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. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. ADJ4050950
Regular
Apr 09, 2009

EdME PILONA vs. THE EDWARD THOMAS HOSPITALITY CORP., ARCH INSURANCE GROUP

The Workers' Compensation Appeals Board granted reconsideration and reversed a judge's finding of industrial injury. The applicant's testimony regarding a back and knee injury at work was found to be inconsistent and not credible, especially when contrasted with employer evidence. This evidence included a supervisor's report and an email stating the applicant injured his knee while laying tile at another job. Ultimately, the Board determined the applicant failed to meet his burden of proof for industrial causation.

Edme PilonaEdward Thomas Hospitality Corp.Gallagher Bassettindustrial injuryback injuryknee injurypsychiatric injurycompensable consequencereconsiderationfindings of fact
References
Case No. ADJ6869652
Regular
Jul 07, 2011

Alma Salinas Renteria vs. OVER HILL FARMS, INSURANCE COMPANY OF THE WEST, PACIFIC COMPENSATION INSURANCE COMPANY

The Workers' Compensation Appeals Board denied reconsideration of a decision finding no injury arising out of and in the course of employment. This denial was based on the Administrative Law Judge's report, which adopted the reasoning that the Panel QME's opinion constituted substantial evidence. The QME's thorough examination and review of records supported the conclusion that the applicant's subjective complaints were unrelated to her employment. Furthermore, the applicant's testimony was deemed not credible by the WCJ, especially when contrasted with HR testimony regarding company procedures.

Workers' Compensation Appeals BoardPetition for ReconsiderationDenial of ReconsiderationPanel QMESubstantial EvidenceDr. ShermanSubjective ComplaintsArising Out of EmploymentCourse of EmploymentAOE/COE
References
Case No. ADJ10774501
Regular
Aug 14, 2018

UTUMA BELFREY vs. TUTOR PERINI CORPORATION dba FISK ELECTRIC COMPANY, ZURICH NORTH AMERICA

The Workers' Compensation Appeals Board granted reconsideration of a decision awarding temporary disability benefits, finding that the defense presented substantial evidence suggesting the applicant reached maximum medical improvement earlier than determined. Specifically, the Board considered the report of Dr. Dixit, which stated the applicant was P&S on March 7, 2017, and contrasted it with the defense's argument that other QME reports lacked substantiality. The Board rescinded the original award and remanded the case for further proceedings to clarify the applicant's MMI status. This ensures a proper determination of temporary disability indemnity based on conflicting medical opinions.

Workers' CompensationTemporary Disability IndemnityMaximum Medical ImprovementPermanent and StationaryFindings Award and OrderPetition for ReconsiderationQualified Medical ExaminerOrthopedic SurgeonEMGNerve Conduction Study
References
Case No. ADJ1646469 (VNO 0550706)
Regular
Apr 19, 2013

ANDREW HERNANDEZ vs. STATE OF CALIFORNIA - CALIFORNIA HIGHWAY PATROL, STATE COMPENSATION INSURANCE FUND

This case concerns the defendant's petition for reconsideration of an award for industrial injury to the applicant's low back and cervical spine. The defendant argued the applicant was not temporarily disabled as they offered a modified position consistent with AME Dr. Sew Hoy's restrictions, and that sub rosa videos should have been admitted. The Board denied reconsideration, finding Dr. Sew Hoy's report was qualified and did not preclude temporary disability, especially when contrasted with the applicant's treating physician's consistent findings. The Board also upheld the exclusion of the sub rosa videos due to late disclosure, as required by Labor Code section 5502(d)(3).

Workers' Compensation Appeals BoardAndrew HernandezState Compensation Insurance FundFindings and Awardindustrial injurylow backcervical spinetemporary disabilitypermanent disabilityfuture medical treatment
References
Case No. ADJ9316587
Regular
May 13, 2014

TORI BLEVINS vs. ELIZABETH J. TILLEY, STATE FARM INSURANCE COMPANY

This case concerns applicant Tori Blevins' petition to change venue from the San Luis Obispo District Office to the Santa Barbara satellite office. The Workers' Compensation Appeals Board (WCAB) denied the petition, affirming the administrative law judge's decision. The WCAB concluded that only "district offices," not "satellite offices," are considered for venue determination under Labor Code section 5501.5. This distinction is based on the full staffing, extensive facilities, and daily operations of district offices, contrasting with the limited resources of satellite offices. The WCAB found no basis to overturn the administrative construction that Santa Barbara's office is a satellite, not a district, office.

Petition for RemovalVenueDistrict OfficeSatellite OfficeWorkers' Compensation Appeals BoardLabor Code Section 5501.5Department of Workers' CompensationAdministrative ConstructionContemporaneous Administrative ConstructionDWC Newsline
References
Case No. ADJ12221657; ADJ13326997
Regular
May 27, 2025

MARIA ALVAREZ vs. POMONA UNIFIED SCHOOL DISTRICT, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

Maria Alvarez, an Elementary Campus Supervisor, sustained injuries to her left hand and wrist on October 15, 2018, and allegedly bilateral hands, right wrist, and right thumb due to cumulative trauma from September 1, 2005, through August 1, 2019. The defendant, Pomona Unified School District, filed a Petition for Reconsideration challenging the WCJ's finding of Occupational Code No. 322. The Appeals Board granted the petition solely to amend the February 20, 2025 Joint Findings, Order, and Award to defer the issue of whether applicant has reached maximum medical improvement in both cases, while otherwise affirming the WCJ's decision. The WCJ's determination of Occupational Group Number 322 was upheld, explaining its consistency with the applicant's food service duties, contrasting it with other clerical and professional occupations.

Workers' Compensation Appeals BoardPetition for ReconsiderationLabor Code section 5909Maximum Medical ImprovementOccupational Group NumberDalen v. Worker's Comp. Appeals Bd.Schedule for Rating Permanent DisabilitiesAMA GuidesSpecific InjuryCumulative Trauma
References
Showing 1-7 of 7 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