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

Case No. ADJ916063
Regular
Dec 24, 2010

TERRY SCUDDER vs. VERIZON CALIFORNIA, INC., SEDGWICK CMS

This case involves a petition for reconsideration filed by defendant Verizon California, Inc. The Workers' Compensation Appeals Board (WCAB) granted the petition. This action was taken due to the need for further study of the factual and legal issues to ensure a just and reasoned decision. All future communications related to this matter should be directed to the WCAB's Office of the Commissioners.

WORKERS' COMPENSATION APPEALS BOARDPetition for ReconsiderationOPINION AND ORDERVERIZON CALIFORNIASEDGWICK CMSSTATUTORY TIME CONSTRAINTSFACTUAL AND LEGAL ISSUESJUST AND REASONED DECISIONFURTHER PROCEEDINGSDECISION AFTER RECONSIDERATION
References
0
Case No. MISSING
Regular Panel Decision

Verizon New York Inc. v. New York State Public Service Commission

Verizon New York Inc. commenced a special proceeding against the New York State Public Service Commission and other respondents. Verizon sought to overturn a determination allowing public disclosure of certain documents, which Verizon claimed were trade secrets or confidential commercial information, under the Freedom of Information Law (FOIL). The documents in question related to Verizon's network costs and its methods and procedures for its wireless service, Verizon Voice Link (WL). The court reviewed the Secretary's and RAO's determinations, which found some information to be trade secrets but still required a showing of 'substantial injury' for exemption. The court ruled that once information is deemed a trade secret under Public Officers Law § 87 (2) (d), no further showing of substantial competitive injury is required for exemption. Consequently, the court granted in part the petition, exempting specific cost information and several M&P documents from disclosure, while denying exemption for three M&P documents.

FOIL ExemptionTrade Secret ProtectionConfidential Commercial InformationPublic Officers Law § 87 (2) (d)Substantial Competitive InjuryStatutory InterpretationAdministrative Determination ReviewCPLR Article 78Wireless ServicesCost Information Disclosure
References
47
Case No. MISSING
Regular Panel Decision

Fleming v. Verizon New York, Inc.

Plaintiff Bianca Fleming sued her former employer, Verizon New York, Inc., for employment discrimination under Title VII, ADA, HRL, and NYCHRL. Fleming alleged racial and gender discrimination, a sexually hostile work environment, and failure to accommodate her medical condition from 1998 to 2001. She also claimed retaliation for her complaints. Verizon moved to dismiss the Amended Complaint on grounds of failure to exhaust administrative remedies and statute of limitations. The court granted Verizon's motion in part and denied it in part, dismissing certain Title VII claims for retaliation and hostile work environment, and dismissing other claims as time-barred, while allowing specific continuing violation claims to proceed.

Employment DiscriminationRacial DiscriminationGender DiscriminationSexually Hostile Work EnvironmentDisability DiscriminationAmericans with Disabilities ActTitle VII Civil Rights ActNew York State Human Rights LawNew York City Human Rights LawAdministrative Exhaustion
References
46
Case No. MISSING
Regular Panel Decision

Meeks v. Verizon New York, Inc.

The claimant, an employee of Verizon New York, Inc., sustained a work-related injury and received both workers' compensation benefits and payments from a Sickness and Accident Disability Benefit Plan. Upon being granted a schedule loss of use award, Verizon sought full reimbursement for the advanced payments. The Workers' Compensation Board affirmed the Workers' Compensation Law Judge's decision that Verizon was entitled to full reimbursement, ruling that Workers' Compensation Law § 25 was not preempted by ERISA and that the Plan allowed for reimbursement from collateral sources. The Appellate Division affirmed the Board's decision, emphasizing the Plan's intent to prevent double recoveries and that any further assertions regarding the Plan administrator's discretion or fiduciary duties must be addressed in a federal ERISA action.

Workers' Compensation LawReimbursementERISA PreemptionSchedule Loss of UseSickness and Accident Disability Benefit PlanCollateral SourceDouble RecoveryVerizon New York Inc.Appellate ReviewBenefit Plan Interpretation
References
9
Case No. ADJ8691809
Regular
Apr 14, 2017

NICOLE BORAGNO vs. STATE OF CALIFORNIA, CDCR - CENTRAL CALIFORNIA WOMEN'S FACILITY CHOWCHILLA, STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES

This case involves Nicole Boragno's workers' compensation claim against the State of California, CDCR. The applicant sought reconsideration of a decision denying the admission of a supplemental medical report. The WCAB denied reconsideration, adopting the WCJ's report which found the supplemental report inadmissible. This was because discovery had closed at the mandatory settlement conference, and the defendant failed to establish good cause for introducing evidence not previously disclosed. The WCJ noted there was no change in circumstances to warrant the late-filed report, distinguishing it from precedent that allows such reports.

WORKERS' COMPENSATION APPEALS BOARDPetition for Reconsiderationmandatory settlement conferencediscovery closureLabor Code section 5502(d)(3)good causesupplemental reportPQMEapportionmenttimeliness
References
2
Case No. MISSING
Regular Panel Decision

Official Committee of Unsecured Creditors of 360networks (USA) Inc. v. Public Utilities Commission of California (In Re 360networks (USA) Inc.)

