July 2012

ANA VELASQUEZ vs. AMERICAN BUILDING MAINTENANCE, Permissibly Self-insured

In this case, American Building Maintenance was found to have permissibly self-insured and was being sued by Ana Velasquez for workers’ compensation. Velasquez’s attorney, Peter T. Brown, petitioned for removal of the case to the Appeals Board or for reconsideration of the May 7, 2012 Findings and Order for Sanctions of the workers’ compensation administrative law judge (WCJ). The WCJ found that Shahpoor Ashorzadeh, a hearing representative with Mr. Brown’s law firm, had engaged in “egregious and frivolous” actions warranting a sanction in the amount of $750.00. The Appeals Board denied the petition for reconsideration or removal, finding that Mr. Ashorzade

VIANEY VARGAS vs. SELECT STAFFING; ESIS

This case involves a claim by Vianey Vargas for injury to her neck, upper extremity, left shoulder, elbow, wrist, thumb, nervous system, and psyche and injury in the form of loss of sleep and depression while employed as a fruit pealer during the period from September 30, 2008 to September 30, 2009. Defendant, Select Staffing; ESIS, accepted liability for injury to the left arm and denied liability for all other body parts. On February 23, 2010, defendant filed a Petition for Order Suspending Action and Barring Benefits based on applicant’s exercise of her Fifth Amendment right against self-incrimination and based on her refusal to answer numerous deposition questions. Following a hearing on August 10, 2010, the WCJ

ROSALIND LOVE vs. PITTSBURG UNIFIED SCHOOL DISTRICT, Permissibly Self-Insured

In this case, the Workers’ Compensation Appeals Board denied the Petition for Removal filed by Rosalind Love against the Pittsburg Unified School District. The Board did not accept the recommendation of the WCJ to dismiss the petition as untimely, as there was no proof in the record that the Pre-Trial Conference Statement was personally served on the applicant. The Board denied the Petition for Removal for these reasons.

JOHN LASER vs. CITY OF OCEANSIDE POLICE DEPARTMENT; CITY OF OCEANSIDE

In this case, John Laser, an applicant, filed a Petition for Reconsideration against the City of Oceanside Police Department and the City of Oceanside. The Petition was denied by the Workers’ Compensation Appeals Board. The Board found that the applicant was entitled to the “duty belt” presumption of industrial back injury and, under section 4663(e), apportionment under section 4663 of injuries covered by the section 3213.2 presumption (among others) is not permissible. The Board also found that the defendant failed to produce substantial medical evidence that discussed and outlined overlap between the 1997 PDRS and the AMA guides lumbar spine impairment, and thus failed to meet their burden of proof on the issue of app

ANTHONY JOHNSON vs. SAN DIEGO CHARGERS; LEGION INSURANCE In Liquidation By CIGA; WASHINGTON REDSKINS; RELIANCE INSURANCE In Liquidation By CIGA; KANSAS CITY CHIEFS; TIG SPECIAILITY INSURANCE CO.; TRAVELERS INDEMNITY COMPANY Successor In Interest To GULF INSURANCE

SAN DIEGO CHARGERS; LEGION INSURANCE in liquidation by CIGA; WASHINGTON REDSKINS; RELIANCE INSURANCE in liquidation by CIGA; KANSAS CITY CHIEFS; TIG SPECIAILITY INSURANCE CO.; TRAVELERS INDEMNITY COMPANY successor in interest to GULF INSURANCE ANTHONY JOHNSON WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAANTHONY JOHNSON, Applicant,vs.SAN DIEGO CHARGERS; LEGION INSURANCE in liquidation by CIGA; WASHINGTONREDSKINS; RELIANCE INSURANCE in …

ANTHONY JOHNSON vs. SAN DIEGO CHARGERS; LEGION INSURANCE In Liquidation By CIGA; WASHINGTON REDSKINS; RELIANCE INSURANCE In Liquidation By CIGA; KANSAS CITY CHIEFS; TIG SPECIAILITY INSURANCE CO.; TRAVELERS INDEMNITY COMPANY Successor In Interest To GULF INSURANCE Read More »

