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. ADJ2244538 (LAO 0883304)
Regular
Jul 29, 2011

MELVIN ISAAC vs. PARAMOUNT PICTURES

This case involves the Workers' Compensation Appeals Board (WCAB) removing a matter on its own motion to review a Compromise and Release (C&R) order. The WCAB issued a Notice of Intention to approve the C&R with addenda, allowing parties 20 days to object. As no objections were received, the WCAB rescinded the WCJ's prior approval and entered a new order approving the C&R with the addenda. The cases are now returned to the trial level for further proceedings.

Workers' Compensation Appeals BoardRemovalCompromise and ReleaseAddendaWCJ OrderRescindedApprovedTrial LevelParamount PicturesMelvin Isaac
References
0
Case No. ADJ8350670
Regular
Jun 24, 2014

SALOMON LOPEZ vs. D & T FOODS, ILLINOIS MIDWEST INSURANCE CO.

This case involves a dispute over the approval of a Compromise and Release (C&R) in a workers' compensation claim. The applicant sustained injuries to his back, legs, and abdomen. The WCJ issued an order requiring further medical evaluation despite the parties filing an amended C&R. The defendant petitioned for removal, arguing the WCJ's order was inappropriate. The Appeals Board granted the petition, rescinded the WCJ's order, and approved the amended C&R, awarding the applicant a net recovery of $15,335.71.

Petition for RemovalCompromise and ReleaseWCJ OrderQME evaluationAME evaluationabdominal aspectsdriver unloaderindustrial injurypermanent disability advancesattorney's fee
References
0
Case No. ADJ7412016
Regular
May 10, 2011

DORIS CORTES vs. BANK OF THE WEST, ESIS

This case involves an applicant who sustained bilateral wrist and elbow injuries but experienced no lost time from work. The applicant stipulated to zero permanent disability, though the WCJ ordered an Almaraz/Guzman assessment, which the defendant sought to rescind. The Appeals Board granted the petition for removal, rescinded the WCJ's order, and will approve the stipulations unless the applicant objects within twenty days. The Board found the stipulations adequate based on the record and the applicant's continued employment.

WCABPetition for RemovalAlmaraz/Guzman assessmentStipulations with Request for Awardpermanent disability ratingobjective findings of impairmentqualified medical evaluator (QME)American Medical Association Guidesmandatory settlement conference (MSC)rescinded order
References
2
Case No. ADJ12194461
Regular
Dec 10, 2020

Antonio Lemus vs. STEVE P. RADOS, INC., STARR INDEMNITY & LIABILITY COMPANY

This case concerns applicant Antonio Lemus's entitlement to home health care following an admitted industrial head injury. Defendant sought reconsideration of a WCJ's award enforcing a Utilization Review (UR) determination that modified but approved home health aide services. The defendant argued the WCJ lacked jurisdiction to enforce the UR determination due to a second, later UR denial of the same request, which they claimed was timely. The Appeals Board affirmed the WCJ's decision, finding jurisdiction to enforce the initial UR approval and deeming the subsequent denial an improper "self-granted appeal." The Board concluded the applicant was entitled to the treatment approved by the first UR determination.

Workers' Compensation Appeals BoardUtilization ReviewRequest for AuthorizationIndependent Medical ReviewFindings Orders and AwardPetition for ReconsiderationNurse Case ManagerTraumatic Brain InjuryHome Health AideMedical Treatment
References
2
Case No. ADJ2483385 (MON 0345351)
Regular
Aug 02, 2011

DAVID VELASQUEZ vs. PACIFIC ENERGY CONSTRUCTION CORP., AMERICAN COMMERCIAL CLAIMS ADMINISTRATORS

The Appeals Board granted reconsideration and removed the case to itself after the WCJ issued a Findings and Award for applicant's industrial injury including sleep disorder. Subsequently, the parties reached a Compromise and Release (C&R) settlement while the defendant's reconsideration petition was pending. The WCJ improperly approved the C&R after her jurisdiction had expired according to Appeals Board rules. The Board rescinded the prior Findings and Award and WCJ orders, returning the case to the trial level for proceedings on the C&R, and specifically rescinded the WCJ's C&R approval order due to lack of jurisdiction.

