
References
0
Case No. ADJ3344826
Regular
Nov 09, 2010

RONALD FRYER vs. CORNUCOPIA COMMUNITY MARKET, TRAVELERS INSURANCE

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration regarding an order to authorize medical treatment and pay bills, as well as dismissing the applicant's untimely petition for reconsideration. The defendant argued the WCJ erred in ordering reimbursement for bills not following Utilization Review, while the applicant claimed further wrongdoing and sought an award of benefits. The Board adopted the WCJ's report, denying the defendant's petition, and dismissed the applicant's petition as untimely.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and OrderMedical Treatment AuthorizationPrimary Treating PhysicianMedical Provider NetworkGym MembershipIndustrial InjuryUtilization ReviewApplicant
References
2
Case No. ADJ9219579
Regular
Feb 02, 2015

MICHAEL HENNESSEY vs. COMPASS GROUP, NATIONAL UNION FIRE INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) dismissed the defendant's Petition for Removal, treating it as a Petition for Reconsideration because the original order was final. After reviewing the WCJ's report and the record, the WCAB denied the Petition for Reconsideration. Therefore, the WCAB dismissed the removal petition and denied the reconsideration petition.

Petition for RemovalFindings Award OrderWCJPetition for ReconsiderationWorkers' Compensation Appeals BoardAdministrative Law JudgeLabor CodeCalifornia Code of RegulationsFinal OrderADJ9219579
References
0
Case No. ADJ7160971
Regular
Jan 12, 2015

JACINTO CATILLO vs. SANTA CLARITA INTERIORS, ZURICH AMERICAN INSURANCE CO

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of the defendant's petition to review an arbitrator's award finding the applicant sustained a lumbar spine injury. The defendant's petition for reconsideration was potentially untimely and filed with the incorrect district office for this ADR carve-out case. The WCAB will issue a notice of intention to dismiss unless the defendant provides proof of timely filing with the correct office. The defendant has 15 days to submit documentation demonstrating the petition was timely filed.

Petition for ReconsiderationArbitrator's Findings and AwardJourneyman CarpenterLumbar SpinePermanent DisabilityApportionmentTemporary Total Disability IndemnityArbitrator's Report and RecommendationElectronic Adjudication Management SystemADR carve-out case
References
2
Case No. ADJ7038469
Regular
Sep 17, 2014

AZIZA SAYED vs. GIORGIO ARMANI, FEDERAL INSURANCE COMPANY

The defendant's petition to appeal an Administrative Director's Independent Bill Review (IBR) determination was dismissed. The Board found the petition premature as it was not first heard by a trial level Workers' Compensation Judge (WCJ). Additionally, the petition failed to comply with numerous procedural requirements, including proper captioning, verification, service, and stating specific grounds for appeal. Consequently, both the petition for reconsideration and the petition appealing the IBR determination were dismissed.

Workers' Compensation Appeals BoardIndependent Bill ReviewPetition for ReconsiderationAdministrative DirectorLabor Code section 4603.6MAXIMUS Federal ServicesInc.Lien claimantOfficial Medical Fee ScheduleWCAB Rules of Practice and Procedure
References
0
Case No. ADJ3808038 (LAO 0819022)
Regular
Feb 11, 2010

NICOLAS F. BENINKOFF (Deceased), LORENA BENINKOFF (Widow) vs. DARCO METAL SURFACING, INC.; and STATE COMPENSATION INSURANCE FUND

The Appeals Board denied petitions for removal and reconsideration from lien claimants and the defendant, and denied the applicant's reconsideration petition. Lien claimants Kan and Ace's petition for removal was denied as they failed to show substantial prejudice, and their reconsideration petition was dismissed as the prior order was not final. The applicant's reconsideration petition was denied because her claim for home healthcare services was deemed an untimely lien claim under Labor Code section 4903.5.

Workers' Compensation Appeals BoardRemovalReconsiderationLien ClaimantsUntimely LienLabor Code section 4903.5Labor Code section 5405Home Healthcare ServicesMedical TreatmentTransportation Expenses
References
5
Showing 1-10 of 20,918 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