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

Case No. ADJ3021055
Regular
May 12, 2010

MIGUEL RUIZ vs. PAT LOFTIS FARMS, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied Miguel Ruiz's petition for reconsideration. The Board adopted the administrative law judge's report, which found Ruiz's testimony not credible. The judge based this finding on conflicting evidence regarding the water truck/trailer involved in the alleged injury and other inconsistencies in Ruiz's statements. The denial upholds the original order that Ruiz take nothing from his claim.

Workers' Compensation Appeals BoardPetition for ReconsiderationWorkers' Compensation Administrative Law JudgecredibilityGarza v. Workers' Comp. Appeals Bd.Findings and Orderpro perinjurylow back injuryfall
References
Case No. ADJ14132796
Regular
Jul 25, 2025

Jolee Rogelstad vs. Brian Silver

Applicant Jolee Rogelstad claimed injury while employed by defendant Brian Silver on June 21, 2020. The Workers' Compensation Appeals Board (WCAB) granted reconsideration of the WCJ's Findings, Award, and Order. The WCAB rescinded the initial F&A and substituted a new one, affirming the employer-employee relationship but deferring the issues of injury arising out of and in the course of employment and judicial notice of the applicant's prior case.

Workers' Compensation Appeals BoardReconsiderationFindings Award OrderAdministrative Law JudgeIndependent ContractorEmployee StatusBunkhouse RuleSitus of InjuryCourse of EmploymentEmployer Liability
References
Case No. ADJ1409625 (LBO 0360295) ADJ1382588 (MON 0239533)
Regular
Apr 16, 2015

MELBOURNE BARDOWELL vs. GI TRUCKING COMPANY, GALLAGHER BASSETT SERVICES, ATHENS ADMINISTRATORS

The Workers' Compensation Appeals Board granted reconsideration to clarify the applicant's date of injury for cumulative trauma. The original award found industrial injury to the neck and low back for a trailer mechanic but did not address liability division between two third-party administrators, Athens Administrators and Gallagher Bassett Services. The Board deferred the issue of the period of injurious exposure to the Workers' Compensation Judge. The matter is returned to the WCJ for further proceedings and a new decision on this specific issue.

Petition for ReconsiderationDivision of LiabilityPeriod of Injurious ExposureLabor Code sections 54125500.5Cumulative TraumaDate of InjuryTrailer MechanicPermissibly Self-InsuredThird-Party Administrator
References
Case No. ADJ10456401
Regular
Oct 25, 2016

JUAN RIVAS vs. NORTH AMERICAN TRAILER, TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

This case concerns a Petition for Reconsideration filed by Juan Rivas related to a workers' compensation award. The Workers' Compensation Appeals Board reviewed the petition and the WCJ's report. Adopting the WCJ's reasoning, the Board denied Rivas's petition for reconsideration.

Petition for ReconsiderationDeniedWCJ ReportAdoptedIncorporatedWorkers' Compensation Appeals BoardAward (Assumed)Van Nuys District OfficeADJ10456401North American Trailer
References
Case No. ADJ9749961
Regular
Oct 11, 2017

ROMEL MAAIA vs. REDNECK TRAILER SUPPLY, INC., NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURG, PA.

In this workers' compensation case, the Appeals Board granted reconsideration to address the applicant's entitlement to treat outside the defendant's Medical Provider Network (MPN). The defendant contested that the applicant's chosen physician, Dr. Shaw, qualified as a "regular physician" under Labor Code section 4600(d). Specifically, the defendant argued the applicant failed to prove the predesignation notice was submitted to the employer before the injury, and that Dr. Shaw was indeed the applicant's regular physician who retained his records. The Board found the record insufficient to definitively rule on these issues and remanded the case to the WCJ for further development of the evidence.

Predesignation of Personal PhysicianMedical Provider NetworkRegular PhysicianLabor Code section 4600Workers' Compensation Appeals BoardFindings of FactOpinion and Decision After ReconsiderationDevelop the RecordDue ProcessNimish Shah M.D.
References
Case No. ADJ8050106 ADJ9468937 ADJ9154032
Regular
Nov 03, 2018

ANTONIO VAZQUEZ vs. CARSON TRAILERS, AMTRUST NORTH AMERICA

The Appeals Board dismissed the petition for reconsideration because it was taken from an interlocutory procedural order, not a final decision. The Board also denied the petition for removal, finding no substantial prejudice or irreparable harm, and that reconsideration would be an adequate remedy if a final decision issues. The order pertains to multiple cases involving Antonio Vazquez and Carson Trailers. The WCJ's order directing the use of a specific bill reviewer was deemed an evidentiary/procedural matter.

