March 2016

DAVID SAUCEDO vs. BENDER READY MIX, INC.; INSURANCE COMPANY OF THE WEST

In this case, David Saucedo (applicant) sought reconsideration of an Order issued by a workers’ compensation administrative law judge (WCJ) on January 20, 2016, dismissing his case without prejudice on account of his failure to prosecute the matter and to timely object to the Notice of Intention to Dismiss (NIT). The WCJ had issued the NIT after Saucedo failed to appear at a Mandatory Settlement Conference (MSC). The Appeals Board granted Saucedo’s Petition for Reconsideration, rescinded the Order, and returned the matter to the WCJ with instructions to review Saucedo’s objection to the NIT and issue an Order consistent with her determination of the merits of that objection.

CARLOS RACINE vs. MENZIES AVIATION GROUP XL INSURANCE C/O GALLAGHER BASSETT SERVICES, INC.

; ADJ8441244 is a case involving Carlos Racine and Menzies Aviation Group XL Insurance c/o Gallagher Bassett Services, Inc. The Workers’ Compensation Appeals Board denied the Petition for Removal, which is an extraordinary remedy rarely exercised by the Appeals Board. The Board found that the petitioner did not demonstrate that substantial prejudice or irreparable harm would result if removal was not granted, and that reconsideration would be an adequate remedy if a final decision adverse to the petitioner ultimately issued. The Board also noted that the injuries in the case were alleged to have occurred four years ago and that the parties had utilized Agreed Medical Examiners in the fields of internal medicine, orthopedics, and psychiatry, and expected the parties to cooperate

MARTHA LOMELI vs. ROSS DEPARTMENT STORES; ARCH INSURANCE, Administered By SEDGWICK CMS

This case involves a petition for reconsideration and removal filed by Martha Lomeli against Ross Department Stores and Arch Insurance, administered by Sedgwick CMS. The Workers’ Compensation Appeals Board dismissed the petition to the extent it sought reconsideration and denied it to the extent it sought removal. The Board found that the decision of the workers’ compensation administrative law judge was an intermediate procedural or evidentiary issue and not a “final” order, and that removal was an extraordinary remedy rarely exercised by the Board.

STEVEN DALBEY vs. CITY OF HUNTINGTON BEACH, Permissibly Self-insured, Adjusted By AIMS

CITY OF HUNTINGTON BEACH, permissibly self-insured, adjusted by AIMS STEVEN DALBEY WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIASTEVEN DALBEY, Applicant,vs.CITY OF HUNTINGTON BEACH, permissiblyself-insured, adjusted by AIMS, Defendants.Case No. ADJ7481966ADJ7481611(Santa Ana District Office)ORDERS DENYING AND DISMISSING PETITION FOR RECONSIDERATION            We have considered the allegations of the Petition for Reconsideration and the contents of the report of the …

STEVEN DALBEY vs. CITY OF HUNTINGTON BEACH, Permissibly Self-insured, Adjusted By AIMS Read More »

DAVID GUINDON vs. ROBERTSON’S READY MIX, Permissibly Self-Insured

This case involves a worker, David Guindon, who sustained an industrial injury to multiple body parts while employed as a truck driver/manager on January 22, 1997. The Workers’ Compensation Appeals Board granted the defendant’s petition for reconsideration, struck the finding of the $1,130.82 indemnity rate, rescinded the Award, and otherwise affirmed the WCJ’s Findings of Fact and Orders. The Board found that the calculation of the temporary disability indemnity rate should include the applicant’s actual post-injury earnings, as they were higher than his pre-injury earnings. The Board also returned the matter to the trial level for further proceedings and decision by the WCJ.

PAZ CORRALES vs. KIMPTON HOTEL AND RESTAURANT GROUP Dba KHRG GOLETA, LLC; FEDERAL INSURANCE COMPANY

In this case, Paz Corrales filed a Petition to Set Aside or alternative Petition for Reconsideration of the Order Approving Compromise and Release (OACR) issued on January 4, 2016. The Workers’ Compensation Appeals Board granted the Petition for Reconsideration and rescinded the OACR, returning the matter to the trial level to consider Corrales’ request to set aside the Compromise and Release.

BRIAN CHEVEZ vs. CITY OF SANTA MONICA, Permissibly Self-insured And Self-administered

In this case, Brian Chevez filed a Petition for Reconsideration of the Findings and Order issued on January 5, 2016, by the workers’ compensation administrative law judge (WCJ), which found that applicant was permanent and stationary as of September 1, 2015, and not entitled to additional temporary disability on the present record. The Workers’ Compensation Appeals Board granted the Petition for Reconsideration and rescinded the January 5, 2016 F&O, returning the matter to the trial level for further proceedings. The Board found that the factual record regarding applicant’s temporary disability status requires further development, as the QME’s opinion in this case is conflicting and appears to condition applicant’s permanent and stationary status upon whether applicant proceeds with epid

JOHN BEVINGTON vs. COUNTY OF MARIPOSA, Permissibly Self-insured, Administered By TRISTAR RISK MANAGEMENT

ADJ8994016

In this case, John Bevington, an applicant, is suing the County of Mariposa, which is permissibly self-insured and administered by Tristar Risk Management, for workers’ compensation. The case involves two industrial injuries, a specific injury in 2012 and a cumulative trauma injury in 2013, which resulted in orthopedic and psychological injuries. The Workers’ Compensation Appeals Board granted the defendant’s Petition for Reconsideration and as their Decision After Reconsideration, they affirmed the January 14, 2016 Findings of Fact, Award, Orders and Opinion on Decision and Order to Show Cause, except that they amended the F&A to defer the issues of permanent disability, supplemental job displacement voucher

JOSE ABRIL vs. BARDON ENTERPRISES; STATE COMPENSATION INSURANCE FUND

MFThis case involves a dispute between Jose Abril, the applicant, and Bardon Enterprises and the State Compensation Insurance Fund (SCIF), the defendants. SCIF petitioned for removal of the case to the Workers’ Compensation Appeals Board following a January 7, 2016 conference at which the workers’ compensation administrative law judge (WCJ) directed counsel for lien claimants to produce documentation verifying lien activation fees had been paid. SCIF argued that it would be irreparably harmed if lien claimants were allowed to produce the documentation as directed by the WCJ. The WCJ recommended that removal be denied and the Appeals Board agreed, denying the petition for removal and request for stay of proceedings.

CLEVELAND RAYFORD vs. NATIONAL GYPSUM COMPANY; ACE AMERICAN INSURANCE

In this case, the Workers’ Compensation Appeals Board granted a petition for reconsideration filed by the Applicant, Cleveland Rayford, with regard to a decision filed on January 12, 2016. The Board granted the petition to allow for further study of the factual and legal issues in the case and to issue a just and reasoned decision. All further correspondence, objections, motions, requests and communications relating to the petition must be filed with the Office of the Commissioners of the Workers’ Compensation Appeals Board and not with the district office from which the WCJ’s decision issued. All trial level documents not related to the petition for reconsideration must be e-filed through EAMS or filed in paper form.