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

Case No. ADJ10679103
Regular
Dec 14, 2017

LARRY SYKES vs. THE ANSCHUTZ CORPORATION, STARR INDEMNITY & LIABILITY COMPANY

The Workers' Compensation Appeals Board granted reconsideration of a prior finding of industrial injury to the applicant's lumbar spine. The Board found that the existing medical reporting from Dr. Hong, Dr. Jamasbi, and the PQME Dr. Schofferman did not constitute substantial evidence to support this lumbar spine injury finding. Therefore, the case is returned to the trial level to develop the record further on the lumbar spine injury issue.

Workers' Compensation Appeals BoardPetition for ReconsiderationIndustrial InjuryCervical SpineThoracic SpineLumbar SpineStagehandSecurity OfficerMedical Treatment RecordsSubstantial Evidence
References
Case No. ADJ8558358
Regular
Sep 22, 2025

JOSE MEJIA vs. JB CRITCHLEY, INC., AMERICAN CLAIMS MANAGEMENT

The Workers' Compensation Appeals Board granted reconsideration to clarify that the defendant's prior appeals regarding the applicant's stipulated average weekly wage and permanent disability rate were exhausted and that the award was final as of October 2, 2024. The Board affirmed the imposition of penalties under Labor Code section 5814 and attorney fees under section 5814.5 due to the defendant's unreasonable delay in paying the final award. The defendant's arguments regarding seasonal employment and extrinsic mistake were rejected as the stipulated wages and findings were final and not adequately supported for setting aside. The original Findings and Award were rescinded and substituted to reflect the finality of the prior decision and the confirmed penalties and fees.

Labor Code section 5904Petition for ReconsiderationFindings and Awardsemi-truck drivercervical spinethoracic spinelumbar spinehearing losspsychehypertension
References
Case No. ADJ784749 (AHM 0115079)
Regular
Aug 02, 2010

Carlos Bautista vs. Prime Factors, Inc., Factory Filament, Inc., Isaac Powell, Uninsured Employers Fund

This case involves a workers' compensation claim by Carlos Bautista for an industrial injury to his spine sustained in November 2003. The applicant was hired in California by Prime Factors Inc., an illegally uninsured employer, and then flown to Mississippi for a job. The Workers' Compensation Appeals Board (WCAB) is denying Isaac Powell's petition for reconsideration of prior findings. These findings established California's jurisdiction, the employer's uninsured status, and the applicant's industrial injury.

Workers' Compensation Appeals BoardPrime FactorsInc.Isaac PowellUninsured Employers FundIndustrial InjuryCervical SpineThoracic SpineLumbar SpineLabor Code Section 5900
References
Case No. ADJ8876865 MF ADJ8895816
Regular
Dec 01, 2017

DOLORES ENRIQUEZ vs. U.S. HEALTHWORKS, INC. and SAFETY NATIONAL CASUALTY CORPORATION, administered by ESIS, INC.

This case involves a defendant's petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision. The WCAB denied the petition, upholding the administrative law judge's findings that the applicant sustained injuries to her spine and extremities. The defendant challenged the substantiality of medical evidence regarding apportionment and the WCAB's consideration of temporary disability benefits. The WCAB found that the treating and QME physician reports constituted substantial evidence for apportionment, and that the applicant was not entitled to further temporary disability payments.

Workers' Compensation Appeals BoardPetition for ReconsiderationJoint Findings of FactAwardOrdercervical spinethoracic spinelumbar spineupper extremitiespermanent disability
References
Case No. ADJ10204001
Regular
Oct 06, 2017

ANIBAL ALVAREZ vs. AMERICAN TIRE DISTRIBUTORS, XL INSURANCE OF AMERICA, BROADSPIRE

The Workers' Compensation Appeals Board denied American Tire Distributors' petition for reconsideration. The defendant sought to overturn a finding that applicant Anibal Alvarez sustained an industrial injury to his low back and cervical/thoracic spine. The Board affirmed the original judge's decision, relying on the applicant's credible testimony and the treating physician's opinion, which it found to be consistent with substantial medical evidence. The Board emphasized the judge's authority to weigh conflicting medical opinions and assess witness credibility.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and Orderindustrial injurylow backcervical spinethoracic spinelumbar spineforklift driverpanel Qualified Medical Evaluator
References
Case No. ADJ9087859
Regular
Apr 01, 2020

