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Case Name: Norcal Waste Systems v. State of California 07/13/2010
Summary: NORCAL WASTE SYSTEMS, INC. , Plaintiff and Appellant, v. STATE OF CALIFORNIA, DEPARTMENT OF TRANSPORTATION, Defendant and Respondent. Plaintiff Norcal Waste Systems, Inc. (Norcal) appeals from a judgment entered after the trial court granted summary judgment in favor of defendant State of California, Department of Transportation (the State). Norcal filed a complaint against Thomas and the State, and alleged it was entitled to recover damages from the State because the State "created and/or caused to exist a dangerous condition of public property within the State of California. "940-941; Higgins v. State of California (1997) 54 Cal. App. 4th 177, 185, abrogated on another point in Cornette. )Citing Cameron v. State of California (1972) 7 Cal. 3d 318, Norcal asserts that such a declaration was required in this case involving an older roadway.
Note: The doctrine of design immunity barred an employer's suit against the state that sought to recoup workers' compensation benefits for an alleged design flaw in a roadway.
Citation: C059908
WCC Citation: WCC 36482010 CA
 
 
Case Name: Northern California Collection Service, Inc. v. Salazar 03/19/2010
Summary: IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FIFTH APPELLATE DISTRICT No. F057350 March 19, 2010 NORTHERN CALIFORNIA COLLECTION SERVICE, INC. , PLAINTIFF AND RESPONDENT, v. MARIA OLGA SALAZAR, DEFENDANT AND APPELLANT. This opinion has not been certified for publication or ordered published for purposes of rule 8. 1115. OPINION Defendant Maria Olga Salazar appeals from a judgment in favor of plaintiff Northern California Collection Services, Inc. (Northern California). These audits resulted in statements that were sent to Salazar; Salazar testified that she disputed the statements and there was no evidence to the contrary. In light of the causes of action Northern California pleaded, the evidence it presented at trial was insufficient to show the amount due. Northern California presented no evidence on the question of whether or when Salazar challenged the bills.
Note: A debt collection service failed to prove that an employer owed and failed to pay State Fund approximately $75,000 in premiums.
Citation: F057350
WCC Citation: WCC 36112010 CA
 
 
Case Name: Northrop Grumman vs. WCAB (Graves) 11/21/2002
Summary: Background The current writ proceeding arises out of allegations Mr. Graves engaged in racial discrimination during training of Northrop employees and an ensuing investigation. Mr. Graves, a Caucasian man, was employed off and on as a tooling inspector for Northrop between 1981 and March 1999. Ms. Schroeder, a Northrop employee, made the racial discrimination allegation in a March 22, 1998, written statement. A Northrop report related: "Ms. Schroeder said she had commented to Mr. Lowe that he didn't have to take that from anyone [. ]There was no evidence of an intent to mislead, deceive, or defraud or of collusion or unlawful design by a Northrop employee.
Note: Investigation of racial discrimination is good faith personnel action for purpose of 3208.3.
Citation: 103 CA4th 1021
WCC Citation: WCC 28972002 CA
 
 
Case Name: NOTICE OF PROPOSED RULEMAKING RULES OF PRACTICE AND PROCEDURE 12/14/2020
Summary: This Notice of Proposed Rulemaking and the accompanying Initial Statement of Reasons have been prepared to comply with the procedural requirements of section 5307. 4 and for the convenience of the regulated public to assist it in analyzing and commenting on this largely non-APA rulemaking process. At the hearing, any person may present statements or arguments orally or in writing relevant to the proposed action. Public comment will begin promptly at 10:00 AM and will conclude when the last speaker has finished his or her presentation. WRITTEN COMMENT PERIOD: Any interested persons, or their authorized representatives, may submit written comments to the WCAB relevant to the proposed rulemaking. In addition, the above-cited materials may be accessed on the internet at http://www. dir. ca. gov/wcab/WCABProposedRegulations/Section10770/Section10770. htm. As of the date of this Notice, the rulemaking file consists of this Notice, the Initial Statement of Reasons, the proposed text of the regulations, and the Form 399.
Note:
Citation: Notice
WCC Citation:
 
