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

Case No. ADJ11220615; ADJ11220621
Regular
Mar 20, 2023

WILLIAM GARRISON vs. COUNTY OF LOS ANGELES, SEDGWICK CLAIMS MANAGEMENT SERVICES

This case involves a firefighter claiming permanent and total disability due to multiple industrial injuries. The defendant sought reconsideration, arguing the applicant's vocational expert's report lacked substantial evidence and that the Workers' Compensation Judge failed to consider nonindustrial apportionment. The Appeals Board affirmed the finding of permanent and total disability, finding the applicant's vocational expert's analysis more persuasive and the defendant's apportionment argument unsubstantiated by sufficient medical evidence. Reconsideration was granted solely to defer the issue of the permanent disability commencement date.

WCABPermanent Total DisabilityApportionmentVocational ExpertIndependent Medical EvaluatorUlcerative ColitisColectomyRheumatoid ArthritisActinic KeratosisTinnitus
References
Case No. ADJ14609243 ADJ17389142
Regular
Oct 13, 2025

RAUL MAGANA vs. COUNTY OF TULARE, CORVEL

The defendant sought reconsideration of a WCJ's July 8, 2025, Findings and Order, which awarded the applicant $78,662.50 for 30% whole person impairment, rejecting apportionment due to a finding that Dr. Gwartz's medical opinion lacked substantial evidence. Defendant contended that Dr. Gwartz's opinion was substantial medical evidence and the WCJ erred in failing to find apportionment. The Appeals Board, after reviewing the petition and report, granted the petition for reconsideration, but explicitly deferred a final decision on the merits pending further review of the record and applicable law. The Board also confirmed the timeliness of their action, having acted on the petition within the 60-day statutory period as amended by Labor Code section 5909.

Petition for ReconsiderationApportionmentSubstantial Medical EvidenceUlcerative ColitisPsyche InjuryWhole Person ImpairmentPermanent Disability IndemnityLabor Code Section 5909Report and RecommendationQME
References
Case No. ADJ8446188
Regular
Apr 20, 2020

MARTHA BARKER vs. POMONA UNIFIED SCHOOL DISTRICT, YORK RISK SERVICES

The Workers' Compensation Appeals Board rescinded a prior award and remanded the case for further development of the record regarding Martha Barker's industrial injury claim against Pomona Unified School District. The Board found that Barker sustained injury to her left knee, low back, and upper gastrointestinal system but not her right knee, and requires future medical care. However, the specific liability for her stomach surgery and the exact level of her permanent disability remain unresolved due to conflicting medical reports and WCJ findings. Therefore, all issues beyond the confirmed injuries and need for future care are deferred.

Workers' Compensation Appeals BoardPomona Unified School DistrictYork Risk ServicesFindings and AwardWorkers' Compensation Administrative Law Judgepermanent disabilityLabor Code Section 4658temporary disability indemnityself-procured medical treatmentstomach surgery
References
Case No. ADJ10831597
Regular
Jan 07, 2020

JENNIFER SALEY vs. TECHNICOLOR USA, INC.; ACE USA administered by TRISTAR

The Workers' Compensation Appeals Board dismissed the defendant's Petition for Reconsideration and denied their Petition for Removal. The Board found that the Administrative Law Judge's order vacating submission and ordering further record development was an interlocutory procedural order, not a final one subject to reconsideration. They also rejected the defendant's argument that the applicant's withdrawal of a psychiatric claim barred proof of physical injury aggravation from stress. Finally, the Board concluded no significant prejudice or irreparable harm would result from denying removal.

Order Vacating SubmissionPetition for ReconsiderationPetition for RemovalPsychiatric InjuryColitisAgreed Medical EvaluatorQualified Medical EvaluatorPrimary Treating PhysicianInflammatory Bowel DiseaseCausation
References
Case No. ADJ6625404
Regular
Nov 17, 2009

MICHELLE LYNN FULLER vs. CARDINAL AQUA PURE, INC., STATE COMPENSATION INSURANCE FUND

The WCJ's findings on termination of employment and availability of modified work are affirmed. The award is amended to provide credit for wages earned in applicant's own business, with jurisdiction reserved to determine the amount.

