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. MISSING
Regular Panel Decision
Mar 25, 2010

Pavlov v. Debt Resolvers USA, Inc.

Claimant Dmitri Pavlov sued Debt Resolvers USA, Inc. after the defendant failed to return funds deposited for credit card debt resolution, alleging the defendant's services were ineffective and its fees excessive. The court determined that Debt Resolvers USA, Inc. engaged in "budget planning" as defined by New York law but was not licensed or properly incorporated as a not-for-profit entity for such activities. Consequently, the agreement between Pavlov and Debt Resolvers USA, Inc. was declared illegal and unenforceable. The court ruled in favor of Pavlov, ordering a refund of the deposited funds totaling $1,693.60. Additionally, the defendant was found to have engaged in deceptive business practices under General Business Law § 349, leading to an extra $50 award for the claimant, bringing the total judgment to $1,743.60 plus interest.

Small ClaimsDebt ResolutionBudget PlanningUnlicensed ActivityConsumer ProtectionDeceptive Business PracticesContract EnforceabilityNew York LawCredit RepairDebt Settlement
References
2
Case No. ADJ4274323, ADJ1601669
Significant
Oct 06, 2014

Jose Dubon vs. World Restoration, Inc., State Compensation Insurance Fund

This en banc decision holds that a utilization review (UR) decision is invalid and not subject to independent medical review (IMR) only if it is untimely. Timeliness disputes are resolved by the WCAB, while all other disputes about a UR decision must be resolved by IMR.

Workers' Compensation Appeals BoardUtilization ReviewIndependent Medical ReviewTimelinessMedical NecessityLabor Code Section 4610Labor Code Section 4610.5Senate Bill 863En Banc DecisionAdministrative Director
References
37
Case No. ADJ4274323 (ANA 0387677); ADJ1601669 (ANA 0388466)
En Banc
Oct 06, 2014

Jose Dubon vs. World Restoration, Inc.; State Compensation Insurance Fund

The Workers' Compensation Appeals Board holds that a utilization review (UR) decision is invalid and not subject to independent medical review (IMR) only if it is untimely. All other disputes regarding a UR decision must be resolved by IMR, and legal issues about timeliness must be resolved by the WCAB.

UTILIZATION REVIEWINDEPENDENT MEDICAL REVIEWWCABTIMELINESSMEDICAL NECESSITYLABOR CODE SECTION 4610.5SB 863ADMINISTRATIVE LAW JUDGESUBSTANTIAL MEDICAL EVIDENCEMEDICAL TREATMENT REQUEST
References
18
Case No. LAO 0805352, LAO 0805353, LAO 0863034
Regular
Jan 22, 2008

ANAIT KALANDZHYAN vs. L.A. CARE HEALTH PLAN, STATE COMPENSATION INSURANCE FUND, ZENITH INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration and rescinded a November 7, 2007 order that required payment of $800.00 for a lien. This rescission occurred because the lien had already been resolved for $625.00 via a prior, final order dated October 9, 2007. The Board agreed that the subsequent order was erroneous as it attempted to resolve an already settled matter.

Workers' Compensation Appeals BoardState Compensation Insurance FundZenith Insurance CompanyL.A. Care Health PlanStipulation and OrderLien ClaimantNormandy PharmacyCompromise and ReleaseWorkers' Compensation Administrative Law JudgePetition for Reconsideration
References
0
Case No. ADJ9497391
Regular
Nov 19, 2014

STEVEN TOTH vs. KAISER PERMANENTE, administered by SEDGWICK CMS

The Workers' Compensation Appeals Board (WCAB) dismissed Kaiser Permanente's Petition for Removal because the issue giving rise to the petition was resolved. Kaiser sought removal of a WCJ's order requiring their claims adjuster to appear with the entire claims file. However, the adjuster appeared, the case was resolved, and no further issues remained pending. Consequently, the WCAB deemed the removal petition moot and dismissed it.