 
Case Name: NovoPRO Risk Solutions, L.P. v. TIG Ins. Co. 03/16/2012
Summary: Respondent TIG Insurance Company (TIG) issued a policy to Ward that ran from December 31, 2000 to December 31, 2001. Under the terms of the settlement, Ward contributed its $50,000 deductible under the TIG Policy, and TIG paid an additional $422,000 to fully resolve the White Knight Claim. The January 2008 e-mail did not request that TIG defend, indemnify or otherwise assist Ward in connection with the 2005 Claims. The January 2008 e-mail also did not advise TIG that the White Knight Claim was part of the USF&G Action. Ward's two-year delay in providing TIG with a copy of the USF&G complaint relieved TIG of any duty to defend.
Note: A professional liability insurance carrier owed no duty to provide coverage to a malpractice claim, arising four years after the termination of its policy to a third-party claims administrator.
Citation: D059066
WCC Citation: WCC 38762012 CA
 
 
Case Name: Nunez v. Steel Forming 05/21/2008
Summary: Filed 5/21/08 Nunez v. Steel Forming CA4/3 NOT TO BE PUBLISHED IN 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). IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FOURTH APPELLATE DISTRICT DIVISION THREE ELIAS NUNEZ, Plaintiff and Appellant, v. STEEL FORMING, INC. , et al. , Defendants and Respondents. * * * INTRODUCTION Plaintiff Elias Nunez suffered serious injuries while operating a power press in the course and scope of his employment with defendant Commercial Metal Forming (CMF). Nunez left the controls and went around to the back of the press to inspect the part that had been formed. The record shows CMF is a "dba" for Steel Forming, Inc. .
Note: [Unpublished] Plaintiff failed to produce evidence and legal authority showing that (1) defendant's own design of the press provided for a guard which was never installed, or (2) defendant deliberately omitted a required point of operation guard from the design, fabrication or assembly of the press.
Citation: G038568
WCC Citation: WCC 33702008 CA
 
 
Case Name: Nunez v. WCAB (Assoluto, Inc.) 02/07/2006
Summary: FACTUAL AND PROCEDURAL BACKGROUND Petitioner, Lourdes Nunez, claimed that she sustained injuries from a fall while working for Assoluto on July 15, 2002. Assoluto also scheduled a reevaluation with Dr. Zapanta for January 10, 2005, which Nunez did not attend. Assoluto's petition alleged that Nunez had failed to attend the January 10, 2005, evaluation with Dr. Zapanta. The order compelled Nunez to attend a rescheduled evaluation, and for suspension of proceedings for the collection of compensation under section 40542 should Nunez not attend. Assoluto answers that the industrial injury is admitted and Nunez is being reevaluated under former section 4062, which applies under Simi.
Note: Former section 4060 et seq. remains operative for represented cases with a date of injury before January 1, 2005.
Citation: 136 Cal. App. 4th 584
WCC Citation: WCC 31412006 CA
 
 
Case Name: O'Donnell v. Allen 06/21/2010
Summary: When plaintiff called Allen, Allen was able to induce Stolpman to return plaintiff's telephone calls. Plaintiff also discussed with Allen the legal theory of gross negligence, and Allen explained that the theory is difficult to prove and requires intentional conduct. Plaintiff opposed the motion, arguing that the terms of Allen's representation were set forth in the retainer agreement Allen signed, that Allen never limited the scope of the representation, and that plaintiff consulted with Allen from time to time on matters related to the lawsuit. Plaintiff's declaration also stated that he would call Allen from time to time to discuss the status of the case and that Allen would respond that he did not have the case in front of him but that Allen would get back to him. Plaintiff presented evidence that he relied on Allen as his attorney; called Allen to inquire about the status of the case; and discussed with Allen potential legal theories such as gross negligence.
Note: [Unpublished] Language of the retainer agreement is not reasonably susceptible to the interpretation urged by defendant and adopted by the trial court.
Citation: B213420
WCC Citation: WCC 36402010 CA
 
