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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. ADJ6655702
Regular
Mar 18, 2010

GERICK CATUGDA vs. WINKLEBLACK CONSTRUCTION, CALIFORNIA INSURANCE COMPANY c/o APPLIED RISK SERVICES

This case concerns whether the "going and coming rule" bars applicant's workers' compensation claim for injuries sustained during his commute. The defendant argued the rule applied, but the Workers' Compensation Appeals Board denied their petition for reconsideration. The Board adopted the WCJ's finding that the applicant's employment required him to have transportation for multiple job sites, creating an exception to the rule. This decision aligns with established precedent, where transportation necessity for the employer's benefit removes the commute from the rule's exclusion.

Going and coming ruleindustrial injuryconstruction laborerhead injurybrain injurypsyche injuryspine injuryribs injurypelvis injuryarms injury
References
Case No. ADJ7516841
Regular
Mar 05, 2012

KAREN SHAW vs. CAST & CREW ENTERTAINMENT SERVICES, INC., ZURICH NORTH AMERICA

This case concerns applicant Karen Shaw's claim for workers' compensation benefits after she slipped and broke her wrist and ankle while walking to a bookstore in San Francisco. The defendant, Cast & Crew Entertainment Services, Inc., argued the injury was not compensable, citing the going-and-coming rule and the bunkhouse rule. The Workers' Compensation Appeals Board denied reconsideration, upholding the finding that Shaw's injury arose out of and in the course of her employment under the commercial traveler rule. The Board determined that Shaw's walk, while on an extended business trip and on call, was a reasonable expectancy of her employment, even if considered personal activity.

Workers' Compensation Appeals BoardKaren ShawCast & Crew Entertainment ServicesInc.Zurich North AmericaADJ7516841San Franciscogoing and coming rulebunkhouse ruleMotion Picture Health Plan
References
Case No. ADJ8608456 MF\nADJ8608504\nADJ8523009\nADJ8551858\nADJ8609068
Regular
Oct 07, 2015

HORACIO CABRERA, Deceased MARIBEL BARAJAS, Widow, Guardian Ad\nLitem for LITZY CABRERA, LESLY\nCABRERA, MARIA CABRERA AND\nKASSANDRA CABRERA; BRIANNA\nCABRERA, for herself and Guardian Ad Litem for STEFANI ARIAS, ANTONIO SOLARES, MODESTO DOMINGUEZ, JOHNATHAN ALONSO vs. MV CONTRACTING, STAR INSURANCE COMPANY

In this workers' compensation case, the employer sought reconsideration of a ruling finding a fatal motor vehicle accident and related injuries industrial. The employer argued the administrative law judge erred in admitting evidence and presuming compensability due to a failure to issue timely denial notices. The employer also contended the "going and coming rule" barred the claims as the accident occurred during a standard commute. The Board denied reconsideration, affirming the judge's findings that the injuries were industrial and not barred by the going and coming rule, largely adopting the judge's reasoning.

WCABPetition for ReconsiderationDenying PetitionRulings and Order Admitting EvidenceFindings of FactMotor Vehicle AccidentIndustrial InjuriesFatal Industrial InjuryDependentsNotice of Denial
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. ADJ9997985, ADJ9997986, ADJ10037755
Regular
Apr 10, 2017

DAVID LIVINGSTON vs. SOUTHEAST PERSONNEL LEASING, INC.;, PACKARD CLAIMS ADMINISTRATION;, STATE NATIONAL INSURANCE

The Workers' Compensation Appeals Board (WCAB) dismissed a petition for removal filed by the defendant. The WCAB found the petition was untimely because it was filed one day after the 20-day deadline for removal following personal service. This deadline is jurisdictional, and the WCAB cannot consider petitions filed outside this timeframe. Therefore, the petition was dismissed with no request for supplemental pleading granted.

Petition for RemovalUntimely FilingPersonal ServiceWCJ DecisionAppeals Board RuleJurisdictional Time LimitSupplemental PleadingWCAB Rule 10848WCAB Rule 10843WCAB Rule 10507
References
Case No. ADJ12249871
Regular
Feb 03, 2023

ISABEL AKERLUNDH (Deceased) vs. COUNTY OF RIVERSIDE, PERMISSIBLY SELF INSURED

This case involves a Petition for Reconsideration by the applicant's dependents following the denial of their workers' compensation claim. The applicant, Isabel Akerlundh, a Behavioral Health Specialist, died in a car accident while commuting to work. The Workers' Compensation Appeals Board denied reconsideration, upholding the Administrative Law Judge's finding that the injury was barred by the "going and coming rule." The Board found no evidence that the applicant was performing services for her employer or that an exception to the rule applied to her commute, as county vehicles were available and use of a personal vehicle was not required.

GOING AND COMING RULECOURSE OF EMPLOYMENTARISING OUT OF EMPLOYMENTPETITION FOR RECONSIDERATIONWORKERS' COMPENSATION APPEALS BOARDADMINISTRATIVE LAW JUDGEREPORT AND OPINION ON DECISIONBEHAVIORAL HEALTH SPECIALISTCOUNTY OF RIVERSIDEPERSONAL VEHICLE USE
References
Case No. ADJ7336300
Regular
Feb 19, 2014

EMANUEL AGUILAR vs. BHS CORRUGATED NORTH AMERICA, INC.; THE HARTFORD

The Workers' Compensation Appeals Board (WCAB) rescinded a prior finding of injury AOE/COE for Emanuel Aguilar. The Board found that Aguilar's injury, sustained in a rental car returning from an unpaid lunch break, was not compensable under the "going and coming rule" and its "lunch rule" extension. The WCAB determined that the employer's provision of the rental car to a co-employee, even if for business benefit, did not extend coverage to Aguilar during his personal, off-premises lunch. Commissioner Brass dissented, arguing the injury should be compensable due to employer benefit and the liberal construction of workers' compensation laws.

AOE/COEgoing and coming rulelunch ruleemployer's premisesrental carunpaid lunch breakmotor vehicle accidentspecial mission exceptioncompensabilityPetition for Reconsideration
References
Case No. ADJ8937901
Regular
Mar 03, 2016

SANDRA DELAO vs. MARTIN TRANSPORTATION, LTD., CANNON COCHRAN

The Workers' Compensation Appeals Board dismissed Sandra Delao's petition for reconsideration because it was untimely filed. The petition was filed over 25 days after the WCJ's December 10, 2015 decision, exceeding the statutory filing deadline. Additionally, the petition was not verified and was not served on applicant's attorney or defendant's attorney, providing further grounds for dismissal. Therefore, the Board had no jurisdiction to consider the petition's merits.

Petition for ReconsiderationTimelinessJurisdictionalVerificationServiceLabor Code Section 5902Labor Code Section 5903Rule 10507Rule 10508Rule 10845
References
Case No. ADJ14015513
Regular
Feb 15, 2023

BRADEN NANEZ vs. 3 STONEDEGGS, INC., TECHNOLOGY INSURANCE COMPANY, AMTRUST NORTH AMERICA

The Appeals Board rescinded the initial Findings and Order, finding the applicant's petition for reconsideration was timely due to defective service. The Board applied the commercial traveler rule, determining the applicant's injury arose out of and in the course of employment. The claim is not barred by the going and coming rule or intoxication, and the applicant sustained a fractured right femur. Issues of traumatic brain injury and bruised lung are deferred for further proceedings.

Workers' Compensation Appeals BoardReconsiderationOpinion and DecisionFindings and OrderApplicantEmployerAdjustedAdjudication NumberRedding District OfficeInjury Arising Out of and In the Course of Employment (AOE/COE)
References
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