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Resources

Welcome to the Resources Section. Here you will find a plethora of original materials as referenced in the print edition.

All Categories  >  Appellate Court Decisions - Full Text (181)
Category:
Apportionment (7)  
Attorney Fees (3)  
Employment (6)  
Injury AOE/COE (15)  
WCAB Procedure (15)  

Resources:
City Of Oakland V. Workers’ Compensation Appeals Board (Steven Baptista)
APPORTIONMENT - When an injured employee received a prior disability award, apportionment of the amount of permanent disability indemnity is calculated by determining the overall percentage of permanent disability and then subtracting the percentage of permanent disability caused by other factors, including the prior disability award. Brodie v. Workers' Compensation Appeals Board, Contra Costa County Fire Protection District 40 Cal.4th 1313,9 WCAB Rptr. 10,142 .
Sacramento County Office Of Education V. Workers’ Compensation Appeals Board (Kim E. Burnett)
MEDICAL TREATMENT–Spinal surgery second opinion process– Labor Code §4062–When an employee has self-procured spinal surgery before the resolution of the second opinion process, the employer is not liable for the costs of the spinal surgery.
Full Text Cheryl Peru V. Sharpshotter Spectrum Venture Llc 9 WCAB Rptr. 10,231
CIVIL LITIGATION–Longshore and Harbor Workers' Compensation Act–33 U.S. Code §901-905–In determining the applicability of the LHWCA, one must examine not only the nature of a claimant's employer but also examine the nature of the claimant's particular workplace and duties.
Rachel Chang V. Workers’ Compensation Appeals Board, State Compensation Insurance Fund, 9 Wcab Rptr. 10,237
PERMANENT DISABILITY-Applicability of the new Permanent Disability Rating Schedule–Labor Code §4660–For all pending cases involving injuries occurring before January 1,2005, the new rating schedule must be applied unless one of the exceptions listed in Labor Code §4660(d) has been established (See Aldi v. Carr, McClellan, Ingersoll, Thompson & Hern (2005) 8 WCAB Rptr. 10,199 [en banc].)
Washington Mutual Bank V. Workers’ Compensation Appeals Board (Judy Helm)
PERMANENT DISABILITY–Application of new vs. old rating schedule–Under Labor Code §4660(d), a comprehensive medical-legal report, like the treating physician's report, must contain an indication of permanent disability to trigger the use of the pre-2005 rating schedule. (See Costco Wholesale Corp. v. Workers' Comp. Appeals Bd. (Chavez) (2007) 151 Cal.App.4th 148, 9 WCAB Rptr. 10,184.)
Energetic Painting And Drywall V. WCAB (Ramirex) 9 Wcab Rptr. 10,251
PERMANENT DISABILITY–Applicability of new permanent disability rating schedule–Labor Code §4660(d)–In interpreting Labor Code §4660(d), the employer's duty to provide the Labor Code §4061 notice attaches with the last payment of temporary disability. (See Costco Wholesale Corp. v. Workers' Comp. Appeals Bd. (Chavez) (2007) 151 Cal.App. 4th 148, 9 WCAb Rptr. 10,184.)
University Of California San Francisco V. Wcab (Rand) 9 WCAB Rptr. 10,251
PERMANENT DISABILITY–Applicability of new permanent disability rating schedule–Labor Code §4660(d)–In interpreting Labor Code §4660(d), the employer's duty to provide the Labor Code §4061 notice attaches with the last payment of temporary disability. (See Costco Wholesale Corp. v. Workers' Comp. Appeals Bd. (Chavez) (2007) 151 Cal.App. 4th 148, 9 WCAb Rptr. 10,184.)
San Francisco Marriott V. WCAB (Yamat) 9 Wcab Rptr. 10,251
PERMANENT DISABILITY–Applicability of new permanent disability rating schedule–Labor Code §4660(d)–In interpreting Labor Code §4660(d), the employer's duty to provide the Labor Code §4061 notice attaches with the last payment of temporary disability. (See Costco Wholesale Corp. v. Workers' Comp. Appeals Bd. (Chavez) (2007) 151 Cal.App. 4th 148, 9 WCAb Rptr. 10,184.)
Health Net, Inc. V. Workers’ Compensation Appeals Board (Bente Hansen) 9 Wcab Rptr. 10,243
PERMANENT DISABILITY–Applicability of new permanent disability rating schedule–Labor Code §4660(d)–In interpreting Labor Code §4660(d), the employer's duty to provide the Labor Code §4061 notice attaches with the last payment of temporary disability. (See Costco Wholesale Corp. v. Workers' Comp. Appeals Bd. (Chavez) (2007) 151 Cal.App. 4th 148, 9 WCAb Rptr. 10,184.)
Daniel Vera V. Workers’ Compensation Appeals Board, Sapper Construction 9 WCAB Rptr. 10,242