 
Case Name: Obayashi v. PMN Design Electric 01/16/2008
Summary: INTRODUCTION James E. Roberts-Obayashi Corporation (Obayashi) appeals from a summary judgment in favor of PMN Design Electric, Inc. (Design). The underlying action against Obayashi arose from an injury suffered by a Design employee while performing under the terms of a subcontract between Design and Obayashi. Obayashi and Design entered into a subcontract under which Design would perform specified electrical work on the Anza Project for $1,962,984. There is still an outstanding Cross-Complaint by [Obayashi] against the injured employee's employer, Design Electric. Alternatively, if Design were found not to be at all negligent, then [Obayashi] will pay $500,000. 00 through Steadfast,[*fn3] as liability/excess carrier for [Obayashi]. "
Note: [Unpublished] Appellant cannot establish that it has incurred or will incur damages, and based on the exclusivity of California's Worker Compensation Scheme, is prohibited from seeking equitable indemnity.
Citation: A114597
WCC Citation: WCC 33012008 CA
 
 
Case Name: Ogdon v. WCAB 04/15/1974
Summary: DONALD R. OGDON, Petitioner, v. WORKMEN'S COMPENSATION APPEALS BOARD, SAN BERNARDINO COUNTY WELFARE DEPARTMENT et al. , Respondents In Bank. The County discontinued payment to Ogdon when the compromise and release agreement settling his workmen's compensation claim was executed. Ogdon was eligible for the benefits actually received by him and it is not contended that such payment was unauthorized. This lump-sum award did include allocations for temporary disability for the period in which Ogdon had received AFDC benefits. The fact remains that Ogdon did not receive both AFDC and workmen's compensation at the same time, and the latter was not then currently available to him.
Note: No lien against comp. benefits allowed for welfare aid.
Citation: 11 Cal.3d 192
WCC Citation: WCC 24971974 CA
 
 
Case Name: Ogilvie v. City and County of San Francisco (II) 09/03/2009
Summary: This case has been overruled in City and County of San Francisco v. WCAB (Ogilvie), A126427, and is not to be relied upon for authority. WORKERS' COMPENSATION APPEALS BOARD STATE OF CALIFORNIA Case No. ADJ1177048 (SFO 0487779) OPINION AND DECISION AFTER RECONSIDERATION (EN BANC) WANDA OGILVIE, Applicant, vs. CITY AND COUNTY OF SAN FRANCISCO, Permissibly Self-Insured, Defendant(s). On March 2, 2009, defendant, the City and County of San Francisco, also filed a petition seeking reconsideration of our February 3, 2009 en banc decision. (Ogilvie v. City and County of San Francisco (2009) 74 Cal. Comp. Cases 248, 266 (Appeals Board en banc) (Ogilvie I). 1205, San Francisco, CA 94104 Office of the City Attorney, Fox Plaza, 1390 Market Street, 7th Floor, San Francisco, CA -5408 NPS/jr ===========Footnotes=========== .
Note: [En Banc] The language of Labor Code section 4660(c) unambiguously means that a permanent disability rating established by the Schedule is rebuttable.
Citation: ADJ1177048
WCC Citation: WCC 35612009 CA
 
 
Case Name: Ogilvie vs. City and County of San Francisco 02/03/2009
Summary: WORKERS' COMPENSATION APPEALS BOARD STATE OF CALIFORNIA Case No. ADJ1177048 (SFO 0487779) WANDA OGILVIE, Applicant, vs. CITY AND COUNTY OF SAN FRANCISCO, Permissibly Self-Insured, Defendant(s). OPINION AND DECISION AFTER RECONSIDERATION (EN BANC) We granted the petition for reconsideration of defendant, the City and County of San Francisco, to allow time to further study the record and applicable law. AWARD AWARD IS MADE in favor of WANDA OGILVIE and against the CITY AND COUNTY OF SAN FRANCISCO, Permissibly Self-Insured, of: (a) All further medical treatment reasonably required to cure or relieve from the effects of the injury. Moreover, "Bus Drivers, Transit and Intercity" for San Francisco County is one of the very few regional occupational groups for which wage data is not listed for certain years. Also, analogies conceivably could be made to "Bus Drivers, Transit and Intercity" for another county or counties in the Bay Area.
Note: (1) the DFEC portion of the 2005 Schedule is rebuttable; (2) the DFEC portion of the 2005 Schedule ordinarily is not rebutted by establishing the percentage to which an injured employee's future earning capacity has been diminished; (3) the DFEC portion of the 2005 Schedule is not rebutted by taking two-thirds of the injured employee's estimated diminished future earnings, and then comparing the resulting sum to the permanent disability money chart to approximate a corresponding permanent disability rating; and (4) the DFEC portion of the 2005 Schedule may be rebutted in a manner consistent with Labor Code section 4660.
Citation: ADJ1177048 (SFO 0487779)
WCC Citation: WCC 34882009 CA
 
