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

Case No. ADJ4525685
Regular
Apr 08, 2011

MAGDALENA CASTILLEJA vs. COUNTY OF TULARE, AMERICAN HOME ASSURANCE COMPANY

This case involves a lien claimant, Summit Surgical Center (formerly Sierra Pacific Surgical Center), seeking reconsideration of a decision denying their lien for $11,799.50. The Workers' Compensation Appeals Board denied reconsideration because the lien claimant failed to provide any legal or factual support for their petition. The Board also issued a Notice of Intention to Impose Sanctions of $500 against the lien claimant and their representative for filing a frivolous and unsubstantiated petition. The lien claimant argued the carrier should be liable for treatment costs without the provider having to prove compensability.

WCABPetition for ReconsiderationLien ClaimantIndustrial InjuryAOE/COEMedical TreatmentMedical Legal ServicesSanctionsLabor Code § 5813Bad Faith
References
0
Case No. ADJ1480264 (FRE 0200339) MF
Regular
Dec 29, 2015

JOSE ACOSTA vs. PETERSON FAMILY, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) rescinded a prior decision concerning the retroactive application of a 2012 statutory fee reduction for ambulatory surgical centers. This decision was made after the defendant, State Compensation Insurance Fund (SCIF), and lien claimant Sierra Pacific Surgical Center (SPSC) reached a settlement agreement. The WCAB returned the case to the trial level for approval of this settlement, allowing the WCJ to reissue the rescinded decision if the settlement is not approved. The original decision had found that the fee reduction did not apply retroactively to services provided before January 1, 2004.

Workers' Compensation Appeals BoardState Compensation Insurance FundSierra Pacific Surgical Centerambulatory surgical centeroutpatient surgical centerMedicare reimbursementSenate Bill 863Labor Code section 5307.1(c)(1)retroactive applicationsettlement agreement
References
0
Case No. MISSING
Regular Panel Decision

Rechenberger v. Nassau County Medical Center

Edward Rechenberger suffered hip fractures and underwent two operations at Nassau County Medical Center in May 1982. Following a re-injury and later diagnosis, he learned the surgical hardware was improperly implanted, leading to further operations. Mr. Rechenberger sought leave to serve a late notice of claim against the medical center. The Supreme Court initially denied the motion, but the Appellate Division reversed this decision, finding that the hospital had actual knowledge of the essential facts of the claim within the statutory 90-day period through its own medical records. The court concluded that the delay in serving the notice of claim was not substantially prejudicial to the hospital, and thus, granted the petitioners leave to serve the late notice of claim.

Medical MalpracticeLate Notice of ClaimNassau CountyHip FractureSurgical ErrorContinuous Treatment DoctrineActual NoticePrejudiceAppellate ReviewMunicipal Corporation
References
11
Case No. MISSING
Regular Panel Decision

MBB Realty Ltd. Partnership v. Great Atlantic & Pacific Tea Co. (In re Great Atlantic & Pacific Tea Co.)

This is an appeal from a Bankruptcy Court order denying summary judgment for the appellant, MBB Realty Limited Partnership, and granting it for the appellee, The Great Atlantic & Pacific Tea Company, Inc. The dispute centered on a commercial lease, which was amended to include percentage rent and later involved A&P's plan to further downsize, leading to a contested letter agreement regarding new percentage rent terms and property alterations. The Bankruptcy Court found the letter agreement void for lack of consideration, despite A&P's subsequent payments, a decision MBB appealed. The District Court affirmed, concluding that MBB's alleged consent to exterior changes or store downsizing did not constitute valid consideration, as these actions were either not explicitly agreed upon or already permissible under the existing lease terms, thus rendering the agreement unenforceable. Consequently, arguments about ratification or the satisfaction of conditions precedent were deemed irrelevant for a void contract.

Contract LawConsiderationParol Evidence RuleSummary JudgmentBankruptcy AppealCommercial LeasePercentage RentLease AmendmentRatificationGood Faith and Fair Dealing
References
64
Case No. MISSING
Regular Panel Decision

In re the Professional Career Center, Inc.

The Professional Career Center, Inc., offering real estate education, appealed a decision by the Unemployment Insurance Appeal Board, which affirmed the Commissioner of Labor's assessment for additional unemployment insurance contributions. The assessment stemmed from a determination that the Center's teachers were employees, not independent contractors. Despite a consulting agreement, the court found substantial evidence of an employer-employee relationship. This was based on the Center's control over hiring, payment, quality, student recruitment, tuition, scheduling, and curriculum adherence. The court concluded that these factors supported the finding, affirming the decision against Professional Career Center, Inc.

