Case Law Library
Case Name: | Estrada v. WCAB | 11/05/1997 | |
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Summary: | OPINION CROSKEY, Acting P. J. - In this petition for writ of mandate challenging a decision of the Workers' Compensation Appeals Board (the Board or WCAB), Miguel A. Estrada (Estrada), the injured worker, requests relief from the Board's decision regarding his rights to vocational rehabilitation temporary disability (VRTD). 7 The issue of whether the parties' vocational rehabilitation provision could be enforced resurfaced in a disagreement between Estrada and defendants over whether Estrada was entitled to receive retroactive VRTD and retroactive 'maintenance allowance. '8 Defendants asserted they had properly delayed giving Estrada vocational rehabilitation benefits, including VRTD, until January 25, l994, because Estrada was examined by Dr. Endler on that [58 Cal. App. 4th 1465] day. In contrast, Estrada asserted he was entitled to VRTD retroactive to a date prior to January 25, 1994. She determined that as a QIW, Estrada was owed VRTD for the period April 17, 1990, through January 24, 1994. | ||
Note: | Commutation allowed if good faith issue that might defeat applicant's claim for all benefits exists (Thomas finding). | ||
Citation: | 58 Cal.App.4th 1458, 62 CCC 1384 | ||
WCC Citation: | WCC 26141997 CA | ||
Case Name: | Estrada v. WCAB | 11/05/1997 | |
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Summary: | OPINION CROSKEY, Acting P. J. - In this petition for writ of mandate challenging a decision of the Workers' Compensation Appeals Board (the Board or WCAB), Miguel A. Estrada (Estrada), the injured worker, requests relief from the Board's decision regarding his rights to vocational rehabilitation temporary disability (VRTD). 7 The issue of whether the parties' vocational rehabilitation provision could be enforced resurfaced in a disagreement between Estrada and defendants over whether Estrada was entitled to receive retroactive VRTD and retroactive 'maintenance allowance. '8 Defendants asserted they had properly delayed giving Estrada vocational rehabilitation benefits, including VRTD, until January 25, l994, because Estrada was examined by Dr. Endler on that [58 Cal. App. 4th 1465] day. In contrast, Estrada asserted he was entitled to VRTD retroactive to a date prior to January 25, 1994. She determined that as a QIW, Estrada was owed VRTD for the period April 17, 1990, through January 24, 1994. | ||
Note: | Absent express approval by WCJ in Order Approving, Thomas request inapplicable. | ||
Citation: | 58 Cal.App.4th 1458 | ||
WCC Citation: | WCC 4051997 CA | ||
Case Name: | Evans v. Mutual of Omaha Insurance Co. | 03/27/2008 | |
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Summary: | IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA SECOND APPELLATE DISTRICT DIVISION THREE No. B192848 March 27, 2008 ESSIE EVANS, PLAINTIFF AND APPELLANT, v. MUTUAL OF OMAHA INSURANCE COMPANY, DEFENDANT AND RESPONDENT. Plaintiff and appellant Essie Evans (Evans) appeals a judgment following a grant of summary judgment in favor of defendant and respondent Mutual of Omaha Insurance Company (Mutual) in an action for breach of contract and bad faith arising out of Mutual's refusal to pay benefits under an accident insurance policy. Mutual further argued that regardless of what Evans now asserted, she previously had conceded before the WCAB that it was "the long lingering 'cumulative . Mutual averred that Evans was barred by judicial estoppel from now taking a legal position diametrically opposed to the position she took in another tribunal. Thereafter, Evans filed a timely notice of appeal from the judgment in favor of Mutual. | ||
Note: | [Unpublished] Because Plaintiff has previously, and successfully, argued to another tribunal that decedent's death was due to cumulative job stress over a period of many years, Plaintiff is judicially estopped from asserting the loss of life was an 'accidental result of standing' so as to entitle her to benefits under the accidental death policy. | ||
Citation: | B192848 | ||
WCC Citation: | WCC 33322008 CA | ||
Case Name: | Evans v. Sunamoto | 12/09/2010 | |
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Summary: | JONATHAN EVANS et al. , Plaintiffs and Respondents,v. RONALD KENT SUNAMOTO et al. , Defendants and Appellants. INTRODUCTION Appellants Ronald Kent Sunamoto (Sunamoto) and Keystone Freight Corporation (Keystone) appeal from a judgment in favor of defendants Jonathan Evans (Evans) and Travelers Property Casualty Company of America (Travelers). FACTUAL AND PROCEDURAL BACKGROUND The complaint was initially filed on February 6, 2007, in Stanislaus County by Evans. Evans alleged that he was injured in a motor vehicle accident while Sunamoto was driving in the course of his employment with Keystone. Travelers filed a complaint in intervention, seeking reimbursement of the workers' compensation benefits it had paid Evans. | ||
Note: | A Los Angeles Superior Court was correct to deny a defense attorneys last-minute request to withdraw his waiver of a jury. | ||
Citation: | B218630 | ||
WCC Citation: | WCC 36892010 CA | ||
Case Name: | Evard v. Southern California Edison | 07/11/2007 | |
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Summary: | Plaintiffs Daniel Evard and Christina Evard, and defendant and cross-complainant Southern California Edison (SCE), appeal from a summary judgment entered for defendants Heywood Outdoor Advertising, Inc. (Heywood) and Western Empire Industries, Inc. (Western Empire) in plaintiffs' personal injury action. FACTUAL AND PROCEDURAL HISTORY On June 23, 2004, plaintiffs Daniel Evard and Christina Evard filed a complaint against defendants SCE, Heywood, and William H. Dagg and the William H. Dagg Trust (Dagg). Before the accident, however, Evard did not tie his harness to the ladder he stood on at the top of the billboard. As Evard attempted to place a metal bar into vinyl at the corner of the billboard, he felt "zapped" and "jolted. "Costs on appeal are awarded to plaintiffs Daniel Evard and Christina Evard and defendant and cross-complainant Southern California Edison. | ||
