Long Beach

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 The Workers’ Compensation Appeals Board granted the Petition for Reconsideration and rescinded the F&O, returning the matter to the WCJ for further proceedings consistent

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.

Valentin Reyes vs. Calico Building Materials, Inc.; Insurance Company Of The West San Diego

This case is about Valentin Reyes, an employee of Calico Building Materials, Inc., who sustained an industrial injury to his thoracic and lumbar spine and left shoulder. The worker’s compensation administrative law judge found that lien claimant, California Pharmacy Management, provided treatment outside of the employer’s Medical Provider Network and ordered that the lien be disallowed. The Appeals Board granted reconsideration and amended the June 7, 2010 Findings, Award, and Order to defer the issue of CPM’s lien, and return this matter to the trial level for further proceedings and a new decision.

ROBERT GRACE vs. LA FIELL MANUFACTURING COMPANY; CALIFORNIA CASUALTY, Administered By GALLAGHER BASSETT; CIGA, c/o SEDGWICK CMS For SUPERIOR NATIONAL INSURANCE, PACIFIC NATIONAL INSURANCE, And CALIFORNIA COMPENSATION INSURANCE In In Liquidation; STATE COMPENSATION NSURANCE FUND,

is a case involving Robert Grace, the applicant, and La Fiell Manufacturing Company, California Casualty, administered by Gallagher Bassett, CIGA, c/o Sedgwick CMS for Superior National Insurance, Pacific National Insurance, and California Compensation Insurance in in liquidation, and State Compensation Insurance Fund, the defendants. The Findings and Award and Order was issued on June 17, 2014, but the Petition for Reconsideration was not filed within the 25 day period, so it was dismissed by the Workers’ Compensation Appeals Board.

Fernando Sosa vs. Rigoberto Uriarte Dba Rigo’s Plastering; Uninsured Employers Fund

This case involves an appeal by Rigoberto Uriarte dba Rigo’s Plastering to the Workers’ Compensation Appeals Board to reconsider a decision that found that Fernando Sosa sustained an industrial injury while employed by Rigoberto Uriarte dba Rigo’s Plastering. The Workers’ Compensation Appeals Board dismissed the appeal due to the lack of specific references to the record and to the principles of law involved in the petition for reconsideration.

DIONE HERNANDEZ vs. ENTERPRISE RENT A CAR; Permissibly Self-Insured, Administered By AVIZENT ANAHEIM

In this case, the Workers’ Compensation Appeals Board denied the defendant’s Petition for Reconsideration of the August 30, 2012 Findings of Fact, which found that the applicant sustained injury arising out of and in the course of the employment to her back and right lower extremity on January 3, 2011. The Board found that the WCJ’s findings were supported by solid, credible evidence and were to be accorded great weight by the Appeals Board. The Board also noted that the employee bears the burden of proving, by a preponderance of the evidence, that his or her injury was sustained in the course of employment. The Board found that the medical records and testimony of the applicant’s supervisor corroborated the injury on January 3,

JUVENCIO CORIA vs. VALCO PRECISION WORKS, INC.; NOVA CASUALTY COMPANY, Administered By YORK CLAIMS SERVICES

This case involves a petition for reconsideration filed by Juvencio Coria against Valco Precision Works, Inc. and Nova Casualty Company, administered by York Claims Services. The petition was dismissed as untimely because it was not filed within 25 days of the decision. The Joint Order Approving Compromise was issued on January 13, 2014.

Imelda Tapia De Rodriguez, vs. Birrieria Jalisco; Farmers Insurance; Cypress Insurance Company,

Birrieria Jalisco; Farmers Insurance; Cypress Insurance Company, Imelda Tapia De Rodriguez, WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAIMELDA TAPIA DE RODRIGUEZ,Applicant,vs.BIRRIERIA JALISCO; FARMERS INSURANCE; CYPRESS INSURANCE COMPANY,Defendants.Case Nos. ADJ8312614ADJ9055869(Long Beach District Office)OPINION AND DECISION AFTER RECONSIDERATION            On March 20, 2017, the Appeals Board granted reconsideration to further study the factual and legal issues.1 This is our Decision …

Imelda Tapia De Rodriguez, vs. Birrieria Jalisco; Farmers Insurance; Cypress Insurance Company, Read More »

Paula Walton, vs. Ports America; Discovery Re, Administered By Gallagher Bassett; Ssa Containers, Inc.; Metro Risk Management,

This case involves Paula Walton, who is appealing a Joint Findings and Order issued by a workers’ compensation administrative law judge (WCJ) on July 17, 2017. The defendants in the case are Ports America, Discovery Re, administered by Gallagher Bassett, Ssa Containers, Inc., and Metro Risk Management. The Workers’ Compensation Appeals Board granted the defendant’s Petition for Reconsideration and rescinded the Joint Findings and Order, returning the matter to the trial level for further proceedings by the WCJ.