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

Case No. ADJ7166686
Regular
Jul 24, 2012

RICHARD ANDERSON vs. JAGUAR/LANDROVER OF VENTURA, COMPWEST INSURANCE COMPANY

This case involves an applicant who suffered a stroke and subsequent 100% permanent disability following surgery for an industrial shoulder injury. The defendant sought reconsideration, arguing for apportionment to pre-existing conditions and challenging the attorney's fee calculation. The Appeals Board affirmed the 100% permanent disability finding, finding no basis for apportionment as the applicant's pre-existing conditions did not cause the disability itself. However, the Board modified the attorney's fee award, requiring commutation using a specific method and a 3% cost of living adjustment, finding the previously assumed 4.6% to be speculative.

Workers Compensation Appeals BoardRichard AndersonJaguar/Landrover of VenturaCompwest Insurance CompanyADJ7166686ReconsiderationFindings and AwardIndustrial InjuryBrain InjuryNeurological System
References
Case No. MON 322663, LAO 0850418
Regular
Dec 10, 2007

DANIEL PAN vs. STATE OF CALIFORNIA, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration, upholding the administrative law judge's decision. The Board found that the defendant must include projected future cost-of-living adjustments based on the State Average Weekly Wage (SAWW) when calculating the present value of the permanent disability award to determine attorney's fees. The Board affirmed that a 4.7% SAWW adjustment, representing a 50-year average, is a rational basis for these calculations, and the defendant's contention of speculation was unfounded.

Workers' Compensation Appeals BoardPetition for ReconsiderationJoint Findings and AwardPermanent Total DisabilityLabor Code Section 4659(c)State Average Weekly WagePresent Value of AwardCommutation of Attorney's FeesDisability Evaluation UnitAnnual Adjustments
References
Case No. ADJ1146871 (SAC 0349672)
Regular
Jun 14, 2010

ZORICA ILIC vs. STANFORD HOSPITAL & CLINICS, SEDGWICK 2065 OAKLAND

This case involves an applicant with a $78\%$ permanent disability rating for admitted industrial injuries to her low back and psyche. The defendant sought reconsideration, arguing the administrative law judge erred in applying a diminished future earning capacity adjustment, Labor Code $\S 4664$ apportionment, and relying on applicant's medical evaluators. The primary issue deferred was the calculation of the State Average Weekly Wage (SAWW) adjustment under Labor Code $\S 4659(\text{c})$ pending a Supreme Court decision. The Workers' Compensation Appeals Board granted reconsideration to defer the SAWW adjustment calculation but otherwise affirmed the original findings, including the $78\%$ permanent disability rating.

Labor Code § 4663Labor Code § 4664Labor Code § 4659(c)SAWWDFECDuncan v. WCABReconsiderationPermanent DisabilityApportionmentQualified Medical Evaluators
References
Case No. ADJ4589994 (FRE 0246667)
Regular
Feb 25, 2013

DOROTHY VANDENBERG vs. KINGS COUNTY

The Workers' Compensation Appeals Board granted reconsideration to address an internally inconsistent clause in a Stipulated Award. Defendant sought to clarify the commencement date for the State Average Weekly Wage (SAWW) adjustment to the applicant's life pension. The Board construed the ambiguous clause, drafted by the applicant's attorney, in favor of the defendant. Consequently, the SAWW increase will commence in accordance with the *Baker v. WCAB* decision, effective January 1, 2018.

WORKERS' COMPENSATION APPEALS BOARDDOROTHY VANDENBERGKINGS COUNTYINNOVATIVE CLAIM SOLUTIONSINC.ADJ4589994FRE 0246667RECONSIDERATIONFINDINGS AND ORDERSTIPULATED AWARD
References
Case No. ADJ3418200 (SJO 0251518)
Regular
Oct 28, 2013

MARC ANEMONE vs. SASCO ELECTRIC, TRAVELERS

The Workers' Compensation Appeals Board (WCAB) reconsidered a prior decision awarding applicant $100\%$ permanent disability and a substantial attorney fee. The defendant argued that the $100\%$ permanent disability award was legally excessive, citing *Brodie v. Workers' Comp. Appeals Bd.*, and sought apportionment for psychiatric and internal injuries. The WCAB affirmed the original findings and award, adopting the WCJ's reasoning and finding the chosen commutation method for attorney fees appropriate. This method accounts for future increases in applicant's disability payments due to SAWW adjustments.