Workers' Compensation Appeals BoardFindings and AwardCompromise and ReleasePetition for ReconsiderationWCJ jurisdictionReport and RecommendationIndustrial InjurySleep DisorderNeurological SystemInternal System
References
2
Case No. ADJ6780734
Regular
Sep 08, 2011

Venessa Vielma vs. The Pape Group, Hartford Insurance Company of the Midwest

The Appeals Board granted reconsideration because the WCJ issued an Order Approving Compromise and Release one day after the jurisdictional 15-day period to act on the applicant's petition for reconsideration had expired. This untimely action rendered the WCJ's Order and the prior Findings, Award and Order without jurisdiction. Therefore, the Board rescinded both the Order Approving Compromise and Release and the Findings Award and Order. The matter is returned to the trial level for further review of the settlement by the WCJ.

Writ of MandatePetition for ReconsiderationCompromise and ReleaseOrder Approving Compromise and ReleaseFindings Award and OrderAdministrative Law JudgeAppeals BoardIndustrial InjuryPermanent DisabilityApportionment
References
2
Case No. ADJ8500075
Regular
Oct 27, 2015

RUDI QUINTEROS vs. STAMOULES PRODUCE, ZENITH INSURANCE COMPANY

In this workers' compensation case, the defendant sought removal after the WCJ rescinded an order approving a compromise and release (C&R). The applicant claimed a "change of heart" as the basis for setting aside the C&R, which the defendant argued was insufficient grounds. The Appeals Board granted removal, rescinding the WCJ's order and substituting an order suspending the C&R approval. The case was returned to the WCJ to hold a status conference to allow the applicant to present arguments for setting aside the C&R.

Workers' Compensation Appeals BoardPetition for RemovalCompromise and ReleasePetition to Set AsideOrder Approving Compromise and ReleaseOrder Rescinding OrderGood CauseFraudMistakeUndue Influence
References
2
Case No. ADJ11377591
Regular
Feb 10, 2023

MARIA ANDRADE (Deceased) vs. DELTA AIRLINES, ACE AMERICAN INSURANCE COMPANY, SEDGWICK CMS

This case involved a worker's compensation settlement for Maria Andrade against Delta Airlines, which was submitted for approval shortly before Ms. Andrade's death. The Workers' Compensation Appeals Board (WCAB) denied reconsideration of the administrative law judge's (WCJ) order finding the Compromise and Release (C&R) agreement unenforceable. The WCAB adopted the WCJ's reasoning, which concluded that the applicant's death before the C&R was approved constituted a material change in circumstances, rendering the agreement invalid as liability for future medical care ceased. The Board cited precedent emphasizing their discretion in approving C&Rs and highlighted that the settlement primarily addressed future medical care that would no longer be needed.

Workers Compensation Appeals BoardPetition for ReconsiderationDenying PetitionDelta AirlinesACE AMERICAN INSURANCE COMPANYSEDGWICK CMSAdjudication NumberWorkers' Compensation Administrative Law JudgeOpinion and OrderCompromise and Release
References
7
Case No. SDO 0333985
Regular
Aug 14, 2007

DAVID KING vs. OMNI HOTEL, ZURICH AMERICAN INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration because the case was settled at the trial level. The Board rescinded the WCJ's prior decision and returned the matter to the trial level for further proceedings. This allows the WCJ to approve the settlement; if not approved, the original decision may be reinstated.

WCABSDO 0333985Omni HotelZurich American Insurance CompanyGallagher BassettReconsiderationRescindTrial LevelSettlement ApprovalWCJ Decision
References
0
Case No. ADJ6411794
Regular
Dec 20, 2010

MARGARET BOWES vs. PROFESSIONAL COURIER AND LOGISTICS, WAUSAU INSURANCE COMPANIES

This Workers' Compensation Appeals Board case involves Margaret Bowes and her employer, Professional Courier and Logistics, with Wausau Insurance. A settlement has been submitted for approval by the Workers' Compensation Judge (WCJ). The Board granted reconsideration, rescinded the prior decision, and returned the matter to the trial level for the WCJ's decision on the settlement. If the settlement is not approved, the original decision may be reinstated.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJSettlement ApprovalRescinded DecisionTrial LevelFurther ProceedingsWausau Insurance CompaniesProfessional Courier and LogisticsMargaret Bowes
References
0
Showing 1-10 of 6,882 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