Note: | A nondelegable duty is a definite affirmative duty the law imposes on one by reason of his or her relationship with others. One cannot escape this duty by entrusting it to an independent contractor. | ||
Citation: | 153 Cal. App. 4th 137 | ||
WCC Citation: | WCC 32352007 CA | ||
Case Name: | Ezra v. State of California Dep't of Health Services | 09/07/2010 | |
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Summary: | IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA SECOND APPELLATE DISTRICT DIVISION SEVEN HABTNESH EZRA, Plaintiff and Appellant, v. STATE OF CALIFORNIA, DEPARTMENT OF HEALTH SERVICES et al. , Defendants and Respondents. In January of 2007, DHS filed a Form 1099 with the IRS reporting the payment of the settlement to Ezra. *fn3 The violation is identified as respondents' act of filing the Form 1099 with the IRS "in an effort to harm Ezra. "(The Capital Gold Group, Inc. v. Nortier ( 2009) 176 Cal. App. 4th 1119, 1127; see also, Leader v. Health Indus. Ezra asks this court to reinstate her claim against respondents "by returning it from a state of make-believe to its reality. " | ||
Note: | An employer's filing of a Form 1099 with the Internal Revenue Service about a former employee's settlement was not an act of retaliation because it was a business necessity, the 2nd District Court of Appeal concluded. | ||
Citation: | B216144 | ||
WCC Citation: | WCC 36642010 CA | ||
Case Name: | Ezzy v. WCAB | 08/19/1983 | |
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Summary: | Marilyn Ezzy (hereafter Ezzy) at all relevant times was employed by the law firm of Gassett, Perry & Frank (hereafter GPF) as a law clerk. The record of the WCAB hearing discloses that GPF participated in a softball league composed primarily of civil defense law firms. Ezzy testified that she did not volunteer but was 'drafted' to join the team. Ezzy understood there was a coed requirement, and when there appeared to be shortage of women, the female members were urged to get out and play. Ezzy stated that the firm paid for postgame pizza and other refreshments. | ||
Note: | Law clerk injured in employer-sponsored softball game rx. believed was in course of employment. | ||
Citation: | 146 Cal.App.3d 252, 48 CCC 611 | ||
WCC Citation: | WCC 28051983 CA | ||
Case Name: | Facundo-Guerrero v. WCAB | 06/02/2008 | |
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Summary: | He filed a writ of review with this court after a Workers' Compensation Appeals Board (WCAB) decision determined that he was entitled to benefits covering only 24 chiropractic treatments, as specified by section 4604. 5(d). We reject all of these constitutional challenges to section 4604. 5(d), and affirm the decision of the WCAB. A hearing was held before a WCAB judge (WCJ) on February 16, 2007,*fn2 and an initial decision was issued on March 9. The WCAB granted reconsideration and adopted the September 5 decision of the WCJ as its own. In Costa, an electrician filed a claim for benefits with the WCAB and requested an expedited hearing because he was in " 'dire need of medical treatment, including home care. ' | ||
Note: | There is nothing unconstitutional about Labor Code section 4604.5(d). The Legislature has legal authority to enact a law limiting petitioner's right to receive chiropractic treatment. | ||
Citation: | A119814 | ||
WCC Citation: | WCC 33772008 CA | ||
Case Name: | Faigin v. Signature Group Holdings, Inc. | 12/05/2012 | |
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Summary: | FAIGIN v. SIGNATURE GROUP HOLDINGS, INC. ALAN W. FAIGIN, Plaintiff and Appellant, v. SIGNATURE GROUP HOLDINGS, INC. , Defendant and Appellant. Signature Group Holdings, Inc. , formerly known as Fremont Reorganizing Corporation (FRC), appeals a judgment awarding Alan W. Faigin $1,347,000 in damages for breach of an implied-in-fact agreement to terminate his employment only for good cause. When the FRC board of directors considered hiring a new management group, Faigin informed the directors and major shareholders of his objections to the proposal. The new management group was formally appointed to FRC in December 2007, including a President, a Chief Executive Officer and a General Counsel replacing Faigin in those positions. FRC argued that any employment relationship between Faigin and FRC must be based on FRC's conduct rather than Fremont General's conduct. | ||
Note: | Fremont General's former general counsel won a $1.35 million breach of employment contract suit against its successor, after an appellate court agreed that he was terminated without good cause. | ||
Citation: | B224598 | ||
WCC Citation: | WCC 39552012 CA | ||
Case Name: | Fain v. WCAB | 11/13/2008 | |
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Summary: | Fain v. Workers' Compensation Appeals Board, No. F056026 (Cal. App. Dist. 5 11/13/2008) IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FIFTH APPELLATE DISTRICT No. F056026 November 13, 2008 DIANNA FAIN, PETITIONER, v. WORKERS' COMPENSATION APPEALS BOARD AND CITY OF FRESNO POLICE DEPARTMENT, RESPONDENTS. Code, § 3212. 1. *fn2 ) Not finding sufficient basis upon which to invoke the presumption, we agree with the WCAB. BACKGROUND Bruce Fain (Fain) worked as a police officer for the City of Fresno (Fresno) from May 29, 1972, until August 17, 2006. Fain subsequently passed away and his wife pursued his workers' compensation claim. Adopting the WCJ's findings, the WCAB did not find any evidence Fain was ever exposed to a known carcinogen while working for Fresno as a police officer. | ||