Petition for RemovalWorkers' Compensation Appeals BoardClaims FileMootDismissedWCJClaims AdjusterResolved CaseADJ9497391Kaiser Permanente
References
0
Case No. ADJ4702870
Regular
Dec 12, 2016

RUBIE JOHNSON vs. LOS ANGELES COUNTY MENTAL HEALTH, TRISTAR RISK MANAGEMENT

The Workers' Compensation Appeals Board (WCAB) denied a lien claimant's petition to disqualify a judge because the lien was resolved and the claimant was no longer a party. The claimant had previously withdrawn their lien, acknowledging it was resolved and that they were dismissed from the case. This resolution rendered the disqualification petition moot, especially after prior appeals and sanctions against the lien claimant were finalized. The WCAB admonished the lien claimant to avoid wasting board resources in the future.

Workers' Compensation Appeals BoardPetition for DisqualificationWCJLien ClaimantMootPetition for RemovalSanctionsLabor Code section 5813WCAB Rule 10561Writ of Review
References
0
Case No. ADJ4278917 (VNO 0546068)
Regular
Mar 24, 2009

DEANNA MURRAY vs. INTUIT, INC, SPECIALTY RISK SERVICES

The Workers' Compensation Appeals Board rescinded two trial-level orders that suspended proceedings and barred benefits for the applicant's failure to attend a deposition. The Board found no legal authority for such orders, distinguishing them from procedures for medical examinations. The case is returned to the trial level for a conference to resolve the deposition issue and any disputes regarding the applicant's ability to travel for medical evaluations. The Board expressed frustration with the parties' inability to resolve these matters efficiently.

Workers' Compensation Appeals BoardReconsiderationDepositionBarred BenefitsSuspended ProceedingsVoid OrdersMedical ExaminationLabor CodeAgreed Medical EvaluatorTravel Distance
References
1
Case No. ADJ8580399
Regular
Aug 14, 2018

LAUREANO LEON vs. COAST SPORTWEAR, INC.; Administered by CHUBB GROUP OF INSURANCE COMPANIES

The Workers' Compensation Appeals Board granted the defendant's Petition for Removal and vacated a prior order authorizing disclosure of medical information to a lien claimant. This decision was based on the fact that the defendant had resolved the lien claimant's lien prior to the issuance of the disclosure order. The Board also found that the lien claimant no longer had standing to pursue its claim as its lien was resolved. Furthermore, the Board determined the defendant's petition was timely filed due to defective service of the disclosure order.

Petition for RemovalOrder Granting Medical Disclosuremootlien claimantstandingdefective serviceEAMSWCJvacatedSeam Operator
References
3
Case No. ADJ3059446
Regular
Jul 30, 2012

SERAFIN RIVERA vs. ARROW CONCRETE CUTTING, ACE USA

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's (LAO) petition for reconsideration as untimely and unverified. The WCAB granted removal on its own motion, rescinded the judge's finding that LAO's lien was resolved, and returned the matter for further proceedings. This decision stemmed from an unclear record regarding service of notice and LAO's opportunity to be heard on whether its lien was resolved. The WCAB admonished LAO for its conduct, citing a failure to provide proper notification of representatives, which caused confusion and wasted board resources.

Lien ClaimantPetition for ReconsiderationRemovalOrder Taking Off CalendarCompromise and ReleaseDue ProcessNoticeOpportunity to be HeardSubstantial EvidenceUntimely Petition
References
0
Case No. ADJ2449165 (MON 0336877) ADJ4002900 (MON 0212025)
Regular
Jun 21, 2010

REGINA GAMBOA vs. MINI-MED TECHNOLOGIES, SAFECO INSURANCE COMPANY

The Workers' Compensation Appeals Board granted reconsideration of a WCJ's order awarding a lien claimant $5,500. The lien claimant argued this was insufficient given the $7,777.54 sought based on the Official Medical Fee Schedule. The WCJ's report indicated the parties may have resolved the underlying lien claim, recommending the prior order be vacated. Consequently, the Board rescinded the $5,500 award and returned the case to the trial level for further proceedings to determine if the lien had indeed been resolved.

Petition for ReconsiderationLien ClaimantWCJCompromise and ReleaseOfficial Medical Fee ScheduleJudges Report and RecommendationVacate OrderRescindReturn to Hearing Level
References
0
Showing 1-10 of 902 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

© 2026 CompFox Inc. All rights reserved.

Systems Operational