CompFox Logo
AboutWorkflowFeaturesPricingCase LawInsights

Updated Daily

Case Law Database

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

Case No. ADJ4317262 (ANA 0327568)
Regular
Apr 13, 2009

JOSE GONZALEZ vs. BURR ROOFING, INC., SCIF INSURED SANTA ANA

The applicant sought reconsideration of a workers' compensation award, primarily arguing the permanent disability rating undervalued his urological condition and the WCJ erred in not crediting vocational rehabilitation expert opinion. The Appeals Board granted reconsideration solely to award additional attorney fees for temporary disability benefits. While the majority affirmed the WCJ's original findings on permanent disability, a dissenting commissioner argued the urological condition was significantly underestimated and requested a new rating.

Workers Compensation Appeals BoardJose GonzalezBurr RoofingSCIF Insured Santa Anapermanent disabilityapportionmentrooferupper back injurymid back injurylow back injury
References
Case No. ADJ11451772
Regular
Apr 03, 2023

EDUARDO CASELIN HUERTA vs. MONTIE WAYNE SHEET METAL, CALIFORNIA INSURANCE COMPANY, APPLIED RISK SERVICES, INC.

The Workers' Compensation Appeals Board granted the defendant's petition for reconsideration and deferred the issue of permanent disability. The Board affirmed the finding of temporary disability through August 9, 2020, based on medical opinions stating the applicant remained unable to work due to his urological condition. However, the Board requires the Administrative Law Judge to clarify how permanent disability ratings were calculated (addition versus combination) and to further analyze the applicability of Labor Code section 4660.1(c) to the applicant's sexual dysfunction and urological impairments. The Board took no position on the ultimate resolution of these permanent disability issues.

Workers' Compensation Appeals BoardPetition for ReconsiderationTemporary DisabilityPermanent DisabilityLumbar SpineSexual DysfunctionUrological ImpairmentCombined Values ChartLabor Code Section 4660.1(c)Qualified Medical Evaluator
References
Case No. ADJ4118575 (MON 0342974)
Regular
May 26, 2010

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

This case involves an applicant who sustained severe injuries in a riding accident, including multiple pelvic fractures and urological damage, requiring extensive surgeries. The applicant was awarded 100% permanent disability due to his constant pain, limited mobility, and functional impairments, including urinary incontinence and erectile dysfunction. The defendant appealed, arguing the 100% disability rating was not justified and disputing the findings of sleep disorder and erectile dysfunction. The Workers' Compensation Appeals Board affirmed the applicant's 100% permanent disability, finding the evidence supported total permanent disability based on the facts of his severe injury and ongoing functional limitations. The Board denied the defendant's petitions for reconsideration.

Workers' Compensation Appeals BoardPermanent Total DisabilityPetitions for ReconsiderationFindings and AwardAgreed Medical ExaminersLabor Code Section 4662Pelvis InjuryLower Extremity InjuryUrethra InjuryPsyche Injury
References
Case No. ADJ11629744
Regular
Apr 24, 2023

ROCHELLE BOYD vs. VISSER, NATIONAL INTERSTATE RICHFIELD

The applicant sought reconsideration after the WCJ denied injury claims to the brain, internal system, psyche, and sexual dysfunction, as well as the issuance of additional QME panels. The Appeals Board granted reconsideration, finding good cause existed for additional QME panels in internal medicine and psychiatry. The original findings of fact were rescinded, and the issue of further QME panels in urology and neurology was deferred. The Board concluded that additional QME evaluations were necessary for a full adjudication of the claimed injuries outside of the admitted orthopedic injuries.

Workers' Compensation Appeals BoardPetition for ReconsiderationQualified Medical EvaluatorQME panelsinternal medicinepsychiatryneurologyurologysexual dysfunctionpsyche
References
Case No. ADJ6698762
Regular
Jul 15, 2016

LOANI VERA vs. MONSANTO COMPANY

The Workers' Compensation Appeals Board denied Monsanto's petition for removal, upholding the judge's order for additional medical evaluations. The applicant sustained a back injury in 2006, with subsequent amendments to her claim including psychological and sexual dysfunction issues. Monsanto argued that these new complaints were unrelated to the original back injury, but the Board found that medical reporting on these specific issues was outdated and that discovery was necessary for resolution. Therefore, good cause existed to order QME evaluations for neurology and urology, and denial of removal was appropriate as no substantial prejudice or irreparable harm was shown.

