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

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 The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr.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. ADJ1153404 (BAK 0112784)
Regular
May 28, 2009

Barbara Clark vs. SAN JOAQUIN COMMUNITY HOSPITAL, ADVENTIST HEALTH SYSTEM

This case involves an applicant, Barbara Clark, whose petition for writ of review was denied by the Court of Appeal. The Court found her petition frivolous and intended to harass the defendant, San Joaquin Community Hospital (represented by Adventist Health System). Consequently, the Court remanded the matter to the Workers' Compensation Appeals Board (WCAB) to award attorney fees and costs against Clark. The WCAB, finding the requested fees and costs reasonable, awarded Adventist Health and its attorney $5,266.47 against Barbara Clark.

Workers' Compensation Appeals BoardRemittiturPetition for Writ of ReviewFrivolous PetitionSanctionsAttorney FeesCostsUnreasonable DelayMeritless PetitionLabor Code Section 5801
References
Case No. ADJ1153404
Regular
Jan 03, 2014

BARBARA DIEFENBACH, (BARBARA CLARK) vs. SAN JOAQUIN COMMUNITY HOSPITAL, Permissibly Self-Insured, Administered By ADVENTIST HEALTH SYSTEM

This case involves a petition for reconsideration filed by Barbara Diefenbach (Applicant) against San Joaquin Community Hospital. The Workers' Compensation Appeals Board (WCAB) denied the petition on its merits, adopting the reasoning of the administrative law judge. Furthermore, the petition was subject to dismissal for failure to serve all adverse parties. The Board also admonished the petitioner for procedural violations, including attaching an unauthorized medical report and filing a supplemental petition improperly.

WORKERS' COMPENSATION APPEALS BOARDPetition for ReconsiderationDENIEDLabor Code section 5905WCAB Rule 10842WCAB Rule 10848sanctionsLab. Code§ 5813administrative law judge
References
Case No. ADJ3765992 (SRO 0132531) ADJ2072207 (SRO 0140061)
Regular
Apr 29, 2009

Lorraine O'Keefe vs. Surgical Staff North, Inc., CAL COMP, In Liquidation, CIGA, Adjusted by BROADSPIRE, COMMUNITY HOSPITAL OF MONTEREY PENINSULA, Permissibly Self-Insured, Adjusted by CLAIMS MANAGEMENT, INC. (ADJ3765992), QUEEN OF THE VALLEY HOSPITAL, Permissibly Self-Insured, Adjusted by SEDGWICK CLAIMS MANAGEMENT SERVICE (ADJ2072207)

This case involves applicant Lorraine O'Keefe's workers' compensation claims for left knee injury. The Workers' Compensation Appeals Board denied reconsideration of the finding that applicant sustained an industrial injury on December 15, 1999, while employed by Community Hospital of the Monterey Peninsula (CHOMP). However, the Board granted reconsideration regarding attorney fees, rescinding the prior award against CHOMP. The issue of CHOMP's liability for applicant's attorney fees under Labor Code section 4064(c) will be returned for further proceedings due to insufficient notice.

Workers' Compensation Appeals BoardSurgical Staff NorthCal CompCIGACommunity Hospital of Monterey PeninsulaClaims Management Inc.Queen of the Valley HospitalSedgwick Claims Management ServiceFindings Award OrdersPetition for Reconsideration
References
Case No. ADJ8409144
Regular
Nov 16, 2016

STEPHANIE WILSON vs. SAN DIMAS COMMUNITY HOSPITAL, THE HARTFORD INSURANCE COMPANY, CORVEL CORPORATION

The Workers' Compensation Appeals Board denied reconsideration of a prior award to applicant Stephanie Wilson. The Board adopted the WCJ's report, which found the defendant's petition untimely filed. Furthermore, the WCJ's credibility determination regarding the applicant's back injury was given great weight, with no substantial evidence presented to overturn it. The Board concluded there was no evidence of considerable substance warranting rejection of the WCJ's decision.

Workers Compensation Appeals BoardSan Dimas Community HospitalThe Hartford Insurance CompanyCorvel CorporationPetition for ReconsiderationWorkers' Compensation Administrative Law JudgeGarza v. Workmen's Comp. Appeals Bd.Labor Code § 5903Findings and AwardAmended Application For Adjudication of Claim
References
Case No. ADJ218048 (VNO 0530772) ADJ1017219 (VNO 0373730) ADJ2748924 (VNO 0373487)
Regular
Apr 20, 2018

GILBERT TORRES vs. BEVERLY COMMUNITY HOSPITAL; Permissibly Self-Insured; administered by KEENAN \u0026 ASSOCIATES

The Workers' Compensation Appeals Board (WCAB) dismissed a petition for reconsideration filed by Beverly Community Hospital. The dismissal was based on the petition being "skeletal" and failing to meet the specific pleading requirements outlined in Labor Code section 5902 and WCAB Rules 10842, 10846, and 10852. Specifically, the petition did not detail the grounds for reconsideration, cite the record, or explain how the evidence failed to support the findings.

