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

Case No. ADJ2681583 (MON 0239411)
Regular
May 01, 2012

GUILLERMINA GONZALEZ vs. SOUTHERN CALIFORNIA JOBBERS, CALIFORNIA INSURANCE GUARANTEE (CIGA) by BROADSPIRE, for CALIFORNIA COMPENSATION INSURANCE, in liquidation

In *Gonzalez v. Southern California Jobbers*, the Workers' Compensation Appeals Board granted reconsideration of the WCJ's decision. The Board rescinded the prior decision and returned the matter to the trial level for further proceedings and a new decision. This order signifies the matter is not yet finalized on its merits.

Reconsideration OrderRescindedFurther ProceedingsWorkers' Compensation Appeals BoardWCJCalifornia Insurance Guarantee AssociationCIGABroadspireLiquidationSouthern California Jobbers
References
Case No. VNO 0438915
Regular
Oct 23, 2008

Applicant vs. University of Southern California

This case concerns an applicant's Petition for Reconsideration of a WCAB decision denying injury claims against the University of Southern California (USC). The applicant alleged a physical altercation with his supervisor, Mr. Pickering, during a meeting on September 20, 2001, which he claims caused various injuries. However, the WCJ found the applicant lacked credibility due to inconsistencies in his testimony and failure to report the incident promptly. The WCJ relied on testimony from witnesses who stated Mr. Pickering merely touched the applicant's shoulders and noted the applicant's history of prior injuries and medical issues not fully disclosed.

WCABPetition for ReconsiderationUniversity of Southern CaliforniaBiological Safety Specialistspecific injuryanimositycredibility issuesshoulder touchingprior injurieshypertension
References
Case No. ADJ3851666 (AHM 0142294) ADJ6984864
Regular
Sep 03, 2010

EDWARD NEWMAN vs. SOUTHERN CALIFORNIA EDISON

This case involves a Petition for Removal filed by Edward Newman against Southern California Edison. The Workers' Compensation Appeals Board (WCAB) reviewed the petition and the accompanying report from the administrative law judge. Finding no grounds to disturb the WCJ's findings, the WCAB has issued an order denying removal. Therefore, the petition to remove the case from its current procedural stage has been rejected.

Workers' Compensation Appeals BoardPetition for RemovalWCJ reportdenying removalSouthern California EdisonPermissibly Self-InsuredADJ3851666ADJ6984864administrative law judgeRonnie G. Caplane
References
Case No. ADJ3851666 (AHM 0142294)
Regular
Sep 16, 2013

EDWARD NEWMAN vs. SOUTHERN CALIFORNIA EDISON

This Workers' Compensation Appeals Board case involved applicant Edward Newman and defendant Southern California Edison. The Board granted reconsideration of a prior decision, affirming it in part but amending the orders. Specifically, the liens of Lab-Eval Services and Stanley Majcher MD were disallowed, with jurisdiction reserved for costs and sanctions against them and Scott Marks. The matter was then returned to the trial level for further proceedings.

Petition for ReconsiderationSouthern California EdisonEdward NewmanWorkers' Compensation Appeals BoardWCJ's reportgrant reconsiderationamend decisiondisallowed liensLab-Eval ServicesStanley Majcher MD
References
Case No. ADJ7234303
Regular
Nov 26, 2012

KENNETH ALBERS vs. SOUTHERN CALIFORNIA EDISON

This Workers' Compensation Appeals Board decision denies Southern California Edison's petition for reconsideration. The Board affirmed the finding that applicant Kenneth Albers sustained an industrial injury to his lumbar spine and lower extremities requiring future medical treatment. The Board found the applicant's employment was a sufficient contributing cause to his injury, even if it aggravated a pre-existing condition. The Board also noted concerns regarding a Qualified Medical Evaluator's understanding of workers' compensation law.

Workers' Compensation Appeals BoardSouthern California Edisonindustrial injurylumbar spinelower extremitiesfuture medical treatmentjob analysisPanel Qualified Medical Evaluator (PQME)Labor Code section 3600arising out of and in the course of employment
References
Case No. ADJ9196082 (MF) ADJ10238220
Regular
Oct 02, 2019

JOHN FORKNER vs. SOUTHERN CALIFORNIA EDISON

This case involves a request for additional attorney's fees under Labor Code § 5801 following an unsuccessful writ of review by Southern California Edison. The Appeals Board found the applicant's attorney's requested rate of $450/hour reasonable. Despite the sole appellate issue being the substantiality of a medical opinion, the Board deemed the case of above-average complexity due to extensive briefing and exhibits filed by both parties. Therefore, the Board awarded $18,000.00 in appellate attorney's fees.

