CompFox Logo
AboutWorkflowFeaturesPricingCase LawInsights

Updated Daily

Case Law Database

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

Case No. ADJ7673518, ADJ7647749
Regular
Jan 23, 2015

ANA DE AYALA vs. AO-THE UNIVERSITY CORPORATION / CALIFORNIA STATE UNIVERSITY NORTHRIDGE

The Workers' Compensation Appeals Board granted reconsideration and reversed a prior ruling, finding the applicant sustained industrial injury to her neck. While the applicant testified to injuring her neck in a workplace incident and this was partially corroborated, the Board found insufficient evidence for other claimed injuries. The Board specifically disagreed with the administrative law judge's credibility assessment concerning the neck injury itself, relying on medical reports and testimony supporting the neck injury claim. The Board affirmed the denial of claims for all other alleged injuries, finding insufficient medical evidence to link them to the incident.

Petition for ReconsiderationFindings and OrderIndustrial InjuryNeck InjuryBack InjurySpine InjuryUpper ExtremitiesPsycheGastroesophageal SystemInternal System
References
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 The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr.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. ADJ2748573
Regular
May 11, 2009

THOMAS HERNON vs. COUNTY OF SANTA CLARA

The Appeals Board granted reconsideration, reversing the prior finding on the applicant's occupational group number from 560 to 380 (painter), based on evidence of the applicant's actual job duties. The Board also modified the decision regarding apportionment, accepting the Agreed Medical Evaluator's opinion that 10% of the disability should be apportioned to pre-existing degenerative disease. However, the Board affirmed the application of the 1997 Permanent Disability Rating Schedule, as temporary disability payments were terminated before January 1, 2005, triggering notice requirements. Ultimately, the applicant's permanent disability was reduced to 63% after apportionment.

Workers' Compensation Appeals BoardReconsiderationFindings and AwardApplicantDefendantPublic Service WorkerOccupational Group NumberIndustrial InjuryLow BackNeck
References
Case No. ADJ10565692
Regular
Nov 08, 2018

BRIAN CLARK vs. LOS RIOS COMMUNITY COLLEGE DISTRICT, YORK RISK SERVICES GROUP

This case involves a sports athletic trainer, Brian Clark, who sustained head and psyche injuries at work. Both the applicant and the defendant sought reconsideration of the initial award. The applicant argued his occupational group was misclassified, while the defendant contended the judge wrongly rejected the medical evaluator's apportionment of permanent disability. The Workers' Compensation Appeals Board denied both petitions, upholding the original findings. The Board found the applicant failed to prove factual error in his occupational group classification and adopted the WCJ's reasoning regarding the apportionment.

WORKERS' COMPENSATION APPEALS BOARDLOS RIOS COMMUNITY COLLEGE DISTRICTYORK RISK SERVICES GROUPFindings and Awardsports athletic traineroccupational group 390occupational group 311permanent disability apportionmentPanel Qualified Medical Evaluator (PQME)substantial evidence
References
Case No. ADJ9519422
Regular
Feb 06, 2017

VALERIE O'DELL vs. THE STATE OF CALIFORNIA DEPARTMENT OF SOCIAL SERVICES, (legally uninsured), administered by STATE COMPENSATION INSURANCE FUND

This case involves a workers' compensation applicant seeking reconsideration of a prior award. The applicant's petition was granted in part, amending the findings to classify her occupational group as 112 and increasing her permanent disability rating from 8% to 13%. The Board affirmed the use of the QME physician's opinion for disability rating over the primary treating physician's, finding it to be substantial evidence. The increased rating is based on the applicant's significant keyboarding and writing duties, aligning with the higher demands of occupational group 112.

Workers Compensation Appeals BoardOpinion and Decision After ReconsiderationFindings and AwardAdministrative Law JudgePermanent DisabilityOccupational GroupPrimary Treating PhysicianQualified Medical EvaluatorBilateral Carpal Tunnel SyndromeApportionment
References
Case No. ADJ7019734, ADJ7019744
Regular
Dec 21, 2015

WAJID KHAN vs. DAVITA, INC., INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

