California

Cameron Pierce, vs. Pamarco Pacific, Inc.; The Hartford,

In this case, the Workers’ Compensation Appeals Board dismissed the Petition for Reconsideration filed by Sherman Oaks Hospital and Health Center of the Findings of Fact and Order issued on May 24, 2007, as it was not timely filed. The WCJ found that applicant’s inpatient hospital stay was at lien claimant’s facility as a result of the back surgery and was not self-procured medical treatment and ordered that lien claimant was not entitled to additional payment from defendant.

Maria Figuero vs. Help Net, Inc. And State Compensation Insurance Fund

(LBO 0326931)Help Net, Inc. and State Compensation Insurance Fund v. Maria Figueroa is a case in which lien claimant Michael A. Wooten, D.C. sought reconsideration of the Findings and Order issued by the workers’ compensation administrative law judge (WCJ) on February 21, 2016, wherein the WCJ found in pertinent part that the services Wooten provided did not constitute reasonable medical treatment pursuant to the medical treatment utilization schedule (MTUS) guidelines and ordered that Wooten’s lien was disallowed. The Workers’ Compensation Appeals Board granted the Petition for Reconsideration and rescinded the F&O, returning the matter to the WCJ for further proceedings consistent

Rosa Gamez vs. Full Steam Staffing And Esis

In this case, Rosa Gamez filed a petition for reconsideration and removal with the Workers’ Compensation Appeals Board against Full Steam Staffing and ESIS. The Board dismissed the petition to the extent it sought reconsideration and denied it to the extent it sought removal. The Board found that the petition was not a “final” order, decision, or award and that removal was an extraordinary remedy rarely exercised by the Board. The Board also found that the petitioner did not demonstrate that substantial prejudice or irreparable harm would result if removal was not granted and that reconsideration would not be an adequate remedy if a final decision adverse to the petitioner ultimately issued.

Michael Jimenez vs. Sp Plus Security Services; Zurich American Insurance Company

This case is about Michael Jimenez, who was denied workers’ compensation benefits by the Workers’ Compensation Appeals Board. The defendant, SP Plus Security Services and Zurich American Insurance Company, sought reconsideration of the decision, but the petition was dismissed as it was untimely. The Board also admonished the defendant’s attorney for filing a meritless petition and for her apparent lack of familiarity with the Appeals Board’s Rules of Practice and Procedure.

Theresa Merenkov vs. Oracle Usa, Inc.; Safety National Casualty Company, Administered By Matrix Absence Management, Inc.

This case involves Theresa Merenkov, an employee of Oracle USA, Inc., who sustained an industrial injury on December 8, 2012, to multiple body parts causing 50% permanent disability and a need for future medical treatment. The defendant, Safety National Casualty Company, administered by Matrix Absence Management, Inc., sought reconsideration of the July 31, 2014 Findings and Award, arguing that the finding of permanent disability was excessive and not correctly rated. The Workers’ Compensation Appeals Board denied the Petition for Reconsideration, finding that the Panel Qualified Medical Evaluator assigned correct whole person impairments and that the WCJ reasonably relied on the findings of the medical evaluator.

ANGEL AVILA vs. PHILIPPS SERVICES CORPORATION; CIGA, By Its Servicing Facility, SEDGWICK CMS, For RELIANCE INSURANCE COMPANY, In Liquidation

In this case, Angel Avila filed a workers’ compensation claim for injuries sustained while employed by Phillips Services Corporation, insured by Reliance Insurance Company, in liquidation, by CIGA, through its servicing facility, Sedgwick CMS. Several medical facilities filed liens for goods/services allegedly provided to Avila. The Workers’ Compensation Appeals Board granted reconsideration of the July 22, 2014 Orders Dismissing Lien Claims and issued a Notice of Intention to affirm the WCJ’s Orders unless lien claimants demonstrate good cause why the Orders should not be affirmed. The Board also ordered defendant to file a pleading responding to any pleading filed by lien claimants.