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

Case No. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. ADJ7620210
Regular
Feb 02, 2012

MATTHEW BROWN vs. PENINSULA PONTIAC AUTOMOBILE, AM TRUST NORTH AMERICA, MAJESTIC INSURANCE COMPANY

Defendant insurance company sought removal of an order setting a workers' compensation case for trial, arguing insufficient discovery. The Board denied the petition, finding the defendant waived objections by failing to object to two prior Declarations of Readiness. The Board also noted the defendant's lack of diligence in obtaining requested discovery and the absence of extraordinary circumstances justifying further delay. The order allowing the trial judge discretion for limited medical evidence was upheld.

Petition for RemovalQualified Medical ExaminerDiscoveryMandatory Settlement ConferenceDeclaration of ReadinessObjectionTrialDepositionTemporary Total DisabilityDue Diligence
References
Case No. ADJ758842 (VNO 0559214)
Regular
Dec 17, 2010

JOHN PATCHETT vs. CITY OF LOS ANGELES

The Appeals Board denied the applicant's petition for removal, affirming the WCJ's decision to vacate the submission. This action was based on the DEU evaluator's testimony, which revealed deficiencies in the AMEs' reports concerning the AMA Guides. The Board found the applicant waived any objection to this testimony by failing to object at trial, and that the evaluator's expert opinion was permissible per *Blackledge v. Bank of America*. Defendant's objection, though not styled as a motion to strike, sufficiently raised the issues leading to the vacation of the rating.

Petition for RemovalOrder Vacating SubmissionDEU evaluatorAMA Guidesagreed medical evaluators (AMEs)rating instructionssubstantial evidenceobjective factors of disabilitywhole person impairmentformal rating
References
Case No. ADJ441097 (MON 0347404)
Regular
Sep 07, 2017

ROBERT ESQUERRA vs. EAGLE IRON CONSTRUCTION, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted Max MRI Imaging's petition for reconsideration, rescinding the prior finding of no liability for the lien. The original decision was based on an issue (RFA form) not properly identified for trial by the parties. The case is returned to the trial level to address the central dispute: whether services provided outside the defendant's Medical Provider Network (MPN) at a non-designated physician's request are compensable despite defendant's objections. The Administrative Law Judge must issue new findings on this specific issue and Max MRI's other contentions.

Workers' Compensation Appeals BoardLien claimantPetition for ReconsiderationMedical Provider NetworkPrimary treating physicianWritten objectionsRequest for authorizationFindings and AwardDecision After ReconsiderationAdministrative law judge
References
Case No. ADJ7588409
Regular
Jan 09, 2015

Armando De La Mora vs. Hanson Building Materials, Liberty Mutual Insurance

The Workers' Compensation Appeals Board denied reconsideration of a dismissal order for lien claimant Industrial Health Care. The lien was dismissed due to the claimant's failure to appear at a scheduled lien trial on August 28, 2014. Although the claimant admitted to a calendaring error and argued improper notice, the Board found their petition lacked material evidence and overlooked prior errors. Furthermore, the claimant's objection to the dismissal notice was filed two days late, contributing to the denial.

Lien ClaimantPetition for ReconsiderationOrder Dismissing LienFailure to AppearLien TrialNotice of Intention to DismissAppeals Board Rule 10562ObjectionsMis-calendaring ErrorTimely Service
References
Case No. ADJ2889040
Regular
Aug 04, 2009

Rodrigo Ramirez vs. The Ebel Operating Company, State Compensation Insurance Fund

This case involves lien claimant Dr. Moussa Moshfegh, who sought reconsideration after his lien was dismissed for failure to appear at trial. The Board granted reconsideration, rescinded the dismissal, and returned the matter for further proceedings. This action was based on the Judge's acknowledgment that the lien claimant filed a timely objection and that a trial on the merits is generally favored. The decision is not a final ruling on the lien's validity.

