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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. ADJ11368246
Regular
Mar 03, 2020

Marta Ubillus vs. One Stop Employment Services, LLC/Vensure Employer Services, Security National Insurance Company, State National Insurance Company

The Workers' Compensation Appeals Board (WCAB) denied the lien claimant's petition for reconsideration regarding the valuation of interpreter services. The WCAB adopted the Administrative Law Judge's (ALJ) report, which found that while the defendant did not present rebuttal evidence, the ALJ had substantial evidence to make a determination. The ALJ determined a market rate of $114.97 per hour but noted the lien claimant failed to provide sufficient evidence of the duration of services on most dates, preventing application of the market rate. Consequently, the statutory rate was applied for those services.

WCABPetition for ReconsiderationDeniedLien ClaimantInterpreter ServicesMarket RateStatutory RateWCJ ReportSubstantial EvidenceFindings and Award
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. ADJ8587912
Regular
Oct 06, 2020

EDNA EVAZYAN vs. COUNTY OF LOS ANGELES/OLIVEVIEW MEDICAL CENTER

The Workers' Compensation Appeals Board granted reconsideration of a prior award. The Board found the WCJ erred by issuing inconsistent findings and an inconsistent award regarding temporary disability rates. While the defendant did not prove mutual mistake of fact, the Board noted conflicting indemnity rates in the original decision. Therefore, the Board deferred the issue of temporary disability and rescinded the award of temporary disability, otherwise affirming the original findings.

WORKERS' COMPENSATION APPEALS BOARDEDNA EVAZYANCOUNTY OF LOS ANGELES/OLIVEVIEW MEDICAL CENTERADJ8587912OPINION AND ORDER GRANTING PETITION FOR RECONSIDERATIONFINDINGS AND AWARDINDUSTRIAL INJURYMULTIPLE BODY PARTSPHARMACISTTEMPORARY DISABILITY WEEKLY INDEMNITY RATE
References
Case No. ADJ758842 (VNO 0559214)
Regular
Dec 17, 2010

JOHN PATCHETT vs. CITY OF LOS ANGELES

The Appeals Board denied the applicant's petition for removal, affirming the WCJ's decision to vacate the submission. This action was based on the DEU evaluator's testimony, which revealed deficiencies in the AMEs' reports concerning the AMA Guides. The Board found the applicant waived any objection to this testimony by failing to object at trial, and that the evaluator's expert opinion was permissible per *Blackledge v. Bank of America*. Defendant's objection, though not styled as a motion to strike, sufficiently raised the issues leading to the vacation of the rating.

Petition for RemovalOrder Vacating SubmissionDEU evaluatorAMA Guidesagreed medical evaluators (AMEs)rating instructionssubstantial evidenceobjective factors of disabilitywhole person impairmentformal rating
References
Case No. FRE 0233572, FRE 0233574, FRE 0233575, FRE 0237180
Regular
Jan 16, 2008

WILLIAM R. ALTMAN vs. PPG INDUSTRIES, INC., SENTRY INSURANCE

The Workers' Compensation Appeals Board granted the applicant's petition for reconsideration, determining that the older permanent disability rating schedule should apply due to the defendant's obligation to provide specific statutory notices. The case is returned to the trial level to re-rate permanent disability using the correct schedule and to issue a decision on a previously undecided claim. The Board affirmed the denial of transportation and lodging costs for the applicant's trial attendance.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings of Fact and AwardCumulative TraumaPermanent Disability Rating ScheduleLabor Code Section 4061Labor Code Section 4660(d)Old Rating ScheduleNew Rating ScheduleIndustrial Injury
References
Case No. ADJ10187704, ADJ10924724
Regular
May 17, 2018

STEVEN CASE vs. GOLDEN GATE BRIDGE HIGHWAY AND TRANSPORTATION DISTRICT

The Workers' Compensation Appeals Board granted reconsideration to increase applicant's permanent disability rating for bilateral shoulder injury from 9% to 38%. The Board found the Agreed Medical Evaluator's (AME) alternative rating, based on strength loss, was substantial medical evidence and properly considered within the AMA Guides. The WCJ erred in applying an overly restrictive interpretation of "complex or extraordinary" cases for deviating from strict AMA Guides ratings. The AME's use of strength loss data from the AMA Guides, even for an age outside the specified range, was permissible under the *Almaraz-Guzman* line of cases when justified by clinical judgment.

Workers' Compensation Appeals BoardJoint Findings and AwardPetition for ReconsiderationAgreed Medical Evaluator (AME)permanent disability ratingbilateral shouldersorthopedic AMEAMA GuidesAlmaraz-Guzmanstrength loss index
References
Case No. FRE 0147567
En Banc
Jan 24, 2002

Maria Yolanda Jimenez vs. San Joaquin Valley Labor, Superior National Insurance Company

The Board holds that an industrially injured seasonal employee is entitled to two separate temporary disability indemnity rates based on their in-season and off-season earning capacity, and consequently, their Vocational Rehabilitation Maintenance Allowance (VRMA) should also be a two-tiered award corresponding to those rates.

Workers' Compensation Appeals BoardEn Banc DecisionReconsiderationFindings and AwardSeasonal Farm LaborerTemporary Disability IndemnityVocational Rehabilitation Maintenance Allowance (VRMA)Average Weekly EarningsEarning CapacityIn-Season Rate
References
Case No. ADJ4525074
Regular
Feb 13, 2015

TANYA TAYLOR vs. THE HOME DEPOT, LIBERTY MUTUAL INSURANCE COMPANY/HELMSMAN MANAGEMENT SERVICES LLC

This case concerns a petition for reconsideration by the defendant, The Home Depot, regarding an award of 100% permanent total disability to the applicant, Tanya Taylor. The defendant primarily contested the rate of permanent total disability indemnity benefits. The Appeals Board granted reconsideration to amend the original award, specifically to correct the indemnity rate to $202.90 per week. All other aspects of the original award, including the finding of 100% permanent total disability and the un-apportioned nature of the award, were affirmed.

Workers' Compensation Appeals BoardFindings of Fact and AwardAgreed Medical EvaluatorPanel Qualified Medical Evaluatorvocational rehabilitationpermanent total disabilityindemnity rateLabor Code section 4659(b)Labor Code section 4453(a)average weekly earnings
References
Case No. ADJ9625407
Regular
Sep 12, 2018

KEITH FIELD vs. CITY OF PINOLE

This case involves a firefighter who sustained bilateral carpal tunnel syndrome after retirement. The Appeals Board reversed the trial judge, holding that Labor Code section 4458.5 applies, entitling the applicant to permanent disability benefits calculated at the maximum indemnity rate. This applies regardless of the applicant's actual earnings or the fact that carpal tunnel syndrome is not a specifically enumerated presumptive injury. The case is remanded for determination of the precise date of injury to calculate the benefit rate.

Workers' Compensation Appeals BoardKeith FieldCity of PinolePermissibly Self-InsuredMunicipal Pooling AuthorityADJ9625407Opinion and Decision After Reconsiderationindustrial injuryfirefighterbilateral upper extremities
References
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