WCAB PROCEDURE−Application of old Permanent Disability Rating Schedule−Labor Code §4660(d)− For injuries occurring before January 1, 2005, a treating physician's report issued prior to January 1, 2005, must indicate that the applicant has a ratable disability that has reached permanent and stationary status.WCAB PROCEDURE−Application of old Permanent Disability Rating Schedule−Labor Code §4660(d)−The old rating schedule will apply only when the employer has made, or is required to make, the last payment of temporary disability indemnity before January 1, 2005. (See Costco Wholesale Corp. v. Workers' Comp. Appeals Bd.(Chavez) (2007) 151 Cal.App.4th 148, 9 WCAB Rptr. 10,184.)
City Of Turlock V. Workers’ Compensation Appeals Board (Stk09 Yyzzz) 9 WCAB Rptr. 10,238
INJURY–Burden of proof on issue of causation–The injured worker has the burden of proving industrial causation by a reasonable probability. This burden does not require the injured worker to prove causation with scientific certainty. (See Rosas v. Workers' Comp. Appeals Bd. (1993) 16 Cal.App.4th 1692.) [In this case the applicant's QME and the medical literature provided substantial evidence to support a finding that it was reasonable that applicant's contracting hepatitis C as a utility maintenance worker in a sewage system was industrially related.]
City Of San Diego V. Workers’ Compensation Appeals Board (James Brooks) 9 WCAB Rptr. 10,240
WCAB PROCEDURE−Application of old Permanent Disability Rating Schedule−Labor Code §4660(d)−For injuries occurring before January 1, 2005, a comprehensive medical-legal report issued prior to January 1, 2005, the report must show the existence of permanent disability to permit the use of the new rating schedule. (See Baglione v. Hertz Car Sales (2007) 9 WCAB Rptr. 10,119 (Baglione II).)WCAB PROCEDURE−Application of old Permanent Disability Rating Schedule−Labor Code §4660(d)−The term "permanent disability" has two separate and independent components: (1) the applicant has a ratable disability, and (2) the status of that disability is "permanent and stationary" as that term is used in the workers' compensation statutes.
Donald Gunzenhauser V. Workers’ Compensation Appeals Board, State Compensation Insurance Fund 9 WCAB Rptr. 10,256
TEMPORARY DISABILITY–104-week maximum entitlement–Labor Code §4656–The maximum two-year temporary disability indemnity period under labor Code §4656 is lawful and constitutional.
Daniel Green V. State Of California ____Cal.4Th ____, 9 WCAB Rptr. 10,259
CIVIL LITIGATION–Disability Discrimination–Under the California Fair Employment and Housing Act (FEHA) the burden is on the plaintiff to show that he or she is a qualified individual under FEHA (i.e., that he or she can perform the essential functions of the job with or without reasonable accommodation).
Rachael Dufour V. Workers’ Compensation Appeals Board, City Of Modesto 9 WCAB Rptr. 10,255
INJURY–Presumption of injury blood borne infection–Labor Code §3212.8–A presumption is an assumption of fact that the law requires to me made from another facto or group of facts found or otherwise established in the case. A presumption becomes operative at trial when the basic facts giving rise to the presumption are established by the pleading, stipulation, judicial notice or evidence. (See Gee v. Workers' Comp. Appeals Bd. (2002) 96 Cal.4th 1418, 4 WCAB Rptr. 10,101.) [In this case the applicant failed to establish the underlying basic facts necessary to invoke the application the Labor Code §3212.8 presumption that the blood-borne infectious disease manifested itself while applicant was employed as a police officer.]
Zenith Insurance Company V. Workers’ Compensation Appeals Board (Catherine Watts) 9 WCAB Rptr. 10,257
PERMANENT DISABILITY–Application of old vs. new rating schedule–Labor Code §4660(d)–A comprehensive medical-legal report prepared prior to January 1, 2005 must indicate the existence of permanent disability in order to apply the old rating schedule. (See Costco Wholesale Corp. v. Workers' Comp. Appeals Bd. (2007) 151 Cal.App.4th 148.)PERMANENT DISABILITY–Application of old vs. new rating schedule–Labor Code §4660(d)–The duty to give notice under Labor Code §4061 arises with the last payment of temporary disability. (See Costco Wholesale Corp. v. Workers' Comp. Appeals Bd. (2007) 151 Cal.App.4th 148.)
Eddy Korkiat Prachasaisoradej V. Ralphs Grocery Company, Inc. ____Cal.4Th _____. 9 WCAB Rptr. 10,261
CIVIL LITIGATION– Incentive compensation plan–A profit-based supplementary incentive compensation plan, designed to reward employees beyond their normal pay for their collective contribution to store profits, did not violate wage protection policies of the Labor Code insofar as the plan included store expenses such as workers' compensation costs, cash and merchandise shortages, breakage, and third party tort claims in the profit calculation.
Fred Vierra V. Workers’ Compensation Appeals Board, Collins Pine Company And Liberty Mutual Insurance Co. ____Cal.App.4Th _____, 9 Wcab Rptr. 10,275