Petition for ReconsiderationFindings and Awardindustrial injurypermanent disabilityattorney feescommutationuniformly increasing reductionstate average weekly wageSAWW adjustmentsLabor Code section 4659(c)
References
Case No. ADJ608971 (SAC 0345754)
Regular
Mar 22, 2010

ROGELIO ROJAS vs. ALLIED WASTE INDUSTRIES INC, AMERICAN HOME ASSURANCE

This case involved a dispute over a 15% increase in permanent disability benefits for an employee who sustained a 100% permanent disability. The defendant argued this increase, under Labor Code section 4658(d), did not apply to total permanent disability awards and challenged the retroactive date for annual wage adjustments. The Appeals Board granted reconsideration, reversing the 15% increase because Labor Code section 4658(d) applies only to permanent disability awards calculated under a specific chart, not to total permanent disability. The Board affirmed the annual wage adjustment date based on precedent and deferred attorney fees pending recalculation.

Workers Compensation Appeals BoardRogelio RojasAllied Waste Industries IncAmerican Home AssuranceFindings Award and Orderpermanent disabilitypermanent total disabilityLabor Code section 4658(d)(2)state average weekly wageSAWW adjustment
References
Case No. ADJ7831450
Regular
May 07, 2013

MARIO RESENDIZ vs. JERRY HOLLENDORFER STABLES, CHARTIS INSURANCE

This case concerns applicant Mario Resendiz's claim for 100% permanent disability following a 2008 injury. The Appeals Board granted reconsideration, amending the original award to commence permanent total disability payments on March 20, 2010, rather than December 19, 2011. The Board affirmed the finding of 100% permanent disability but returned the matter for the trial judge to recalculate the applicant's attorney's fee. This recalculation must consider a cost of living adjustment (COLA) using a "uniformly increasing reduction" method and a reasonable predicted State Average Weekly Wage (SAWW) increase.

Workers Compensation Appeals BoardReconsiderationFindings and AwardPermanent Total DisabilitySpecific InjuryApportionmentSubstantial Medical EvidenceAttorney's FeeCommutationCost of Living Adjustment (COLA)
References
Case No. ADJ7971001
Regular
Apr 16, 2013

DARRYL OYAS vs. CALIFORNIA STATE DEPARTMENT OF CORRECTIONS, STATE COMPENSATION INSURANCE FUND

This case involves a dispute over the attorney's fees awarded in a workers' compensation claim for a 100% permanent disability award. The applicant's attorney argues the administrative law judge erred by excluding the State Average Weekly Wage (SAWW) adjustment factor and by using the Uniform Reduction method for commutation instead of the Uniform Increasing Reduction (UIR) method. The Appeals Board granted reconsideration to allow the judge to recalculate the attorney's fees, incorporating a reasonable SAWW adjustment and applying the UIR commutation method, while still considering factors for determining the fee's reasonableness. The Board emphasized separating the calculation of the award's commuted value from the determination of the attorney's fee percentage.

State Compensation Insurance FundWorkers' Compensation Appeals BoardFindings and AwardAttorney's FeePermanent DisabilityState Average Weekly Wage (SAWW)Uniform Increasing Reduction (UIR) methodCommutationStipulations with Request for AwardCorrectional Officer
References
Case No. ADJ312652 (STK 0204453)
Regular
Nov 14, 2008

AMADOR CISNEROS vs. CBC FRAMING and VIRGINIA SURETY, adjusted by CAMBRIDGE INTEGRATED RESOURCES

This case involves a dispute over a Workers' Compensation Appeals Board (WCAB) decision to set aside a prior order and require the defendant to produce the claims adjuster for testimony. The WCAB denied the defendant's petition for removal, finding no abuse of discretion by the judge who properly used WCAB Rule § 10859 to rescind the prior order and allow for further proceedings. The defendant's arguments regarding the applicant's failure to produce the adjuster at trial were deemed premature as no order compelling appearance had been issued.

WCABPetition for RemovalOrder Setting Aside FindingsWCJ DiscretionWCAB Rule 10859Claims AdjusterMandatory Settlement ConferencePetition for ReconsiderationWCAB Rule 10843(b)AOE/COE
References
Case No. LBO 0366043
Regular
Jul 02, 2008

STEVEN DUGAN vs. COCA-COLA, Permissibly Self-Insured, SEDGWICK CLAIMS MANAGEMENT SERVICES

In this workers' compensation case, the Workers' Compensation Appeals Board granted reconsideration to correct a calculation error. The Board found that the applicant's permanent disability rating should be adjusted for his actual age of 47, not the older age group used by the initial judge. Consequently, the permanent disability rating was reduced from 34% to 31%.

WCABPetition for ReconsiderationPermanent DisabilityAge AdjustmentIndustrial InjuryFindings and AwardWorkers' Compensation JudgeAdjusting AgentSelf-InsuredAttorney's Fees
References
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