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

Case No. ADJ2308352 (SBR 0341903) ADJ3554086 (SBR 0323156)
Regular
Nov 21, 2016

STEPHEN WEBBER vs. L. J. SNOW FORD, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) dismissed Stephen Webber's petition for reconsideration because it was untimely filed. California law requires such petitions to be received by the WCAB within 25 days of the administrative law judge's decision, with extensions for weekends or holidays. In this case, the petition was filed on September 27, 2016, one day after the jurisdictional deadline of September 26, 2016. As the deadline is jurisdictional, the WCAB lacked authority to consider the untimely petition.

Petition for Reconsiderationuntimely filingjurisdictional time limitWCABadministrative law judgeLabor CodeCalifornia Code of Regulationsproof of mailingproof of receiptSeptember 1
References
Case No. ADJ7232076
En Banc
Sep 26, 2011

Tsegay Messele vs. Pitco Foods, Inc.; California Insurance Company

The Appeals Board holds that the 10-day period for agreeing on an AME under Labor Code § 4062.2(b) is extended by five days when the initial proposal is served by mail, and clarifies the method for calculating this time period, finding both parties' panel requests premature.

Workers' Compensation Appeals BoardTsegay MesselePitco FoodsInc.California Insurance CompanyADJ7232076Opinion and Decision After ReconsiderationOrder Granting RemovalDecision After RemovalEn Banc
References
Case No. ADJ6899666 ADJ6899667
Regular
Jan 25, 2016

KIMBERLY CHAMBERS vs. UCLA MEDICAL CENTER, Permissibly SelfInsured, Administered By SEDGWICK CMS

This case concerns an applicant's industrial injury causing cardiovascular and digestive system damage. The Workers' Compensation Appeals Board dismissed the applicant's petition for reconsideration as moot due to the judge's rescission of a prior award. The Board granted the defendant's petition, limiting the applicant's total temporary disability to 104 weeks per Labor Code section 4656(c)(2). The issue of a 15% permanent disability increase under Labor Code section 4658(d)(2) was deferred for further proceedings.

Petition for ReconsiderationDismissalFindings of FactOrder and AwardWCJPhlebotomistIndustrial InjuryCardiovascular SystemTemporary DisabilityPermanent Disability
References
Case No. ADJ6779280, ADJ6783287
Regular
Feb 09, 2011

DANA COX vs. FIRST TRANSIT, NEW HAMPSHIRE INSURANCE COMPANY

This case involves an applicant with two distinct industrial injuries to different body parts, leading to concurrent temporary disability. The defendant argued the 104-week limit under Labor Code section 4656(c)(2) should run concurrently for both injuries. The Appeals Board rescinded the prior award, finding the WCJ did not properly apply the statute. The Board remanded the case for a new decision, clarifying that for overlapping periods of temporary disability from multiple injuries, the 104-week limitation runs concurrently.

Labor Code section 4656(c)(2)petition for reconsiderationFindings and Awardparatransit driver104 compensable weeksaggregate disability paymentssuccessive injuriesconcurrent temporary disabilityoverlapping body partsLabor Code section 4656(c)(1)
References
Case No. RDG 0120327
Regular
Nov 01, 2007

KELLY LANGLEY vs. COUNTY OF NEVADA, CLAIMS MANAGEMENT, INC.

This case involves a workers' compensation appeal where the applicant is Kelly Langley and the defendant is the County of Nevada. The Appeals Board granted reconsideration and affirmed the WCJ's decision of September 17, 2007, with an amendment. The amendment specifically allows applicant's Exhibits 1, 2, 8, and 9 to be admitted into evidence.

