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

Case No. ADJ8334555
Regular
Apr 05, 2013

JOSE HERNANDEZ vs. BRYAN MIMAKI dba PACIFIC RIMS, PALMS; ZENITH INSURANCE COMPANY

This case concerns whether a knee injury sustained by an employee, Jose Hernandez, while playing basketball on company premises during lunch is compensable. The defendant argued the injury did not arise out of employment, as it stemmed from voluntary participation in an athletic activity not required by the employer. The Appeals Board denied reconsideration, affirming the finding that the injury was industrial. The majority found the employee's subjective belief of employer expectation was objectively reasonable, given the employer provided a court and balls and supervisors encouraged participation. Commissioner Lowe dissented, arguing the applicant failed to demonstrate an objectively reasonable belief of employer expectation, as he could opt out and faced no repercussions.

Workers' Compensation Appeals BoardIndustrial InjuryRight KneeField WorkerBasketball GameOff-Duty Recreational ActivityLabor Code Section 3600(a)(9)Reasonable Expectancy of EmploymentSubjective BeliefObjective Reasonableness
References
3
Case No. MISSING
Regular Panel Decision

State v. New York State Public Employment Relations Board

The Communications Workers of America/Graduate Employees Union (CWA) petitioned the Public Employment Relations Board (PERB) to be certified as the bargaining representative for graduate and teaching assistants at State University of New York (SUNY) campuses. Initially, PERB's Director dismissed the petition, concluding that these assistants were not 'public employees' under the Taylor Law, applying a balancing test. PERB subsequently rejected this balancing test, establishing a new standard focused on the existence of a regular and substantial employment relationship not explicitly excluded by the Legislature. Under this new standard, PERB reversed the Director's decision, determining that graduate and teaching assistants are covered employees and constitute an appropriate bargaining unit. SUNY then initiated a CPLR article 78 proceeding to annul PERB's determination, arguing legal error in PERB's adopted test and that collective bargaining for academic issues violated public policy. The court upheld PERB's interpretation as reasonable and legally permissible, affirming PERB's determination and dismissing SUNY's petition.

Collective BargainingPublic EmployeesTaylor LawGraduate AssistantsTeaching AssistantsPublic Employment Relations BoardPERBCivil Service LawEmployment RelationshipPublic Policy
References
14
Case No. MISSING
Regular Panel Decision

In re the Claim of Finchum v. Colaiacomo

The Workers’ Compensation Board issued an amended decision ruling against further development of the record on the employer’s liability under Workers’ Compensation Law § 56, and later denied the employer's request for reconsideration. The claimant was involved in a serious automobile accident while driving for an uninsured employer, leading to complex proceedings where the employer sought to assign liability to a general contractor, Cleanway Industries, Inc., and its insurer, Travelers Insurance Company. The appellate court found that the Board abused its discretion by sua sponte rescinding its prior directive to further develop the record, particularly without a compelling reason or apparent regulatory authorization. The court noted that the issue of liability had been pending for years and there were potential reasonable excuses for the employer's absence at certain hearings. Consequently, the appellate court reversed the Board's decisions and remitted the matter for further proceedings consistent with its ruling.

Workers' Compensation LawBoard DiscretionAbuse of DiscretionRecord DevelopmentWaiver DefenseUninsured EmployerGeneral Contractor LiabilityInsurance CoverageAppellate ReviewRemittal
References
3
Case No. ADJ7813892
Regular
Oct 26, 2018

LEOBARDO GIJON (Deceased), CELEDONIA MARTINEZ (Widow), ESAU GIJON vs. ROBERT WAYNE ROBINSON, DIRECTOR OF INDUSTRIAL RELATIONS AS ADMINISTRATOR FOR THE UNINSURED EMPLOYERS BENEFITS TRUST FUND

This case concerns the fatal injury of Leobardo Gijon, who was run over by a backhoe on the property of uninsured employer Robert Wayne Robinson. The Workers' Compensation Appeals Board (WCAB) is reconsidering its prior decision that Gijon's death arose out of and occurred in the course of his employment (AOE/COE). The defendant argues the WCAB failed to adequately address the AOE/COE issue, contending Gijon was operating the backhoe for personal reasons. However, the WCAB found substantial evidence that Gijon's operation of the backhoe was authorized by the employer and reasonably contemplated by the employment, especially as it was to be considered payment for ongoing work. Therefore, the petition for reconsideration was denied.

AOE/COEUninsured Employers Benefits Trust FundDeceased employeeFatal injuryBackhoe accidentWelding workCompensable injuryCourse of employmentDual purpose doctrineZone of danger
References
22
Case No. MISSING
Regular Panel Decision

Claim of Murtaugh v. Bankers Trust Co.

Claimant filed a disability benefits claim for a non-work-related back condition. After an extended absence of 40 days, her employment was terminated by the employer, who cited her doctor's inability to provide a definitive return-to-work date. Claimant subsequently filed a discrimination complaint, alleging her discharge violated Workers' Compensation Law sections 120 and 241, which prohibit employer retaliation for claiming benefits. The Workers’ Compensation Board found that the employer violated the applicable law by terminating her employment. On appeal, the court affirmed the Board's decision, concluding that the employer's stated reason for termination was insufficient to distinguish it from a prohibited discriminatory discharge, and that the Board's finding was supported by substantial evidence.

