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

Case No. SDO 355322
Regular
Feb 06, 2008

Jocelyn Dubbs vs. Abbott Vascular, ACE USA c/o MATRIX ABSENCE MANAGEMENT, INC.

The Workers' Compensation Appeals Board denied reconsideration of a Finding and Award that determined applicant sustained an industrial injury to her right upper extremity. The Board clarified that the temporary disability rate in the award should be corrected to $626.35 per week to align with the Findings of Fact, despite the defendant's arguments regarding concurrent employment and average weekly earnings. The defendant's petition for reconsideration was denied as the Board adopted the Workers' Compensation Judge's report and recommendation.

Workers' Compensation Appeals BoardJocelyn DubbsAbbott VascularACE USASDO 355322Reconsideration DeniedClerical Error CorrectionIndustrial InjuryRight Upper ExtremityAverage Weekly Earnings
References
0
Case No. SDO 0275596 SDO 0275597 SDO 0278804 SDO 0278006
Regular
Nov 06, 2007

ANDREA BROUSSARD vs. HOUSEHOLD AUTOMOTIVE FINANCE, ZURICH AMERICAN INSURANCE COMPANY

The Workers' Compensation Appeals Board denied a Petition for Removal, adopting the findings of the Administrative Law Judge. The petition was found to be untimely and lacked merit, as the petitioner failed to demonstrate significant prejudice or irreparable harm, and other remedies such as ordering a trial transcript were available. The Board also noted the petition was considered timely filed for the purpose of their denial.

Petition for RemovalWorkers' Compensation Appeals BoardInjury AOE/COEPanel QMESummary of EvidenceAugmentation of RecordUntimely PetitionSignificant PrejudiceIrreparable HarmReconsideration
References
0
Case No. SDO 267260 SDO 267660 SDO 267662 SDO 267663
Regular
Aug 21, 2007

MARIA L. BAUTISTA vs. MARRIOTT INTERNATIONAL, INC.

The Workers' Compensation Appeals Board dismissed a lien claimant's petition for removal because it was untimely and moot. The petition sought to rescind an order taking cases off calendar and remove the judge, but it was filed after the statutory deadlines for both removal and disqualification. Additionally, the parties had already reached a settlement on the lien claimant's claim.

Lien ClaimantPetition for RemovalDismissalUntimelyDisqualificationSettlementWCJWCABOff CalendarRescind
References
2
Case No. ADJ4609608 (SDO 0128566) ADJ359238 (SDO 0177353) ADJ2367088 (SDO 0203407) ADJ501165 (SDO 0230909) ADJ4697798 (SDO 0230913) ADJ4262068 (SDO 0230915) ADJ8302988
Regular
Oct 23, 2018

Matthew Lawrie vs. Lawrie and Company, Inc., Lawrie Racing, State Compensation Insurance Fund

The Workers' Compensation Appeals Board dismissed the applicant's petition for reconsideration. The petition was dismissed because it did not seek reconsideration of a final order or award, which is a prerequisite for such a petition. Furthermore, the petition was found to be "skeletal," lacking specific details, evidence, or legal citations required by statute and regulation. As a result, the Board found the petition procedurally defective.

Workers' Compensation Appeals BoardPetition for ReconsiderationFinal OrderWCJ ReportDismissalSubstantive RightThreshold IssueInterlocutory DecisionProcedural DecisionEvidentiary Decision
References
4
Case No. ADJ487631 (SDO 0364797) ADJ4115516 (SDO 0364799) ADJ1905154 (SDO 0364884) ADJ2454297 (SDO 0271850)
Regular
Nov 07, 2011

MARIELA LEWIS vs. REMEDY TEMP INC., CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, INTERCARE INSURANCE SERVICES, RELIANCE INSURANCE COMPANY, COMPLEX TOOLING & MOLDING, SOUTHERN CALIFORNIA PERMANENTE MEDICAL GROUP, MANPOWER, FIREMAN'S FUND INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) rescinded the arbitrator's decision finding a single cumulative trauma injury due to insufficient medical evidence. Co-defendants Kaiser and Fireman's Fund argued the arbitrator improperly merged multiple claims and lacked authority to establish a single cumulative trauma period. The WCAB agreed that Dr. Mack's opinion, on which the arbitrator relied, was speculative regarding causation and apportionment across multiple employers. The matter is returned to the arbitrator for further proceedings to clarify medical evidence and the date of injury.