Note: | The widow of a Fresno police detective was unable to prove that her husband's fatal brain cancer arose from his work. | ||
Citation: | F056026 | ||
WCC Citation: | WCC 34622008 CA | ||
Case Name: | Farmer Bros. Coffee v. WCAB (Ruiz) | 10/17/2005 | |
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Summary: | Federal Preemption Petitioner contends that sections 3351 and 1171. 5 have been preempted by the employment provisions of the IRCA (8 U. S. C. § 1324a). It is also a crime to knowingly accept a false immigration document for purposes of satisfying the requirements of the statute. "Article VI of the Constitution provides that the laws of the United States shall be the supreme Law of the Land; . Consideration of issues arising under the Supremacy Clause start[s] with the assumption that the historic police powers of the States [are] not to be superseded by . of Breyer, J. ; see also, Bank One Chicago, N. A. v. Midwest Bank & Trust Co. (1996) 516 U. S. 264, 277-279, fn. | ||
Note: | Immigration status is irrelevant to the issue of liability. | ||
Citation: | 133 Cal. App. 4th 533; 35 Cal. Rptr. 3d 23 | ||
WCC Citation: | WCC 31242005 CA | ||
Case Name: | Farmer v. Lodi Memorial Hospital Assn. Inc. | 10/24/2012 | |
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Summary: | FARMER v. LODI MEMORIAL HOSPITAL ASSN. INC. SANDY FARMER, Plaintiff and Appellant, v. LODI MEMORIAL HOSPITAL ASSOCIATION, INC. , Defendant and Respondent. This appeal arises after the trial court granted defendant Lodi Memorial Hospital Association's motion for summary judgment in plaintiff Sandy Farmer's action for damages due to alleged wrongful termination. She alleged that while working for the Lodi Memorial Hospital (Hospital) she developed "a digestive disorder and in addition began suffering from depression[. ]"Farmer objected that the handbook itself had not been placed into evidence by the Hospital. | ||
Note: | A former hospital worker's wrongful termination claim failed as a matter of law because she did not timely exhaust her administrative remedies, and she was an at-will employee. | ||
Citation: | C068489 | ||
WCC Citation: | WCC 39452012 CA | ||
Case Name: | Farmers Ins. Exchange vs. WCAB (Sanchez) | 12/19/2002 | |
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Summary: | FARMERS INSURANCE GROUP OF COMPANIES/TRUCK INSURANCE EXCHANGE, Petitioner, v. WORKERS' COMPENSATION APPEALS BOARD and MICHAEL SANCHEZ, Respondents. His employer's insurer, Farmers Insurance Group of Companies/Truck Insurance Exchange, seeks a credit against the life pension in the workers' compensation action in order to satisfy the restitution order. Farmers petitioned to bar all further workers' compensation benefits pursuant to the fraud conviction, or in the alternative, for credit. Page 4} could be barred if Farmers had filed such a request within five years of the date of injury. Allowing Farmers a credit against Sanchez's lifetime pension would be tantamount to modification or compromise of the criminal restitution order We therefore decline Farmers' request. | ||
Note: | Only particular item of fraud barred; claimant still entitled to benefits; employer cannot take credit for restitution against benefits. | ||
Citation: | 104 Cal.App.4th 684 | ||
WCC Citation: | WCC 28992002 CA | ||
Case Name: | Farris vs. Industrial Wire et. al. | 07/27/2000 | |
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Summary: | BACKGROUND Applicant sustained an admitted cumulative industrial injury to both upper extremities from September 1, 1989 through August 17, 1997, while employed by Industrial Wire Products, the insured of defendant. It also argued that, because applicant did not seek reconsideration of the Findings and Award, he had waived his right to seek additional penalties. In relevant part, the WCJ first found that applicant was entitled to a ten-percent section 4650(d) penalty "on all payments of permanent disability delayed herein. "(1979) 23 Cal. 3d 815, 826 [44 Cal. Comp. Cases 321, 328] (emphasis added); see also Avalon Bay Foods v. Worker's Comp. Thus, when "an award is readily severable into the different classes or categories of compensation as defined by the Workers Compensation Act (Lab. | ||
Note: | 5814 penalty applies to entire underlying species when failure / refusal to pay 4650 penalty. | ||
Citation: | 65 C.C.C. 824 WCAB En Banc Decision, 65 CCC 824 | ||
WCC Citation: | WCC 3592000 CA | ||
Case Name: | Faust v. California Portland Cement Company | 05/10/2007 | |
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Summary: | Ct. No. BC321660) MICHAEL FAUST, Plaintiff and Appellant, v. CALIFORNIA PORTLAND CEMENT COMPANY, Defendant and Respondent. Plaintiff and appellant Michael Faust (Faust) appeals a judgment following a grant of summary judgment in favor of his former employer, defendant and respondent California Portland Cement Company, a California corporation (Portland). Bill Buchanan, a fellow employee who was supposed to drive Faust to the work site, did not pick up Faust, requiring Faust to walk to the site. However, the issue here is not whether Faust duly requested leave -- Portland admitted Faust "provided verbal notice sufficient to make [Portland] aware he needed leave pursuant to the California Family Rights Act. "In any event, Faust presented evidence that Portland did not contact any of the persons designated by Faust and that Portland did not pursue any accommodation of Faust's disability. | ||
Note: | Employee provided sufficient information to the employer to advise it of his need for leave pursuant to the CFRA, and that the employer did not give notice to employee of his right to leave under the CFRA, leading to the reversal of a decision in favor of the employer. | ||