DiscriminationRetaliationDisability BenefitsWorkers' Compensation LawTermination of EmploymentBack ConditionAbsence from WorkSubstantial EvidenceAppellate Review
References
2
Case No. ADJ4225434 (LAO0864755)
Regular
Dec 10, 2008

CHING YEN vs. C & C INTERNATIONAL GROUP, STATE COMPENSATION INSURANCE FUND

This case involves an applicant injured in a car accident while traveling to a wedding with her employer. The applicant claimed her participation in the trip was a reasonable expectancy of her employment as an account assistant, which involved driving and travel. The Board denied reconsideration of the workers' compensation judge's finding that the injury was industrial, determining the applicant's subjective belief of being required to attend the trip was objectively reasonable given her job duties and her employer's direction.

Workers' Compensation Appeals BoardIndustrial InjuryReasonable ExpectancyOff-duty recreational activitySubjective beliefObjectively reasonableMotor vehicle accidentAccount assistantCommercial travelSpecial mission
References
3
Case No. ADJ6884625
Regular
Jun 19, 2012

JASON PETERSON, KIRSTIE MCCRAINE-PETERSON vs. CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION, STATE COMPENSATION INSURANCE FUND

This case concerns the death of Jason Peterson, a correctional officer, from a pulmonary embolism after injuring his calf in a kickboxing class. The applicant, his widow, claimed the injury and death were work-related, arguing the kickboxing class was a reasonable expectancy of employment due to a general fitness requirement and incentive program. The Workers' Compensation Appeals Board (WCAB) affirmed the WCJ's decision, finding the claim barred by Labor Code Section 3600(a)(9) because the decedent's belief that kickboxing was required was not objectively reasonable, as mere general assertions of fitness expectations are insufficient. Commissioner Brass dissented, believing the decedent's participation was both subjectively and objectively reasonable given its likely benefit to his job performance as a correctional officer.

Labor Code Section 3600(a)(9)Pulmonary EmbolismCorrectional OfficerKickboxingOff-duty Recreational ActivityReasonable Expectancy of EmploymentSubjective BeliefObjective ReasonablenessEzzy testCity of Stockton v. Workers' Comp. Appeals Bd. (Jenneiahn)
References
2
Case No. MISSING
Regular Panel Decision

Romero v. Albany Medical Center Hospital

The case involves an appeal from a Workers' Compensation Board decision concerning a claimant's wage expectancy calculation. The employer challenged the Board's consideration of the claimant's potential earnings as a physician, rather than a part-time nursing aide, given her age and career aspirations. The court affirmed the Board's decision, emphasizing that the rule limiting wage expectancy to similar employment does not apply in atypical situations, especially when a claimant is actively pursuing a higher-earning career path like medicine, with their current job being secondary.

Wage ExpectancyFuture EarningsWorkers' Compensation BoardAppellate ReviewCareer ProgressionAtypical EmploymentAverage Weekly WageMedical CareerPart-time WorkUnder 25 Claimant
References
3
Case No. MISSING
Regular Panel Decision

Claim of Barone v. Interstate Maintenance Corp.

Claimant, a New York resident, suffered a heart attack in May 1993 while working for an employer in New Jersey. After the Workers' Compensation Board established subject matter jurisdiction in 1996, the employer failed to appear for hearings, leading to Travelers Insurance Corporation being discharged and claimant receiving compensation. Ten years later, the employer and its president sought reconsideration and full Board review of the 1996 decision. The Board denied this application, prompting the employer's appeal. The appellate court affirmed the Board's denial, finding no abuse of discretion as the employer presented no new evidence or material change, nor did they apply within a reasonable time.

Reconsideration DenialFull Board ReviewSubject Matter JurisdictionUninsured Employers FundAppellate ReviewAbuse of DiscretionArbitrary and Capricious StandardNewly Discovered EvidenceTimeliness of ApplicationPersonal Jurisdiction Defense
References
8
Case No. MISSING
Regular Panel Decision

Claim of Craig v. Jefferson Auto Painting Co.

The claimant, an automobile sander and polisher, sustained eye injuries when a coemployee threw a chemical solution during an assault. The incident occurred after the claimant refused to participate in a false accusation against a foreman, leading to threats during working hours and the actual assault immediately after work, just outside the employer's premises. The Workers' Compensation Board determined the assault was work-connected and within the reasonable time and space limits of employment, thus finding the resultant disability compensable. The employer and its insurance carrier appealed, challenging the applicability of the proximity rule and the determination that the incident occurred in the course of employment. The appellate court affirmed the Board's decision, relying on the 'continued altercation rule' which allows recovery for work-connected quarrels extending beyond employment limits, and emphasized that an employee remains in the course of employment until a suitable opportunity to leave the workplace is provided.

Workers' CompensationAssaultWork-Connected InjuryEmployment ScopeContinued Altercation RulePremises LiabilityCoemployee MisconductDisability BenefitsAppealJudicial Review
References
3
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