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

Case No. ADJ6859570
Regular
Nov 04, 2013

GERSON RODRIGUEZ vs. VENTURI TECHNOLOGIES, INC., WAUSAU UNDERWRITERS INSURANCE CO.

This case involves a lien claimant who failed to file a timely response to a Notice of Intention to Impose Sanctions. The Appeals Board vacated its prior order granting reconsideration and, instead, granted removal to itself. The Board found the lien claimant's response to be untimely, even when considering electronic filing, and thus imposed the maximum sanction of $2,500.00 jointly and severally against the lien claimant and its representatives.

Workers' Compensation Appeals BoardReconsiderationSanctionsRemovalLien ClaimantElectronic Adjudication Management SystemLabor Code Section 5310Administrative Law JudgePetition for ReconsiderationNotice of Intention to Impose Sanctions
References
Case No. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. ADJ473373 (ANA 0406381)
Regular
Feb 10, 2012

FERNANDO GUTIERREZ vs. SOCAL FRAMING aka BMHC; ACE AMERICAN INSURANCE, administered by ESIS, INC.

This case concerns applicant's claim for extended temporary disability (TD) benefits beyond 104 weeks due to a left eye injury. The Appeals Board affirmed the WCJ's denial of the "amputation" exception, ruling that the surgical removal of an eye does not fit the statutory definition. However, the Board remanded the case for further development of the record on the "high-velocity eye injury" exception, as the velocity and force of the object that struck the applicant's eye were unclear. The applicant's Petition for Removal was dismissed as reconsideration was the appropriate remedy.

Workers' Compensation Appeals BoardFernando GutierrezSoCal FramingBMHCACE American InsuranceESISInc.ADJ473373ANA 0406381Opinion and Decision
References
Case No. ADJ2023774
Regular
Feb 07, 2011

CHRISTOPHER CORBO vs. BARRETT BUSINESS SERVICES, INC.

This case concerns whether an applicant's severe crush injury to his left foot, involving a partial avulsion of the heel pad, constitutes an "amputation" under Labor Code section 4656(c)(3)(C) for purposes of extending temporary disability indemnity. The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration, affirming its prior decision that the injury did not meet the definition of amputation. The Board clarified that "amputation" requires severance or removal of a limb or appendage, not merely a severe laceration or partial separation of tissue.

Workers' Compensation Appeals BoardPetition for ReconsiderationLabor Code Section 4656(c)(3)(C)AmputationTemporary DisabilityCrush InjuryAvulsionHeel PadCalcaneusCruz v. Mercedes-Benz of San Francisco
References
Case No. SFO 0501425
Significant
Sep 05, 2007

Paul Cruz, Applicant vs. Mercedes-Benz of San Francisco, Auto Dealers Compensation of California, administered by InterCare Insurance Company

The Appeals Board held that 'amputations' under Labor Code section 4656(c)(2)(C) means the severance of a limb or external body part, not the surgical removal of internal parts, thus the applicant’s back surgery did not qualify for extended temporary disability benefits.

Labor Code Section 4656Temporary Disability IndemnityAmputation ExceptionTwo-Year/104-Week CapReconsiderationEn Banc DecisionSurgical RemovalTraumatic LossBodily AppendageLimb Severance
References
Case No. ADJ3157778 (SBR 0342745)
Regular
Aug 26, 2011

Carrita Morales vs. COUNTY OF RIVERSIDE, DEPARTMENT OF PUBLIC HEALTH

The Workers' Compensation Appeals Board (WCAB) dismissed the defendant's untimely Petition for Removal due to its late filing. However, the WCAB granted removal on its own motion, citing significant procedural and record-keeping deficiencies. These included a lack of scanned documents in the EAMS system, applicant's waiver of objections to proceeding to trial, and the absence of a proper pretrial conference statement and exhibits. The case was rescinded from the WCJ's order and returned to the trial level for a Mandatory Settlement Conference and further proceedings to establish a complete record.

Petition for RemovalDismissalGranting RemovalOwn Motion RemovalDecision After RemovalWCJDiscovery ReopenedSleep ReportInsomniaPermanent and Stationary
References
Case No. ADJ2523911 (MON 0281750) ADJ2669536 (MON 0287852) ADJ2826764 (LAO 0791910)
Regular
Apr 25, 2013

GEORGE MORENO vs. RALPHS GROCERY COMPANY

The Workers' Compensation Appeals Board (WCAB) granted removal of the WCJ's February 6, 2013 decision in the case of George Moreno v. Ralphs Grocery Company. The WCAB rescinded the decision and returned the matter to the trial level for further proceedings and a new decision by the WCJ. This action is procedural and does not constitute a final ruling on the merits.

Workers' Compensation Appeals BoardRemovalGranting RemovalDecision after RemovalRescindedReturned to Trial LevelFurther ProceedingsAdministrative Law JudgeWCJPetition for Removal
References
Case No. ADJ7237157
Regular
Aug 15, 2013

JUAN ESTRADA vs. R&L BROSAMER, INC.; CHARTIS/AIG

The Workers' Compensation Appeals Board (WCAB) granted removal, rescinded an administrative law judge's (WCJ) order, and otherwise affirmed the WCJ's decision. The rescinded order compelled the applicant, Juan Estrada, to attend a medical examination on July 19, 2013. The WCAB adopted and incorporated the WCJ's report outlining the reasons for this action.

RemovalRescindedMedical ExaminationCompelling AttendanceWCJ OrderPetition for RemovalWorkers' Compensation Appeals BoardAdministrative Law JudgeReport of WCJDecision After Removal
References
Case No. ADJ7508584
Regular
Apr 14, 2025

CALVIN WRIGHT vs. HEALTH NET, INC.; ARCH INSURANCE CO.

The Workers' Compensation Appeals Board considered a Petition for Removal filed by the defendants (Health Net, Inc., Arch Insurance Co., and Sedgwick Management Services, Inc.) against applicant Calvin Wright. The petition challenged an order issued by WCJ Elena Jackson on March 7, 2024, which had set specific issues for trial. Citing the report of WCJ Cirina A. Rose, who identified an oversight by WCJ Jackson and factual discrepancies, the Appeals Board found that removal was warranted. Consequently, the Board granted the Petition for Removal, rescinded the WCJ's March 7, 2024 decision, and returned the matter to the trial level for further proceedings.

Petition for RemovalDecision After RemovalRescindedReturned to Trial LevelWCJ Report and RecommendationJoint Compromise & ReleaseFuture Medical OpenMPN IssueHome CarePetition for Removal Timeliness
References
Case No. ADJ7131007
Regular
Oct 18, 2010

PHILLIP SCHWARTZ (DEC'D.) vs. HALLIDAY MANAGEMENT, GAB ROBINS

The Workers' Compensation Appeals Board (WCAB) denied the Petition for Removal in the case of Phillip Schwartz (deceased) v. Halliday Management and GAB Robins. The WCAB adopted and incorporated the report of the workers' compensation administrative law judge (WCJ) as the basis for its decision. The order denying removal was filed on October 18, 2010.

Workers' Compensation Appeals BoardPetition for RemovalWorkers' Compensation Administrative Law JudgeADJ7131007Denying RemovalHalliday ManagementGab RobinsPhillip Schwartz (Dec'd)Order Denying RemovalDenial of Removal
References
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