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Case Law Database

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

Case No. ADJ8026817
Regular
Apr 22, 2013

MARIA OCHOA vs. RANGERS DIE CASTING COMPANY, COMPWEST INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a decision finding the applicant sustained injury to her respiratory system and psyche AOE/COE. The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr. Lipper and Dr. Curtis lacked substantiality. Specifically, the physicians failed to provide clear diagnoses, quantify exposures, or adequately explain causation. The Board noted contradictory testimony from the applicant's supervisor and insufficient evidence to support the initial findings.

Workers' Compensation Appeals BoardMaria OchoaRangers Die Casting CompanyCOMPWEST INSURANCE COMPANYADJ8026817Los Angeles District OfficeOpinion and Order Granting ReconsiderationDecision After ReconsiderationFindings of FactWorkers' Compensation Administrative Law Judge (WCJ)
References
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. ADJ284423
Regular
Jun 24, 2011

MANUEL CASTILLO vs. DAVID INY, UNINSURED EMPLOYERS BENEFITS TRUST FUND, LANDMARK VIEW, INC., STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board dismissed petitions for reconsideration from SCIF and the applicant after an amended award corrected errors. The applicant sustained injuries, including to his right and left lower extremities and psyche, from an uninsured employer. The Uninsured Employers Benefits Trust Fund's petition for reconsideration was denied, upholding the finding of permanent disability and temporary total disability indemnity. The Board adopted the WCJ's report, denying UEF's claims that the AME's opinions were not substantial evidence and that the rating methods were improperly applied.

Uninsured Employers Benefits Trust FundIllegally UninsuredFindings and AwardPetition for ReconsiderationAmended Findings and AwardTemporary Total Disability IndemnityPermanent DisabilityAmerican Medical Association GuidesSchedule for Rating Permanent DisabilityAdministrative Law Judge
References
Case No. ADJ8212306
Regular
Oct 22, 2013

BELEN DOMINGUEZ vs. DEPARTMENT OF IN-HOME SUPPORTIVE SERVICES, Legally Uninsured, YORK INSURANCE SERVICES

This case involves a Petition for Removal filed by Belen Dominguez against the Department of In-Home Supportive Services. The Workers' Compensation Appeals Board has denied this petition. The Board adopted the reasoning of the workers' compensation administrative law judge's report. Therefore, the Petition for Removal is dismissed.

Petition for RemovalWorkers' Compensation Appeals BoardWCJ reportDeny removalLegally UninsuredYORK INSURANCE SERVICESIn-Home Supportive ServicesADJ8212306San Jose District OfficeAdministrative Law Judge
References
Case No. ADJ749878 (ANA 0384761)
Regular
Dec 15, 2010

ENRIQUE GUTIERREZ vs. FRANCISCO ORDONEZ, UNINSURED EMPLOYERS BENEFITS TRUST FUND

The Uninsured Employers Benefits Trust Fund (UEBTF) sought reconsideration of an award based on stipulated facts concerning an industrial injury to applicant. The Board granted reconsideration because there was no proof that the alleged uninsured employer was properly served with notice of the stipulations and the WCJ's intention to issue an award. The employer was not afforded the statutorily required time to object before the award was issued. Consequently, the Board rescinded the award and returned the case for further proceedings, emphasizing proper service and objection periods.

Uninsured Employers Benefits Trust FundPetition for ReconsiderationStipulations With Request For AwardLabor Code section 3715(e)Notice of Intention to Approve StipulationsProof of ServiceAlleged Uninsured EmployerRescind AwardDeclaration of Readiness to ProceedMandatory Settlement Conference
References
Case No. ADJ7630224
Regular
Nov 29, 2012

TINA SPERBER vs. LAW OFFICES OF LISA M. PACIONE

This case involves Tina Sperber's workers' compensation claim against her employer, Law Offices of Lisa M. Pacione. The applicant, a legal assistant, sustained an injury while investigating a property related to a case, claiming implied authorization. The Workers' Compensation Appeals Board denied reconsideration, upholding the judge's finding that the applicant was not a credible witness regarding her authority. The Board agreed that the applicant lacked permission for the investigation and that the information gathered provided no benefit to the defendant.