Petition for RemovalFindings and OrderAdditional Panel QMEUrologyNeurologySexual DysfunctionMedical DiscoveryPrimary Treating PhysicianSecondary PhysicianAgreed Medical Evaluator
References
Case No. ADJ1588834
Regular
Mar 18, 2013

SOLEDAD YAP vs. MARINERS POST ACUTE NETWORK, AMERICAN HOME ASSURANCE

The Workers' Compensation Appeals Board denied the defendant's Petition for Reconsideration, affirming the judge's findings. The Board adopted the judge's report, which thoroughly addressed and refuted the defendant's arguments regarding temporary disability awards and the compensability of the applicant's urological condition. Defense counsel was admonished for mischaracterizing the record and citing evidence not in the record, with a warning of potential sanctions. The judge's findings, including the industrial causation of the applicant's cauda equina syndrome and associated permanent disability, were found to be supported by substantial evidence.

Petition for ReconsiderationAgreed Medical Examiner (AME)Qualified Medical Examiner (QME)Temporary DisabilityPermanent DisabilityCompensable ConsequenceCauda Equina SyndromeUrological ConditionBowel DysfunctionBladder Dysfunction
References
Case No. ADJ6622799
Regular
Oct 18, 2013

TERRY A. WIRTH vs. STATE OF CALIFORNIA HIGHWAY PATROL, STATE COMPENSATION INSURANCE FUND

This case concerns the denial of a Petition for Reconsideration filed by the defendant, the State of California Highway Patrol. The applicant, Terry A. Wirth, suffered a continuous trauma injury (prostate cancer) leading to urinary and erectile dysfunction. The Appeals Board adopted the Workers' Compensation Judge's report, finding that the date of injury was in 2008, determining the applicable permanent disability compensation rate based on that date. The Board also found ample evidence supporting the agreed medical examiner's impairment ratings for the applicant's post-surgical conditions, dismissing the defendant's objections.

Workers' Compensation Appeals BoardState of California Highway PatrolState Compensation Insurance FundPetition for ReconsiderationPermanent disability compensation rateLabor Code section 5412Urinary incontinenceErectile dysfunctionCommon postprostatectomy symptomsWhole person impairment ratings
References
Case No. ADJ4236385 (OXN 0129675)
Regular
Jun 17, 2013

HILARIO VASQUEZ vs. ABEL AUTOMATICS, EMPLOYERS COMPENSATION

The Workers' Compensation Appeals Board granted reconsideration to further study the case of Hilario Vasquez. The Board amended the original award to find that Vasquez is entitled to medical treatment for gastrointestinal and urological/sexual dysfunction conditions. However, the Board affirmed the original finding of 82% permanent disability, rejecting the applicant's claims of total disability and error in the determination of these conditions. The decision emphasizes that while these specific conditions did not warrant an increase in permanent disability, they are compensable for treatment purposes as a consequence of the industrial injury.

Workers' Compensation Appeals BoardReconsiderationFindings and AwardIndustrial InjuryGastrointestinal ConditionUrological Sexual DysfunctionPermanent DisabilityMedical TreatmentCompensable ConsequenceStipulated Award
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. ADJ10256108, ADJ10255968, ADJ10256212, ADJ10256223, ADJ10489875
Regular
Sep 23, 2022

JOSEPH RYAN vs. CALIFORNIA DEPARTMENT OF CORRECTIONS, STATE COMPENSATION INSURANCE FUND

The Appeals Board affirmed the finding of permanent and total disability for the applicant, Joseph Ryan, stemming from industrial injuries sustained while employed as a correctional captain. However, the Board remanded the matter for further proceedings to specifically address apportionment of the permanent disability under Labor Code section 4663, considering the Agreed Medical Evaluator's opinion on pre-existing spinal disease. The Board found that the applicant's specific and cumulative trauma injuries to his spine resulted in intertwined disabilities, justifying a combined award, but that Dr. Hasday's apportionment findings require further development and determination at the trial level.

Workers' Compensation Appeals BoardJoseph RyanCalifornia Department of CorrectionsLegally UninsuredState Compensation Insurance FundADJ10256108ADJ10255968ADJ10256212ADJ10256223ADJ10489875
References
Showing 1-10 of 128 results

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.

CompFox Logo

The AI standard for workers' compensation professionals. Faster research, deeper analysis, better outcomes.

Product

  • Platform
  • Workflow
  • Features
  • Pricing

Solutions

  • Defense Firms
  • Applicants' Attorneys
  • Insurance carriers
  • Medical Providers

Company

  • About
  • Insights
  • Case Law

Legal

  • Privacy
  • Terms
  • Trust
  • Cookies
  • Subscription

© 2026 CompFox Inc. All rights reserved.

Systems Operational