May 2010

Bruce Mitchell vs. City And County Of San Francisco, Permissibly Self-Insured

This case involves a dispute between Bruce Mitchell (applicant) and the City and County of San Francisco (defendant) regarding a workers’ compensation claim. The defendant sought reconsideration or removal of an Order Setting Aside Disposition issued by a workers’ compensation administrative law judge. The Appeals Board dismissed the petition for reconsideration and denied the petition for removal, finding that the Order did not constitute a final order and that the defendant had failed to demonstrate that it would suffer substantial prejudice or irreparable injury if removal was not granted.

Helen Bough vs. Dana L. Manchester, DDS.; State Compensation Insurance Fund

In this case, Dana L. Manchester, DDS. and the State Compensation Insurance Fund are appealing a decision by a workers’ compensation administrative law judge that found Helen Bough, the applicant, was entitled to 20 hours per week of in-home care from August 18, 2008 to March 19, 2009, and 29.3 hours per week from March 19, 2009 to the present and continuing, as well as payment and reimbursement for housekeeping services provided by family members. The Appeals Board granted the petition for reconsideration and amended the decision to require documentation of the actual provision of in-home care and housekeeping services in order for reimbursement to be granted.

Donald Bouchard vs. Atlas Ornamental; State Compensation Insurance Fund

is a case in which Donald Bouchard, the applicant, was injured in a vehicular accident on the way to a work site. The Workers’ Compensation Appeals Board found that Bouchard sustained an industrial injury and the defendant, Atlas Ornamental and the State Compensation Insurance Fund, sought reconsideration of the Findings of Fact. The Board dismissed the petition as untimely and found that Bouchard’s testimony was credible and should be given great weight.

Epifanio Rodriguez vs. Home Depot Usa, Inc., Permissibly Self-insured, Adjusted By Helmsman Management Services

This case involves a worker, Epifanio Rodriguez, who was injured while employed as a warehouseman on July 22, 2004. The worker’s compensation administrative law judge found that the worker sustained industrial injury to his back and left leg, causing 100% permanent and total disability. The judge also found that the worker’s permanent disability benefits should be increased pursuant to Labor Code section 4659(c) effective January 1, 2004. The defendant sought reconsideration of this decision, arguing that the issue should be deferred until the California Supreme Court issued its decision in Duncan v. Workers’ Comp. Appeals Bd. The Workers’ Compensation Appeals Board granted the defendant’s petition for reconsideration and rescinded the finding of fact number 3, deferring the issue

Audrey Coleman vs. Aep-span; Xl Specialty Insurance Company, Administered And Adjusted By Specialty Risk Services

is a case in which the defendant, AEP-SPAN; XL Specialty Insurance Company, administered and adjusted by Specialty Risk Services, sought reconsideration of an Order Denying Change of Venue. The Workers’ Compensation Appeals Board denied the petition for reconsideration and petition for removal, as the petition for change of venue was untimely and did not present extraordinary circumstances justifying removal. The Board also noted that the applicant could submit an appropriate petition for change of venue upon return of the matter to the trial level.

Chava Cohen vs. Sheridan Assisted Living, Inc.; State Compensation Insurance Fund

Sheridan Assisted Living, Inc.; State Compensation Insurance Fund Chava Cohen WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIACHAVA COHEN, Applicant,vs.SHERIDAN ASSISTED LIVING, INC.;STATE COMPENSATION INSURANCE FUND, Defendant(s).Case No. ADJ1329489 (MON 0356260)OPINION AND ORDER DENYING PETITIONS FOR RECONSIDERATION            Applicant and defendant seek reconsideration of the March 11, 2010 Findings and Award (and Order), wherein the workers’ compensation administrative law …

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James B. Ott vs. City Of Anaheim, Permissibly Self-insured

In this case, the City of Anaheim was found to be permissibly self-insured and the applicant, James B. Ott, filed a Petition to Correct Clerical Error, contending that there was a clerical error in the Opinion and Decision after Reconsideration dated October 21, 2009, wherein temporary total disability indemnity was awarded commencing January 23, 2004. The WCJ had previously awarded temporary disability indemnity commencing January 23, 2003. After review of the WCAB file, the WCAB concluded that the finding that temporary disability commenced January 23, 2004, was indeed a clerical error and corrected it to provide that temporary disability began January 23, 2003.

Carmen Licea vs. Zacky Farms; Administered By Buckeye Claims Administrators

In this case, Carmen Licea, the applicant, sought reconsideration and/or removal following an Order issued by a workers’ compensation administrative law judge (WCJ) on March 23, 2010. The WCJ denied the applicant’s request to add additional documentary evidence in the form of a work function impairment form and to add two witnesses. The WCJ noted that there was no showing of due diligence in obtaining the impairment form or the testimony of applicant’s psychologist, Dr. Procci, and that the other witness was not listed on the Pre-Trial Conference Statement. The Appeals Board dismissed the Petition for Reconsideration and denied removal and disqualification of the WCJ.

Marcus Grear vs. Department Of Transportation; SCIF State Employees Sacramento

, is a case in which the Department of Transportation and SCIF State Employees Sacramento appealed the Workers’ Compensation Appeals Board’s decision to grant reconsideration and find that the applicant’s injury caused 100% permanent disability. The defendant argued that the Appeals Board erred in its decision and that the agreed vocational evaluator found at least two occupations the applicant could perform. The Appeals Board denied the defendant’s petition for reconsideration and ordered the matter to be returned to the trial level for further proceedings.

Jose Gonzalez vs. Uniform Rental Services And California Insurance Guarantee Association For Superior National Insurance Company, In Liquidation, Administered By Broadspire Claims Services

This case involves Jose Gonzalez, an applicant, and Uniform Rental Services and California Insurance Guarantee Association for Superior National Insurance Company, in liquidation, Administered by Broadspire Claims Services, defendants. Gonzalez filed a petition seeking reconsideration of the Findings and Award and Orders, issued March 15, 2010, in which a workers’ compensation administrative law judge found that as a result of a June 1, 1995 admitted industrial injury to his back and psyche, while employed as a district manager, Gonzalez sustained 90.25% permanent disability, after apportionment of 10% of his back disability to a prior industrial injury. The Workers’ Compensation Appeals Board denied Gonzalez’s petition for reconsideration, affirming the WCJ’s determination that 10% of