October 2011

Joey Sanchez vs. Iron Industries Inc.; California Insurance Company

In this case, Joey Sanchez, an iron worker, sustained industrial injuries to his left chest wall, back, neck, and psyche on February 20, 2009, and to his left leg, foot, low back, and psyche on July 28, 2009. On November 9, 2009, a Stipulation and Award was issued, which set forth applicant’s earnings rate of $879.43 per week, equating to a temporary disability rate of $586.29 per week. Sanchez then filed a Petition to Reopen on the issue of his average weekly earnings based on subsequently developed evidence that he was entitled to a scheduled post-injury wage increase. After a hearing, the Workers’ Compensation Appeals Board granted reconsideration, rescinded

Steve Herrera vs. American Red Cross, Permissibly Self Insured, Administered By Sedgwick Claims Management Services

In this case, the American Red Cross, Permissibly Self Insured, Administered by Sedgwick Claims Management Services, sought reconsideration or removal of an Order issued by a workers’ compensation administrative law judge (WCJ) which disapproved a Compromise and Release (C&R) because it contained language waiving the applicant’s rights under Civil Code section 1542. The WCJ recommended that the petition be denied, and the defendant withdrew the petition on the grounds that the parties had withdrawn from the subject C&R and entered into a new C&R without the language of Civil Code section 1542. The Workers’ Compensation Appeals Board dismissed the petition for reconsideration as moot and returned the matter for further proceedings and

Margarito Gonzalez vs. Consolidated Disposal Service

/11/11

This case involves a dispute between Consolidated Disposal Service and Margarito Gonzalez regarding the amount of permanent disability awarded to Gonzalez. The defendant contests the WCJ’s award of 72% permanent disability, after apportionment, arguing that the WCJ exceeded his authority by substituting an 80% WPI for the AME’s determination of a 60% WPI for applicant’s respiratory impairment, which caused his need for ambulatory assistance without need for use of a wheelchair. The applicant challenges the WCJ’s determination to apportion his permanent disability to non-industrial factors, arguing that the WCJ lacked the authority to address the issue of apportionment on remand from defendant’s petition for reconsideration from the prior

Wanda Boult vs. State Of California, Department Of Corrections; State Compensation Insurance Fund

(SAC 0364589) ORDER DENYING RECONSIDERATIONThis case is about Wanda Boult, an employee of the State of California Department of Corrections and Rehabilitation, who sustained an injury to her heart and cardiovascular system due to cumulative trauma. The parties agreed to utilize Revels Cayton, M.D. as the Agreed Medical Evaluator. The WCJ issued a Findings and Award and Opinion on Decision, determining that applicant is 100% permanently totally disabled based upon the medical opinions of the AME Dr. Cayton and applicant’s treating physicians Dr. Devendra and Dr. Marelich. The defendant filed a timely and verified Petition for Reconsideration arguing 1) that it was improper for the

Wuzhong Wang vs. Hometown Inn; American Commercial

(VNO 0471258) is a case in which the applicant, Wuzhong Wang, sought reconsideration of a Findings and Award issued June 14, 2011, wherein the workers’ compensation administrative law judge (WCJ) found that applicant did not sustain an industrial injury to his neck, back and “internal”. The WCJ found that the applicant sustained an admitted industrial injury to his psyche as a result of a robbery at his employment and awarded him 33% permanent disability payable at the rate of $170.00 per week in the total sum of $24,990.00. The WCJ also found that defendant did not meet “its burden of proof to establish apportionment” and awarded further medical treatment “to his

Jose Penaloza Valdez vs. Manuel Avila; Transguard Insurance, Administered By Frye Claims Consultation

In this case, Jose Penaloza Valdez, an employee, was involved in an automobile accident on August 22, 2007 and initially treated at All- Pro Medical Center. He was referred to psychologist Azadeh Rahimi, PhD, for depression/anxiety and she found that he sustained an industrial psyche injury, causing temporary disability and a need for medical treatment. The Workers’ Compensation Appeals Board granted the defendant’s petition for reconsideration of a workers’ compensation administrative law judge’s (WCJ) Findings and Award of February 15, 2011, wherein it was found that the applicant’s injury caused permanent disability of 68% and the need for further medical treatment. The Board found that the defendant should be granted an opportunity to present evidence

Mari Carmen Mercado vs. Vallarta Food Enterprises, Permissibly Self-insured

Vallarta Food Enterprises, Permissibly Self-Insured, was taken to court by Mari Carmen Mercado, the applicant, for claims of industrial injury to various body parts while employed as a taqueria cook. The WCJ approved the settlement of the applicant’s claims for $10,000. The applicant then petitioned for reconsideration, which was denied. The WCJ found that the applicant had fully reviewed the compromise and release with a certified Spanish language interpreter and had a complete understanding of the terms. The WCJ also found that the medical evidence supported the settlement and that the settlement was favored as it eliminated the risk of adverse rulings and allowed the resolution of the claims to be tailored to the facts.

Carol Enriquez vs. Victor Valley Union High School District, Permissibly Self-insured; And Fremont Insurance Company, In Liquidation; California Insurance Guarantee Association, And Its Servicing Facility, Xchanging

(VNO 0380892) and ADJ691020 (VNO 0380894) is a case involving Carol Enriquez, an employee of Victor Valley Union High School District, who sustained two industrial injuries while employed as a secretary. The case was heard by the Workers’ Compensation Appeals Board, which granted the petitions for reconsideration of both Enriquez and the California Insurance Guarantee Association. The Board affirmed the decisions of the WCJ, except that they amended the decisions to include the left hip in ADJ4069708, to clarify that CIGA is not an insurance company, and to relieve CIGA of administration of the award of future medical treatment. The Board also found that there was no evidence to

Teola Carter vs. Guadalupe Homes/trinity Homes And Ciga By Broaspire, A Crawford Company For Superior National Insurance Co. In Liquidation

In this case, Teola Carter, the applicant, sought reconsideration of an Order of Dismissal issued by the Workers’ Compensation Administrative Law Judge (WCJ) after she failed to appear for trial on two occasions. The WCJ recommended that the petition for reconsideration be granted and the Order of Dismissal be vacated. The Workers’ Compensation Appeals Board granted the petition for reconsideration and rescinded the Order of Dismissal, returning the matter for further proceedings. The Board found that the defendant had not served a notice to appear to the applicant, and that the applicant had not responded to the WCJ’s Notice of Intention to Dismiss as ordered. The Board concluded that the applicant had been denied her opportunity to be heard and

Rollen Burns vs. City Of Port Hueneme, Permissibly Self-insured

In this case, Rollen Burns, an applicant, filed a claim against the City of Port Hueneme, Permissibly Self-Insured, alleging industrial injury to his left hip while employed as a police officer during the cumulative trauma period from March 9, 1978 through August 13, 2010. The workers’ compensation administrative law judge found that the applicant incurred industrial injury to his left hip, causing a need for future medical treatment, unapportioned permanent disability of 40% with payment of permanent disability indemnity due from November 22, 2007, and with a 15% increase pursuant to Labor Code section 4658(d). The City of Port Hueneme sought reconsideration of the decision, but the Workers’ Compensation Appeals Board granted