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

Case No. ADJ8791212, ADJ9504979
Regular
Apr 19, 2016

HECTOR MELGAR vs. SEQUOIA UNION HIGH SCHOOL DISTRICT, PROTECTED INSURANCE PROGRAM FOR SCHOOLS

This case involves a Petition for Reconsideration filed by Hector Melgar against Sequoia Union High School District. The Workers' Compensation Appeals Board issued an order dismissing this petition. The dismissal is due to the petitioner's withdrawal of the reconsideration request. Therefore, the Board has formally closed the matter regarding this specific petition.

Petition for Reconsideration withdrawnDismissed petitionWorkers' Compensation Appeals BoardSequoia Union High School DistrictProtected Insurance Program for SchoolsADJ8791212ADJ9504979San Francisco District OfficeMarguerite SweeneyFrank M. Brass
References
Case No. ADJ4069708 (VNO 0380892) ADJ691020 (VNO 0380894)
Regular
Oct 28, 2011

CAROL ENRIQUEZ vs. VICTOR VALLEY UNION HIGH SCHOOL DISTRICT, FREMONT INSURANCE COMPANY, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION

The applicant sustained two industrial injuries as a secretary in 1994 and 1996. The Appeals Board affirmed the WCJ's decisions, finding applicant is 100% permanently disabled and ordered apportionment between the two injuries. The Board amended the decisions to include the left hip in the 1994 injury and clarified CIGA's role as a guarantor, not an insurer. CIGA was relieved of administering future medical treatment awards, and reimbursement from the self-insured employer can be pursued in supplemental proceedings.

ApportionmentBenson exceptionCIGACompensable consequence injuriesIndustrial injuryPermanent disabilityReconsiderationSelf-insuredSuccessive injuriesVictor Valley Union High School District
References
Case No. ADJ9191721, ADJ7337791
Regular
Nov 09, 2017

RICARDO BARAJAS vs. ANTELOPE VALLEY UNION HIGH SCHOOL DISTRICT, CORVEL CORPORATION

This case concerns a petition for reconsideration by the defendant school district regarding an award to the applicant, Ricardo Barajas. The applicant sustained injuries on October 26, 2012, impacting multiple body parts and resulting in $70\%$ permanent partial disability. The defendant contested the finding that applicant suffered from GERD and that it contributed $25\%$ to his whole person impairment, arguing the medical evidence was insufficient. The Workers' Compensation Appeals Board denied the petition, finding that the QME's reports on GERD, including causation and impairment, constituted substantial evidence. The Board affirmed that the AMA Guides allow for clinical judgment, and Dr. Sherman's opinions were supported by his examination, medical records, and cited research.

Workers' Compensation Appeals BoardRicardo BarajasAntelope Valley Union High School DistrictCORVEL CORPORATIONFindings Award and OrderQualified Medical EvaluatorDr. Shermangastroesophageal reflux diseaseGERDwhole person impairment
References
Case No. ADJ3262016
Regular
Sep 18, 2015

BETTY DYKEMAN vs. WALNUT VALLEY UNIFIED SCHOOL DISTRICT, VALLEY INSURANCE PROGRAM

This case involves Betty Dykeman's workers' compensation claim against Walnut Valley Unified School District for a 1992 back injury. The School District sought reimbursement from a lien claimant, Monrovia Memorial Hospital, for an alleged overpayment of medical services provided in 2009. The Workers' Compensation Appeals Board denied reconsideration, adopting the WCJ's report. The WCJ denied the reimbursement claim due to insufficient and conflicting evidence regarding the value of the medical services and the amount of the alleged overpayment.

Petition for ReconsiderationWorkers' Compensation Appeals BoardWalnut Valley Unified School DistrictYork Risk Services GroupLien ClaimantMonrovia Memorial HospitalPetition for ReimbursementStipulated AwardMedical TreatmentSurgery
References
Case No. ADJ1407862 ADJ8053285
Regular
Jan 29, 2014

RAYMOND SCHAUER vs. WINDSOR UNIFIED SCHOOL DISTRICT, REDWOOD EMPIRE SCHOOL INSURANCE GROUP

In this workers' compensation case, venue is transferred from the Santa Rosa to the San Francisco District Office. This change is necessary because the assigned judge must recuse himself and the alternative judge has been disqualified. The San Francisco Presiding Judge will assign a new judge and schedule a lien conference. This order facilitates the continued proceedings for Applicant Raymond Schauer against Windsor Unified School District.