Temporary total disabilityConstructive resignationModified work availabilityCredibility of witnessesOverpayment creditEarnings in own businessLabor Code section 4657ReconsiderationFindings and AwardIndustrial injury
References
Case No. ADJ1607469
Regular
Feb 01, 2010

CHRISTOPHER MELENDEZ vs. SALEM EQUIPMENT COMPANY, WAUSAU INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) rescinded a previous decision awarding penalties and attorney's fees. The Board found issues with the original WCJ's findings regarding the scope of injury, self-procured treatment costs, and penalty calculation for delayed medical treatment. The case is returned to the trial level for further proceedings and a new decision by the WCJ. The WCAB expressed no opinion on the merits of the issues raised in the petitions for reconsideration.

Workers' Compensation Appeals BoardReconsiderationIndustrial InjuryContracturesHydrocephalusHemiplegiaPneumoniaDecubitus UlcerationsNeurogenic BladderRenal Failure
References
Case No. ADJ7560161
Regular
Feb 16, 2017

Julie Cagle vs. Bank of America, ACE AMERICAN INSURANCE COMPANY

This case involves Julie Cagle's workers' compensation claim against Bank of America for admitted industrial injuries to her psyche and abdomen. The Appeals Board reconsidered a prior award, increasing the applicant's permanent disability rating. The key dispute centered on the proper rating for internal injuries under the AMA Guides, with the applicant arguing for a higher WPI rating based on a Class 3 classification. The Board ultimately determined the applicant's internal system impairment warranted a 25% WPI, leading to a total of 49% permanent disability. The award was also clarified to allow the defendant credit for permanent disability advances already paid.

Workers' Compensation Appeals BoardJulie CagleBank of AmericaAce American Insurance CompanyCorvelPetition for ReconsiderationFindings of Fact and AwardInternal Systems InjuryPsyche InjuryPermanent Disability
References
Case No. ADJ4118575
Regular
May 26, 2010

MANUEL ORTIZ vs. TOWER INDUSTRIES, INC., SCIF INSURED INLAND EMPIRE

This case involves a worker, Manuel Ortiz, who sustained a severe admitted industrial injury resulting in 100% permanent disability. The defendant, SCIF, sought reconsideration, arguing the WCJ's jump from a 98% to 100% rating lacked sufficient justification and that injury to sleep and erectile dysfunction were erroneously found. However, the Appeals Board denied the petitions, finding the evidence supported the 100% permanent disability rating. The Board emphasized Ortiz's significant injuries, ongoing pain, inability to control bodily functions, and uncorrected erectile dysfunction as establishing total permanent disability.

Workers' Compensation Appeals BoardPetitions for ReconsiderationPermanent DisabilityLabor Code section 4662Agreed Medical ExaminersUrological InjuryErectile DysfunctionSleep DisorderPermanent Total DisabilityFindings and Award
References
Case No. ADJ8072768
Regular
Jun 13, 2017

TERESA ESTRADA vs. EDGE SALES \& MARKETING, REPUBLIC UNDERWRITERS INSURANCE COMPANY, AMTRUST NORTH AMERICA

The Workers' Compensation Appeals Board (WCAB) granted applicant Teresa Estrada's petition for reconsideration of a prior award. The WCAB rescinded the original decision and returned the case to the trial level for further proceedings. This action was based on the WCJ's Report recommending further development of the record, as the existing medical evidence was insufficient to decide the issues. The WCAB's decision is not final and the parties retain the right to seek reconsideration of any new decision.

WCABPetition for ReconsiderationFindings & Awardlumbar spinevenous insufficiencyatrial fibrillationpeptic ulcer diseasepermanent disabilityapportionmenttotally disabled
References
Case No. ADJ10959526
Regular
Sep 02, 2025

BILLY JOHN JONES, JR. vs. DRC INTERIORS, SUITSUPPLY, CHUBB, BUILDING CORPORATION (STEP CONSTRUCTION SERVICES), VALLEY FORGE INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration of a Findings and Order from August 30, 2021, which had found that applicant Billy John Jones, Jr. did not sustain an injury arising out of and in the course of employment (AOE/COE) to his foot and toes and ordered a take nothing. The Appeals Board determined that the WCJ's finding was not supported by medical evidence concerning causation for the alleged injury, especially for a diabetic individual, and noted the absence of evaluation by a medical-legal evaluator or treating physician on this issue. Consequently, the Board rescinded the original Findings and Order and returned the case to the trial level, instructing the parties to further develop the medical record by obtaining a medical opinion from a Panel Qualified Medical Evaluator addressing causation.

AOE/COEReconsiderationFindings and OrderPetition for ReconsiderationWCJSubstantial EvidenceMedical EvidenceCausationPanel Qualified Medical EvaluatorDevelop the Record
References
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