Citation: | 150 Cal. App. 4th 864 | ||
WCC Citation: | WCC 32232007 CA | ||
Case Name: | Faust vs. City of San Diego | 12/11/2003 | |
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Summary: | WORKERS' COMPENSATION APPEALS BOARD STATE OF CALIFORNIA Case No. SDO 244774 WALTER FAUST, Applicant, vs. CITY OF SAN DIEGO, Permissibly Self-Insured, Defendant(s). BACKGROUND Applicant, Walter Faust, was employed as a firefighter by the City of San Diego from February 1972 until his retirement on July 4, 1998. Applicant reported his history of exposure to Dr. Jay: "Mr. Walter Faust stated that he was employed by the City of San Diego Fire Department as a fire fighter from February 1972 until his retirement on July 4, 1998. Mr. Faust stated that during the course of his employment with the City he has fought many fires. Dr. Fung reported applicant's history of exposure: "In terms of exposures, Mr. Faust states that he was first employed of February 4, 1972, by the City of San Diego as a firefighter. | ||
Note: | Burden of proof in presumptive cancer cases. | ||
Citation: | 68 CCC (2003) | ||
WCC Citation: | WCC 29622003 CA | ||
Case Name: | Federal Mogul v. WCAB | 09/27/1973 | |
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Summary: | FEDERAL MOGUL CORPORATION, NATION SEAL DIVISION, a corporation and THE TRAVELERS INSURANCE COMPANY, Petitioners v. THE WORKMENS COMPENSATION APPEALS BOARD OF THE STATE OF CALIFORNIA; BETTY L. WHITWORTH; J. DeWITT FOX, M. D. ; EDWARD I. WISOTSKY, M. D. ; AFTON C. TAYLOR, M. D. and LIBERTY MUTUAL INSURANCE COMPANY. Betty L. Whitworth, after trial, was found to have sustained industrial injuries. The claims were originally denied and the carriers did not provide any medical treatment. The carriers petitioned for reconsideration but were denied because they failed to produce any evidence that the medical charges were excessive. You are counseled to consult the full case for an accurate citation. | ||
Note: | Official Medical Fee Schedule does not apply to self-procured treatment. | ||
Citation: | 38 CCC 584 (Writ Denied) | ||
WCC Citation: | WCC 28791973 CA | ||
Case Name: | Fenn vs. WCAB | 04/21/2003 | |
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Summary: | OPINION O'LEARY, J. - James Fenn (Fenn), a firefighter for the City of Anaheim (City), seeks a writ of review after the Workers' Compensation Appeals Board (WCAB or Board) denied his petition for reconsideration. Both Fenn and the City admitted Fenn was a fire engineer for the City who lost time from work because of an industrial injury. Fenn claimed entitlement to federal Fair Labor Standards Act (FLSA) benefits as part of his section 4850 pay. The City contends because Fenn was off work on industrial leave he is not entitled to the time plus one-half premium. Fenn filed a petition for reconsideration with the WCAB, asking that the WCJ's findings and order be rescinded. | ||
Note: | Because actual work necessary to earn FLSA premium, time off due to work injury not count towards benefit rate. | ||
Citation: | 107 Cal.App.4th 1292 | ||
WCC Citation: | WCC 29282003 CA | ||
Case Name: | Ferguson v. WCAB | 04/13/1995 | |
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Summary: | JUDY A. FERGUSON, Petitioner, v. WORKERS' COMPENSATION APPEALS BOARD and RALEY'S SUPERMARKETS, Respondents. Background On September 14, 1988, petitioner Judy A. Ferguson (applicant) slipped and fell on a wet floor while employed as a general merchandise clerk for respondent Raley's Supermarkets (Raley's). Applicant also sought a 50 percent increase in her award under section 4553, alleging serious and willful misconduct by Raley's. It was also undisputed that Raley's knew of the dangerous condition, as other employees had fallen and complained to management. [33 Cal. App. 4th 1618] On October 8, 1991, the WCJ filed his report on reconsideration, recommending that the board deny Raley's petition. | ||
Note: | Increase per 4553 applies to entire award, not just indemnity. | ||
Citation: | 33 Cal.App.4th 1613, 60 CCC 275 | ||
WCC Citation: | WCC 24091995 CA | ||
Case Name: | Fermer v. Searles Valley Minerals, Inc. | 09/03/2010 | |
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Summary: | Farmer v. Searles Valley Minerals, Inc. , No. E048827 (Cal. App. Dist. 4 09/03/2010) IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FOURTH APPELLATE DISTRICT DIVISION TWO No. E048827 September 3, 2010 MARK FARMER, PLAINTIFF AND APPELLANT, v. SEARLES VALLEY MINERALS, INC. , DEFENDANT AND RESPONDENT. Plaintiff alleged that Becker's "frightening and demeaning supervision began to have a negative effect on [p]laintiff's physical and mental health. "On August 3, 2006, plaintiff saw Dr. Lusk who confirmed the hypertension diagnosis and again extended plaintiff's medical leave. In May 2007, plaintiff's attorney sent SVM a letter that "detailed the numerous statutory violations committed by [SVM] in its treatment of [p]laintiff. "On June 12, 2009, the trial court entered summary judgment in favor of SVM and against plaintiff on plaintiff's first amended complaint. | ||
Note: | A former mining worker created a triable issue of fact about whether his employer terminated him because of depression resulting from his boss' | ||
Citation: | E048827 | ||
WCC Citation: | WCC 36632010 CA | ||
Case Name: | Fernandez v. Spayde | 06/27/2017 | |
