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. POM 273393
Regular
Jul 16, 2007

ERIC GREATHOUSE vs. COUNTY SANITATION DISTRICT NO. 2 OF LOS ANGELES COUNTY

The Workers' Compensation Appeals Board granted reconsideration to address the applicant's contention that the administrative law judge erred in denying further medical treatment for his right shoulder and ankles. While the judge correctly found no need for ankle treatment based on medical reports and applicant testimony, the Board found the record unclear regarding the shoulder, citing a need for further development. The case is returned to the trial level for a decision on shoulder treatment, potentially requiring a supplemental medical report.

Workers' Compensation Appeals BoardReconsiderationFurther Medical TreatmentRight ShoulderAnklesQualified Medical EvaluatorSupplemental ReportIndustrial InjuryTreatment Plant OperatorCounty Sanitation District
References
Case No. ADJ417505 (STK 173008)
Regular
Oct 07, 2008

MARSHA CRISWELL vs. COUNTY OF STANISLAUS

The Workers' Compensation Appeals Board granted reconsideration and rescinded the prior award of left ankle surgery for applicant Marsha Criswell. The Board found no substantial medical evidence connecting Criswell's current ankle condition to her 2000 industrial injury, noting the ankle injury resolved and a new injury occurred in 2005. Therefore, the applicant failed to meet her burden of proof for industrial causation of the current ankle problem.

Workers' Compensation Appeals BoardReconsiderationMedical CausationIndustrial InjuryLeft Ankle SurgeryAgreed Medical ExaminerTreating PhysicianPreponderance of the EvidenceReasonable Medical ProbabilityLay Testimony
References
Case No. ADJ6955370
Regular
Nov 06, 2014

JOHN DELVA vs. ANDREW INTERNATIONAL aka ADVANCED TECH SECURITY, ARCH INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) rescinded a prior award finding industrial injury to the applicant's right ankle. This decision followed the defendant's petition for reconsideration, arguing against the ankle injury finding. The WCAB gave significant weight to the Agreed Medical Evaluator's (AME) final opinion, which, after further review and deposition, concluded the applicant did not sustain an industrial injury to his ankle. Consequently, the WCAB found no industrial injury to any body part and awarded nothing to the applicant.

WORKERS' COMPENSATION APPEALS BOARDINDUSTRIAL INJURYRIGHT ANKLEAGREED MEDICAL EVALUATORCONTINUOUS TRAUMASPECIFIC TRAUMARECONSIDERATIONFINDINGS AND AWARDWCJSUPPLEMENTAL REPORT
References
Case No. STK 188722
Regular
Dec 19, 2008

RICHARD JAMES vs. KRC HOLDINGS, INC. dba DSS COMPANY and CALIFORNIA INSURANCE GUARANTEE ASSOCIATION on behalf of RELAINCE INSURANCE, in liquidation, KRC HOLDINGS, INC. dba DSS COMPANY and ZURICH NORTH AMERICA INSURANCE COMPANY

The Workers' Compensation Appeals Board denied CIGA's petition for reconsideration, upholding the original award. The WCJ correctly determined that while applicant's 1999 knee injury and 2001 ankle injury shared some overlapping disability factors, the ankle injury's unique limitation to half-time weight-bearing constituted a separate compensable disability. Therefore, CIGA remains liable for the 1999 injury's permanent disability, and Zurich for the 2001 injury's.

CIGAReliance InsuranceZurich North AmericaKRC HoldingsDSS Companypermanent disabilityoverlappsyche injuryright kneeleft ankle
References
Case No. ADJ9210498
Regular
Apr 04, 2017

ELEANOR DEFRANCO vs. MONTEREY FISH COMPANY, ENSTAR (US) INC., dba ENSTAR ADMINISTRATORS FOR SEABRIGHT INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a prior award that found industrial injury to applicant's right ankle, right shoulder, and back, but not her right knee. The WCAB rescinded the finding of industrial injury to the back, while otherwise affirming the prior decision. Specifically, the WCAB affirmed the finding that the applicant sustained industrial injury to her right ankle and right shoulder, and that medical treatment for her right knee is compensable to relieve the effects of the industrial injuries. The WCAB adopted the WCJ's reasoning for these decisions, including the application of the *Braewood* principle for treating the non-industrial knee condition.

