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

Case No. ADJ10886261
Regular
Nov 14, 2018

LUIS SANDOVAL vs. PRIME TECH CABINETS, INC, SECURITY NATIONAL INSURANCE COMPANY, AMTRUST

The Workers' Compensation Appeals Board granted the defendant's Petition for Removal, rescinded the WCJ's prior order, and returned the case for further proceedings. The original order found violations of Labor Code section 4062.3(b) and California Code of Regulations, title 8, section 35(c), striking the Qualified Medical Evaluator's report. This reversal was based on a subsequent en banc decision in *Suon v. California Dairies* that clarified the interpretation and remedies for violations of section 4062.3(b). The trial judge will reconsider the section 4062.3(b) issue and potentially other previously raised issues concerning the QME's reporting.

Petition for RemovalFindings and OrderQualified Medical EvaluatorMedical ReportingLabor Code section 4062.3(b)California Code of Regulations section 35(c)En Banc DecisionSuon v. California DairiesRescindedReturned to Trial Level
References
1
Case No. ADJ380850 (SAL 0117839)
Regular
Apr 26, 2011

Sandra Corona vs. LOS APTOS CHRISTIAN FELLOWSHIP CHILDCARE, CHURCH MUTUAL INSURANCE COMPANY

This case involves a defendant's petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision. The original decision awarded the applicant further medical treatment, including a cervical radiofrequency ablation. The defendant argued that the applicant failed to follow the proper Labor Code Section 4062 process after their utilization review denied the treatment request. The majority of the WCAB denied reconsideration, holding that an applicant is not strictly required to use Section 4062 to dispute a utilization review denial and may proceed to an expedited hearing, especially when the employer failed to provide adequate information for the review. However, one commissioner dissented, arguing that Section 4062 mandates a dispute resolution process following utilization review.

Workers' Compensation Appeals BoardLabor Code Section 4610Labor Code Section 4062Utilization ReviewReconsiderationFindings and AwardPrimary Treating PhysicianExpedited HearingAgreed Medical ExaminerQualified Medical Examiner
References
2
Case No. ADJ3799579 (VNO 0474814) ADJ1009432 (VNO 0518597)
Regular
Jun 16, 2010

SHAWN PETTWAY vs. ANTELOPE VALLEY UNION HIGH SCHOOL DISTRICT

This case concerns whether Labor Code section 4062 or 4062.2 governs the medical evaluation process for applicant Shawn Pettway's injuries. The Workers' Compensation Appeals Board (WCAB) granted the defendant school district's petition for removal. The WCAB found that since Pettway's injuries occurred prior to January 1, 2005, the older section 4062 applies, entitling the defendant to select its own Qualified Medical Evaluator if an Agreed Medical Evaluator cannot be reached. Consequently, the WCAB rescinded the prior order compelling the parties to agree on an AME or panel.

Petition for RemovalAgreed Medical EvaluatorQualified Medical EvaluatorLabor Code Section 4062Labor Code Section 4062.2Industrial InjuriesCampus SupervisorBack InjuryInternal InjuryKidney Injury
References
1
Case No. MISSING
Regular Panel Decision

In Re Pursuant to Section 304 of the Bankruptcy Code of Banco Nacional De Obras Y Servicios Publicos, S.N.C.

The International Association of Machinists and Aerospace Workers (IAM) sought relief from a preliminary injunction to pursue an action against Aeronaves de Mexico, S.A. de C.V. (Aeronaves) for declaratory judgment concerning a collective bargaining agreement. Aeronaves, represented by its Mexican bankruptcy trustee Banobras, objected, arguing the claims should be handled in Mexican bankruptcy court. Judge Tina L. Brozman analyzed the request in the context of section 304 of the Bankruptcy Code, emphasizing the specialized nature of American labor law, particularly the Railway Labor Act (RLA). Balancing international comity with the protection of American creditors, the court found that the issues regarding the existence and terms of the collective bargaining agreement required the expertise of an American district court. Therefore, the motion for relief from the stay was granted to permit the IAM action to proceed in the Southern District of New York.

Bankruptcy LawInternational ComitySection 304 StayRailway Labor Act (RLA)Collective Bargaining AgreementForeign BankruptcyAncillary ProceedingsDeclaratory ReliefLabor DisputeCreditor Claims
References
32
Case No. MISSING
Regular Panel Decision
Jan 12, 1998

Cataudella v. Kings Bay Housing Section II, Inc.

Plaintiff Alfred Cataudella sought damages for personal injuries, alleging a violation of Labor Law § 240 (1). Defendants Kings Bay Housing Section II, Inc., and Elm Management Co. moved for summary judgment to dismiss this claim, which was initially granted but later denied by the Supreme Court upon the plaintiffs' successful motion for renewal and reargument. On appeal, the higher court modified the lower court's decision, ruling that Labor Law § 240 (1) did not apply as the plaintiff's injuries were not from an elevation-related hazard. Consequently, the appellate court denied the plaintiffs' motion for renewal and reargument, thus effectively granting the defendants' motion for summary judgment and dismissing the Labor Law § 240 (1) claim. Furthermore, the third-party defendant Walcat Plumbing and Heating Corp.'s motion to vacate an order of default was affirmed.