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Summary: | This opinion has not been certified for publication or ordered published for purposes of rule 8. 1115(a). Â IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA SECOND APPELLATE DISTRICT DIVISION SIX . Â Â Â Â Â Â Â BRAYAN FERNANDEZ, Plaintiff and Appellant, . Â Â Â Â Â Â Â v. . Â Â Â Â Â Â Â ROGER SPAYDE et al. , Defendants and Respondents; . Â Â Â Â Â Â Â EVEREST NATIONAL INSURANCE COMPANY, Intervener and Appellant. Ct. No. 56-2014-00449789-CU-PO-VTA) . Â Â Â Â Â Â Â (Ventura County) . Â Â Â Â Â Â Â Plaintiff Brayan Fernandez and plaintiff-inintervention Everest National Insurance Company (ENIC) (plaintiffs) appeal a summary judgment entered in favor of defendants Roger Spayde and Kristin Spayde. . Â Â Â Â Â Â Fernandez sued Roger and Kristin Spayde, as owners of the home, for negligence and premises liability. . Â Â Â Â Â Â We concur: . Â Â Â Â Â Â PERREN, J. . Â Â Â Â Â Â Rocky Baio, Judge . Â Â Â Â Â Â Superior Court County of Ventura . Â Â Â Â Â Â James S. Link; Law Offices of Daniel Gibalevich, Daniel Andrew Gibalevich; Roberson & Kimball, Blake S. Posner for Plaintiff, Intervener and Appellants. | ||
Note: | |||
Citation: | B276173 | ||
WCC Citation: | Super. Ct. No. 56-2014-00449789-CU-PO-VTA | ||
Case Name: | Fernandez vs. Lawson | 05/13/2002 | |
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Summary: | MIGUEL FERNANDEZ, Plaintiff and Appellant, v. TRUMAN LAWSON, JR. , et al. , Defendants and Respondents. OPINION WOODS, J. - Miguel Fernandez asks this court to reverse the judgment entered upon the trial court's order granting summary judgment for Truman W. Lawson Jr. , Gaile F. Lawson and the Truman W. Lawson Jr. and Gaile F. Lawson Trust (collectively Lawson) on Fernandez's complaint alleging, breach of California Occupational Safety and Health Act (OSHA) regulations and American National Standards Institute (ANSI) safety standards relating to trimming of an approximately 50-foot tall palm tree at Lawson's private residence. With respect to the workers' compensation claim, Lawson pointed out their homeowner's insurance policy provided for workers' compensation insurance and Fernandez submitted a claim. If the jury finds Lascano misrepresented ATS's license status and Fernandez is thereby estopped from claiming he was the employee of Lawson, then Fernandez will be deemed an employee of ATS only and ATS will be treated as an independent contractor. As an independent contractor, ATS, not Lawson would be responsible for compliance with OSHA, unless Fernandez demonstrates Lawson exercised control over the details of the work. | ||
Note: | Reliance on license status of contractor under LC 2750.5 is factual issue for trial. | ||
Citation: | 98 Cal.App.4th 388 | ||
WCC Citation: | WCC 28502002 CA | ||
Case Name: | Ferreira v. Homeport Insurance Co, | 07/23/2012 | |
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Summary: | CO. EVA JEAN FERREIRA, Individually and as Executor, etc. , Plaintiff, Cross-defendant and Appellant, v. HOMEPORT INSURANCE COMPANY, et al. , Defendants, Cross-complainants and Appellants. Plaintiff Eva Ferreira, who filed this suit as an individual and as executor of her late husband's estate, appeals from a final judgment for defendants Homeport Insurance Company, Stevedore Services of America and SSA Marine. Once the U. S. Department of Labor approved the settlement, Homeport was to pay Ferreira $370,000 over and above any compensation benefits previously paid for the 2003 injury. Homeport agreed to withdraw any claims for subrogation or lien rights to recovery obtained by Ferreira against the Port of Stockton or the ship involved in the 2003 mishap. Since Mr. Ferreira died on July 27, 2007, Ferreira argued the cross-complaint was untimely. | ||
Note: | A California appellate court ruled that the widow of a longshoreman who had failed to finalize a tentative agreement with his employer's insurance carrier for his industrial injury before his death could not sue the carrier for breaching the terms of the proposed agreement or for her emotional distress arising from the carrier's refusal to honor its terms.The court also said that the carrier could not sue the worker's estate for a lien on a recovery in any action against a third-party for the worker's industrial accident. | ||
Citation: | A129546 | ||
WCC Citation: | WCC 39152012 CA | ||
Case Name: | Fidelity & Cas. Co. of NY v. WCAB (Harris) | 03/31/1980 | |
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Summary: | Through his attorney Harris agreed to sign and on May 6, 1975, signed a compromise and release agreement with Fidelity on WCAB Form 15 (Rev. On August 15, 1975, the compromise and release agreement of May 6, 1975, as raised, was approved by the WCAB. Fidelity answered and the WCAB judge, on August 21, 1978, submitted a report and recommendation on the petition for reconsideration. On September 29, 1978, Fidelity wrote to the WCAB seeking clarification of the issues then pending before the board by virtue of its order granting reconsideration. The WCAB then requested from the permanent disability rating board a rating of the objective disability factors contained in Dr. Hickey's report. | ||
Note: | Board may take further evidence only on issue being reconsidered; must give notice, opportunity to present evidence to parties.WCAB decides if good cause exists per S. 5803 to rescind a C&R agreement. | ||
Citation: | 103 Cal.App.3d 1001, 45 CCC 381 | ||
WCC Citation: | WCC 27391980 CA | ||
Case Name: | Fidelity & Cas. Co. of NY v. WCAB (Ratzel) | 07/05/1967 | |
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Summary: | THE FIDELITY & CASUALTY COMPANY OF NEW YORK, Petitioner, v. THE WORKMEN'S COMPENSATION APPEALS BOARD and HUGO W. RATZEL, Respondents. The applicant, born January 24, 1910, was employed as a steel fitter by Standard Steel Corporation. For present purposes we shall assume, without deciding, that they contain evidence of objective factors of disability as contended by the appeals board. Through inadvertence the referee's instructions and the recommended rating were not served on the petitioner until after the award issued. It said (p. 188): 'As this disability was not included in the permanent disability rating, the award to that extent is not sufficient. | ||