Workers' Compensation Appeals BoardPetition for ReconsiderationPetition for RemovalFinal OrderInterlocutory OrderEvidentiary OrderProcedural OrderSubstantive RightThreshold IssueExtraordinary Remedy
References
Case No. ADJ4335469
Regular
Jul 28, 2014

GABRIEL CASTRO vs. CARSON TRAILERS, INC., UNITED STATES FIRE INSURANCE COMPANY

This case concerns an industrial injury to the applicant's back and other body parts. The defendant, Carson Trailers, Inc., sought reconsideration of an award for transportation and four hours of daily home care. The Appeals Board affirmed the award, finding the defendant had previously stipulated to these services and failed to provide contrary medical evidence showing they were no longer necessary. The Board emphasized that the defendant could not unilaterally disregard prior stipulations and orders without seeking relief.

Workers Compensation Appeals BoardPetition for ReconsiderationFindings And AwardAgreed Medical EvaluatorStale ReportingDevelopment of Medical RecordTransportation to Medical VisitsHome CareStipulationMinute Order
References
Case No. ADJ10219987
Regular
Aug 14, 2017

FERNANDO LOPEZ vs. PISMO COAST VILLAGE, INC., INSURANCE CO OF THE WEST

This case concerns a Petition for Removal filed by Pismo Coast Village, Inc. and Insurance Co. of the West (Defendants) in the Workers' Compensation Appeals Board. The Defendants sought removal, arguing their due process rights were violated because the issue of injury arising out of and in the course of employment (AOE/COE) was not explicitly listed in the Applicant's declaration of readiness to proceed and they were denied complete discovery. The Administrative Law Judge recommended denial of the petition, finding the Defendants were aware AOE/COE was an issue and that their claimed discovery issues were not sufficiently demonstrated. The Appeals Board reviewed the petition and the ALJ's report and denied the Petition for Removal, finding no substantial prejudice or irreparable harm and that reconsideration would be an adequate remedy.

Petition for RemovalWorkers' Compensation Appeals BoardInjury AOE/COEDue ProcessDiscoveryRegular PhysicianLabor Code Section 5701Mandatory Settlement ConferenceAmputationRight Foot
References
Case No. ADJ4424138 (SFO 0488945)
Regular
Sep 29, 2009

PATRICK JAMES DOHERTY vs. UNITED PARCEL SERVICE, LIBERTY MUTUAL INSURANCE COMPANY

This case concerns an applicant's petition for reconsideration of a Workers' Compensation Appeals Board decision. The Board denied the petition, upholding the original finding that the applicant sustained industrial injury to his bilateral knees. The decision affirmed that defendant's Medical Provider Network (MPN) notices were compliant and that the applicant must transfer future medical care to the defendant's MPN. The Board found the applicant failed to present evidence supporting his claims of improper notices or why new evidence was not previously disclosed.

Workers' Compensation Appeals BoardUnited Parcel ServiceLiberty Mutual Insurance CompanyADJ4424138SFO 0488945Petition for ReconsiderationFindings Award and OrderMedical Provider NetworkMPNLabor Code section 4616.2(3)
References
Case No. ADJ7412203
Regular
Jul 15, 2011

RIGOBERTO GARCIA vs. COLE RANCH, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration, upholding the finding that the applicant's industrial injury was caused by a "sudden and extraordinary" event, thereby exempting it from the six-month employment rule for psychiatric injuries under Labor Code section 3208.3(d). The Board corrected a clerical error in the citation of the relevant statute. While the defendant argued the event was an inherent risk of the job, the applicant's uncontradicted testimony provided the only evidence suggesting it was not routine. A dissenting opinion argued that a simple fall from a ladder, without more, should not qualify as extraordinary, especially given the short employment duration and lack of evidence for truly unusual circumstances.

Workers' Compensation Appeals BoardRigoberto GarciaCole RanchState Compensation Insurance FundADJ7412203Opinion and Order Denying Petition for ReconsiderationCorrecting Clerical ErrorFindings and Ordersavocado pickerhigh tree worker
References
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