ATTORNEY FEES−Labor Code §4906−The Appeals Board has the exclusive jurisdiction over fees to be allowed or paid to applicants' attorneys. (See Wheeler & Beaton v. Workers' Comp. Appeals Bd. (1995) 40 Cal.App.4th 389.) [In this case, the Appeals Board properly refused to approve an attorney fee agreement that provided for attorney fees to be calculated on an hourly rate of $225.00 or 12% of the permanent disability award, whichever is less.]ATTORNEY FEES–Labor Code §4906–The law does not forbid contracts between applicants and attorneys, but merely gives the Appeals Board the final approval over their enforcement. Once services are rendered, the WCJ may approve, increase or reduce the fees provided for in such a contract, taking into consideration the factors listed in Labor Code §4906 (d) and the WCAB Policy and Procedures Manual.
Paul Cruz V. Mercedes-Benz Of San Francisco, And Auto Dealers Compensation Of California Administered By Intercare Insurance Company - 9 Wcab Rptr. 10,285
TEMPORARY DISABILITY–104 week/two year cap–Labor Code §4656(c)(2)(C)–The word "amputation" as used in Labor Code §4656(c)(2)(C), means the severance or removal of a limb, part of a limb, or other body appendage, including both traumatic loss in an industrial injury and surgical removal during treatment of an industrial injury. [In this case involves the anterior L5-S1 diskectomy, partial L5-S1 fusion with a graft from the iliac crest bone, bilateral L4-L5 laminotomy, and decompression of L5 nerve roots bilaterally which was determined by the Appeals Board not to constitute an "amputation" within the meaning of Labor Code §4656(c)(2)(C).]
Jose Facundo-Guerrero V. Workers’ Compensation Appeals Board, Nurserymen’S Exchange ____ Cal.App.4Th ____, 10 WCAB Rptr. 10,177
MEDICAL TREATMENT−Labor Code §4604.5−The 24 visit cap for chiropractic treatment is constitutional.
Elias Nunez V. Steel Forming, Inc. - 10 WCAB Rptr. 10,180
CIVIL LITIGATION–Punch press exception to exclusive remedy–Labor Code §4558–An employee may file a civil action against the employer where the employee's injury or death is proximately caused by the employer's knowing removal of or knowing failure to install, a point of operation guard on a power press, and the removal or failure to install is specifically authorized by the employer under conditions known by the employer to create a probability of serious injury or death.CIVIL LITIGATION–Punch press exception to exclusive remedy–Labor Code §4558–A cause of action under the punch press exception includes the following elements: (1) the injury or death is proximately caused by the employer's knowing removal of or knowing failure to install, a point of operation guard on a power press and (2) the removal or failure to install is specifically authorized by the employer under conditions known by the employer to create a probability of serious injury or death. (See Flowmaster, Inc. v. Superior Court (1993) 16 Cal.App.4th 1019.)
Boughner V. Carr, Mcclellan, Comp Usa, Zurich North America - 10 WCAB Rptr. 10,188
Adoption of Permanent Disability Rating Schedule by the Administrative Director was not arbitrary or capricious or inconsistent with Labor Code §4660(b)(2)
Alvin Wiley V. Workers’ Compensation Appeals Board, California Department Of Corrections And Rehabilitation - 10 WCAB Rptr. 10.179
TEMPORARY DISABILITY–Enhanced Industrial Disability Leave (IDL) paid to certain state employees constitutes temporary disability indemnity for the purpose of the Labor Code §4660(d) limitation on aggregate temporary disability payments.(See Virginia Brooks v. Workers' Compensation Appeals Board, California Department of Corrections and Rehabilitation (2008) ____Cal.App.4th .10 WCAB Rptr. 10,137.)
LA County Department Of Parks And Recreation V. WCAB (Merrell Calvillo) - 10 Wcab Rptr. _____
WCAB PROCEDURE−Petition for new and further disability–When compensation such as temporary total disability indemnity is voluntarily paid, proceeding may be instituted by filing for new and further disability within the time limit prescribed by statute. (See Cowell L & C. Co. v. Industrial Acc. Com. (1930) 211 Cal. 154.)
California Insurance Guarantee Association V. WCAB (David Carls) - ____Cal.App. 4Th ____, 10 Wcab Rptr. 10,193
STATUTE OF LIMITATIONS–Labor Code §5405–The statute of limitations is tolled by an employer's failure to notify its injured worker of a potential right to benefits, as required by Labor Code §5401(a). Such tolling ends when the injured worker gains actual knowledge of the potential for workers' compensation benefits. (See Kaiser Foundation Hospitals v. Workers' Comp. Appeals Bd. (1985) 39 Cal.3d 57.)
Deanna Priest v. Workers’ Compensation Appeals Board, Michael Housepian 10 WCAB Rptr. 10,327