Workers' Compensation Appeals BoardLien claimantReconsiderationOrder to Dismiss LienNotice of Intention to Dismiss LienTimely ObjectionLien TrialAdministrative Law JudgeFurther ProceedingsDecision After Reconsideration
References
Case No. ADJ3476510 (MON 0326382) ADJ2019518 (MON 0326383) ADJ4615746 (VNO 0495913)
Regular
Apr 29, 2009

GUADALUPE ENRIQUEZ vs. AMERICAN APPAREL, EVEREST NATIONAL

The Workers' Compensation Appeals Board granted a lien claimant's petition for reconsideration of an order dismissing their lien. The dismissal occurred after the claimant failed to appear for a lien trial, but the claimant later submitted a document appearing to be an objection to the dismissal. The Board found that due to administrative backlogs from the conversion to a new electronic system, this objection may not have been properly considered. Consequently, the Board rescinded the dismissal order and returned the matter for further proceedings to litigate the merits of the lien.

Lien claimantPetition for reconsiderationOrder dismissing lienNotice of intention to dismissTimely objectionGood causeLien trialElectronic Adjudication Management System (EAMS)Document backlogDue process
References
Case No. ADJ14242832
Regular
Mar 07, 2025

EHAB GUIRGUIS vs. CIRCLE K/76 GAS STATION, SECURITY NATIONAL INSURANCE COMPANY, AMTRUST NORTH AMERICA

Defendant sought removal of an Order issued by a workers' compensation administrative law judge (WCJ) setting the matter for trial. Defendant objected to applicant's Declaration of Readiness to Proceed (DOR) as defective due to a failure to list good faith efforts for resolution and incomplete discovery regarding a vocational rehabilitation report. The Workers' Compensation Appeals Board (WCAB) reviewed the petition, the applicant's answer, and the WCJ's report. The WCAB granted the Petition for Removal, rescinded the WCJ's order, and returned the matter for further proceedings to allow for proper development of the record and address the defendant's objections to the DOR and discovery issues, emphasizing the right to due process and a fair hearing.

Petition for RemovalDeclaration of Readiness to ProceedWCJ ObjectionGood Faith EffortsDiscoveryVocational Rehabilitation ReportDue ProcessFair HearingRescind OrderReturn to Trial Level
References
Case No. ADJ1952983
Regular
Mar 15, 2018

JUAN RIVERA vs. IMPORT EXPORT CACTUS, STATE COMPENSAITON INSURANCE FUND

In this workers' compensation case, the defendant sought reconsideration of a prior ruling that deemed them to have waived objections to a specific invoice from lien claimant Scandoc Imaging. The WCAB denied reconsideration, finding that the defendant's objection, if any, was untimely, having been filed approximately four years after the invoice was submitted. California regulations require objections to medical-legal billings within 60 days to avoid waiver. Therefore, the defendant waived their objections to the reasonableness of the services and charges for invoice #234447-3.

WCABPetition for ReconsiderationFindings and Orderslien claimantinvoice objectionwaiver of objectionreasonableness of servicesLabor Code section 4622Scandoc ImagingImport Export Cactus
References
Case No. ADJ9757215
Regular
Feb 16, 2017

CHRISTOPHER COLLINS vs. SOUTHEAST PERSONNEL LEASING, INC., STATE NATIONAL INSURANCE COMPANY, PACKARD CLAIMS ADMINISTRATION

This case involves a Petition for Removal filed by the applicant, Christopher Collins, challenging Formal Rating Instructions. The Workers' Compensation Appeals Board (WCAB) dismissed the Petition for Removal, clarifying that it is not the proper procedural vehicle for objecting to rating instructions. The WCAB noted that pursuant to Rule 10602, a timely objection must be made directly to the Workers' Compensation Judge. Therefore, the WCAB is remanding the matter to the trial level to have the Petition for Removal treated as a timely objection.

Petition for RemovalFormal Rating InstructionsWorkers' Compensation Appeals BoardWCJObjectionTrial LevelDismissedTimelyRule 10602
References
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