Cumulative TraumaSpecific InjuryApportionmentJurisdictionReconsiderationLiquidationContributionInsurance Guarantee AssociationPrimary Treating PhysicianSupplemental Report
References
1
Case No. ADJ488924 (SDO 0329999), ADJ226519 (SDO 0302236), ADJ2353553 (SDO 0250184), ADJ4021935 (SDO 0269434)
Regular
Dec 10, 2020

Craig Stevens vs. Subsequent Injuries Benefits Trust Fund

The Workers' Compensation Appeals Board (WCAB) rescinded a previous order denying benefits from the Subsequent Injuries Benefits Trust Fund (SIBTF). Applicant Craig Stevens sought SIBTF benefits for a claimed subsequent cumulative trauma injury to his neck ending April 2, 2009, with a compensable consequence injury to his right shoulder and low back. The WCAB found the medical evidence regarding the causation, date of injury, and permanent disability ratings for the alleged subsequent injuries, as well as prior injuries, to be insufficient and inconsistent. The case was returned to the trial level for further development of the record, including obtaining new medical opinions to clarify the various injuries and establish SIBTF eligibility thresholds.

Subsequent Injuries Benefits Trust FundSIBTF eligibilitycumulative trauma injurycompensable consequence injurypermanent disabilityapportionmentmedical evidencecausationfurther development of the recordLabor Code section 4751
References
9
Case No. ADJ2751420 SDO 0346598 ADJ3846048 SDO 0348706 ADJ3105755 SDO 0354563
Regular
Jul 24, 2013

WILLIAM HANSEN vs. COUNTY OF SAN DIEGO

This case concerns a County of San Diego sheriff's sergeant seeking workers' compensation for multiple industrial injuries. The applicant was awarded $93\%$ permanent disability for injuries to his knees, kidneys, heart, and hypertension, but the defendant sought reconsideration. The Appeals Board granted reconsideration to amend the award, apportioning $25\%$ of the left knee disability to non-industrial factors and reducing the overall permanent disability to $91\%$. The Board otherwise affirmed the original findings regarding causation and medical treatment needs.

Workers' Compensation Appeals BoardIndustrial InjuryPermanent DisabilityApportionmentAgreed Medical Examiner (AME)Sheriff's sergeantCarotid arteryHypertensionUmbilical herniaErectile dysfunction
References
0
Case No. ADJ2041648 (SDO 0319858) ADJ2762432 (SDO 0319859) ADJ772603 (SDO 0319860)
Regular

STACIE L. NELDAUGHTER vs. COUNTY OF SAN DIEGO

The Workers' Compensation Appeals Board denied the County of San Diego's petition for removal. The County sought to rescind a six-month continuance granted for the applicant, alleging prejudice and discovery abuses, but failed to demonstrate significant harm. The Board found the County's arguments insufficient to justify removal and returned the cases to the trial level. The PWCJ is to schedule a status conference after January 26, 2010, to determine if further continuance is warranted based on a "clear showing of good cause."

Petition for RemovalOrder Granting ContinuancePrejudiceIrreparable HarmADA AccommodationDisability CoordinatorContinued HearingStatus ConferenceMandatory Settlement ConferenceDiscovery Abuses
References
0
Case No. ADJ599226 (SDO 0230732) ADJ1694291 (SDO 0261435) ADJ3923024 (SDO 0261437)
Regular
Jun 15, 2009

JUANITA SCOTT vs. KAISER FOUNDATION HOSPITALS, Permissibly Self-Insured

The Appeals Board affirmed the prior award of childcare as a necessary medical treatment for applicant Juanita Scott. The Board found substantial evidence supporting the need for childcare due to applicant's incapacitation from industrial injuries. Defendant's arguments regarding agreement to submit the issue to the AME, ripeness for adjudication, and double recovery were rejected. While acknowledging the fluidity of childcare needs, the Board left implementation details to the parties or the WCJ, emphasizing jurisdiction remains.

Agreed Medical EvaluatorAMEchildcare reimbursementcumulative traumadaycareindustrial injurymedical treatmentnurse care managerpermanent disabilitypsyche
References
7
Case No. ADJ599226 (SDO 0230732) ADJ1694291 (SDO 0261435) ADJ3923024 (SDO 0261437)
Regular
May 07, 2013

JUANITA SCOTT vs. KAISER FOUNDATION HOSPITALS

This case involves Kaiser's request for removal to include the issue of "cessation of payment of child care and home care" at trial, arguing prejudice from a prior ruling and potential fraud by service providers. The Appeals Board granted removal, amending the WCJ's ruling to ensure the May 9, 2013 hearing focuses solely on temporary disability. Remaining issues, including Kaiser's concerns about child and home care payments and alleged fraud, will proceed to a Mandatory Settlement Conference on that date, with a future trial to be scheduled. The Board aims for judicial economy and due process by consolidating these issues.

Workers' Compensation Appeals BoardPetition for RemovalCessation of paymentChild careHome careSubpoenaed witnessesIrreparable harmJudicial economyMandatory Settlement ConferencePretrial Conference Statement
References
0
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