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

Case No. SAL 104703
Regular
Mar 14, 2008

GONZALEZ vs. GILROY FOODS, SEDGWICK CLAIMS MANAGEMENT

This case concerns a supplemental award of attorney's fees under Labor Code § 5801 following the denial of a defendant's petition for writ of review. The Court of Appeal found no reasonable basis for the petition and remanded the case for the Workers' Compensation Appeals Board (WCAB) to award fees for services rendered in connection with that petition. The WCAB affirmed the award of attorney's fees, clarifying that the WCJ lacks jurisdiction to approve fees under § 5801, which is the sole province of the WCAB upon remand.

Labor Code § 5801Petition for Writ of ReviewSupplemental AwardAttorney's FeesRemandWorkers' Compensation Appeals BoardCourt of AppealStipulation and AwardWCJFindings Order and Award
References
Case No. ADJ 1293553 (VNO 0460149)
Regular
May 12, 2016

CHARLES HOLDER vs. TROY CHRISTIAN dba ADVENTURE LIMOUSINE, THE HARTFORD INSURANCE COMPANY

This case concerns a billing dispute for medical treatment provided to applicant Charles Holder. The Workers' Compensation Appeals Board (WCAB) has remanded the matter for the trial judge to determine if Independent Bill Review (IBR) was properly initiated for services rendered on or after January 1, 2013. The Court of Appeal ordered this remand due to uncertainty regarding whether the defendant provided adequate explanations of review, which is a prerequisite for IBR. If IBR was not properly initiated, the WCAB retains jurisdiction over the dispute.

Workers' Compensation Appeals BoardRemandIndependent Bill ReviewExplanation of ReviewLabor Code section 4603.2Official Medical Fee ScheduleLien ClaimantJurisdictionTrial LevelFindings
References
Case No. ADJ1204838 (SAC 0337972)
Regular
May 26, 2010

MARCUS GREAR vs. DEPARTMENT OF TRANSPORTATION; SCIF STATE EMPLYEES SACRAMENTO

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration, upholding the finding of 100% permanent disability for the applicant. The defendant argued the vocational evaluator identified other occupations the applicant could perform and that remanding the case was premature due to pending Supreme Court review in *Duncan v. Workers' Comp. Appeals Bd*. The Board found the WCJ had discretion regarding remand and that defendant could seek reconsideration if the WCJ issued a premature decision. In a separate matter, sanctions of $250 were imposed on applicant's counsel for filing a successive petition from a non-final order.

Permanent disabilityVocational evaluatorPetition for reconsiderationRemandLabor Code section 5900Successive petitionNon-final orderSanctionsLabor Code section 5813Frivolous action
References
Case No. ADJ8759396
Regular
Feb 27, 2015

Jose Diaz vs. Timber Works Construction, Berkshire Hathaway

This Workers' Compensation Appeals Board case involves applicant Jose Diaz seeking reconsideration of a prior order regarding his employer's Medical Provider Network (MPN). The primary issue is whether the MPN's physician accessibility standards, which are tied to the "workplace" or residence, are met. The Board granted reconsideration, rescinded the previous order, and remanded the case, finding the MPN may be defective if it doesn't comply with physician access standards relative to the applicant's residence, given the employer's failure to meet the "workplace" standard. The Board also noted that the applicant's inability to travel, while a factor, was not the deciding point in this decision to remand.

Workers' Compensation Appeals BoardMedical Provider NetworkMPNWorkplaceResidencePhysician Access StandardsTitle 8 Section 9767.5Pain ManagementPhysical MedicineCannot Travel Exception
References
Case No. ADJ1177048 (SFO 048779)
Regular
Dec 15, 2011

WANDA OGILVIE vs. CITY AND COUNTY OF SAN FRANCISCO

This case concerns an applicant's permanent disability benefits following an industrial injury. The Court of Appeal held that to rebut the 2005 rating schedule's earning capacity adjustment, an employee must demonstrate specific errors in the formula, data, or resulting calculation, or show the rating is inadequate for the injury's impact. The Court reversed a prior award and remanded the matter to the Appeals Board. The Appeals Board rescinded the original award and remanded to the WCJ for a new decision consistent with the Court of Appeal's opinion, allowing for further proceedings.