Note: | A parties recourse in objecting to rating is to cross-examine expert and rebuttal evidence. | ||
Citation: | 252 Cal.App.2d 327, 32 CCC 271 | ||
WCC Citation: | WCC 25391967 CA | ||
Case Name: | Fields v. State of California | 09/20/2012 | |
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Summary: | Kenneth Fields v. State of California F063128 /20/2012 IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FIFTH APPELLATE DISTRICT KENNETH FIELDS, PLAINTIFF AND APPELLANT, v. STATE OF CALIFORNIA, DEFENDANT AND RESPONDENT. Fields v. State of California CA5 NOT TO BE PUBLISHED IN THE OFFICIAL REPORTS California Rules of Court, rule 8. 1115(a), prohibits courts and parties from citing or relying on opinions not certified for publication or ordered published, except as specified by rule 8. 1115(b). Fields filed a personal injury action against Gadbois's estate and the State of California (State), Gadbois's employer. Fields contended that Gadbois was acting within the scope of her employment as an employee of the State at the time of the accident. Accordingly, we conclude that the State is not liable for any injuries Gadbois caused to Fields when she drove to work from her workers' compensation appointment. | ||
Note: | A prison cook killed in a car accident while driving to work after a doctor's appointment related to her workers' compensation claim was not within the scope of her employment at the time of her death. | ||
Citation: | F063128 | ||
WCC Citation: | WCC 39392012 CA | ||
Case Name: | Fireman's Fund Indem. Co. v. Industrial Accident Comm'n | 04/28/1932 | |
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Summary: | Pete Novak applied to the respondent Commission to fix the amount of his compensation growing out of an injury received. At the time of the accident the camp was fifteen miles distant from Lassco. After the accident he was put on the truck and the truck continued on its way to Lassco. Awards in favor of the claimant were annulled in Parker v. Pont, 105 L. T. 493, Enterprise Foundry Co. v. Industrial Acc. 1025]; Rock County v. Industrial Com. , 185 Wis. 134 [200 N. W. 657]; Lamm v. Silver Falls Timber Co. , 133 Or. | ||
Note: | Injury not compensable where employee is injured while picking up paycheck at place/ time within employees discretion | ||
Citation: | 123 Cal.App. 142 | ||
WCC Citation: | WCC 30541932 CA | ||
Case Name: | Fireman's Fund Insurance Co. v. WCAB | 01/29/2010 | |
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Summary: | Filed 1/29/10 CERTIFIED FOR PUBLICATION IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA THIRD APPELLATE DISTRICT (Sacramento) ---- FIREMAN"S FUND INSURANCE COMPANY, Petitioner, v. WORKERS"COMPENSATION APPEALS BOARD, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION et al. , Respondents. Guilford Steiner Sarvas & Carbonara, LLP, Richard E. Guilford; Hanna, Brophy, MacLean, McAleer & Jensen, LLP, for Respondent California Insurance Guarantee Association. There was, however, no appellate decision or WCAB decision considering CIGA"s liability in a successive injuries case such as this. Code), CIGA provides "insolvency insurance" against loss arising from the failure of an insolvent insurer to discharge its obligations under its insurance policies. Although funded by a compulsory membership of insurance companies doing business in California, CIGA "was created to provide a limited form of protection for insureds and the public, not to provide a fund to protect insurance carriers. " | ||
Note: | Where the law is unsettled regarding CIGA's liability, a party negotiating with CIGA should ordinarily be entitled to rely on CIGA's reasoned evaluation of its own authority. | ||
Citation: | C062019 | ||
WCC Citation: | WCC 35952010 CA | ||
Case Name: | Fireman's Fund Insurance Co. v. Workers' Compensation Appeals Board | 10/12/2010 | |
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Summary: | IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA SECOND APPELLATE DISTRICT DIVISION FIVE No. B215486 October 12, 2010 FIREMAN'S FUND INSURANCE COMPANY ET AL. , PETITIONERS, v. WORKERS' COMPENSATION APPEALS BOARD AND CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, RESPONDENTS. Payday was insured for workers' compensation by Reliance National Indemnity Co. (Reliance) and Rocket Science was insured for workers' compensation by Fireman's Fund Insurance Co. (Fireman's Fund). Rocket Science and Fireman's Fund asked to be dismissed as defendants by the Workers' Compensation Appeals Board (WCAB). Payday was insured for workers' compensation by Reliance and Rocket Science was insured for workers' compensation by Fireman's Fund. Therefore, the Fireman's Fund policy was not other insurance under Insurance Code section 1063. 1, subdivision (c)(9), so that the motion for dismissal should have been granted. | ||
Note: | A special employer is liable for a Temptation Island producer's back injury after his general employer's workers' compensation carrier went insolvent, because the special employer's comp policy qualifies as 'other insurance' under the Insurance Code. | ||
Citation: | B215486 | ||
WCC Citation: | WCC 36772010 CA | ||
Case Name: | Fitch v. Select Products Co. | 08/01/2005 | |
