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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. LAO 823855, LAO 823856
Regular
Oct 03, 2007

PEDRO M. RODRIGUEZ vs. RALPHS GROCERY COMPANY

The applicant sought reconsideration of a denial of workers' compensation benefits, which was based on the finding that his claims were filed after notice of termination. The Board affirmed the denial, concluding that the applicant's job abandonment led to a termination prior to the filing of his claims. The Board also determined that the employer properly denied both the specific and cumulative trauma claims, thus negating a presumption of compensability.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and OrderFindings of FactAdministrative Law JudgeApplicantDefendantRalphs Grocery CompanySecurity GuardIndustrial Injury
References
Case No. ADJ7232076
En Banc
Sep 26, 2011

Tsegay Messele vs. Pitco Foods, Inc.; California Insurance Company

The Appeals Board holds that the 10-day period for agreeing on an AME under Labor Code § 4062.2(b) is extended by five days when the initial proposal is served by mail, and clarifies the method for calculating this time period, finding both parties' panel requests premature.

Workers' Compensation Appeals BoardTsegay MesselePitco FoodsInc.California Insurance CompanyADJ7232076Opinion and Decision After ReconsiderationOrder Granting RemovalDecision After RemovalEn Banc
References
Case No. ADJ6646120
Regular
Oct 12, 2012

DONACIANO SALGADO vs. 3RD DOG, INC., FIRSTCOMP OF OMAHA for SOUTHERN INSURANCE CO.

The Workers' Compensation Appeals Board granted the lien claimant's petition for reconsideration after its lien was dismissed for failure to appear at a hearing. The dismissal stemmed from confusion caused by two sets of minutes for the same hearing date. The Board found that the lien claimant's petition was not brought to their attention within the statutory period for reconsideration, and thus the time for review began when they actually received it. Consequently, the dismissal order was rescinded, and the case was returned for further proceedings.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationOrder Dismissing LienNotice of Intention to Dismiss LienNotice of HearingMinutes of HearingTaken Off CalendarStatutory Time for ReconsiderationDue Process
References
Case No. ADJ7270261
Regular
Mar 01, 2012

MEKAL FARUKI vs. MACY'S DEPARTMENT STORES

This case involves Mekal Faruki's petition for reconsideration of a Workers' Compensation Appeals Board decision. The Board dismissed the petition as untimely. Labor Code section 5903 establishes a strict 20-day deadline for filing reconsideration petitions, with a possible 5-day extension for mailing. Critically, the petition is considered filed upon receipt, not mailing date. Faruki's petition was filed over 25 days after the December 10, 2010 decision, rendering it jurisdictionally barred.

Mekal FarukiMacy's Department StoresPetition for ReconsiderationUntimely FilingLabor Code Section 5903WCAB Rule 10507Jurisdictional Time LimitDismissalWorkers' Compensation Appeals BoardSacramento District Office
References
Case No. ADJ7970557 ADJ7234375
Regular
Aug 01, 2016

LAURA MIRANDA vs. EL SUPER MARKET, PACIFIC COMPENSATION/NORTH RIVER INSURANCE COMPANY

This case involves a lien claimant seeking reconsideration of a Workers' Compensation Appeals Board (WCAB) decision barring their lien for medical services. The WCJ found the lien untimely under Labor Code section 4903.5(a) because it was filed more than 18 months after the last date of service, which occurred after July 1, 2013. The Appeals Board agreed, clarifying that the 18-month limit applies to services provided on or after July 1, 2013, and the filing on September 24, 2015, was indeed too late. The Board found the lien claimant had a reasonable time to file given the statutory amendment's effective date.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationStatute of LimitationsLabor Code Section 4903.5(a)Joint Findings and OrderWCJTimelinessDate of Services18-month limitation period
References
Case No. ADJ8725582
Regular
Dec 08, 2016

FREDDY HENRIQUEZ vs. FRED LEEDS PROPERTIES, LIBERTY MUTUAL, AMTRUST NORTH AMERICA/TECHNOLOGY INSURANCE

This case concerns a lien claim by Tri-County Medical Group for services rendered between May 1, 2013, and November 6, 2013. The lien was dismissed as untimely by the Workers' Compensation Administrative Law Judge (WCJ) due to the statute of limitations. The WCJ correctly applied Labor Code section 4903.5(a), which mandates an 18-month filing deadline for services provided on or after July 1, 2013. Since the lien was filed on February 26, 2016, over 18 months after the last date of service, the Appeals Board denied the lien claimant's petition for reconsideration.

Labor Code 4903.5(a)lien claimstatute of limitationspetition for reconsiderationWorkers' Compensation Appeals BoardWCJorder dismissing liendate of services18-month limitation periodongoing treatment
References
Case No. GRO 32603 GRO 33231
Regular
Nov 20, 2007

JAMES CANALES vs. RICE DRYWALL, ZURICH NORTH AMERICA

The Workers' Compensation Appeals Board rescinded prior findings and remanded the case due to significant procedural and evidentiary deficiencies. Specifically, the Board highlighted the lack of a proper hearing record, ambiguity regarding the commencement date for temporary disability payments, and an unresolved issue concerning an attorney's fee award for an EDD lien. The WCJ must now address these issues before issuing new decisions.

Labor Code section 4656(c)(1)temporary disability indemnity104-week limitmultiple injuriesdelayed treatmentEmployment Development Department (EDD) lienattorney's feecumulative traumadate of injurydate of commencement of temporary disability payment
References
Case No. ADJ3415466 (BAK 0149054)
Regular
Apr 17, 2009

Candido Salinas vs. Defense Support Servjaig Claims, Lockheed Martin/ESIS

The Workers' Compensation Appeals Board granted reconsideration to find that Candido Salinas sustained a single cumulative trauma injury for bilateral hearing loss ending on his last day of employment, April 26, 2006. Consequently, liability for benefits was placed on Defense Support Services and its insurer, American Home Assurance, reversing the prior finding that the injury date was 2003. This decision determined that the applicant's continued exposure to noise after noticing hearing loss, and subsequent progression of the condition, established the later date of injury. The award was amended to reflect this new finding, including reimbursement for self-procured hearing aids and attorney fees.

Cumulative traumaDate of injuryStatute of limitationsApportionmentPermanent disabilityBilateral hearing lossIndustrial injuryWorkers' compensationLockheed MartinDefense Support Services
References
Case No. ADJ8730224
Regular
Dec 15, 2016

SERGIO BERMUDEZ vs. CERRITOS AUTO REPAIR CENTER, STAR INSURANCE COMPANY

The Workers' Compensation Appeals Board denied Tri County Medical Group's (TCMG) petition for reconsideration of a finding that its lien claim was barred by the 18-month limitation in Labor Code section 4903.5(a). The Board majority held that because TCMG's last date of service was January 29, 2015, after the July 1, 2013 effective date for the shorter period, the 18-month limit applied. TCMG's lien was filed over 18 months after this last date of service and was therefore untimely. A dissenting commissioner argued that for continuously provided services crossing the July 1, 2013 date, the three-year limit should apply to avoid requiring multiple lien filings.

Labor Code Section 4903.5(a)lien claim18-month limitation periodthree-year limitation perioddate services were providedlast date of servicecontinuously provided servicespetition for reconsiderationdenial of lienWCJ report
References
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