Remittitur2005 rating schedulediminished future earning capacityDFECearning capacity adjustmentscheduled ratingrebuttalpermanent partial disabilityapportionmenten banc decision
References
Case No. ADJ742262 (SBR 0328044)
Regular
Dec 01, 2009

Thomas Turner vs. CITY OF RIALTO

Applicant's petition for disqualification is dismissed as moot; matter remanded for automatic reassignment to another WCJ.

Petition for disqualificationAutomatic reassignmentWCJ biasPrior employmentDue processTimely motionWCAB Rule 10453Moot petitionRemandAdministrative law judge
References
Case No. VNO 0462079
Regular
Jul 11, 2007

JONAS MORENO vs. FILTERCOR, INC., STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's untimely petition for reconsideration of an approved compromise and release settlement. Despite the untimeliness, the WCAB remanded the matter to the administrative law judge to treat the petition as a request to reopen the case. This allows for further proceedings on the merits of the lien claimant's claim.

Petition for ReconsiderationPetition to ReopenUntimely FilingService by MailDefective ServiceLabor Code Sections 5803Labor Code Sections 5804Compromise and ReleaseLien ClaimantWorkers' Compensation Appeals Board
References
Case No. ADJ4004427 (ANA 0408991)
Regular
Mar 07, 2013

MANUEL MEJIA vs. NATIONAL STEEL & SHIPBUILDING COMPANY (NASSCO)

The Workers' Compensation Appeals Board dismissed Manuel Mejia's Petition for Reconsideration against National Steel & Shipbuilding Company (NASSCO). The dismissal was based on the petition being untimely and unverified, as detailed in the WCJ's Report and Recommendation. The Board adopted the WCJ's reasoning and would have denied the petition on its merits if it had been properly filed. The WCJ will address sanctions on remand.

Petition for ReconsiderationUntimelyUnverifiedSanctionsRemandWorkers' Compensation Appeals BoardAdministrative Law JudgeDismissedNational Steel & Shipbuilding CompanyNASSCO
References
Case No. ADJ6839977
Regular
Sep 16, 2013

MARK LEICESTER vs. COX COMMUNICATION dba DENT WIZARD INTERNATIONAL, AMERICAN HOME INSURANCE adjusted by BROADSPIRE

The Workers' Compensation Appeals Board granted the defendant's Petition for Reconsideration. This decision rescinded the original Findings and Awards and remanded the matter for further proceedings. The primary issue was that the original decision relied on exhibits not formally admitted into evidence, violating procedural rules for evidence admission. The Board also noted the absence of stipulations or identified issues in the hearing minutes.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardsLien ClaimantLabor Code section 4603.2(b)(1)Cumulative Trauma InjuryIrritable Bowel SyndromePsychiatric InjuryStipulations With Request for AwardLien Conference
References
Case No. ADJ6951777
Regular
Nov 23, 2010

GINGER LOGAN-CANNON vs. STATE OF CALIFORNIA, DEPARTMENT OF CORRECTIONS, STATE COMPENSATION INSURANCE FUND/STATE CONTRACTS SERVICES

The Workers' Compensation Appeals Board granted the defendant's petition for reconsideration. The Board rescinded the original September 9, 2010 Findings and Award. A clerical error in a subsequent order setting aside the award, which mistakenly referred to other case numbers, was corrected to include the correct case number. The matter is remanded for further proceedings to address the November 29, 2010 hearing.

Petition for ReconsiderationFindings and AwardClerical ErrorRescindedRemandWorkers' Compensation Appeals BoardWCJAdjusting AgencyLegally UninsuredCompanion Cases
References
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