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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. 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 The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr.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. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. MON 0315552
Regular
Apr 14, 2009

SOCORRO RODRIGUEZ vs. MOTORCAR PARTS OF AMERICA, INC., CHUBB GROUP OF INSURANCE COMPANIES

This case concerns an employer's petition for reconsideration of an award for applicant Socorro Rodriguez's bilateral upper extremity and left shoulder injury. The employer contested findings on the applicant's permanent and stationary date, temporary disability period, vocational rehabilitation maintenance allowance, and credit for overpaid benefits. The Workers' Compensation Appeals Board denied reconsideration, adopting the administrative law judge's reasoning, despite clarifying minor factual discrepancies in the judge's report.

Permanent disabilityVocational rehabilitation maintenance allowanceTemporary disabilityOverpaymentFindings of Fact & AwardPetition for ReconsiderationWorkers' Compensation Appeals BoardIndustrial injuryBilateral upper extremitiesAdministrative law judge
References
Case No. ADJ10590233
Regular
Apr 29, 2019

MARTIN VASQUEZ vs. CR LAURENCE COMPANY, INC., LIBERTY MUTUAL INSURANCE COMPANY

The Workers' Compensation Appeals Board denied Liberty Mutual's petition for reconsideration, upholding the administrative law judge's award to applicant Martin Vasquez. Defendant argued the judge improperly admitted medical reports not disclosed at the mandatory settlement conference. However, the Board found that a properly disclosed supplemental report effectively incorporated the unlisted permanent and stationary report, negating surprise or prejudice. Therefore, the Board concluded that admitting the incorporated report was consistent with substantial justice.

Petition for ReconsiderationWCJ Findings of FactAward and OrdersIndustrial InjuryLeft Knee InjuryTemporary DisabilityPermanent DisabilityPrimary Treating PhysicianMedical OpinionMandatory Settlement Conference
References
Case No. ADJ1627678 (POM 0300392)
Regular
Jun 02, 2011

SUZANNE SIEVERTSON vs. COUNTY OF SAN BERNARDINO

This case involves Suzanne Sievertson's workers' compensation claim against the County of San Bernardino. The Workers' Compensation Appeals Board (WCAB) reviewed a Petition for Reconsideration filed by the applicant. The WCAB adopted the report of the workers' compensation administrative law judge (WCJ) and denied the reconsideration.

Petition for ReconsiderationDenying ReconsiderationWorkers' Compensation Appeals BoardWCJ reportAdopted reportIncorporated reportAdministrative Law JudgePermissibly-InsuredCounty of San BernardinoApplicant
References
Case No. ADJ8668832
Regular

BACILIO ANGEL SALAZAR vs. SAN DIEGO PERSONNEL AND EMPLOYMENT AGENCY, INC., AMTRUST NORTH AMERICA for CASTLEPOINT NATIONAL INSURANCE COMPANY

The Workers' Compensation Appeals Board granted the defendant's petition for removal, rescinding a prior order that deemed a QME report timely. The Board found Dr. Tahami's psychiatric evaluation report was untimely served on the defendant. As the defendant objected prior to receiving the report, they are entitled to a replacement QME panel in psychiatry.

Petition for RemovalQualified Medical EvaluatorQME paneluntimely reportreplacement QMEAdministrative Director RuleLabor Codepsychiatric injurymedical-legal evaluationsubstantial prejudice
References
Case No. ADJ9292791
Regular
Sep 29, 2015

HIEP LE NGOC NGUYEN vs. OAKS CLUB ROOM, NATIONAL CASUALTY COMPANY, NATIONWIDE AGRIBUSINESS INSURANCE COMPANY

This case concerns applicant's petition for removal after the WCJ denied their request for a new Qualified Medical Examiner (QME) panel. The denial was based on the original QME's failure to issue a timely supplemental report despite two requests. Although the QME claimed non-receipt of the requests, the supplemental report has now been provided. The Appeals Board denied removal, finding that issuing a new panel would only cause further delay given the report is now available.

Petition for RemovalQualified Medical ExaminerSupplemental ReportRule 38(i)Administrative Law JudgeWCJ ReportPrejudiceIrreparable HarmUntimely ReportPanel Qualified Medical Examiner
References
Case No. ADJ1938740 (SDO 0236599)
Regular
Oct 08, 2013

JOSE RIVERA vs. DANIEL LEE \& ASSOCIATES, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION FOR CALIFORNIA COMPENSATION INSURANCE COMPANY In Liquidation By Servicing Facility, SEDGWICK CMS

The applicant's petition to disqualify the judge was denied by the Workers' Compensation Appeals Board. The petition argued the judge prejudged a key issue regarding a medical report's submission to utilization review. The judge explained that their initial "impression" was based on limited information at a status conference and was intended as guidance, not a final decision. The Board adopted the judge's report, concluding the judge did not hold an unqualified opinion that would prevent them from considering all evidence at trial.

Workers' Compensation Appeals BoardPetition for DisqualificationWorkers' Compensation Administrative Law JudgeUtilization ReviewSecondary Treating PhysicianMandatory Settlement ConferenceStatus ConferencePre-judged IssueIn LiquidationCalifornia Insurance Guarantee Association
References
Case No. ADJ9554701
Regular
Nov 02, 2014

EDGAR VILLARREAL vs. ALAMILLO REBAR, INC., OLD REPUBLIC GENERAL INSURANCE CORPORATION, GALLAGHER BASSETT SERVICES, INC.

This case involves a Petition for Removal filed by Edgar Villarreal against Alamillo Rebar, Inc. and its insurer. The Workers' Compensation Appeals Board (WCAB) reviewed the petition and the administrative law judge's report. Concluding that the reasons stated in the judge's report were sufficient, the WCAB denied the Petition for Removal.

Petition for RemovalWorkers' Compensation Appeals BoardAdministrative Law JudgeReport of JudgeDenial of RemovalAlamillo RebarOld Republic General InsuranceGallagher Bassett ServicesEdgar VillarrealADJ9554701
References
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