Santa Rosa

LERHONE WILLIAMS vs. CALIFORNIA DEPARTMENT OF SOCIAL SERVICES, IN-HOME SUPPORTIVE SERVICES; Permissibly Self-insured, Administered By YORK RISK SERVICES GROUP, INC.

This case involves Lerhone Williams, who filed a Petition for Reconsideration against the California Department of Social Services, In-Home Supportive Services, which is permissibly self-insured and administered by York Risk Services Group, Inc. The Petition for Reconsideration was denied by the Workers’ Compensation Appeals Board, as they found no lawful grounds to grant reconsideration. The Board found that while there may have been inaccuracies in the medical record, they were not convinced that they materially affected the outcome of the case. Furthermore, the Board found that not all of the applicant’s assertions were correct. The Board accepted and considered the supplemental letter and documents submitted by the applicant, but they did not change the decision.

Michael Leboy, vs. Praxair, Inc.; Old Republic Insurance Company, Administered By Broadspire,

is a case in which Michael Leboy is appealing a decision made by the Workers’ Compensation Appeals Board. The Board denied the Petition for Reconsideration, citing a clerical error in the report and citing the case of Acme Steel v. Workers’ Comp. Appeals Bd. (Borman) (2013) 218 Cal.App.4th 1137 [78 Cal.Comp.Cases 751]. The Board ordered that the Petition for Reconsideration be denied.

ROBERTO HERNANDEZ vs. MILL VALLEY SCHOOL DISTRICT, Permissibly Self-insured; SUBSEQUENT INJURIES BENEFITS TRUST FUND

and ADJ2646453 (SRO0133845) is a case in which the Mill Valley School District, a permissibly self-insured entity, and the Subsequent Injuries Benefits Trust Fund (SIBTF) are defendants. The Workers’ Compensation Appeals Board granted the SIBTF’s petition for reconsideration and issued a notice of intention to receive two documents into evidence. The WCJ found that the applicant, Roberto Hernandez, had incurred industrial injuries to his right knee and psyche on July 12, 2004, and to his lumbar spine and psyche on October 12, 2004, while employed as a maintenance worker by Mill Valley, causing 8% and 95% permanent disability, respectively. The WCJ also found that Hernandez was

ROY HAAS vs. CITY OF SANTA ROSA; REDWOOD EMPIRE MUNICIPAL INSURANCE FUND

and ADJ7483952 were two workers’ compensation cases in which Roy Haas, a maintenance worker for the City of Santa Rosa, was found to have sustained 22% and 19% permanent disability respectively as a result of an admitted injury to his left elbow and an admitted cumulative trauma injury to his bilateral shoulders. Haas contested the findings, arguing that he was entitled to a rating that incorporated all of the findings of the Agreed Medical Examiner, which included both impairment in his range of motion and in his loss of strength. The Workers’ Compensation Appeals Board granted reconsideration and amended the Findings and Awards to increase the rating of Haas’ injury to his left elbow to 25%, and to increase the rating of his injury to his bilateral shoulders to 31%.

SUSAN VIRDIER vs. CONCENTRA MANAGED CARE; ATLANTIC MUTUAL INSURANCE COMPANY (in Liquidation); CALIFORNIA INSURANCE GUARANTEE ASSOCIATION; And TRAVELERS INDEMNITY INSURANCE COMPANY

This case involves Susan Virdier, who sustained an injury to her left wrist on June 24, 1998 and an injury to both upper extremities during a cumulative trauma period ending September 28, 2000. The defendants in the case are Concentra Managed Care, Atlantic Mutual Insurance Company (in liquidation), California Insurance Guarantee Association, and Travelers Indemnity Insurance Company. Travelers Indemnity Insurance Company sought reconsideration of the August 16, 2012 Findings and Orders, wherein the workers’ compensation administrative law judge found that Travelers is “other coverage” available to applicant for her award of medical treatment. The Workers’ Compensation Appeals Board denied the petition for reconsideration, finding that medical treatment expenses are not apportionable and

