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Case Law Database

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

Case No. ADJ7425483
Regular
Aug 28, 2019

TERRI CEBALLOS vs. HEMET UNIFIED SCHOOL DISTRICT

The Workers' Compensation Appeals Board (WCAB) granted reconsideration to further study the case of Terri Cebellos versus Hemet Unified School District. The WCAB found the original decision by the Workers' Compensation Judge (WCJ) insufficient regarding psychiatric injury causation. Specifically, the WCAB determined that the WCJ's analysis and the medical evidence presented did not fully address the legal requirements for establishing industrial causation, particularly concerning good faith personnel actions and the Rolda analysis. Consequently, the WCAB rescinded the WCJ's decision and returned the matter to the trial level for further proceedings and a new decision to properly develop the record.

Workers Compensation Appeals BoardReconsiderationPsychiatric injuryHostile work environmentPersonnel actionsGood faithPredominant causeRolda analysisCausationMedical evidence
References
7
Case No. ADJ14466153
Regular
Oct 21, 2025

JESSE CRUZ vs. BRISTOL INDUSTRIES, TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

Applicant Jesse Cruz sought reconsideration of a WCJ's June 3, 2022 Findings and Order (F&O), which found he did not sustain an industrial injury to his back, hips, legs, and feet while employed by Bristol Industries on June 17, 2020. The Appeals Board previously granted reconsideration to further study the case and found the applicant's petition for reconsideration was timely filed. Citing insufficient medical evidence on the issue of injury and a lack of clear analysis in the WCJ's credibility determination, the Board rescinded the F&O and remanded the matter to the trial level for further proceedings, including obtaining expert medical opinion on the injury and a more detailed credibility analysis by the WCJ.

AOE/COEPetition for ReconsiderationAdjudication NumberFindings and OrderWCJReconsiderationFurther ProceedingsBack PainPeripheral NeuropathyLumbar MRI
References
16
Case No. ADJ8024294
Regular
Jun 23, 2015

MICHAEL BULLOCK vs. THE REGENTS OF UNIVERSITY OF RIVERSIDE, Permissibly Self-Insured, Administered By SEDGWICK CLAIMS SERVICES

This case involves Michael Bullock's workers' compensation claim against the Regents of the University of Riverside for cumulative trauma, psyche, and sleep disorders. The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration, upholding the WCJ's finding of no industrial injury. The WCJ found Dr. Alice Martinson's report substantial evidence of no industrial causation, as it considered applicant's showering incident at home and a job analysis indicating less demanding duties. The WCJ also excluded Dr. Thomas Jackson's prior report due to procedural delays and found applicant's primary treating physician's opinion unsubstantial due to a failure to review key medical records and the job analysis.

Petition for ReconsiderationDeniedSubstantial Medical EvidenceWCJPQMEPrimary Treating PhysicianIndustrial CausationAOE/COECumulative TraumaJob Analysis
References
7
Case No. ADJ3864552 (LAO 0788138)
Regular
Jan 03, 2011

ANTONIETA GUERRERO vs. WELLPOINT HEALTH NETWORK, INC., ZURICH LOS ANGELES, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION For FREMONT In Liquidation

The Workers' Compensation Appeals Board granted reconsideration of a prior award due to insufficient analysis by the WCJ regarding the date(s) of cumulative trauma. The Board found the WCJ's decision lacked specific reference to evidence, particularly on whether multiple or a single period of cumulative trauma applied. The matter was returned to the trial level for further proceedings, a new decision, and adequate analysis of all contentions, including permanent disability and apportionment.

Cumulative traumaOveruse syndromeFibromyalgiaPsyche injuryPermanent total disabilityApportionmentAttorney feesFindings and AwardReconsiderationWCJ
References
7
Case No. ADJ8645032
Regular
Jan 30, 2019

BONNIE KEEFE vs. CEDARS-SINAI MEDICAL CENTER

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a prior award concerning Bonnie Keefe's claimed cervical, lumbar, and psychiatric injuries. The WCAB found that while the WCJ properly adjudicated the physical injuries and the expedited hearing was appropriate, the analysis for the psychiatric injury was incomplete. Specifically, the WCAB determined that the WCJ failed to conduct a full *Rolda* analysis, which is required to assess claims of psychiatric injury stemming from good faith personnel actions. Therefore, the issue of psychiatric injury is deferred for further proceedings at the trial level.

