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

Case No. MISSING
Regular Panel Decision

Haddad v. City of Albany

The petitioner appealed a Supreme Court judgment that dismissed their application, which combined a CPLR article 78 proceeding and an action for declaratory judgment. The application challenged the respondent's denial of a request to rescind waste removal violation bills issued by the Department of General Services (DGS) of the City of Albany. The Supreme Court had found that the petitioner failed to exhaust administrative remedies and that claims regarding preemption of local waste ordinances by state penal law were without merit. During the pendency of the appeal, the Board of Zoning Appeals (BZA) administratively reviewed the violations, reversing some charges and upholding others. The appellate court affirmed the Supreme Court's judgment, concluding that a violation of the City of Albany's waste code was not a criminal violation under Penal Law § 55.10, and that the petitioner was indeed required to exhaust administrative remedies for their constitutional claims, as these claims implicated specific aspects of the administrative proceeding rather than the administrative scheme itself.

WasteManagementAdministrativeLawMunicipalCodePenalLawExhaustionOfRemediesDeclaratoryJudgmentAppellateReviewEnvironmentalViolationsPublicHealthPropertyMaintenance
References
10
Case No. ADJ3344826
Regular
Nov 09, 2010

RONALD FRYER vs. CORNUCOPIA COMMUNITY MARKET, TRAVELERS INSURANCE

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration regarding an order to authorize medical treatment and pay bills, as well as dismissing the applicant's untimely petition for reconsideration. The defendant argued the WCJ erred in ordering reimbursement for bills not following Utilization Review, while the applicant claimed further wrongdoing and sought an award of benefits. The Board adopted the WCJ's report, denying the defendant's petition, and dismissed the applicant's petition as untimely.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and OrderMedical Treatment AuthorizationPrimary Treating PhysicianMedical Provider NetworkGym MembershipIndustrial InjuryUtilization ReviewApplicant
References
2
Case No. MISSING
Regular Panel Decision
Aug 19, 1993

Claim of Dukes v. Capitol Formation, Inc.

A claimant was injured in an automobile accident in 1971 while on a business trip, resulting in a compensable injury. Over the next two decades, numerous hearings were held regarding medical bill payments and related compensation issues. The parties eventually entered into a stipulated settlement, which included a $75,000 lump-sum payment under Workers’ Compensation Law § 15 (5-b). The Workers’ Compensation Law Judge denied the claimant’s request to set aside this stipulation, a decision affirmed by the Workers’ Compensation Board. The claimant's subsequent application for reconsideration was also denied by the Board. The appeals court dismissed the appeal of the Board’s June 7, 1993 decision as untimely, and affirmed the Board’s August 19, 1993 decision, finding no abuse of discretion in denying the application for reconsideration.

Workers' CompensationStipulated SettlementLump-Sum SettlementReconsiderationUntimely AppealAbuse of DiscretionFraudCollusionMistakeTotal Disability
References
7
Case No. ADJ6943627
Regular
Feb 11, 2013

BILL MCINNES vs. VICENTE FOODS, COMPWEST INSURANCE COMPANY

This case involves untimely petitions for reconsideration filed by the applicant, Bill McInnes. The Workers' Compensation Appeals Board (WCAB) dismissed these petitions because they were filed more than twenty days after the WCJ's decision, with no mailing extension applicable due to personal service. Even if timely, the petitions would have been denied on the merits based on the WCJ's report. Additionally, the applicant's attorney's letter, attempting to serve as a reconsideration petition, was also dismissed as both untimely and insufficient.

Petition for ReconsiderationUntimely FilingLabor Code Section 5903Mailing ExtensionCode of Civil Procedure Section 1013WCAB Rule 10507Jurisdictional Time LimitPersonal ServiceStrom v. WCABSkeletal Petition
References
5
Case No. ADJ4045682
Regular
Sep 07, 2010

BILL DUNEHEW vs. DON KEITH TRANSPORTATION, CENTRAL CARTAGE COMPANY, AARLA, STATE COMPENSATION INSURANCE FUND

This case involves applicant Bill Dunehew seeking reconsideration of a decision allowing defendants to offset permanent disability advances from one claim (ADJ2806318) against a separate claim (ADJ6769921). The Board granted reconsideration, overturning the administrative law judge's decision. They found that allowing such an offset would be inequitable, given that the applicant's permanent disability was apportioned across multiple dates of injury due to legislative changes. Furthermore, the Board determined that applying the credit would negate any new permanent disability benefits for the applicant's 2007 injury, contrary to the purpose of the award.

