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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

Petramale v. Local No. 17 of Laborers' International Union

The court addresses defendants' motion for summary judgment, which argued that the plaintiff failed to exhaust internal union remedies by intentionally not appearing at a rescheduled meeting. The court denies the motion, asserting that even if the plaintiff defaulted, disciplinary actions—a ten-year suspension from meetings and a substantial fine—might have been based on an unauthorized ground (a free speech violation), which constitutes an exception to the exhaustion requirement. The opinion highlights that actions alleged to be void do not require exhaustion of administrative procedures. Furthermore, factual disputes exist regarding the International union's affirmance of the Local's order and whether the issue of free speech was properly presented on appeal. The court also rejects the defendants' argument that the case is moot due to the voluntary rescission of the suspension and fine, stating that the extent of the damages is a factual issue for the trier of fact.

Summary JudgmentExhaustion of RemediesInternal Union RemediesFree SpeechLabor LawUnion DisciplineFirst AmendmentMootnessFactual DisputeDistrict Court
References
6
Case No. ADJ9513119
Regular
Aug 01, 2018

JOHN CALLANAN vs. CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) rescinded the trial judge's take-nothing order due to insufficient factual and legal development regarding the applicant's psychiatric and internal injuries. The WCAB determined that further evidence is required to address causation and "actual events" of employment for the psychiatric claim, as well as to clarify opinions on specific versus cumulative trauma for both the psychiatric and internal injury claims. The matter was returned to the trial level for further proceedings and a new decision by the workers' compensation judge, with the WCAB expressing no final opinion on any substantive issue. The appeals board also noted potential issues with the good faith personnel action defense and the apportionment of impairment versus injury.

Workers' Compensation Appeals BoardPsychiatric InjuryActual Events of EmploymentCumulative TraumaSpecific InjuryGood Faith Personnel ActionPanic AttackAnxietyInternal System InjuryDyspepsia
References
11
Case No. MISSING
Regular Panel Decision

O'Rourke v. Long

This dissenting opinion addresses a case involving an underage newsboy, Christopher O’Rourke, who sued a newspaper for negligence after being injured. The core legal questions centered on whether the newspaper violated a statute, thereby being negligent, and whether O'Rourke's injury occurred "in the course of his employment," which would relegate him to workers' compensation. The trial court dismissed the negligence claim due to a lack of proximate cause, a decision the majority affirmed. The dissent argues that both proximate cause and the "in the course of employment" questions are factual issues for a jury to decide, criticizing the majority's view on the exclusive jurisdiction of the Workers' Compensation Board for such factual determinations.

NegligenceWorkers' CompensationProximate CauseEmployment LawJurisdictionTrial ProcedureDissenting OpinionUnderage EmploymentStatutory ViolationJury Question
References
19
Case No. ADJ9539091
Regular
Sep 23, 2016

MARY RAMSGARD vs. PACIFIC VINEYARD COMPANY, INSURANCE COMPANY OF THE WEST

The Workers' Compensation Appeals Board denied reconsideration, affirming the WCJ's finding that applicant's L3-4 back injury was not industrially caused, based on Dr. Sharma's opinion. Dr. Sharma's opinion was found to be substantial evidence, utilizing the correct legal standard of reasonable medical probability and supported by the applicant's pre-existing back issues. The Board also upheld the 20% apportionment of permanent disability to non-industrial causes, finding it supported by credible evidence, including prior medical reports and applicant's inconsistent testimony. Applicant's petition failed as her contentions regarding the medical opinion's legal theory and factual basis were not substantiated.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardAdministrative Law JudgeApplicantDefendantPacific Vineyard CompanyInsurance Company of the WestPermanent DisabilityApportionment
References
10
Case No. ADJ7936482
Regular
Apr 20, 2020

EXTELA MONTIEL vs. MICRO SOLUTIONS, ZURICH NORTH AMERICA

The Workers' Compensation Appeals Board granted reconsideration to further study factual and legal issues concerning an applicant's permanent disability award. Key disputes involve the correct permanent disability indemnity rate, with the defendant arguing for a lower weekly rate based on the injury date, and the validity of the $60\%$ permanent disability finding due to conflicting medical opinions. The Board found deficiencies in the medical evidence regarding psychiatric permanent disability and issues with the apportionment of that disability. Consequently, the Board deferred resolution of temporary disability, the EDD lien, permanent disability, apportionment, and the permanent disability rate pending further record development.

Petition for ReconsiderationFindings and AwardSupervising assemblerAdmitted industrial injuryNon-admitted injuryCervical spinePsychePermanent disabilityLabor Code section 4658(d)GAF
References
10
Case No. ADJ14778693
Regular
Oct 29, 2025

DARRELL DICKERSON vs. SAN FRANCISCO BAY AREA RAPID TRANSIT DISTRICT, ATHENS ADMINISTRATORS, INC.

