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

Case No. ADJ1754279
Regular
Dec 15, 2009

MARIA ROSALBA PANTOJA vs. EXPRESS PERSONNEL, AMERICAN ASSURANCE

The WCJ's decision is rescinded because the record did not contain substantial evidence to support any decision on the issue of causation of applicant's alleged hypertension, sexual dysfunction, and gastritis. The case is returned to the hearing level for further proceedings.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings Award and OrdersWCJStipulationsIndustrial InjuryHypertensionSexual DysfunctionGastritisCompensable Consequence
References
Case No. ADJ6707071
Regular
Nov 02, 2011

GINA STEWART vs. CITY OF LOS ANGELES

This case concerns applicant Gina Stewart's petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision. The WCAB denied reconsideration, affirming the administrative law judge's findings. Applicant sought reversal of the 95% permanent disability rating and the denial of industrial injury to her vision and gastritis. The WCAB found that the Agreed Medical Examiner's reports did not provide substantial evidence for these claims, citing a lack of reasoning and specificity.

Workers' Compensation Appeals BoardPetition for ReconsiderationIndustrial InjuryKidney InjuryHeart InjuryHypertensionLupusArterial FibrillationMitral Valve ProlapseHypertensive Heart Disease
References
Case No. ADJ7009099
Regular
Jun 08, 2015

Joseph Vivirito vs. CITY OF GLENDALE

The Workers' Compensation Appeals Board granted reconsideration and amended a prior award, reducing the applicant's permanent disability from 76% to 73%. The primary issue was the apportionment of the applicant's gastritis disability, with the Board finding that 20% should be attributed to non-industrial factors, as supported by an Agreed Medical Evaluator's opinion. The Board also noted a mathematical error in the initial indemnity calculation and deferred the issue of attorney's fees to the Disability Evaluation Unit.

Workers' Compensation Appeals BoardReconsiderationPetition for ReconsiderationFindings and AwardPermanent DisabilityApportionmentIndustrial InjuryGastritisPsycheBilateral Upper Extremities
References
Case No. ADJ8015216
Regular
Aug 27, 2018

RAMON CANO-RODRIGUEZ vs. ODONA CENTRAL SECURITY CORP.; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

The WCAB granted reconsideration for both applicant and defendant, rescinding the prior award and remanding the case for further proceedings. The board found that the secondary physicians' reports, relied upon by the WCJ for findings on headaches, hypertension, diabetes, and gastritis, lacked substantial medical evidence due to inadequate history and review of medical records. The WCAB also granted applicant's petition to allow further development of the record concerning the proper method for calculating permanent disability, specifically regarding the rebuttal of scheduled ratings. This ensures substantial justice by preventing undeveloped matters from being left unaddressed.

WCABPetition for ReconsiderationIndustrial InjuryCervical SpineLumbar SpineRight ShoulderPsycheSleep DisorderGastritisHeadaches
References
Case No. ADJ2804761 (LAO0886335)
Regular
Jun 13, 2014

RUBEN PEREZ ARAUJO vs. CENTIMARK CORPORATION, ARCH INSURANCE COMPANY, BROADSPIRE

The Workers' Compensation Appeals Board granted reconsideration to address the defendant's contentions regarding the applicant's Petition to Reopen. The Board found no good cause to reopen the claim for new and further disability related to the applicant's left upper extremity, left lower extremity, insomnia, urological, or internal conditions. This decision was based on the applicant's failure to present substantial evidence of new and further disability beyond what was previously adjudicated or known at the time of the initial award. However, the Board noted that the employer's liability for medical treatment for these conditions may still exist, irrespective of disability findings.

Workers' Compensation Appeals BoardPetition to ReopenNew and Further DisabilityGood CauseLabor Code Section 5410Agreed Medical ExaminerFindings and AwardInsomniaUrological IssuesInternal Systems
References
Case No. ADJ6990021
Regular
Mar 28, 2016

MAIRA GARCIA vs. LOS ANGELES COUNTY OFFICE OF EDUCATION, permissibly self-insured, administered by CORVEL

The Workers' Compensation Appeals Board granted the defendant's petition for reconsideration of an award finding industrial injury to the applicant's psyche and resulting physical ailments. The Board rescinded the award, returning the case to the trial level for further development of the medical record. This action was taken because the Qualified Medical Evaluator's opinion on causation was not substantial medical evidence, as it was based on an incomplete personnel file and was subject to change. The Board emphasized the need for complete medical evidence to properly assess the claim, especially regarding the defense of good faith personnel actions.