Petition for ReconsiderationFindings of Fact and Awardscervical spinelumbar spinepsychiatric systemtemporary total disabilityRolda v. Pitney Bowesexpedited hearinggood faith personnel actionsadministrative law judge
References
4
Case No. ADJ11054646, ADJ11055389, ADJ10719681
Regular
Apr 07, 2025

ALAN NEWELL vs. METROPOLITAN WATER DISTRICT

Applicant Alan Newell sought reconsideration of a WCJ's Findings and Awards from January 3, 2025, concerning two industrial injuries. The WCJ had rated permanent disability by combining all impairments, contrary to the Agreed Medical Evaluator Dr. Chester A. Hasday's opinion on how to combine impairments based on overlapping Activities of Daily Living (ADLs). The Appeals Board granted reconsideration, finding that Dr. Hasday's pre-Vigil decision rebuttal analysis for combining impairments based on ADL overlap was valid, and the record needed further development. The case was remanded to defer the issues of permanent disability and apportionment for further analysis.

Petition for ReconsiderationPermanent DisabilityApportionmentCombined Values ChartActivities of Daily Living (ADLs)Medical TreatmentAgreed Medical EvaluatorOrthopedistLabor Code Section 4663Rebuttal
References
7
Case No. VNO 0450531
Regular
Jun 12, 2008

NELSON PIMENTEL (Deceased) CLAUDIA CISNEROS, Guardian Ad Litem for SUMMER PIMENTEL vs. DAYNITE FACILITIES; STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) granted reconsideration to address an attorney's fee dispute and a request for disqualification of the Workers' Compensation Judge (WCJ). The WCAB increased the attorney's fee awarded to Ronald Ehrman to $4,800.00, finding that he had cured prior notification defects regarding his adverse interest in seeking additional fees. Additionally, the WCAB disqualified the original WCJ, finding that his criticisms of Ehrman's conduct created an appearance of bias, and reassigned the case to a new WCJ.

Workers' Compensation Appeals BoardDeath BenefitsAttorney's FeesGuardian Ad LitemReconsiderationDisqualificationWCJAdverse InterestEthics ViolationsPenalties
References
3
Case No. ADJ8750274
Regular
May 01, 2014

ISABEL FRITZ vs. DEPARTMENT OF HEALTH CARE SERVICES, STATE COMPENSATION INSURANCE FUND

This case concerns an applicant who claimed a psychiatric injury due to workplace events. The administrative law judge (WCJ) found the applicant sustained an industrial injury to her psyche and that it was not substantially caused by lawful, nondiscriminatory, good faith personnel actions. The defendant filed a petition for reconsideration, challenging the applicant's credibility and the WCJ's findings. The Workers' Compensation Appeals Board denied the petition, adopting the WCJ's report and upholding the credibility assessment of the applicant. The WCJ's report details the legal framework for psychiatric injuries and the analysis of specific events, ultimately concluding the applicant's injury was predominantly work-related and not solely due to protected personnel actions.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJCredibilityGarza v. Workmen's Comp. Appeals Bd.ADJ8750274Psychiatric InjuryLabor Code §3208.3Personnel ActionRolda v. Pitney Bowes Inc.
References
9
Case No. ADJ9119233
Regular
May 25, 2018

MIGUEL RODRIGUEZ vs. 4R-RANCH MARKET, BARRETT BUSINESS

The Workers' Compensation Appeals Board granted reconsideration, rescinded the original decision, and returned the case to the WCJ for further proceedings. The Board found that the WCJ erred in disallowing the lien claimant's services solely for failure to strictly comply with Labor Code section 4055.2 regarding subpoena service. Furthermore, the Board determined that the WCJ's finding of duplicative services for one instance was incorrect based on the timeline. Finally, the Board remanded the matter for a determination of the reasonableness and necessity of the lien claimant's services and costs, including a proper analysis of the defendant's Explanation of Review.

Workers' Compensation Appeals BoardMed-Legal LLCLien ClaimantLabor Code section 4055.2Subpoena Duces TecumMedical-Legal ExpenseContested ClaimExplanation of ReviewLabor Code section 4622Reasonable and Necessary Services
References
5
Case No. ADJ1768236 (VNO 0353137) ADJ4711027 (VNO 0353138)
Regular
Apr 22, 2011

JAMES BISHOP vs. SCHINDLER ELEVATOR COMPANY, ZURICH INSURANCE COMPANY

This case involves an applicant seeking workers' compensation benefits for industrial injuries sustained from 1970 to 1996. The Appeals Board granted reconsideration to review the WCJ's Supplemental Findings and Award. While affirming the award for a sleep disorder evaluation, internal medical evaluations, a raised toilet seat, grab bars, and a Weight Watchers program, the Board reversed the WCJ's decision regarding housekeeping, gardening, and pool services, finding them not to be medical treatment. The issues of penalties for unreasonable delay and attorney fees were deferred for further proceedings at the trial level due to a lack of detailed analysis by the WCJ.

Workers Compensation Appeals BoardPetition for ReconsiderationSupplemental Findings and AwardWCJHypertensionSleep DisorderFuture Medical AwardJurisdictional PeriodLabor Code Section 5814Penalties
References
6
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