Personal InjurySummary JudgmentAppealLabor Law § 240 (1)Elevation-Related HazardDefault JudgmentVacate DefaultProcedural LawNew York LawAppellate Division
References
4
Case No. 2025 NY Slip Op 02008 [237 AD3d 429]
Regular Panel Decision
Apr 03, 2025

Hartrum v. Montefiore Hosp. Hous. Section II Inc.

Plaintiff Kyle Hartrum, an employee of Electronic Service Solutions, Inc. (ESS), sustained severe arm lacerations while removing communications equipment from a building roof owned by Montefiore Hospital Housing Section II Inc. The accident occurred when a piece of sheet metal being hand-hoisted swung and struck him. The Appellate Division modified the lower court's decision, granting Hartrum summary judgment on his Labor Law § 240 (1) claim against Monte Housing, SBA Site Management, LLC, Flo TV Incorporated, and KMB Design Group, LLC. The court also dismissed Hartrum's Labor Law § 200 and common-law negligence claims against all defendants and granted several contractual indemnity claims among the parties, including Montefiore, SBA, Flo, KMB, and ESS.

Labor Law § 240(1) LiabilitySafe Place to WorkSummary Judgment GrantContractual IndemnificationConstruction Site AccidentHoisting SafetyAppellate Division ReviewLessor/Sublessor LiabilityMeans and Methods of WorkNegligence Dismissal
References
12
Case No. VNO 0380163
Regular
Dec 14, 2007

LAWRENCE REICHELT vs. CITY OF LOS ANGELES (LAPD), Permissibly Self-Insured

The City of Los Angeles sought removal to obtain a psychiatric QME evaluation for an applicant who claimed psychiatric injury related to a past industrial injury. The Board granted removal, holding that Labor Code section 4062.1 applies prospectively to all injuries, regardless of date. The Court amended the previous order to allow the defendant to request a panel of three psychiatric QMEs under section 4062.1(b).

RemovalPetition for RemovalQualified Medical EvaluatorPsychiatric EvaluationLabor Code Section 4062.1SB 899Date of InjuryProspective ApplicationSection 4067.5Competing Statutory Provisions
References
1
Case No. ADJ10334253
Regular
Jun 06, 2017

TERESA CAMBEROS vs. LYON, ET AL., DBA TACO BELL, CYPRESS INS. CO.

The applicant sought reconsideration of a WCJ's order requiring compliance with Labor Code section 4062.2 for selecting a new QME panel now that she is represented by counsel. The Appeals Board dismissed the reconsideration petition as the order was procedural, not final. The Board also denied the petition for removal, finding no irreparable harm or prejudice, and affirming that represented workers must use the section 4062.2 striking process for new QME panels.

Workers' Compensation Appeals BoardQualified Medical EvaluatorQMEPetition for ReconsiderationPetition for RemovalLabor Code Section 4062.2Labor Code Section 4062.1Final OrderInterlocutory OrderMedical-Legal Evaluation
References
11
Case No. ADJ2728444 (MON 0350632) ADJ2607754 (MON 0350633) ADJ3092568 (MON 0350634) ADJ4333657 (MON 0350635)
Regular
Aug 09, 2012

FELISA LOPEZ vs. TARGET CORPORATION

The Appeals Board denied Felisa Lopez's Petition for Removal, upholding the Workers' Compensation Judge's order for her to attend an examination by Dr. Markovitz under Labor Code section 4050. While the examination is permitted, Dr. Markovitz's report will not be admissible as evidence due to discovery limitations under Labor Code sections 4061(h), 4062(a), and 4062.2. Consequently, the report cannot be shared with the Agreed Medical Evaluator, Dr. Gillis, nor can it be referenced during his deposition.

Petition for RemovalAgreed Medical EvaluatorAMEDiscoveryLabor Code section 4050Labor Code section 4062Labor Code section 4062.2Admissible EvidenceDepositionInternal Medicine
References
0
Case No. ADJ7803213
Regular
Oct 14, 2011

GREGORY WILLIS vs. WASTE MANAGEMENT, ACE AMERICAN INSURANCE COMPANY

This case involves an applicant's right knee injury where the defendant denied a requested surgery via utilization review (UR). The applicant proceeded directly to an expedited hearing, bypassing the required statutory dispute resolution process under Labor Code Section 4062. The Appeals Board dismissed the defendant's petition for removal but granted reconsideration on its own motion to address the procedural error. The WCJ's decision was rescinded, and the case was returned to the trial level to allow the applicant to properly pursue the Section 4062 process.

Workers' Compensation Appeals BoardPetition for RemovalPetition for ReconsiderationFindings and AwardUtilization ReviewMedical TreatmentLabor Code Section 4062Labor Code Section 4610Expedited HearingQualified Medical Examiner
References
5
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