The Official Committee of Unsecured Creditors of 360networks (USA) Inc. (Debtors) initiated an adversary proceeding against the Public Utilities Commission of the State of California (CPUC) seeking to avoid certain fee payments as preferential transfers under the Bankruptcy Code. The CPUC moved to dismiss the action, asserting Eleventh Amendment sovereign immunity and arguing the court lacked jurisdiction. Judge Allan L. Gropper denied the CPUC's motion, concluding that the court holds in rem jurisdiction over the debtor's property in a preference action. The Court determined that the exercise of this jurisdiction would not offend state sovereignty, citing various forms of potential relief available, including the disallowance of claims by other California state instrumentalities.

Bankruptcy LawSovereign ImmunityEleventh AmendmentIn Rem JurisdictionPreference ActionMotion to DismissPublic Utilities CommissionCalifornia Environmental Quality ActDebtor-Creditor RelationsFederal Jurisdiction
References
45
Case No. ADJ1888124 (SAL 0111884) ADJ3322590 (SAL 0079903)
Regular
Oct 20, 2016

MARIA NUNEZ vs. MANN PACKING COMPANY, INC., CALIFORNIA INSURANCE GUARANTEE ASSOCIATION For FREMONT COMPENSATION INSURANCE COMPANY, In Liquidation; STATE OF CALIFORNIA

This case concerns the California Insurance Guarantee Association's (CIGA) liability for an applicant's workers' compensation claims after Fremont Compensation Insurance Company became insolvent. CIGA argued it should be relieved of liability because the State of California, as the applicant's employer through IHSS, constituted "other insurance" under Insurance Code Section 1063.1. The Appeals Board affirmed the WCJ's decision, holding that the State of California does not qualify as "other insurance" under the relevant statutes. This distinction is based on the State not being required to obtain workers' compensation insurance or a certificate of self-insurance like private or other public employers.

CIGAFremont Compensation Insurance Companyliquidationlegally uninsuredother insuranceInsurance Code Section 1063.1covered claimsIn-Home Supportive Services (IHSS)statutory limitationsself-insurance
References
5
Case No. ADJ17068636
Regular
May 19, 2025

KATHLEEN ZEPEDA vs. CALIFORNIA BAPTIST UNIVERSITY, CALIFORNIA RESTAURANT MUTUAL BENEFIT CORPORATION

Applicant Kathleen Zepeda claimed injury to her abdomen, back, and lower extremities while employed by California Baptist University. Lien claimant Medland Medical Group and defendant California Baptist University both sought reconsideration of a February 19, 2025 Findings and Award (F&A). The F&A entitled Medland Medical Group to payment for medical-legal costs related to an April 26, 2023 report but did not find an injury arising out of and in the course of employment (AOE/COE). The Workers' Compensation Appeals Board (WCAB) denied the defendant's petition for reconsideration, granted the lien claimant's petition for reconsideration, and affirmed the F&A with an amendment to explicitly state that the lien claimant failed to meet its burden of establishing injury AOE/COE.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationFindings and AwardMedical-Legal ReportPrimary Treating PhysicianInjury AOE/COESubstantial EvidenceContested ClaimMedical Treatment Costs
References
5
Case No. ADJ4332905 (SAL 0109881)
Regular
Jan 20, 2016

JESUS RODRIGUEZ vs. BUD OF CALIFORNIA

California Physicians Network (CPN) and its representative, Dennise Mejia, were sanctioned $2,500.00 jointly and severally for filing a frivolous and untimely petition for reconsideration that lacked proper verification and contained erroneous facts. The Board dismissed their reconsideration request because it did not challenge a final order and was procedurally deficient. CPN and Mejia failed to respond to the Board's notice of intent to impose sanctions. The defendant's claim for additional trial-level costs and attorney's fees was deferred to the workers' compensation administrative law judge for initial determination.

ADJ4332905SAL 0109881Opinion and Decision After RemovalSanctionCalifornia Physicians NetworkDennise MejiaLien ClaimantLabor Code section 5813(a)Appeals Board Rule 10561Frivolous
References
6
Case No. ADJ2842535
Regular
May 27, 2011

JANE HUTZELL vs. UNIVERSITY OF CALIFORNIA at BERKELEY, SEDGWICK CLAIMS MANAGEMENT SERVICES

This case involves a Petition for Reconsideration by applicant Jane Hutzell against the University of California at Berkeley. The Workers' Compensation Appeals Board denied reconsideration, adopting the judge's report. The judge found that vocational experts' opinions did not adequately address the impact of medical apportionment or the specifics of part-time work availability on the overall industrial disability rating. Therefore, the judge's rating, based on established schedules, was upheld.

Workers' Compensation Appeals BoardPetition for ReconsiderationVocational ExpertsLumbar Spine ConditionCumulative TraumaNon-Industrial FactorsObesityApportionmentBilateral Carpal Tunnel SyndromeBilateral Cubital Tunnel Syndrome
References
0
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