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

Case No. ADJ6408456
Regular
May 17, 2010

KENNETH M. HOOVER vs. CITY OF POMONA

The Appeals Board granted reconsideration of the WCJ's award of 100% permanent total disability. The Board found that the WCJ's decision was not supported by substantial evidence, primarily due to deficiencies in Dr. Grodan's medical reporting regarding the applicant's skin and cardiovascular conditions. The matter was returned to the trial level for further development of the record and a new decision. The Board confirmed the application of the 1997 Permanent Disability Rating Schedule and the admission of Dr. Shirman's report.

WORKERS' COMPENSATION APPEALS BOARDADJ6408456KENNETH M. HOOVERCITY OF POMONAreconsiderationFindings and Award and Orderworkers' compensation administrative law judgeWCJMay 172010
References
Case No. GOL 96757
Regular
Jun 10, 2008

SA YANG LO vs. CUSTOM SENSORS & TECHNOLOGIES, INC., STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board denied reconsideration of a prior award, upholding the application of the 2005 Permanent Disability Rating Schedule. The Board found that exceptions allowing for the 1997 Schedule did not apply, as the applicant's temporary disability indemnity extended beyond January 1, 2005, and no qualifying pre-2005 reports indicated permanent disability. Furthermore, the Board found the applicant's vocational expert's opinion regarding diminished future earning capacity unpersuasive, thus affirming the initial 9% permanent disability rating.

Workers' Compensation Appeals BoardSA Yang LoCustom Sensors & TechnologiesInc.State Compensation Insurance FundGOL 96757Opinion and Order Denying ReconsiderationFindings and AwardWorkers' Compensation Administrative Law JudgeWCJ
References
Case No. ADJ3565194 (BAK 0139614)
Regular
Dec 04, 2015

TAMMY AGOSTA vs. VONS, A SAFEWAY COMPANY

The applicant sought reconsideration of a workers' compensation award of $61\%$ permanent disability for an industrial injury. She argued that the administrative law judge erred and that she should be found permanently totally disabled ($100\%$) based on vocational expert and medical evaluations. The Workers' Compensation Appeals Board denied her petition, adopting the WCJ's report. However, one commissioner dissented, arguing that the applicant's significant medical restrictions and vocational expert's opinion supported a finding of $100\%$ permanent disability.

AgostaVonsSafewayWorkers' Compensation Appeals BoardPetition for ReconsiderationFindings Orders and Awardadministrative law judgecumulative injuryright shoulderright upper extremity
References
Case No. ADJ383777
Regular
Apr 04, 2011

Roxanna Ortiz vs. ONE SOURCE, ESIS

The Workers' Compensation Appeals Board denied Roxanna Ortiz's petition for reconsideration of a prior findings and order. The initial ruling determined she sustained industrial injury only to her cervical spine as a janitor, not to other body parts or any resulting temporary/permanent disability or need for further medical treatment. Ortiz argued the judge erred by favoring defense medical reports and discrediting her testimony due to minor inconsistencies in her injury description. The Board adopted the WCJ's report, emphasizing deference to credibility determinations and that admissibility of medical reports should have been challenged at trial, not on reconsideration. A dissenting opinion argued the judge overemphasized minor variations in Ortiz's account and that medical evidence did not sufficiently support denial of other injuries or further treatment.

OrtizOne SourceESISWCABFindings and OrderPetition for ReconsiderationWorkers' Compensation Administrative Law Judgeindustrial injurycervical spineright arm
References
Case No. ADJ7037201
Regular
Apr 22, 2013

Eddie Avakian vs. CITY OF BALDWIN PARK, ADMINSURE

This case involves an applicant police officer seeking reconsideration of a Workers' Compensation Appeals Board (WCAB) decision that awarded 72% permanent partial disability. The applicant contended the WCJ erred by excluding sleep disturbances and sexual dysfunction from the disability rating and by apportioning his cardiovascular disability. The WCAB granted reconsideration, rescinded the original award, and found the applicant's sexual dysfunction and sleep disorder compensable. The matter was returned to the trial level for a new decision, with the WCAB stating it would not disturb other findings, including the hypertension apportionment.