Martin Curtis vs. West Sonoma County High School District (psi) Administered By Redwood Empire Schools Insurance Group (tpa)

In this case, Martin Curtis, a former teacher for West Sonoma County High School District, filed a workers’ compensation claim for a cumulative injury to his bilateral knees. The case was settled by Stipulations With Request for Award, and a WCJ issued the Award on February 6, 2017. Curtis underwent a right total knee arthroplasty in July 2017 and a left total knee arthroplasty in January 2018. He subsequently experienced various complications including deep vein thrombosis, bilateral pulmonary emboli, and a right sided cerebral vascular accident [stroke]. The WCJ issued a Findings and Award on April 23, 2018, wherein the WCJ found in pertinent part that applicant is entitled to temporary total disability indemnity comm

Salvador Cuevas vs. Del Monte Meat Company, Inc. And Companion Property And Casualty Insurance Company, Administered By Athens Administrators

In this case, Del Monte Meat Company, Inc. and Companion Property And Casualty Insurance Company, administered by Athens Administrators, appealed a Joint Findings and Award issued by the workers’ compensation administrative law judge (WCJ) on March 14, 2018, wherein the WCJ found that the applicant, Salvador Cuevas, sustained a specific injury to his low back and psyche on January 14, 2011, and a cumulative injury to his right shoulder during the period from April 4, 2012, through April 4, 2013. The Appeals Board granted the Petition for Reconsideration and rescinded the F&A, returning the matter to the WCJ to further develop the record and for additional proceedings. The issue of apportionment between the

Anthony Pearsall vs. City Of Vallejo, Permissibly Self-insured, Administered By York Insurance Services Group, Inc.

City Of Vallejo, permissibly self-insured, administered by York Insurance Services Group, Inc. Anthony Pearsall WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAANTHONY PEARSALL, Applicant,vs.CITY OF VALLEJO, permissibly self-insured, administered by YORK INSURANCE SERVICES GROUP, INC., Defendants.Case No. ADJ7689119 (Santa Rosa District Office)OPINION AND DECISION AFTER RECONSIDERATION            We previously granted reconsideration to provide an opportunity to further study the …

Anthony Pearsall vs. City Of Vallejo, Permissibly Self-insured, Administered By York Insurance Services Group, Inc. Read More »

Matthew Hale vs. County Of Sonoma Sheriff’s Department; Permissibly Self-insured; Administered By Intercare Holdings Insurance Services

County Of Sonoma Sheriff’s Department; Permissibly Self-Insured; administered by Intercare Holdings Insurance Services Matthew Hale WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAMATTHEW HALE, Applicant,vs.COUNTY OF SONOMA SHERIFF’S DEPARTMENT; Permissibly Self-Insured; administered by INTERCARE HOLDINGS INSURANCE SERVICES. Defendants.Case No. ADJ10870809 (Santa Rosa District Office)OPINION AND DECISION AFTER RECONSIDERATION            We granted reconsideration in this matter to provide an opportunity …

Matthew Hale vs. County Of Sonoma Sheriff’s Department; Permissibly Self-insured; Administered By Intercare Holdings Insurance Services Read More »

Vicente Ivan Garcia Diaz vs. Auberge Du Soleil; Hartford Insurance Company Of The Midwest Administered By Gallagher Bassett Services, Inc.

This case is about Vicente Ivan Garcia Diaz, who filed an application for adjudication claiming specific injury to his ankle and foot on August 2, 2012 while employed as a winery worker for Auberge du Soleil. He failed to appear for hearings on June 4, 2015 and January 4, 2016, and the court issued a notice of intent to dismiss for failure to appear. Applicant’s attorney was granted withdrawal and a trial date was set for April 4, 2016, but applicant failed to appear. The court issued another notice of intent to dismiss the case, and on July 22, 2016, after receiving no objection, the court dismissed applicant’s case without prejudice for failure to appear. On December 12, 2017, applicant filed a declaration of readiness