The Appeals Board granted reconsideration to study legal and factual issues. Defendant sought reconsideration of Findings of Fact and Orders (F&O) issued by the WCJ, which denied a replacement Qualified Medical Evaluator (QME) panel and affirmed Dr. Lucas Campos as the valid QME. The Board applied a removal standard to the interlocutory finding challenged by the petitioner and found that significant prejudice or irreparable harm would result if removal was denied. Consequently, the Board rescinded the F&O and returned the matter to the WCJ for further proceedings consistent with its opinion, specifically to reconsider whether good cause exists to order a replacement QME panel, in light of the Vazquez case factors.

PQMEAD Rule 31.3(e)AD Rule 31.5(a)(2)replacement panelreevaluationunavailabilityAppeals Boardremoval standardthreshold issueinterlocutory issue
References
9
Case No. ADJ2855195 (MF); ADJ965274
Regular
Jan 23, 2012

MARCELO RUEDA vs. ALL LABOR TIRES, STATE COMPENSATION INSURANCE FUND

The State Compensation Insurance Fund petitioned for reconsideration of awards made to Marcelo Rueda, arguing that Agreed Medical Examiner (AME) reports by Drs. Hyman and Sanders lacked substantial evidence. Specifically, the Fund disputed impairment ratings for hypertension, upper digestive tract issues, and sleep disorders, as well as the carpal tunnel syndrome diagnosis. The judge recommended denying the petition, finding that the AME reports provided reasoned medical opinions supported by the AMA Guides and clinical judgment. The Workers' Compensation Appeals Board granted reconsideration to further review the complex factual and legal issues involved.

Petition for ReconsiderationAgreed Medical ExaminerAMA GuidesPermanent DisabilityHypertensionUpper Digestive Tract ImpairmentSleep DisorderCarpal Tunnel SyndromeSubstantial EvidenceClinical Judgment
References
2
Case No. ADJ19947925
Regular
May 19, 2025

Andres De Jesus Garcia vs. Slater's 50/50, Security National Insurance Company

Applicant, Andres De Jesus Garcia, sought reconsideration of a March 12, 2025 Findings and Award (F&A) which denied his request for a new primary treating physician (PTP) or a second opinion. The workers' compensation administrative law judge (WCJ) had found that the applicant reached maximum medical improvement (MMI) based on reports from his PTP and a panel qualified medical evaluator (PQME). Applicant contended he is entitled to a change of PTP or a second opinion within the medical provider network (MPN) under various Labor Code sections and WCAB Rules. The Appeals Board granted the Petition for Reconsideration, deferring a final decision after reconsideration to allow for further review of the factual and legal issues.

Petition for ReconsiderationMedical Provider Network (MPN)Primary Treating Physician (PTP)Maximum Medical Improvement (MMI)Qualified Medical Evaluator (PQME)Labor Code sections 4616.3 and 4616.4WCAB Rules 9767.6(e) and 9767.7Tenet/Centinela Hospital Medical Center v. Workers' Comp. Appeals Bd. (Rushing)Labor Code section 5909Electronic Adjudication Management System (EAMS)
References
12
Case No. ADJ4562414 (BAK 0145531)
Regular
Jan 04, 2010

LUKE TESTON vs. S. DODGE AND ASSOCIATES, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration, rescinded the prior award, and returned the case to the trial level for further proceedings. The Board found that the administrative law judge's reliance on the opinion of Dr. Lustig regarding the applicant's psychological disability was not based on substantial medical evidence. The Board determined that Dr. Lustig's report lacked an adequate factual basis and did not sufficiently account for the applicant's post-injury employment. Further development of the medical record is required on the issue of psychological impairment, and the trial judge must reconsider all outstanding issues, including temporary and permanent disability indemnity.

WCABReconsideration1997 Schedule2005 SchedulePsyche DisabilityPermanent DisabilityTemporary Disability IndemnityQualified Medical EvaluatorSubstantial EvidenceWork Function Impairments
References
13
Case No. MISSING
Regular Panel Decision

Drum v. Newspaper & Mail Deliverers' Union

Drum, a former employee of The New York Post, sued his employer and the Newspaper and Mail Deliverers’ Union for alleged breach of a collective bargaining agreement and breach of duty of fair representation, respectively. Drum sought supplemental and disability benefits following an automobile accident in 1978, which were denied. He contended issues with the handling of his claim by the Union's counsel and subsequently retained private counsel. The defendants moved for summary judgment, asserting lack of subject matter jurisdiction due to Drum's failure to exhaust administrative remedies and that the action was time-barred. The court determined that while the exhaustion of administrative remedies was a disputed factual issue, the lawsuit was indeed barred by the six-month statute of limitations as established by the Supreme Court in Del Costello v. International Brotherhood, given that Drum filed his action more than a year after his claim accrued. Consequently, the defendants' motion for summary judgment was granted.

Collective Bargaining AgreementDuty of Fair RepresentationSummary JudgmentStatute of LimitationsDisability BenefitsLabor Management Relations ActNational Labor Relations ActGrievance ProceduresExhaustion of Administrative RemediesEmployee Rights
References
3
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