Workers' Compensation Appeals BoardEleanor DefrancoMonterey Fish CompanyEnstarSeabright Insurance CompanyIndustrial InjuryRight AnkleRight ShoulderRight KneeBack Injury
References
Case No. ADJ9414071 ADJ10133403
Regular
Aug 13, 2018

Kevin McCoy vs. State of California - Pleasant Valley State Prison

This case involves an appeal regarding the permanent disability ratings for a correctional officer's right ankle and respiratory system (Valley Fever) injuries. The Appeals Board granted reconsideration, rescinded the prior award, and returned the case to the WCJ for further proceedings. The Board found that the Agreed Medical Examiner's (AME) ankle impairment rating was properly calculated, but the Qualified Medical Examiner's (QME) report on the respiratory injury did not sufficiently explain its deviation from strict AMA Guides application. The Board emphasized that medical evaluators must adhere to the AMA Guides or clearly justify any deviations to ensure substantial evidence.

WCABPleasant Valley State Prisonlegally uninsuredState Compensation Insurance FundKevin McCoyADJ9414071ADJ10133403permanent disabilityright anklerespiratory system
References
Case No. ADJ3781289 (MON 0347653)
Regular
Jan 06, 2012

Margaret Batten vs. Long Beach Memorial Medical Center, TRISTAR RISK MANAGEMENT

The Workers' Compensation Appeals Board granted reconsideration to amend a prior award. The Board affirmed the finding that the defendant unreasonably delayed medical treatment for the applicant's neck, noting the defendant failed to follow proper utilization review procedures. However, the Board deferred the award of medical treatment for the applicant's ankle, as a determination of industrial causation for that body part was still pending. The decision specifically mentions the defendant's adjuster's testimony disputing an AME's finding of industrial injury to the cervical spine.

WCABLong Beach Memorial Medical CenterTristar Risk Managementunreasonable delaymedical treatmentorthoticsnecklumbar sacral spinepsycheankle
References
Case No. ADJ252083 (NOR 0166266) ADJ3827633 (LAO 0784953) ADJ3395707 (LAO 0784956) ADJ629194 (LAO 0849490) ADJ2985386 (LAO 0784955) ADJ2625573 (LAO 0784951)
Regular
Apr 12, 2011

CLAUDIA DYER vs. BOEING/McDONNELL DOUGLAS, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, CHARTIS INSURANCE

The Workers' Compensation Appeals Board denied CIGA's petition for reconsideration, upholding the WCJ's findings of industrial injuries to the applicant's knees, neck, back, shoulders, hips, hands, and ankle across multiple dates. The Board found the WCJ's decision was supported by substantial evidence, specifically Dr. Nelson's well-reasoned medical opinions on causation and apportionment. CIGA's petition was also found deficient for failing to comply with procedural requirements for referencing the record. Finally, CIGA was estopped from asserting the statute of limitations defense due to the employer's knowledge of the injury and failure to provide notice of rights.

CIGAFremont InsuranceliquidationPetition for ReconsiderationJoint Findings and Awardindustrial injuryaircraft mechanickneesneckback
References
Case No. ADJ7322440, ADJ7322436, ADJ7322441
Regular
Aug 27, 2013

Richard Sanchez vs. American Building Supply, The Hartford Insurance

The Appeals Board granted the defendant's petition for removal, rescinding the WCJ's May 2, 2013 orders. These orders had allowed further discovery regarding the applicant's right ankle surgery and continued the matter for a settlement conference. The Board found these actions inconsistent with its prior February 15, 2013 decision which had specifically determined the applicant was not entitled to any future medical care for the right ankle. Allowing further proceedings on this issue after the Board's final determination constituted good cause for removal.

Petition for RemovalWorkers' Compensation Appeals BoardRescinded OrdersFurther DiscoveryMandatory Settlement ConferenceRight Ankle InjuryIrreparable HarmSubstantial PrejudiceReconsiderationOpinion and Order
References
Case No. ADJ8195644, ADJ8195735, ADJ8195670
Regular
May 03, 2018

ENRIQUE CASTRO vs. CITY OF GLENDALE

This case involves the City of Glendale's petition for reconsideration of workers' compensation awards for firefighter Enrique Castro. The appeals board granted reconsideration to amend the award for injuries sustained on October 23, 2008 (ADJ8195735), specifically reducing the permanent disability from the inclusion of a right ankle injury. The WCAB affirmed the WCJ's findings for the cardiovascular and GERD claims from 2009-2010 (ADJ8195644) and the July 20, 2009 heart injury (ADJ8195670). The decision ultimately modifies the permanent disability award for ADJ8195735 to 23% without the right ankle contribution.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardWhole Person ImpairmentCardiovascular DiseaseGERDRight Ankle InjuryFire FighterPermanent DisabilityDisability Indemnity
References
Showing 1-10 of 155 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