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Summary: | Filed 8/1/05 IN THE SUPREME COURT OF CALIFORNIA DAVID JAY FITCH, a Minor, etc. , et al. , Plaintiffs and Respondents, v. SELECT PRODUCTS COMPANY, San Bernardino County Defendant; STATE DEPARTMENT OF HEALTH SERVICES, Claimant and Appellant. The answer is "no. " I Elan Jay Fitch (Fitch or decedent) contracted cancer while working for the Southland Corporation (Southland) as a diesel mechanic. In September 1993, Fitch died of the cancer, survived by his wife, Dianne, and three minor children. The complaint named Select Products Company (Select) as one of the defendants, alleging that Fitch's illness and death was caused by a coating product manufactured by Select that Fitch had used in his work. Plaintiffs' wrongful death action proceeded to trial against Select alone (other defendants had either settled or been dismissed). | ||
Note: | Medi-Cal lien cannot be asserted in wrongful death action that does not include medical expenses. | ||
Citation: | 36 Cal.4th 812 | ||
WCC Citation: | WCC 31112005 CA | ||
Case Name: | Flahavan v. SCIF | 09/01/2011 | |
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Summary: | FLAHAVAN v. STATE COMPENSATION INSURANCE FUND WILLIAM FRANCIS FLAHAVAN, Plaintiff and Appellant, v. STATE COMPENSATION INSURANCE FUND, Defendant and Respondent. On February 16, 2006, Flahavan filed a first amended class action complaint for breach of contract, breach of trust, and a violation of the UCL (Bus. Flahavan filed a motion for summary adjudication and the State Fund filed a second motion for summary judgment and/or summary adjudication. Flahavan filed two motions for summary adjudication and the State Fund filed a motion for summary judgment. Accordingly, Flahavan has waived mounting any challenge to the lower court's ruling on his UCL claim. | ||
Note: | State Fund has no obligation to pay its policyholders interest on deposit premiums, the 1st District Court of Appeal ruled in an unpublished decision. | ||
Citation: | A128280 | ||
WCC Citation: | WCC 37972011 CA | ||
Case Name: | Fleetwood Enterprises, Inc. v. WCAB (Moody) | 12/16/2005 | |
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Summary: | We conclude that they did not and that applicant's employer, Fleetwood Enterprises, Inc. , is not obliged to provide workers' compensation benefits with respect to the accident. Applicant was employed by Fleetwood as a design manager, and at the time of the accident had worked for Fleetwood for about 30 years. During the trip, applicant used an American Express card in his name, but which was actually a Fleetwood business card. These expenses were primarily funded through Fleetwood's group health program rather than workers' compensation, although Fleetwood apparently directly paid some of the extraordinary expenses and care upgrades. However, it is clear that the medical care was paid either by Fleetwood's company health insurance carrier, or by Fleetwood itself. | ||
Note: | Injury sustained while on pleasure trip is not compensable under the going and coming rule. | ||
Citation: | 134 Cal. App. 4th 1316 | ||
WCC Citation: | WCC 31322005 CA | ||
Case Name: | Flethez v. San Bernardino County Employees Retirement Association | 03/02/2017 | |
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Summary: | . Â Â Â Â Â Â Â S226779 . Â Â Â Â Â Â Â Ct. App. 4/1 D066959 . Â Â Â Â Â Â Â San Bernardino County Super. Ct. No. CIVDS 1212542 . Â Â Â Â Â Â Â In this action for a writ of mandamus, the superior court determined that San Bernardino County Employees Retirement Association (SBCERA) wrongfully denied Frank Flethez the correct starting date for his disability retirement allowance. A county%u201Fs retirement system is administered by a county retirement board, under the County Employees Retirement Law of 1937. The Flethez Matter5Â . Â Â Â Â Â Â In 1990, Flethez became an employee of San Bernardino County (County). In addition to the briefs of the parties, we have received an amicus curiae brief from the Alameda County Employees%u201F Retirement Association, Kern County Employees%u201F Retirement Association, Los Angeles County Employees%u201F Retirement Association, Marin County Employees%u201F Retirement Association, Sacramento County Employees%u201F Retirement Association, San Joaquin County Employees%u201F Retirement Association, Tulare County Employees%u201F Retirement Association, and Ventura County Employees%u201F Retirement Association. | ||
Note: | |||
Citation: | S226779 | ||
WCC Citation: | San Bernardino County Super. Ct. No. CIVDS 12 | ||
Case Name: | Flores v. Prime Time Products | 10/20/2008 | |
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Summary: | Plaintiff Adolfo Flores appeals a judgment confirming an arbitration award in his unlawful discrimination and wrongful termination action against defendants Prime Time Products, Inc. , Mainland Products, Inc. , Dan Hammond, and John Hammond (together Defendants). FACTUAL AND PROCEDURAL BACKGROUND*fn1 In 1996 Flores became employed by Prime Time Products, Inc. (PT) as its general manager of manufacturing operations. However, after commencement of the litigation, [Flores], under oath, identified the handbooks [e. g. , Manual] as 'implied contracts' between [Flores] and [Defendants]. The arbitrator concluded: "$15,000 is awarded [to Flores] for the retaliation and discrimination claims because damages have been substantially mitigated. "Its case heading correctly identified Flores as the plaintiff and "Prime Time Products, Inc. , et al. " as the defendants. | ||
Note: | [Unpublished] Policy #293 was a contract of adhesion and oppressive. | ||
Citation: | D052205 | ||
WCC Citation: | WCC 34372008 CA | ||
Case Name: | Flores v. WCAB | 04/11/1974 | |
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Summary: | FERNANDO G. FLORES, Petitioner, v. WORKMEN'S COMPENSATION APPEALS BOARD, ART FALCON et al. , Respondents In Bank. Because the Workmen's Compensation Appeals Board (WCAB) reached a contrary conclusion in this case, we annul that decision and remand the matter to the board. The applicant, Fernando Flores, suffered an industrial injury while employed by Art Falcon. Prior to 1971, a worker who was injured while working for an uninsured employer was given the right both to seek compensation before the WCAB and to institute a civil suit for damages. 3 When a worker chose to proceed before the WCAB, Labor Code sections 4554 and 4555 fn. | ||