Workers' Compensation Appeals BoardPetition for ReconsiderationDismissalSkeletal PetitionLabor Code § 5902Cal. Code Regs. tit. 8 § 10842Cal. Code Regs. tit. 8 § 10846Cal. Code Regs. tit. 8 § 10852Administrative Law JudgeApplicant
References
Case No. ADJ2103088 (OAK 0267250), ADJ9764355, ADJ9764356, ADJ9764357
Regular
Mar 04, 2016

Donna Funcheon vs. San Leandro Hospital, TRANSPORTATION INSURANCE COMPANY, ZURICH INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration to address liability apportionment and penalty awards in a case involving San Leandro Hospital and its insurers, Transportation Insurance Company (TIC) and Zurich Insurance Company (Zurich). The Board affirmed TIC's 80% liability for benefits while transferring sole administration responsibility to Zurich, reversing the prior finding that TIC should administer. The Board denied the applicant's request for increased penalties for delayed permanent disability, finding the WCJ's initial award was already in error. Finally, the Board corrected a procedural issue by ordering all penalties, including those for delayed attorney fees, to be paid directly to the applicant, not the attorney.

Workers' Compensation Appeals BoardTransportation Insurance CompanyZurich Insurance CompanyLabor Code section 5814Labor Code section 4650Labor Code section 5814.5Permanent Disability IndemnityAttorney FeesReconsiderationPetition for Reconsideration
References
Case No. ADJ244571 (VEN 0110022) ADJ3315572 (VEN 0110023) ADJ3817980 (OXN 0145232) ADJ2004405 (OXN 0145234) ADJ4239471 (OXN 0145235)
Regular
Jan 19, 2010

DIANA HARDMAN vs. COMMUNITY MEMORIAL HOSPITAL, AIG DOMESTIC CLAIMS, INC./CHARTIS, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, BROADSPIRE, CALIFORNIA COMPENSATION INSURANCE COMPANY, FREMONT COMPENSATION INSURANCE COMPANY, American Home Assurance

This case involves five workers' compensation claims by applicant Diana Hardman against Community Memorial Hospital, with American Home Assurance (AIG) as a defendant insurer. AIG seeks reconsideration of the WCJ's findings, arguing it should only be liable for permanent disability directly arising from injuries covered by its policies, not those covered by insolvent insurers now handled by CIGA. The Appeals Board granted reconsideration, rescinded the WCJ's decisions, and returned the matter for further proceedings. Key issues include the admissibility of a deposition, the apportionment of permanent disability based on recent appellate decisions, and clarification of liability for injuries that occurred during periods covered by multiple insurers, including insolvent ones.

Workers' Compensation Appeals BoardDiana HardmanCommunity Memorial HospitalAIG Domestic ClaimsCalifornia Insurance Guarantee AssociationBroads PireCalifornia Compensation Insurance CompanyFremont Compensation Insurance CompanyOpinion and Order Granting ReconsiderationDecision After Reconsideration
References
Case No. ADJ3765992 (SRO 0132531)
Regular
Apr 06, 2011

LORRAINE O'KEEFE vs. SURGICAL STAFF NORTH, INC., CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, BROADSPIRE SERVICES for CAL COMP, COMMUNITY HOSPITAL OF MONTEREY PENINSULA, CLAIMS MANAGEMENT, INC.

The Workers' Compensation Appeals Board (WCAB) granted reconsideration on Community Hospital of Monterey Peninsula's (CHOMP) petition regarding a penalty assessed for delayed payment to CIGA. The WCAB amended the prior order, ruling that CHOMP is not liable for a Labor Code section 5814 penalty because this section applies only to delays in payments to injured workers, not to reimbursements between defendants. However, the WCAB affirmed the prior finding that CHOMP engaged in bad-faith litigation tactics, upholding sanctions under Labor Code section 5813. The final order also clarified the amount owed to CIGA and affirmed the attorney's fees awarded to the applicant's counsel.

Workers Compensation Appeals BoardSurgical Staff NorthCalifornia Insurance Guarantee AssociationCommunity Hospital of Monterey PeninsulaUnreasonable DelayBad Faith LitigationLabor Code Section 5814Labor Code Section 5813Labor Code Section 4064(c)Permanent Disability
References
Case No. ADJ3795048
Regular
Feb 11, 2010

PAULINE WATKINS vs. COUNTY OF SAN DIEGO

This case involves Pauline Watkins, the applicant, and the County of San Diego, the defendant, regarding a workers' compensation claim. The Workers' Compensation Appeals Board (WCAB) has issued an order denying a Petition for Reconsideration filed by one of the parties. The WCAB adopted the reasoning of the workers' compensation administrative law judge's report in making its decision to deny reconsideration. Therefore, the original decision in this workers' compensation matter stands.

Workers' Compensation Appeals BoardPetition for ReconsiderationAdministrative Law JudgeDeniedCounty of San DiegoPauline WatkinsADJ3795048SDO 0342816Frank M. BrassJames C. Cuneo
References
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