GUADALUPE VALERIANO vs. BODEGA LATINA CORPORATION dba EL SUPER, SAFETY NATIONAL, YORK and US FIRE INSURANCE by CRUM & FORSTER

This case involved an appeal by Safety National Insurance Company (SNIC) regarding an award for applicant Guadalupe Valeriano's work-related injuries to her spine, wrists, psyche, and a hernia. SNIC contested findings on temporary and permanent disability and statute of limitations for the hernia claim. The parties subsequently reached a settlement via a Compromise and Release agreement for $60,000, which the Board found adequate and in the applicant's best interest. Consequently, the Board rescinded the original award and approved the settlement, including the agreed-upon attorney's fee.

Workers' Compensation Appeals BoardBodega Latina CorporationSafety National Insurance CompanyYorkCrum & ForsterGuadalupe ValerianoADJ9087859Opinion and Decision After ReconsiderationFindings and Awardcervical spine
References
Case No. ADJ9885214
Regular
Apr 15, 2020

JERARDO JAUREGUI vs. VERIZON COMMUNICATIONS, NATIONAL UNION FIRE INSURANCE

The Workers' Compensation Appeals Board reconsidered an applicant's claim for spine injury, affirming the initial finding of injuryAOE/COE. While the original award found 15% permanent disability, the Board increased it to 28% after determining the Qualified Medical Examiner's apportionment of disability to non-industrial factors lacked substantial evidentiary support. The Board found the QME's report and deposition did not sufficiently explain how and why specific factors caused the apportioned percentages of disability. Consequently, the applicant's disability was rated without apportionment, leading to the increased permanent disability award and adjusted attorney fees.

Workers' Compensation Appeals BoardOpinion and Decision After ReconsiderationApplicantDefendantFindings and AwardInjury AOE/COEPermanent Partial DisabilityOrthopedic Qualified Medical ExaminerQMEGustav Salkinder
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
Case No. ADJ485759 (VNO 0432097)
Regular
Jul 05, 2015

Walter Crabtree vs. M.R. Automotive, CIGA, Administered by Intercare Insurance Services, Inc., HIH America Compensation in Liquidation

The Workers' Compensation Appeals Board dismissed two petitions for reconsideration filed by attorney Hannan and lien claimants Westlake Spine and Imperial Lien Solutions. Both petitions were deemed untimely; one challenged an order dismissing a lien filed over eleven months after service, and the other contested an order imposing sanctions filed over seven months after the initial service. The Board found that the petitions were not filed within the statutory 25-day period allowed for reconsideration. Even if timely, the Board indicated it would have denied the petitions on their merits based on the WCJ's report.

WCABPetition for ReconsiderationOrder Dismissing LienOrder Imposing SanctionsLien ClaimantsWestlake SpineImperial Lien SolutionsDisability AccommodationWCJuntimely petition
References
Case No. ADJ6626529
Regular
Nov 05, 2015

NICOLAS WALKER vs. LOS ANGELES UNIFIED SCHOOL DISTRICT

The Workers' Compensation Appeals Board (WCAB) granted reconsideration to further study the issues in this case. The WCAB rescinded the prior Findings of Fact & Award, denied the defendant's motion to be relieved of stipulation regarding the thoracic spine, and found that the applicant sustained industrial injury to his cervical spine, shoulders, and thoracic spine. The WCAB deferred issues of permanent disability, apportionment, and attorney's fees, returning the matter to the WCJ for further record development.

Workers' Compensation Appeals BoardNicolas WalkerLos Angeles Unified School DistrictSedgewick Claims Management ServicesInc.ADJ6626529Opinion and Decision After ReconsiderationFindings of Fact & AwardWCJcervical spine
References
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