Note: | The obligation of Uninsured Employers Fund is same as uninsured employer | ||
Citation: | 11 Cal.3d 171, 39 CCC 289 | ||
WCC Citation: | WCC 24111974 CA | ||
Case Name: | Flowmaster, Inc. v. Superior Court | 06/23/1993 | |
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Summary: | FLOWMASTER, INC. , Petitioner, v. THE SUPERIOR COURT OF SONOMA COUNTY, Respondent; DONALD VON DOHLEN, Real Party in Interest. (Superior Court of Sonoma County, No. 197871, Arnold D. Rosenfield, Judge. )(Award Metals, Inc. v. Superior Court (1991) 228 Cal. App. 3d 1128, 1132 [279 Cal. Rptr. Bell v. Industrial Vangas, Inc. , supra, 30 Cal. 3d at p. 277; Watters Associates v. Superior Court (1991) 227 Cal. App. 3d 1341, 1346 [278 Cal. Rptr. Behrens v. Fayette Manufacturing Co. , supra, 4 Cal. App. 4th 1567, 1574-1575; Watters Associates v. Superior Court, supra, 227 Cal. App. 3d at p. | ||
Note: | Explaining liability of employer when it manufactures its own presses. | ||
Citation: | 16 Cal.App.4th 1019, 58 CCC 333 | ||
WCC Citation: | WCC 24221993 CA | ||
Case Name: | Foodmaker, Inc. v. WCAB | 10/06/1998 | |
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Summary: | On June 12, 1996, the Rehabilitation Unit found in favor of Ortega-Ruiz and ordered Foodmaker to commence vocational rehabilitation. On July 9, 1997, Judge Gentile issued findings of fact and an opinion on decision, ruling in favor of Ortega-Ruiz. expressly confers benefits on illegal immigrants: The act defines employee as every person in the service of an employer . On August 29, 1997, the Board issued an opinion and order, adopting Judge Gentile s recommendation in a 2-1 vote. An award of workers compensation benefits should be annulled if the Board has acted in excess of its powers. | ||
Note: | No voc. rehab. where more costly for illegal immigrant than legal under Equal Protection. | ||
Citation: | 78 Cal.Rptr.2d 767, 63 CCC 1222 | ||
WCC Citation: | WCC 24611998 CA | ||
Case Name: | Ford Construction Co. v. WCAB (Newell) | 09/17/2010 | |
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Summary: | While he attempted to place a large ripper shank into the tool pocket of a Caterpillar bulldozer, the ripper shank fell, killing Dennis Newell, an employee of petitioner Ford Construction Company, Inc. (Ford). Ford filed a petition for reconsideration with respondent Workers' Compensation Appeals Board (WCAB), which the WCAB denied. Nelson concluded Ford violated Safety Order 4999, subdivision (b)(1) because the load was not attached by an effective means and properly rigged. The administrative law judge dismissed the citations against Ford for the serious violations, finding them unsupported by the evidence. In the present case, the WCAB reviewed the evidence and concluded it supported a finding of serious and willful misconduct by Ford. | ||
Note: | Substantial evidence showed that an employer did not commit serious and willful misconduct that resulted in a worker's death, the 3rd District Court of Appeal ruled. | ||
Citation: | C061176 | ||
WCC Citation: | WCC 36702010 CA | ||
Case Name: | Ford v. Lawrence Berkeley Laboratory | 01/27/1997 | |
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Summary: | Charles Ford, Applicant v. Lawrence Berkeley Laboratory, Defendant. W. C. A. B. No. WCK 13904 Workers Compensation Appeals Board CCC 153 January 27, 1997 DISPOSITION: The Findings and Award dated May 3, 1996 are amended, in part, and affirmed, in part. Thereafter, defendant attempted to schedule a medical examination by another orthopedist, under purported authority of Labor Code section 4050. She therefore 'interpret[ed] applicant's filing of the application as being done constructively on the part of the defendant. 'The Board decision left open the possibility that further evaluation might be proper under Labor Code section 5703. 5(a). AMENDED AWARD AWARD IS MADE in favor of CHARLES FORD against LAWRENCE BERKELEY LABORATORY as follows: (a) Permanent disability indemnity in accordance with Finding of Fact number 5, less attorney's fees in accordance with Finding of Fact number 9, (b) Future medical treatment in accordance with Finding of Fact number 6, (c) Increased compensation (10% penalty) in accordance with Finding of Fact number 7. | ||
Note: | No 'constructive' filing of applic. for adjudication by employee for employer liability for atty. fees. | ||
Citation: | 62 CCC 153 | ||
WCC Citation: | WCC 25641997 CA | ||
Case Name: | Ford v. WCAB (Hernandez) | 10/06/2017 | |
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Summary: | This opinion has not been certified for publication or ordered published for purposes of rule 8. 1115(a).  COURT OF APPEAL, FOURTH APPELLATE DISTRICT DIVISION ONE STATE OF CALIFORNIA .        PEARSON FORD et al. , Petitioners, .        v. .        WORKERS' COMPENSATION APPEALS BOARD, Respondent; .        LEOPOLDO HERNANDEZ, Real Party in Interest. .        D070915 .        (WCAB No. ADJ4081602) .        Petition for writ of review from a decision of the Workers' Compensation Appeals Board. Code, § 5952; Garza v. WCAB (1970) 3 Cal. 3d 312, 317; LeVesque v. WCAB (1970) 1 Cal. 3d 627, 637. ).       The WCJ's determination Hernandez met the second requirement is also vigorously disputed by Pearson Ford. .       As the WCAB points out the AMA Guides are not meant to be a "rigid and standardized protocol . | ||
Note: | A California appellate court ruled that a worker convicted of comp fraud was still entitled to collect benefits for a legitimate injury. | ||
Citation: | D070915 | ||
WCC Citation: | WCAB No. ADJ4081602 | ||