Petition for ReconsiderationPermanent Disability IndemnityCredit for AdvancesSeparate ClaimsEquitable PrinciplesApportionment of InjurySenate Bill 899Benson v. WCABMaples v. WCABLabor Code Section 4909
References
5
Case No. ADJ11952165
Regular
Nov 25, 2019

BILL HUMPHREY vs. CITY OF SAN LUIS OBISPO, PSI Through CJPIA, administered by YORK RISK GROUP

This case involved applicant Bill Humphrey's claim for psychiatric injury against the City of San Luis Obispo. The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration, upholding the finding that Humphrey sustained an industrial psychiatric injury. The Board affirmed the judge's determination that while a job reclassification was a good faith personnel action, it was not the substantial cause of the injury. Instead, increased job duties and applicant's internal pressure were deemed the predominant causes of his psychiatric condition.

Labor Code Section 3208.3good faith personnel actionpsychiatric injurypredominant causesubstantial causemultilevel analysisRolda v. Pitney BowesInc.panel qualified medical evaluatorPQME
References
2
Case No. ADJ1054155 (LAO 0854446) ADJ1247741 (LAO 0854447) ADJ1895803 (LAO 0854448)
Regular
May 03, 2011

HIRITI OKUAMICHAEL vs. PAUL OWENS SHOES INC., STATE FARM FIRE AND CASUALTY COMPANY, STATE COMPENSATION INSURANCE FUND

This amended order clarifies that the Workers' Compensation Appeals Board has granted the applicant's petition for reconsideration of the February 8, 2011 Findings and Awards. This reconsideration aims to allow the Board to thoroughly study the factual and legal issues, including those to be raised in the applicant's supplemental petition. The applicant's request to file a supplemental petition has also been granted and reaffirmed. All future communications regarding these cases should be directed to the Office of the Commissioners of the WCAB.

Supplemental PetitionReconsiderationAppeals Board Rule 10848Findings and AwardsDecision After ReconsiderationOffice of the CommissionersWCABADJ1054155ADJ1247741ADJ1895803
References
0
Case No. ADJ9016733
Regular
May 03, 2016

TYSON CONGER vs. CARE AMBULANCE, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted the applicant's petition for reconsideration of a prior award concerning industrial injuries to his low back and psyche. The applicant argues the original findings did not properly weigh evidence and support a higher permanent disability rating. The Board also permitted the applicant to file a supplemental petition to address new information, allowing defendants an opportunity to respond. Reconsideration was granted to ensure a complete review of the record and a just decision.

Workers' Compensation Appeals BoardPetition for ReconsiderationSupplemental PetitionEmergency Medical TechnicianLow Back InjuryPsyche InjuryTemporary DisabilityFuture Medical TreatmentPermanent DisabilityApportionment
References
1
Case No. MISSING
Regular Panel Decision

Emspak v. Conroy

The defendants moved for a further bill of particulars regarding item 30 and requested the entire bill be verified by a union officer. The plaintiff's attorney acknowledged the omission for item 30 was an oversight and agreed to provide it. He argued his self-verification was proper under subdivision 3 of rule 99 of the Rules of Civil Practice, citing the plaintiff's absence from the county, and claimed defendants waived objection by not returning the bill within 24 hours. The court clarified that Rules 10 and 11 do not apply to verification. While an attorney can verify a bill of particulars under rule 117, the court ruled that merely stating the party is out of county is insufficient; the attorney must also detail the basis of their knowledge, especially given a prior order requiring an oath for inability to furnish particulars. The motion for a further bill was granted.

Bill of particularsVerificationAttorney verificationRules of Civil PracticeWaiverMotionCourt procedurePleadingSufficiency of verification
References
3
Case No. VNO 0438915
Regular
Oct 23, 2008

Applicant vs. University of Southern California

This case concerns an applicant's Petition for Reconsideration of a WCAB decision denying injury claims against the University of Southern California (USC). The applicant alleged a physical altercation with his supervisor, Mr. Pickering, during a meeting on September 20, 2001, which he claims caused various injuries. However, the WCJ found the applicant lacked credibility due to inconsistencies in his testimony and failure to report the incident promptly. The WCJ relied on testimony from witnesses who stated Mr. Pickering merely touched the applicant's shoulders and noted the applicant's history of prior injuries and medical issues not fully disclosed.

WCABPetition for ReconsiderationUniversity of Southern CaliforniaBiological Safety Specialistspecific injuryanimositycredibility issuesshoulder touchingprior injurieshypertension
References
0
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