MARIA GONZALEZ vs. KEY SPORTS APPAREL; NATIONAL LIABILITY AND FIRE INSURANCE COMPANY

KEY SPORTS APPAREL; NATIONAL LIABILITY AND FIRE INSURANCE COMPANY MARIA GONZALEZ WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAMARIA GONZALEZ, Applicant,vs.KEY SPORTS APPAREL; NATIONAL LIABILITY AND FIREINSURANCE COMPANY, Defendants.Case No. ADJ3802676 (MON 0346021)(Marina del Rey District Office)OPINION AND ORDER GRANTING RECONSIDERATION ANDDECISION AFTER RECONSIDERATION            Defendant seeks reconsideration of the May 10, 2012 Findings and Order, wherein the workers’ …

MARIA GONZALEZ vs. KEY SPORTS APPAREL; NATIONAL LIABILITY AND FIRE INSURANCE COMPANY Read More »

SERAFIN RIVERA vs. ARROW CONCRETE CUTTING; ACE USA

In this case, the Los Angeles Orthopedics (LAO) filed a petition for reconsideration of the April 19, 2012 Order Taking Off Calendar (OTOC) issued by the workers’ compensation administrative law judge (WCJ). The WCJ found that the lien was resolved and LAO argued that it had not been resolved and that it did not receive notice and the opportunity to be heard. The Appeals Board dismissed the petition for reconsideration as untimely and unverified, granted removal on its own motion, rescinded the WCJ’s decision, and returned the matter to the trial level for further proceedings and decision by the WCJ. The Appeals Board also admonished LAO and its representatives for their conduct in the case.

Debra Kennedy vs. Kaiser Foundation Health Plan Permissibly Self-insured

In this case, Debra Kennedy sought workers’ compensation from Kaiser Foundation Health Plan Permissibly Self-Insured. The Workers’ Compensation Appeals Board granted the defendant’s Petition for Reconsideration of the Findings and Award of May 14, 2012. The Board ordered that all further pleadings, correspondence, objections, motions, requests and communications be filed in writing with the Office of the Commissioners of the Workers’ Compensation Appeals Board. The Board also ordered that these documents not be submitted to the Marina Del Rey District Office or any other district office of the WCAB and not be e-filed in the Electronic Adjudication Management System (EAMS).

THOMAS GREGORYK vs. STATE OF CALIFORNIA, CALIFORNIA HIGHWAY PATROL OFFICERS, Legally Uninsured; STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES, Adjusting Agency

This case involves a dispute between Thomas Gregoryk, an applicant, and the State of California, California Highway Patrol Officers, Legally Uninsured; State Compensation Insurance Fund/State Contract Services, Adjusting Agency, defendants. Gregoryk was employed as a sergeant traffic officer from July 17, 1977 to September 29, 2003 and sustained industrial injury in the form of myeloid leukemia/cancer and erectile dysfunction, causing temporary disability from January 18, 2010 to November 17, 2010. The Workers’ Compensation Appeals Board granted reconsideration and amended the temporary disability period to and including November 17, 2010, and returned the matter for further development of the medical record with respect to the issue of reservation of jurisdiction over permanent disability due to insidious progressive disease.

LOUIS DOBERT vs. CITY AND COUNTY OF SAN FRANCISCO, Permissibly Self-insured

This case involves the City and County of San Francisco, which is permissibly self-insured, and Louis Dobert, the applicant. The Appeals Board granted Dobert’s petition for removal and rescinded the February 1, 2012 Order Granting Defendant’s Motion to Stay Proceedings, which had granted the defendant’s request to stay proceedings in the case pending the conclusion of criminal proceedings against Dobert for workers’ compensation fraud, insurance fraud, grand theft and attempted perjury. The Appeals Board found that it was not appropriate to stay the provision of workers’ compensation benefits to Dobert pending the conclusion of his criminal case, as it would deny him the presumption of innocence and the workers’ compensation benefits that had been found to be due and awarded