Venue changeRecusalJudge challengeAppeals Board Rule 10453Santa Rosa District OfficeSan Francisco District OfficePresiding JudgeLien conferencePermissibly Self-InsuredWindsor Unified School District
References
Case No. ADJ10800717, ADJ10298495
Regular
Mar 25, 2020

Patricia Kracke vs. Antelope Valley Union High School District

This case involved cross-petitions for reconsideration from an applicant seeking a finding of total disability and a defendant arguing for a lower disability rating. The applicant sustained injuries to her spine and extremities from two separate incidents. Following a commissioner's settlement conference, both parties mutually agreed to withdraw their reconsideration petitions. Consequently, the Workers' Compensation Appeals Board affirmed the original findings and award, which determined permanent partial disability of 64% and the need for further medical treatment.

WORKERS' COMPENSATION APPEALS BOARDAntelope Valley Union High School DistrictCORVEL CORPORATIONreconsiderationFindings and Awardpermanent partial disabilitypermanent total disabilitypara educatorlumbar spineright knee
References
Case No. ADJ2496250
Regular
Dec 15, 2008

PATRICIA A. ORTIZ vs. SALINAS UNION HIGH SCHOOL DISTRICT, MONTEREY COUNTY SCHOOLS, WCJPA, administrator

This case involves a workers' compensation applicant who sustained a low back injury in 1999, initially awarded 15% permanent disability. After reopening her case, an award of 23% permanent disability was issued, but the board clarified that gastric bypass surgery was not considered reasonably necessary treatment for the industrial injury. Both applicant and defendant sought reconsideration, but the Appeals Board ultimately affirmed the WCJ's findings and awards.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardPermanent DisabilityIndustrial InjuryLow Back InjurySubstitute Health TechnicianPetition to ReopenGastric Bypass SurgerySelf-Procured Medical Treatment
References
Case No. ADJ19399039
Regular
Aug 11, 2025

CHRISTOPHER BRABANT vs. SALINAS UNION HIGH SCHOOL DISTRICT, INTERCARE

Applicant Christopher Brabant, a teacher, sustained a psyche injury (PTSD) on January 9, 2024, after witnessing his daughter's injury at work. The defendant, Salinas Union High School District, filed a Petition for Reconsideration of the May 16, 2025 Findings, Award, and Order, arguing that industrial factors were not the predominant cause. The Workers' Compensation Appeals Board denied the petition, affirming that the injury arose out of and in the course of employment, as the workplace was integral to the traumatic event and subsequent triggers related to applicant's teaching responsibilities.

PSYCHIATRIC INJURYAOE/COEPREDOMINANT CAUSEACTUAL EVENTS OF EMPLOYMENTPSYCHE PANEL QMEPOST-TRAUMATIC STRESS DISORDERWCJ REPORTLABOR CODE 3208.3SUBSTANTIAL MEDICAL EVIDENCEATASCADERO UNIFIED SCHOOL DIST. V. WCAB
References
Case No. SFO 0487887
Regular
Sep 18, 2007

CDWARD HEBBERT vs. SEQUOIA UNION HIGH SCHOOL DISTRICT

The Workers' Compensation Appeals Board affirmed a prior award finding that "wage continuation" payments made to an injured custodian were not temporary disability payments for the purpose of calculating the 104-week limit under Labor Code section 4656. The Board concluded these payments, made under Education Code section 45199, were distinct from temporary disability indemnity, thus resetting the two-year limitation period. However, the Board rescinded the award of increased benefits under Labor Code section 4650, as that issue was not properly raised at trial.

Workers' Compensation Appeals BoardCDWARD HEBBERTSEQUOIA UNION HIGH SCHOOL DISTRICTOpinion and Decision After ReconsiderationModified WorkTemporarily Totally DisabledWage ContinuationTemporary Disability IndemnityLabor Code section 4656Expedited Hearing
References
Case No. ADJ6992658, ADJ6992659, ADJ4311378 (POM 0229599)
Regular
May 02, 2016

JAMES GONZALEZ vs. CHINO VALLEY UNIFIED SCHOOL DISTRICT

The Workers' Compensation Appeals Board (WCAB) granted the applicant's petition for reconsideration of a February 17, 2016 decision. This grant is for further study of the factual and legal issues to ensure a just decision. All subsequent filings related to the petition must be submitted directly to the WCAB Commissioners in San Francisco, not the district office. Normal trial-level filings not related to the petition can continue through EAMS.

Workers' Compensation Appeals BoardPetition for ReconsiderationChino Valley Unified School DistrictSan Bernardino District OfficeElectronic Adjudication Management System (EAMS)Petition for PenaltiesDeposition Attorney's FeesStipulations with Request for AwardCompromise and Release AgreementsWCJ
References
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