Workers' Compensation Appeals BoardDenying ReconsiderationLegal AssistantLaw OfficesInvestigationImplied AuthorizationCredibilityBenefit to DefendantFamily Law ProceedingsAdministrative Law Judge
References
Case No. ADJ1883473
Regular
Dec 14, 2018

JOSE MANUEL SALDIVAR vs. REUEL SARABIA CIPRIANO, dba GENESIS GENERAL BUILDING CONTRACTOR, INC., ALEXANDER LEIGH, DAVID LEIGH, UNINSURED EMPLOYERS BENEFITS TRUST FUND

The Workers' Compensation Appeals Board (WCAB) rescinded its prior findings and substituted new ones, determining Alexander Leigh was the employer of Jose Manuel Saldivar. The Board found that the unlicensed and uninsured contractor, Reuel Sarabia Cipriano, was acting as an employee of the property owner, Alexander Leigh, as a matter of law, due to Cipriano's failure to maintain a valid contractor's license and workers' compensation insurance. The WCAB specifically rejected the argument that Cipriano's alleged misrepresentations to the property owner estopped the injured worker or the Uninsured Employers Benefits Trust Fund (UEBTF) from establishing Leigh as the employer. Therefore, the WCAB ordered that Leigh, as the ultimate hirer, was legally responsible for Saldivar's industrial injury.

Uninsured Employers Benefits Trust Fundillegally uninsuredunlicensed contractorultimate hireremployee statusindependent contractorestoppeldue processcross-examinationDeclaration of David Leigh
References
Case No. ADJ2823789 (SAC 0369557)
Regular
Jun 18, 2019

PATRICIA WOODS vs. STATE OF CALIFORNIA, DEPARTMENT OF CORRECTIONS AND REHABILITATION, Legally Uninsured; STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) dismissed Patricia Woods' petition for reconsideration as untimely. The petition was filed more than 25 days after the Administrative Law Judge's decision was served, exceeding the statutory deadline. The WCAB emphasized that failure to file within the jurisdictional time limit prevents the Board from considering the petition. Additionally, the petition failed to provide adequate citations to the record, a requirement for appellate review.

Petition for ReconsiderationUntimely FilingJurisdictional Time LimitWCAB Rule 10507WCAB Rule 10508WCAB Rule 10845WCAB Rule 10392Proof of FilingProof of ServiceLegal Uninsured
References
Case No. ADJ10679914
Regular
Mar 05, 2018

Juan Torres vs. Ganalix Plumbing Repair, Uninsured Employers Benefit Trust Fund

The Workers' Compensation Appeals Board granted reconsideration and reversed the administrative law judge's decision, finding that applicant Juan Torres sustained a back injury arising out of and occurring during the course of employment with Ganalix Plumbing Repair. The Board disagreed with the judge's finding of no injury based solely on applicant's credibility, noting that three defense witnesses corroborated an event occurred, and medical records documented back pain shortly after the fall. The Board also acknowledged applicant's delay in reporting and the employer's lack of workers' compensation insurance, but ultimately found sufficient evidence for a compensable back injury.

WORKERS' COMPENSATION APPEALS BOARDJuan TorresGANALIX PLUMBING REPAIRUNINSURED EMPLOYERS BENEFIT TRUST FUNDFindings and OrderPetition for Reconsiderationadministrative law judgeWCJinjury arising out of and occurring during the course of employmentLabor Code section 5402(b)
References
Case No. ADJ1840831 (STK 0210372)
Regular
Feb 03, 2011

DEBORAH JONES vs. MAX MART, INC./SEAN LOLOEE aka SHAHRIAR LOLOEE, ADEL MORADI, THE DIRECTOR OF INDUSTRIAL RELATIONS as administrator of the UNINSURED EMPLOYERS BENEFITS TRUST FUND

This case involves a worker injured in 2007 while employed by Max Mart, Inc., which was operating without workers' compensation insurance. The administrative law judge found the employer and its substantial shareholder, Sean Loloee, liable for the injury. Loloee later sought reconsideration, arguing the decision was unjust due to his lack of counsel and inability to pay, and that the lack of insurance was unintentional. However, the Workers' Compensation Appeals Board dismissed his petition as untimely, as it was filed over a year after the award. Additionally, the Board noted the petition was also "skeletal" for failing to provide specific legal and factual grounds.

WORKERS' COMPENSATION APPEALS BOARDMAX MART INC.SEAN LOLOEESHAHRIAR LOLOEEADEL MORADIUNINSURED EMPLOYERS BENEFIT TRUST FUNDPETITION FOR RECONSIDERATIONFINDINGS OF FACT AWARD AND ORDERADMINISTRATIVE LAW JUDGEINDUSTRIAL INJURY
References
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