January 2018

Fermin Sandoval vs. Waterproofing Associates; Cypress Insurance; Berkshire Hathaway

In this case, Fermin Sandoval sought reconsideration of a Findings and Award issued by a workers’ compensation administrative law judge (WCJ) on June 30, 2016. The WCJ found that Sandoval sustained industrial injury to his back and right knee on June 21, 2011 and that his injury caused permanent disability of 50%. The Workers’ Compensation Appeals Board affirmed the F&A, finding that Sandoval did not meet his burden to rebut the rating based on the 2005 PDRS. The Board found that Sandoval had significant non-industrial linguistic and literacy limitations that would have a negative impact on his vocational feasibility and that he was unable to benefit from rehabilitation services due to these factors.

Fermin Sandoval vs. Waterproofing Associates; Cypress Insurance; Berkshire Hathaway

In this case, the WCJ found that applicant’s permanent disability was 50% and that the disability was caused by the industrial injury. The WCJ also found that applicant’s diminished future earning capacity was not due to nonindustrial factors. We agree with the WCJ’s findings and conclusions.            Based on the foregoing, we affirm the F&A.

In this case, Fermin Sandoval sought reconsideration of a Findings and Award issued by a workers’ compensation administrative law judge (WCJ) on June 30, 2016. The WCJ found that Sandoval had sustained an industrial injury to his back and right knee on June 21, 2011 and that the injury caused permanent disability of 50%. The WCJ’s decision was

Darwin Roland vs. Safeway, Inc., Permissibly-self-insured; Albertson’s Holdings

.SUMMARY: This case involves a petition for reconsideration and removal filed by Darwin Roland against Safeway, Inc. and Albertson’s Holdings. The Workers’ Compensation Appeals Board dismissed the petition for reconsideration and denied the petition for removal, finding that the decision of the workers’ compensation administrative law judge was an evidentiary issue and not a “final” order, and that petitioner had not demonstrated that substantial prejudice or irreparable harm would result if removal was denied.

Joseph Morgan vs. Systems Operations Services; State Compensation Insurance Fund

Systems Operations Services; State Compensation Insurance Fund Joseph Morgan WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAJOSEPH MORGAN, Applicant,vs.SYSTEMS OPERATIONS SERVICES; STATE COMPENSATION INSURANCE FUND, Defendants.Case No. ADJ9813999 (Sacramento District Office)OPINION AND DECISION AFTER RECONSIDERATION            We previously granted Applicant’s Petition for Reconsideration (Petition) to further study the factual and legal issues in this case. This is our Opinion …

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Jose Montiel vs. Cal-tech Precision, Inc.; Guy Haarlammert, As A Substantial Shareholder Of Cal Tech Precision, Inc., An Uninsured Employer; Uninsured Employers Benefits Trust Fund

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In this case, Jose Montiel filed a petition for reconsideration against Cal-Tech Precision, Inc., Guy Haarlammert, and the Uninsured Employers Benefits Trust Fund. The Workers’ Compensation Appeals Board denied the petition for reconsideration, finding that the evidence submitted by the defendant was admitted and the weight and sufficiency of the evidence was determined by the Workers’ Compensation Administrative Law Judge. The Board found that the defendant was provided a fair opportunity to be heard and due process was met.

Juan Francisco Larios vs. Valley Fleet Clean/iisco, Inc.; Sussex Insurance

: In this case, Juan Francisco Larios sought reconsideration of a Findings and Award issued by a workers’ compensation administrative law judge which found that he sustained injury arising out of and in the course of employment to his right arm, right leg, and psyche, but that he was not entitled to permanent disability caused by injury to his psyche. The Appeals Board granted the Petition for Reconsideration and rescinded the Findings and Award, returning the matter to the trial level for further proceedings.

Rhonda Knox vs. Prime Healthcare, Llc; The Hartford

This case involves Rhonda Knox, who filed a claim for a cumulative trauma (CT) industrial injury to her neck and back starting January 1, 2007. The workers’ compensation administrative law judge found that West Anaheim Medical Center did not knowingly furnish medical to Rhonda Knox for a work-related injury through its employee group insurance plan, and that her claim was barred by the applicable statute of limitations. The Workers’ Compensation Appeals Board rescinded the Findings and Award and returned the matter to the trial level for further proceedings to determine whether Rhonda Knox sustained a compensable disability as a result of her claimed CT injury.

Margarita Garcia vs. Reynolds Packing Company; United States Fire Insurance Company, Administered By Crum & Forster

In this case, the Reynolds Packing Company was sued by Margarita Garcia for workers’ compensation benefits. Garcia claimed injury to her bilateral knees, right shoulder, and psyche. The United States Fire Insurance Company, administered by Crum & Forster, was also named as a defendant. The Workers’ Compensation Appeals Board granted reconsideration to further study the factual and legal issues in the case. The Board ultimately found that Garcia’s psyche claim was not barred by the statute of limitations and that the defendant had failed to meet its burden of proof to show that Garcia had not worked for the company for at least six months, as required for a psyche claim. The Board affirmed the Findings and Award issued by the workers’ compensation administrative law judge.

Fernando Fernandez vs. Halex Corporation; Everest National Insurance Company, Administered By Sedgwick Claims Management Services

In this case, Fernando Fernandez, an employee of Halex Corporation, sought removal of a September 11, 2017 Findings of Fact, wherein the workers’ compensation administrative law judge (WCJ) denied his request for an additional Panel Qualified Medical Evaluator (PQME) in neurology. The Workers’ Compensation Appeals Board granted the Petition for Removal, rescinded the WCJ’s Findings, and ordered a neurology QME panel. The Board found that the record contained ample evidence supporting the request for a PQME in neurology, and that the denial of the request would result in significant prejudice or irreparable harm to the applicant.

Miguel Castro vs. Omega Extruding Of California; old Republic Indemnity, Administered By Gallagher Bassett Services

This case is about Miguel Castro, a machine operator for Omega Extruding of California, who claims to have sustained injury to his neck, back, bilateral shoulders and right arm from May 7, 2015 through October 11, 2015. The workers’ compensation administrative law judge found that applicant did not sustain injury to his neck, back, bilateral shoulders or right arm and ordered that he take nothing. The Appeals Board granted reconsideration and rescinded the Finding and Order, returning the matter for further proceedings consistent with this opinion.