Unemployment InsuranceEmployer-Employee RelationshipIndependent ContractorProfessional EducationReal Estate LicensingLabor LawSubstantial EvidenceAppellate ReviewContributionsAudit
References
3
Case No. ADJ8129979
Regular
Sep 28, 2012

DONALD DALBY vs. SIERRA PACIFIC INDUSTRIES

The Workers' Compensation Appeals Board (WCAB) dismissed Sierra Pacific Industries' Petition for Removal. The dismissal was based on the petition containing numerous documents attached in violation of WCAB Rule 10842, which prohibits such attachments. The WCAB adopted the administrative law judge's report and admonished the defendant to follow Board Rules in the future.

Petition for RemovalWCAB Rule 10842DismissalSelf-InsuredAdministrative Law Judge ReportViolation of RulesDiscarded DocumentsAdmonishmentOfficial Address RecordHanna Brophy
References
0
Case No. ADJ7750099
Regular
Apr 01, 2014

JERRI USREY vs. SIERRA OAKS SENIOR CENTER

The Workers' Compensation Appeals Board granted reconsideration to affirm the finding that Sierra Oaks Senior Center violated Labor Code section 132a by terminating applicant Jerri Usrey's employment due to her filing a workers' compensation claim. The Board adopted the WCJ's reasoning on witness credibility and evidence resolution. However, the determination of reinstatement and lost wages was deferred due to insufficient evidence regarding the availability of suitable work and applicant's ability to perform it. The award of $10,000 for the section 132a violation was affirmed, with further proceedings to address reinstatement and lost wages.

Labor Code section 132aPetition for ReconsiderationFindings and Awardreinstatementlost wagespoor performanceindustrial injuryadverse treatmentcredibility assessmenttrier of fact
References
0
Case No. 2021 NY Slip Op 02756 [194 AD3d 421]
Regular Panel Decision
May 04, 2021

Mullins v. Center Line Studios, Inc.

This case involves an appeal concerning an order from the Supreme Court, New York County, regarding claims under Labor Law §§ 240 (1) and 200, and common-law negligence. The Appellate Division, First Department, modified the earlier order. It ruled that Center Line Studios, Inc. was entitled to summary judgment dismissing the Labor Law §§ 240 (1) and 200 claims because it was not a statutory agent and lacked supervisory control over the plaintiff's work. Additionally, NYC Production Core LLC's motion for summary judgment was granted, dismissing the complaint and cross-claims against it, with the exception of contractual indemnification claims, as it was identified as the plaintiff's special employer. A triable issue of fact was found to exist regarding Center Line Studios, Inc.'s potential common-law negligence in creating or exacerbating a dangerous condition.

Labor Law §§ 240(1)Labor Law §§ 200Common-Law NegligenceSummary JudgmentStatutory AgentSpecial Employer DoctrineContractual IndemnificationConstruction AccidentLadder Fall InjuryPremises Liability
References
12
Case No. MISSING
Regular Panel Decision
Mar 23, 2000

Ramnarine v. Memorial Center for Cancer & Allied Diseases

Jagdeo Ramnarine, an employee of Memorial Sloan-Kettering Cancer Center, suffered a laceration at the Memorial Center for Cancer and Allied Diseases. He subsequently filed a negligence lawsuit. The defendant, Memorial Center, moved for summary judgment, arguing that the plaintiff's claim was barred by the Workers’ Compensation Law § 11, as both the Center and the Hospital operate as a single integrated employer despite their separate legal entities. The Supreme Court initially denied this motion. However, the appellate court reversed the decision, granting summary judgment to the defendant. The court found substantial evidence supporting the integrated employer argument, thereby limiting the plaintiff's remedy to workers' compensation benefits and dismissing the complaint and all cross-claims against the defendant.

Workers' Compensation ExclusivityIntegrated Employer DoctrineSummary Judgment ReversalNegligence ClaimCross Claims DismissedCorporate Alter EgoCommon ControlBronx CountyAppellate DivisionLabor Law
References
11
Case No. ADJ7452091
Regular
Aug 14, 2013

JULIA PLEASANT vs. PACIFIC ALLIANCE MEDICAL CENTER, SAFETY NATIONAL CASUALTY CORPORATION

The Workers' Compensation Appeals Board denied Pacific Alliance Medical Center's petition for reconsideration. The Board adopted the findings of the Administrative Law Judge (WCJ), who found the applicant credible and her injuries supported by substantial medical evidence. The WCJ determined the applicant's psychiatric injury stemmed from cumulative trauma, not personnel actions. The defendants failed to present sufficient contrary evidence to overturn the original findings and award.

Workers' Compensation Appeals BoardPetition for ReconsiderationDeniedWCJGarza v. Workmen's Comp. Appeals Bd.Agreed Medical ExaminerOrthopedicsPsychiatryApportionmentCumulative Trauma
References
1
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