Labor Code section 3208.3(h)good faith personnel actionspredominant causationpsychiatric injuryGERDgastritisirritable bowel syndromemigraine headachessubstantial medical evidencequalified medical evaluator
References
Case No. ADJ117564
Regular
Oct 05, 2012

Catrina Williams vs. Diversified Photo\/Supply, CIGA by its Servicing Facility CAMBRIDGE INTEGRATED, on behalf of FREMONT INSURANCE, in liquidation

The Workers' Compensation Appeals Board affirmed the WCJ's finding of industrial injury to the applicant's neck and bilateral upper extremities, resulting in 55.75% permanent disability. Applicant's contentions regarding apportionment of neck disability to non-industrial causes, injury to shoulders, internal systems, and psychiatric injury were largely rejected based on lack of substantial medical evidence and credibility issues. The case was remanded for further proceedings solely to address a lien claim for attorney fees filed by the applicant's prior attorney, George Slotnick.

CIGAFremont Insuranceliquidiationreconsiderationcumulative traumabilateral upper extremitiesneck injuryapportionmentnon-industrial causesAgreed Medical Examiner
References
Case No. ADJ15406376
Regular
Nov 03, 2025

Francisco Mendoza Olivares vs. Barrett Business Services, Inc.; Ace American Insurance Company

Applicant Francisco Mendoza Olivares sought reconsideration of a WCJ's Findings of Fact and Order dated July 25, 2025, which determined he did not sustain an injury arising out of and in the course of employment to multiple body parts. The applicant argued the WCJ applied an incorrect legal standard for causation and requested further medical evaluations. The Workers' Compensation Appeals Board granted the petition for reconsideration, concluding that the record requires further development to ascertain if substantial evidence supports the WCJ's initial decision regarding the injury's causation and to clarify whether the claim involves a specific injury or a cumulative injury. A final decision on the merits of the reconsideration is deferred.

Chagas diseasecumulative injuryinsect bitecardiacneurologyophthalmologyENTgastritisneuropathychronic pain
References
Case No. ADJ1915420
Regular
Jun 01, 2010

Maurice Douglass vs. New York Giants, The PMA Insurance Group, Gallagher Bassett, Chicago Bears, Risk Enterprise Management, TIG

This case concerns a professional football player's workers' compensation claim for cumulative trauma injury. The defendant argued against the finding of cumulative trauma, claiming the applicant sustained specific injuries, and challenged the apportionment and rating of permanent disability. The Appeals Board affirmed the original award, finding substantial medical evidence supported a cumulative trauma injury and proper apportionment. The Board also upheld the use of the 1997 permanent disability rating schedule and the three-month temporary disability award.

Workers' Compensation Appeals BoardCumulative TraumaProfessional Football PlayerApportionmentPermanent Disability Rating ScheduleTemporary DisabilityMedical-Legal ReportLabor Code Section 4660(d)Substantial EvidenceQME
References
Case No. ADJ10268942, ADJ10268936, ADJ10268937, ADJ12179713
Regular
Aug 06, 2019

SANDRA VELASQUEZ vs. CITY OF HOPE NATIONAL MEDICAL , CENTER

The Workers' Compensation Appeals Board granted reconsideration to address applicant's claims of injury to her right knee and fibromyalgia. The Board found that the Agreed Medical Examiner's opinions on fibromyalgia were not substantial evidence as the physician deferred to a specialist, and further development of the record was needed for the right knee claim. The Board rescinded the original award and returned the matter to the judge for further proceedings on these deferred issues, affirming all other aspects of the original decision.

WCABAOE/COEPetition for ReconsiderationJoint Findings and AwardWCJAgreed Medical Examiner (AME)Substantial EvidenceFibromyalgiaRheumatologistRight Knee Arthroscopy
References
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