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

Case No. ADJ3719390 (STK 0211178)
Regular

IRIS GOMEZ vs. DOROTHY STEVENS, CSAA INTER INSURANCE BUREAU, TRISTAR RISK MANAGEMENT

The Petition for Reconsideration is denied based on the review of the record and the WCJ's report.

Petition for ReconsiderationWorkers' Compensation Appeals BoardWCJ reportdeny reconsiderationADJ3719390STK 0211178ApplicantDefendantsCSAA INTER INSURANCE BUREAUTRISTAR RISK MANAGEMENT
References
Case No. ADJ1938862 (STK 0181631) ADJ6489490
Regular
Mar 10, 2010

JEANETTE PARKER vs. COUNTY OF AMADOR, permissibly self-insured adjusted by YORK INSURANCE and DR. GORDON ANDERSON and STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration, adopting the WCJ's report. The defendant argued the WCJ erred in finding increased permanent disability and sought credit for temporary disability payments. The Board found the defendant's reliance on outdated medical reports unconvincing and noted the credit issue was not raised in the relevant case file. Furthermore, the Board determined allowing such a credit would unfairly burden the applicant and disrupt the purpose of permanent disability awards.

WORKERS' COMPENSATION APPEALS BOARDReconsiderationWCJPetitionApplicantDefendantSTKADJFindings Award & OrderPermanent Disability
References
Case No. ADJ3199179 (STK 163280) ADJ1481035 (STK 163281) ADJ270732 (STK 165217) ADJ1287248 (STK 169257) ADJ1494240 (STK 202407) ADJ3896936 (STK 209840) ADJ1827304 (STK 209841)
Regular
Nov 17, 2003

Antonio Goncalves vs. DEOLINDA LOPES DAIRY, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION by BROADSPIRE for LEGION INSURANCE COMPANY, in liquidation, STATE COMPENSATION INSURANCE FUND

The Appeals Board granted CIGA's reconsideration, reversing the prior decision that denied CIGA's request to be relieved as administrator for certain benefits. The Board found that SCIF is jointly and severally liable for applicant's knee and bilateral shoulder injuries because these injuries were sustained over periods covered by both Legion (now CIGA) and SCIF. Therefore, SCIF is now appointed as the administrator for nonpermanent disability benefits in cases STK 163280 and STK 169257.

CIGALegion Insurance CompanyState Compensation Insurance FundSCIFliquidationcovered claimsother insurancenonpermanent disability benefitsjoint and several liabilitybilateral shoulders
References
Case No. ADJ2000734
Regular
Apr 14, 2011

ESTELA OREGON (Deceased), ARMANDO SOTELO, et al vs. ENGLANDER TUALATIN SLEEP PRODUCTS, INC., & COMMERCE & INDUSTRY/AIG CLAIM SERVICE

The Workers' Compensation Appeals Board denied reconsideration of a prior decision in the case of Estela Oregon (Deceased) v. Englander Tualatin Sleep Products, Inc. The Board adopted the reasoning of the workers' compensation administrative law judge. Additionally, the petitioner was admonished for submitting new documents not presented at trial.

Petition for ReconsiderationWCJ ReportDeny ReconsiderationNew DocumentsNot Introduced in EvidenceTrialWorkers' Compensation Appeals BoardDeceased ApplicantDefendant InsurerAdministrative Law Judge
References
Case No. ADJ962699 (STK 0204013)
Regular
Jun 08, 2009

RUTILIO MIRAMONTES vs. MONIER LIFETILE, AIG, GALLAGHER BASSETT SERVICES, INC.

This case involved Rutilio Miramontes' workers' compensation claim against Monier Lifetile, which was denied based on a post-termination defense under Labor Code section 3600(a)(10). The applicant's injury occurred before termination, and the defendants argued that the claim was invalid as it was filed after notice of termination. The Workers' Compensation Appeals Board (WCAB) denied reconsideration, affirming the Workers' Compensation Judge's finding. The WCAB agreed that the applicant's medical records, which contained evidence of his condition prior to termination, satisfied an exception to the post-termination defense, thus allowing the claim.