WORKERS' COMPENSATION APPEALS BOARDKELLY LANGLEYCOUNTY OF NEVADACLAIMS MANAGEMENTINC.RECONSIDERATIONDECISION AMENDEDEVIDENCE ADMITTEDEXHIBITS 1 2 8 9
References
Case No. ADJ7755855
Regular
Aug 25, 2014

CAROLINE HARDMAN vs. VETERINARY CENTERS OF AMERICA, BROADSPIRE for ZURICH NORTH AMERICA

The Workers' Compensation Appeals Board granted reconsideration to amend a prior award. The Board ruled that, under Labor Code section 4656(c)(2), the applicant is only entitled to temporary disability indemnity for a single injury occurring after January 1, 2008, for 104 weeks within a five-year period from the date of injury. Therefore, temporary disability payments cannot extend beyond September 17, 2013, for this applicant. The rest of the original award, including medical treatment and penalties for unreasonable delay, was affirmed.

Petition for ReconsiderationFindings and AwardVeterinary technicianIndustrial injuryTemporary disabilityMedical treatmentLabor Code section 4656(c)(2)104 compensable weeksFive-year periodDate of injury
References
Case No. ADJ1208276 (VEN 0109627)
Regular
Sep 02, 2016

DANIEL GARCIA vs. PEPSI COLA CO.; SEDGWICK CLAIMS MANAGEMENT SERVICES

The Workers' Compensation Appeals Board rescinded a prior decision and remanded the case for further proceedings concerning chiropractic treatment for an admitted neck and upper back injury. The original decision allowed 16 visits for 2007, deeming them reasonable and necessary, and found the applicant not subject to the 24-visit cap. However, the Board found the Qualified Medical Evaluator's report, used to support the decision, was stale, having been issued ten years prior to the treatment. The Board directed parties to obtain an updated report from the QME, and noted that the defendant failed to conduct utilization review, a proper avenue for disputing treatment reasonableness.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and OrderAdministrative Law JudgeLien ClaimantChiropractic ServicesLabor Code Section 4603.2(b)(2)PenaltiesSanctionsReasonable and Necessary Treatment
References
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. ADJ8981638
Regular
Jan 19, 2019

ANTHONY INGRASSI vs. STATE OF CALIFORNIA, legally uninsured, adjusted by STATE COMPENSATION INSURANCE FUND

This case involves an applicant seeking workers' compensation benefits for injuries to his left shoulder, lumbar spine, right hip, and left elbow. The defendant sought reconsideration of the initial award, arguing the $36\%$ permanent disability award should only be paid over 173 weeks and that the Labor Code section 4658(d)(2) increase was unwarranted. The Appeals Board amended the award to reflect 173 weeks for the permanent disability and affirmed the $4658(d)(2)$ increase, finding the defendant failed to comply with statutory notice requirements for return-to-work offers after the applicant's medical condition became permanent and stationary, despite the applicant's brief return to work. One Commissioner dissented, arguing the $4658(d)(2)$ increase should not apply as the defendant's failure to issue a second notice was form over substance given the applicant was already working full duty.

Labor Code Section 4658(d)(2)Permanent Disability AwardApportionmentAgreed Medical EvaluatorMaximum Medical ImprovementPermanent Impairment RatingsNotice of Offer of Regular WorkDWC-AD 10118Substantial ComplianceReturn to Work Incentives
References
Case No. ADJ9677618
Regular
Mar 04, 2018

ROBERT PRATER vs. CAST & CREW ENTERTAINMENT SERVICES, INC., ZURICH AMERICAN INSURANCE COMPANY

This case concerns a workers' compensation applicant seeking reconsideration of an award based on disputed earnings. The applicant contends their 2012 earnings were higher than determined by the WCJ, as evidenced by a W-2 from a prior employer, SMG, in addition to the defendant's W-2. The Board rescinded the original Findings and Award, finding the WCJ's report inadequately addressed the applicant's testimony and documentary evidence regarding potential earnings from SMG. The case is remanded to the trial level for further proceedings to develop the record on the applicant's total earnings at the time of injury.

WCABReconsiderationFindings and AwardPermanent Partial DisabilityEarnings CalculationOccupational Group NumberFurther Medical TreatmentAttorney's FeesW-2 FormTax Form
References
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