Workers' Compensation Appeals BoardEddie AvakianCity of Baldwin ParkPermissibly Self-InsuredAdministered By ADMINSUREADJ7037201Opinion and Order Granting ReconsiderationDecision After ReconsiderationFindings and Award and OrderAdministrative Law Judge
References
Case No. SAC 316687
Regular
Feb 28, 2008

STEVE OLSON vs. DEPARTMENT OF CORRECTIONS, STATE COMPENSATION INSURANCE FUND

This case involves a correctional lieutenant claiming cumulative industrial injury to his heart, hypertension, diabetes, and GERD. The original decision apportioned 80% of his permanent disability to non-industrial causes, but the Appeals Board rescinded this. The Board determined that Labor Code section 4663(e) exempts safety officers like the applicant from apportionment for presumed injuries, and the calculation of permanent disability indemnity must now follow the *Brodie/Welcher* standard.

Workers' Compensation Appeals BoardSAC 316687Steve OlsonDepartment of CorrectionsState Compensation Insurance FundOpinion and Decision After Reconsiderationcorrectional lieutenantcumulative industrial injuryhearthypertension
References
Case No. VNO 0408666
Regular
May 02, 2008

DONNA BRUSSEAU vs. RONALD SUE, M.D., CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, Fremont Compensation Insurance Company

This case concerns an applicant's petition for reconsideration of a workers' compensation award, arguing she should have been found permanently totally disabled. The Board denied reconsideration, finding the applicant's petition timely filed due to substantial amendments to the original award which extended the filing period. The Board upheld the WCJ's findings of 80% permanent disability based on substantial medical evidence.

Workers Compensation Appeals BoardPetition for ReconsiderationFirst Amended Findings Award and OrderApplicantIndustrial InjuryUpper ExtremitiesShouldersNeckCervical SpineHands
References
Case No. ADJ8454395
Regular
Jul 26, 2018

HEATHER BRENT vs. STATE OF CALIFORNIA, DEPARTMENT OF FORESTRY AND FIRE PROTECTION, legally uninsured, adjusted by STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board rescinded a prior award finding applicant sustained injury AOE/COE resulting in Lyme disease. The Board found the primary treating physician's report insufficient to constitute substantial medical evidence. Conflicting medical opinions exist, and the report from the agreed medical evaluator was deemed unpersuasive. The case is remanded for further proceedings, potentially appointing an infectious disease specialist to further develop the medical record.

Workers' Compensation Appeals BoardOpinion and Decision After ReconsiderationApplicantDefendantInjury AOE/COELyme diseasePrimary Treating Physician (PTP)Qualified Medical Evaluator (QME)Norman PantingM.D.
References
Case No. ADJ6575163
Regular
Oct 08, 2013

YEVONNE HOOVER vs. SUNRISE ASSISTED LIVING, SEDGWICK CLAIMS MANAGEMENT SERVICES

This case involves two lien claimants whose liens were dismissed with prejudice by the WCJ for failure to appear at a lien conference and submit proof of lien activation fee payment. The lien claimants, Med-Source Diagnostics and R.M. Schilling, M.D., sought reconsideration, attributing their non-appearance to a calendaring error where their system mistakenly entered the year 2031 instead of 2013. The WCAB granted reconsideration, rescinded the dismissal orders, and returned the matter to the trial level for a lien conference, deferring to the WCJ's judgment regarding the administrative error.

Lien claimantsPetition for ReconsiderationOrders DismissingLien Activation FeeDeclaration of ReadinessLien ConferenceAdministrative ErrorElectronic Adjudication Management System (EAMS)WCJWorkers' Compensation Appeals Board (WCAB)
References
Case No. GOL 099880
Regular
Sep 20, 2007

THOMAS LAWRENCE vs. M/M MECHANICAL, INC., ZURICH INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration to correct a clerical error in the arbitrator's supplemental award. The original award mistakenly stated permanent disability indemnity was payable for 344 weeks when the correct duration should have been 334 weeks. The Board amended the award to reflect 334 weeks of indemnity, otherwise affirming the arbitrator's decision.

Workers' Compensation Appeals BoardReconsiderationClerical ErrorPermanent Disability IndemnitySupplemental Findings and AwardArbitrator's DecisionFinding of FactAmended AwardZurich Insurance CompanyM/M Mechanical
References
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