Workers' Compensation Appeals BoardRUTILIO MIRAMONTESMONIER LIFETILEAIGGALLAGHER BASSETT SERVICESINC.ADJ962699STK 0204013ORDER DENYING RECONSIDERATIONWORKERS' COMPENSATION ADMINISTRATIVE LAW JUDGE
References
Case No. STK 0205488
Regular
May 13, 2008

MICHAEL MONTIEL vs. STOCKTON SCAVENGERS dba WASTE MANAGEMENT, ACE AMERICAN INSURANCE by GALLAGHER BASSETT SERVICES

The Workers' Compensation Appeals Board granted reconsideration to address the employer's claim that the applicant earned income from a trucking business during his temporary total disability. While the original award found temporary disability, the Board amended it to allow credit for applicant's reported net earnings of $1,200 per month from his self-owned trucking business. The case was returned to the trial level for further proceedings and adjustment of temporary disability payments.

Workers' Compensation Appeals BoardStockton ScavengersWaste ManagementMichael MontielACE American InsuranceGallagher Bassett ServicesSTK 0205488Opinion and Order Granting ReconsiderationFindings and Awardindustrial injury
References
Case No. ADJ2992418
Regular
Jan 05, 2011

EUGENIO DIAZ vs. CORPORATE EXPRESS

The Workers' Compensation Appeals Board denied Eugenio Diaz's petition for reconsideration of an earlier decision. The Board adopted the WCJ's report, which found that the applicant's attorney failed to cite evidence supporting the claim of zero earning capacity. Consequently, the petition was denied.

Workers' Compensation Appeals BoardCorporate ExpressPermissibly Self-InsuredPetition for Reconsiderationworkers' compensation administrative law judgezero earning capacityCal. Code Regs. tit. 8§ 10842deny reconsiderationADJ2992418
References
Case No. ADJ2723341 (STK 0171150)
Regular
Oct 28, 2009

RICARDO VILLANUEVA vs. BEAZER HOMES, PRIME LABOR, CALIFORNIA INSURANCE GUARANTY ASSOCIATES on behalf of LEGION INSURANCE, BROADSPIRE GLENDALE, LIBERTY MUTUAL SACRAMENTO

The petition for reconsideration is denied for reasons stated in the WCJ report.

Workers' Compensation Appeals BoardReconsideration deniedBeazer HomesPrime LaborCalifornia Insurance Guaranty AssociatesLegion InsuranceBroadsPIRE GlendaleLiberty Mutual SacramentoWCJ reportADJ2723341
References
Case No. ADJ 2024530 (STK 200051)
Regular
Sep 03, 2008

DENNIS CORDOVA vs. STANISLAUS COUNTY SHERIFF'S DEPARTMENT, CLAIMS MANAGEMENT INC.

Reconsideration granted; prior decision rescinded; matter returned to WCJ for further proceedings.

Workers' Compensation Appeals BoardReconsiderationRescindFurther ProceedingsWCJ DecisionStanislaus County Sheriff's DepartmentPermissively Self-InsuredClaims Management Inc.ADJ 2024530STK 200051
References
Case No. STK 201844
Regular
Feb 08, 2008

GURMIT JHUTTI vs. FOSTER FARMS

The Workers' Compensation Appeals Board denied reconsideration of the decision finding the applicant did not sustain the alleged injury. The denial was based on the applicant's nearly five-year delay in filing the claim and the fact that the claim was filed on the same day as a reconsideration petition for a prior, related injury case, raising suspicion of a "back-up" strategy. Furthermore, the applicant failed to meet his burden of proof, with unpersuasive testimony and a lack of corroborating evidence.

Workers' Compensation Appeals BoardReconsideration DeniedApplicantDefendantFoster FarmsGurmit JhuttiSTK 201844Delay in Filing ClaimAOE/COEUnpersuasive Medical Report
References
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