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

Case No. ADJ14466153
Regular
Oct 21, 2025

JESSE CRUZ vs. BRISTOL INDUSTRIES, TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

Applicant Jesse Cruz sought reconsideration of a WCJ's June 3, 2022 Findings and Order (F&O), which found he did not sustain an industrial injury to his back, hips, legs, and feet while employed by Bristol Industries on June 17, 2020. The Appeals Board previously granted reconsideration to further study the case and found the applicant's petition for reconsideration was timely filed. Citing insufficient medical evidence on the issue of injury and a lack of clear analysis in the WCJ's credibility determination, the Board rescinded the F&O and remanded the matter to the trial level for further proceedings, including obtaining expert medical opinion on the injury and a more detailed credibility analysis by the WCJ.

AOE/COEPetition for ReconsiderationAdjudication NumberFindings and OrderWCJReconsiderationFurther ProceedingsBack PainPeripheral NeuropathyLumbar MRI
References
Case No. ADJ2778117 (RIV 0032584)
Regular
Dec 31, 2009

KEYIN MORALES vs. RALPHS GROCERY CO., SEDGWICK CLAIMS MANAGEMENT SERVICES

The WCAB granted the petition for reconsideration and amended the Findings and Award to find 18 1/2 percent permanent disability, after apportionment of 50 percent to applicant's non-industrial peripheral neuropathy.

ApportionmentPeripheral neuropathyCausationPermanent disabilityAgreed medical examinerWCJPetition for reconsiderationFindings and AwardWork restrictionsIndustrial injury
References
Case No. ADJ9509417
Regular
Apr 05, 2023

ELIZABETH ARBOGAST vs. CALIFORNIA HIGHWAY PATROL, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board affirmed an award for further medical treatment and attorney fees for an applicant diagnosed with ovarian cancer, hernia, peripheral neuropathy, and colon issues sustained during her employment with the California Highway Patrol. The Board found the applicant's ovarian cancer to be an insidious and progressive disease, warranting a reservation of jurisdiction over permanent disability. This reservation allows for future determination of permanent disability if the condition worsens or recurs.

Workers' Compensation Appeals BoardCalifornia Highway Patrolmedically uninsuredState Compensation Insurance FundAdjudication NumberOpinion and Decision After ReconsiderationFindings and Awardworker's compensation administrative law judgeovarian cancerhernia
References
Case No. ADJ8878991
Regular
Jan 31, 2014

JAY SCHETTLER vs. ALLIED BEVERAGES, INC.; CYPRESS INSURANCE COMPANY

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration of the administrative law judge's finding of injury. The applicant, a route salesman, claimed he stepped on glass, injuring his left foot, which was corroborated by medical records showing a cut and the applicant's delayed awareness due to diabetic neuropathy. Defense witness testimony also supported the applicant's claim of cutting his toe at work. The Board found the applicant's testimony credible and the medical evidence sufficient to establish the injury arose out of and in the course of employment.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings of Factterritory route salesmanmechanism of injurydiabetic neuropathycredibilitymedical recordsReport and Recommendationurgent care
References
Case No. ADJ2453188 (LBO 0391424)
Regular
Jul 20, 2009

WILLIAM GILBERT vs. CITY OF LOS ANGELES

The Workers' Compensation Appeals Board granted reconsideration and rescinded the prior award, finding the medical evidence insufficient. The applicant sought a higher permanent disability rating than the $12\%$ awarded, arguing the judge erred in calculating impairment and omitting pain and grip strength adjustments recommended by the Agreed Medical Evaluator. The Board returned the case to the trial level for further development of the medical record, requiring the evaluator to fully explain their findings on impairment, pain, and grip strength, and to consider *Almaraz* principles regarding equitable permanent disability awards.