Workers' Compensation Appeals BoardSouthern California EdisonPetition for Writ of ReviewLabor Code § 5801attorney's feesappellate attorney's feesAgreed Medical EvaluatorAMEabove average complexityfactual issues
References
Case No. ADJ10239095
Regular
Apr 03, 2025

FRED DAVIS vs. SOUTHERN CALIFORNIA EDISON

Defendant, Southern California Edison, petitioned for reconsideration of the August 17, 2022 Findings of Fact, Award and Orders, which found applicant Fred Davis sustained a work-related low back, neck, and hypertension injury resulting in 76% permanent partial disability. The Workers' Compensation Appeals Board granted reconsideration. Subsequently, the parties filed a Compromise and Release. Therefore, the Appeals Board rescinded the August 17, 2022 decision and returned the matter to the WCJ for further proceedings to consider the Compromise and Release, without ruling on the merits of the reconsideration petition.

Workers' Compensation Appeals BoardReconsiderationFindings of FactAward and OrdersPermanent Partial DisabilityCompromise and ReleaseOpen Medical TreatmentRescinded DecisionReturned to Trial LevelAdministrative Law Judge
References
Case No. ADJ4188630 (ANA 0407449) ADJ4338975 (ANA 0407448)
Regular
Mar 22, 2010

RANDOLPH ADAIR vs. SOUTHERN CALIFORNIA EDISON; Permissibly Self-Insured

This case involves applicant Randolph Adair's industrial injury claim against Southern California Edison. The Workers' Compensation Appeals Board granted reconsideration of a prior award due to disputes over the permanent disability rating. Specifically, the defendant argued the judge improperly relied on a "range of evidence" method, rather than strictly applying the AMA Guides, when evaluating medical reports on spinal translation. The Board found insufficient substantial medical evidence to support the judge's permanent disability rating and remanded the case for further medical development, potentially through an Agreed Medical Examiner. The defendant's liability for self-procured medical treatment, however, was upheld.

Workers Compensation Appeals BoardSouthern California EdisonRandolph AdairJoint Findings Award and OrdersAdministrative Law JudgePermanent DisabilityAMA GuidesDRE CategoriesWPIAgreed Medical Examiner
References
Case No. ADJ8198058
Regular
May 14, 2019

MICHAEL DELGADO vs. SOUTHERN CALIFORNIA GAS COMPANY

This case involves a second petition for reconsideration by Southern California Gas Company challenging a 100% permanent disability award for Michael Delgado. The Appeals Board denied the petition, deeming it improper as a successive filing without new evidence. However, the Board clarified that the prior decision relied on the opinions of both Agreed Medical Examiners, supporting the finding of permanent total disability due to deconditioning. The vocational expert's opinion, consistent with applicant's testimony, also constituted substantial evidence for the award.

Workers' Compensation Appeals BoardSouthern California Gas CompanyMichael Delgadopermanent disabilitycumulative traumaEnergy Tech ResidentialAgreed Medical Examinervocational counselorvocational expertdeconditioning
References
Case No. ADJ14362966
Regular
Feb 18, 2025

JESS PEREZ vs. SOUTHERN CALIFORNIA GAS COMPANY

The Workers' Compensation Appeals Board (WCAB) granted the defendant, Southern California Gas Company's, petition for reconsideration. The WCAB rescinded the November 12, 2024 Findings of Fact and Order, which had determined that applicant Jess Perez sustained an industrial COVID-19 injury. The case was returned to the trial level for further proceedings, as the Board found the WCJ's original decision lacked substantial evidence, noting the Qualified Medical Evaluator's report was limited in scope and did not fully address industrial causation. The Board emphasized the need to fully develop the record on the issue of industrial causation.

COVID-19industrial injuryEnergy TechnicianSouthern California Gas CompanyQualified Medical Evaluator (QME)occupational exposureinjury arising out of and in the course of employment (AOE/COE)Petition for Reconsiderationsubstantial evidencemedical reporting
References
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