WCAB JURISDICTION–Continuing jurisdiction over awards–Labor Code §5804–The Appeals Board has continuing jurisdiction over all its orders, decisions and award, which it may rescind, alter, or amend upon a showing of good cause. The Appeals Board’s continuing jurisdiction over its awards is limited in that no award of compensation shall be rescinded, altered or amended after five years from the date of injury, except upon a petition of a party filed within such five years.

Full text of Travelers v. Conoco Phillips

Full text of Travelers v. Conoco Phillips

____F.3d____, 10 WCAB Rptr. 10,331

 

Full text of Poore v. Simpson Paper Company

Full text of Poore v. Simpson Paper Company

____F.3d ______, 10 WCAB Rptr. 10,339

 

Pratt v. Union Pacific Railroad - ____Cal.App.4th ____, 10 WCAB Rptr. 10,372

Federal Employers Liability Act:  The Railroad Labor Act does not preempt California’s Discovery Act during the pendency of a FELA  action when the discovery provisions provide an adequate means of obtaining medical information and the employer’s use of extra-judicial discovery is merely a pretext to gain an unfair advantage in the underlying FELA case.

Dianna Fain v. Workers' Compensation Appeals Board, City of Fresno Police Department - 10 WCAB Rptr. 10,350

PRESUMPTION OF INJURY-Cancer presumption for firefighters and peace officers-Labor Code section 3212.1-The cancer presumption applies for certain firefighters and peace officers for up to 60 months after leaving employment and provides that the injury is presumed industrial if the cancer develops or manifests itself during a period in which the member demonstrates that (1) he or she was exposed to a known carcinogen as defined by the International Agency for Research on Cancer and (2) the carcinogen was reasonably linked to the disabling cancer. (See City of Long Beach v. Workers' Comp. Appeals Bd. (2005) 126 Cal.App.4th 298.)

Full text of Wangen v. Garnder Denver - 11 WCAB Rptr. 11,077

Doctrine of Forum Non Conveniens in multiple defendant asbestos case: In a case with many defendants it would be unreasonable to expect a moving defendant to establish that all defendants were subject to jurisdiction in the alternate forum.

Full text of National Union Fire Insurance Company v. Cambridge - ____Cal.App.4th ____, 11 WCAB Rpr. 11,075

Claims administrator owes duty of care to excess workers’ compensation insurance carrier as a third party beneficiary of contract between the self insured employer and the claims administrator

Full text of Silvestro v. Kaiser Gypsum Company Inc.

INTERESTING ASBESTOS CASE: Court of Appeal reverses jury’s allocation of the measure of fault in multiple defendant case

Full text of Ransford v. Griffin Wheel Company - 11 WCAB Rptr. 11,222

The Locomotive Boiler and Inspection Act and the Safety Appliances Act pre-empt causes of action by a railroad worker against a brake shoe manufacturer for asbestos-related injuries.

Full text of LaPlante v. WCAB
Full text of Davis v. Board of Chiropractic Examiners

Chiropractor disciplined for billing errors and excessive treatment of workers’ compensation injury

Full text Schmidt v. Burlington Northern

Under FELA, the test of whether a company is the employer of a particular worker turns on the degree of control the company exerts over the physical conduct of the worker in the performance of services