Workers' Compensation Appeals BoardCumulative InjuryPermanent DisabilityLeft Median Sensory NeuropathyLeft Ulnar Motor NeuropathyAgreed Medical EvaluatorOrthopedistAMA GuidesImpairment RatingGrip Strength
References
Case No. ADJ12933120
Regular
Mar 09, 2023

CHRISTINA HIRSCH vs. PHYSICIANS FOR HEALTHY HOSPITALS, ARCH INSURANCE COMPANY HEALTHCARE, INC.

Here is a summary of the case for a lawyer in max 4 sentences: The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration and dismissed its petition for removal. The defendant argued due process violations due to discovery closure and contested the finding of permanent total disability without apportionment. However, the Board adopted the WCJ's reasoning, finding that the applicant's disabling conditions stemmed from industrial medical treatment, thus precluding apportionment under *Hikida*. The WCJ's findings of permanent and total disability were supported by substantial medical evidence, rendering the defendant's arguments regarding discovery and apportionment unpersuasive.

Permanent Total DisabilityApportionmentVocational ExpertDue ProcessDiscovery ClosureMedical TreatmentAllergic DermatitisComplex Regional Pain SyndromeFibromyalgiaNeuropathy
References
Case No. ADJ17378619
Regular
Mar 24, 2025

NAOMI RIVERS vs. UNITED PARCEL SERVICE, LIBERTY MUTUAL INSURANCE CORPORATION

The applicant, Naomi Rivers, sought reconsideration of a Findings, Award, and Order (FA&O) from December 23, 2024, which found an injury to her left leg but no permanent disability based on a Qualified Medical Evaluator's (QME) report. The applicant contended that the QME, Dr. Anthony Fenison, failed to adequately account for her current medical condition and relied on outdated information by not reviewing updated medical records from Dr. James Rho. The Appeals Board granted the petition for reconsideration, rescinded the original FA&O, and substituted it with an order deferring permanent disability, apportionment, and attorney's fees pending further development of the record. This includes a reevaluation of the applicant by Dr. Fenison, incorporating all updated medical records.

Workers' Compensation Appeals BoardPetition for ReconsiderationQualified Medical Evaluator (QME)Substantial Medical EvidencePermanent DisabilityApportionmentFuture Medical TreatmentComplex Regional Pain Syndrome (CRPS)NeuropathyNerve Conduction Study (NCV/EMG)
References
Case No. ADJ6894538
Regular
Apr 14, 2014

MICHELE CHAPMAN vs. MARIN GENERAL HOSPITAL, ZURICH AMERICAN INSURANCE

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration regarding a registered nurse's industrial injury. The WCJ found the applicant sustained injury to her low back, gastrointestinal system, and sleep disorder stemming from a March 28, 2008 incident. The Board affirmed the WCJ's determination of injury to the sleep disorder, finding substantial evidence in the Agreed Medical Examiner's report and the applicant's uncontradicted testimony. The defendant's petition improperly focused on permanent impairment of the sleep disorder, an issue the WCJ had deferred.

Workers' Compensation Appeals BoardMarin General HospitalZurich American InsuranceAthens AdministratorsFindings Award and OrderPetition for ReconsiderationRegistered NurseLow Back InjuryGastrointestinal SystemSleep Disorder
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. ADJ1651527 (SBR 0314707)
Regular
Apr 11, 2023

TERRI GLASGOW vs. MASSIE DIAGNOSTIC IMAGING, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a prior award, rescinded the award, and returned the case to the trial level for further proceedings. The applicant contended the judge failed to rate her bladder injury and ignored vocational expert opinions. The WCAB agreed that the judge improperly applied the pyramiding principles to rate the bladder and lumbar injuries and misapplied case law regarding the consideration of medical and vocational expert opinions. Additionally, the WCAB noted the decision lacked sufficient detail regarding the basis for the overall permanent disability rating.

Petition for ReconsiderationFindings and AwardPermanent Disability RatingBladder InjuryUrinary Stress IncontinenceSacral NeuropathyLumbar Spine InjuryPyramiding PrincipleMultiple Disabilities TableApportionment
References
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