This Workers' Compensation Appeals Board case involves applicant Wajid Khan's petition for reconsideration of a prior award. The Administrative Law Judge found Khan's occupational group number to be 212, resulting in a 69% permanent disability rating. Khan argued for a higher rating based on his duties also fitting occupational group 340, but the Board denied reconsideration. The Board found insufficient evidence to support Khan's dual occupational classification and noted his procedural violation by attaching inadmissible evidence to his petition.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardAdministrative Law JudgePermanent DisabilityOccupational Group NumberDialysis TechnicianPatient Care TechnicianConsultative Rating DeterminationWCAB Rule 10166(b)
References
Case No. ADJ1904323 (GRO 0034275) ADJ3208896 (GRO 0034276) ADJ649343 (GRO 0034277)
Regular
Nov 01, 2010

SARAH SHIPP vs. GOTTSCHALKS, SPECIALTY RISK SERVICES

The Appeals Board granted reconsideration, rescinding the prior award due to the Workers' Compensation Judge's (WCJ) improper reliance on an Agreed Medical Evaluator's (AME) hernia analogy to rate upper extremity impairment. This analogy violated *Almaraz II* by not adhering to the AMA Guides and potentially incorporating pre-2005 rating schedules. The rater also used an incorrect impairment number and occupational adjustment. The case is remanded for further proceedings and a new decision by the WCJ, ensuring the rating is not based on the flawed hernia analogy.

Workers' Compensation Appeals BoardSarah ShippGottschalksSpecialty Risk ServicesJoint Findings and Awardindustrial injuryright shoulderleft shoulderright elbowthumb
References
Case No. ADJ4638227 (LAO 0848464), ADJ519038 (LAO 0848465)
Regular
Oct 18, 2010

TINA ROBINSON vs. CITY OF LOS ANGELES

The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior award based on the defendant's argument that the applicant's permanent disability rating was incorrect. The Board found the record underdeveloped regarding the applicant's actual job duties as a traffic officer, which is crucial for determining the proper occupational group and variant under the 2005 Schedule. The case is returned to the trial level for further evidence and a new decision on the permanent disability issue.

ADJ4638227ADJ519038CITY OF LOS ANGELESTINA ROBINSONOccupational Group 4902005 Schedule for Rating Permanent Disabilitiesoccupational variantpermanent disability ratingJoint Findings and AwardReconsideration
References
Case No. ADJ4258585 (OXN 0130492) ADJ220258 (OXN 0130487)
Regular
Apr 17, 2018

ENRIQUE HERRERA vs. MAPLE LEAF FOODS, U.S. FIRE INSURANCE COMPANY, ALEA NORTH AMERICAN INSURANCE COMPANY

This notice informs parties that the Workers' Compensation Appeals Board (WCAB) intends to admit its rating instructions and a disability rater's recommended permanent disability rating into evidence. The WCAB previously granted reconsideration for further study. Parties have seven days to object to the rating instructions or the recommended rating, with specific procedures for addressing objections. If no timely objection is filed, the matters will be submitted for decision thirty days after service.

WORKERS' COMPENSATION APPEALS BOARDPermanent Disability RatingDisability Evaluation UnitRating InstructionsRecommended Permanent Disability RatingJoint RatingReconsiderationObjectionRater Cross-ExaminationRebuttal Evidence
References
Case No. ADJ4273529
Regular
May 26, 2009

JUAN RAMIREZ vs. HOME READY, OLD REPUBLIC INSURANCE COMPANY

This case involves applicant Juan Ramirez's claim for workers' compensation benefits following an industrial injury. The Appeals Board affirmed that Ramirez's psychiatric injury claim is not barred by the six-month employment rule due to the "sudden and extraordinary" nature of his fall. However, the Board reversed the trial judge's decision regarding the applicable Permanent Disability Rating Schedule (PDRS), remanding the case for rating under the 2005 PDRS instead of the 1997 PDRS. Issues of occupational group and apportionment were deferred for further consideration by the trial judge.

Workers' Compensation Appeals BoardLabor Code section 3208.3(d)psychiatric injurysudden and extraordinary employment condition1997 Schedule for Rating Permanent Disabilities2005 Schedule for Rating Permanent Disabilitiesapportionmentoccupational groupQME reportstreating physician's report
References
Showing 1-10 of 2,957 results

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.

CompFox Logo

The AI standard for workers' compensation professionals. Faster research, deeper analysis, better outcomes.

Product

  • Platform
  • Workflow
  • Features
  • Pricing

Solutions

  • Defense Firms
  • Applicants' Attorneys
  • Insurance carriers
  • Medical Providers

Company

  • About
  • Insights
  • Case Law

Legal

  • Privacy
  • Terms
  • Trust
  • Cookies
  • Subscription

ยฉ 2026 CompFox Inc. All rights reserved.

Systems Operational