 
Case Name: Oliva v. Heath 06/09/1995
Summary: SUSAN OLIVA et al. , Plaintiffs and Appellants, v. PEGGY HEATH et al. , Defendants and Respondents. Defendants Heath, Hayward and Walter were her coemployees. 3 Defendant Heath admitted she lowered the chair an inch as a prank. They therefore argue that '[defendants] were acting within the scope of their employment when they played certain jokes or pranks on Oliva because a 'condoned' activity is considered a hazard associated with employment. 'All references to plaintiff are to Mrs. Oliva.
Note: Co-workers not liable for injury caused by horseplay within scope of employment.
Citation: 35 Cal.App.4th 926
WCC Citation: WCC 24161995 CA
 
 
Case Name: One Hour Cleaners, etc. v. WCAB 05/04/1998
Summary: PANEL: For petitioners -- Hanna, Brophy, MacLean, McAleer & Jensen, by Jerry C. Dusthimer For respondent employee -- Boxer, Elkind & Gerson, by Michael G. Gerson. SUMMARY OF CASE: Applicant suffered injury in the course of her employment for Defendant, One Hour Cleaners, on January 30, 1995, and subsequently requested vocational rehabilitation benefits. expenditures prior to January 8, 1997 were not subject to the $16,000 statutory expenditure cap under Labor Code Sec. The WCJ responded by issuing a report recommending that the WCAB deny the petition. 4636(d)(1), 3) that the WCAB exceeded its authority by denying Defendants' rights under the Labor Code, and 4) that the WCAB order denying reconsideration did not meet the requirements of Labor Code Sec. 5908. 5.
Note: Employer's rehab. expenditures not subject to 139.5 cap when employer did not send applicant required prior notice of rights to rehab.
Citation: 63 CCC 774
WCC Citation: WCC 27941998 CA
 
 
Case Name: Operating Engineers v. Johnson 07/03/2003
Summary: OPERATING ENGINEERS LOCAL 3 et al. , Plaintiffs and Appellants, v. SYLVIA J. JOHNSON, Individually and as Chief Probation Officer, etc. , et al. , Defendants and Appellants. OPINION POLLAK, J. - Plaintiffs Bonita Vinson and her bargaining representative, Operating Engineers Local 3, affiliated with the International Union of Operating Engineers, AFL-CIO (Local 3) brought this action against Sylvia J. Johnson, individually and in her capacity as the Chief Probation Officer of the County of Alameda, and the County of Alameda. In 1997, Johnson selected Vinson to supervise a new girls' juvenile program entitled "RYSE," an acronym for Reaffirming Young Sisters' Excellence. Starting in early 1998, Vinson had conversations with Johnson in which she stated she was working beyond the scope of the unit supervisor classification, and indicated her interest in a reclassification, which Johnson discouraged. That Johnson be directed to issue an apology, in writing, to Vinson for these wrongful acts; [P] 4.
Note: Invasion of privacy not barred by exclusive remedy of work comp.
Citation: 110 Cal.App.4th 180
WCC Citation: WCC 29442003 CA
 
 
Case Name: Ortega v. Rady Children's Hospital 04/18/2011
Summary: ORTEGA v. RADY CHILDREN'S HOSPITAL MONICA ORTEGA, Plaintiff and Appellant, v. RADY CHILDREN'S HOSPITAL OF SAN DIEGO, Defendant and Respondent. Plaintiff Monica Ortega appeals from the summary judgment entered in favor of defendant Rady Children's Hospital of San Diego (Rady) on her complaint for employment discrimination and related claims. Ortega returned to Rady in May 2007 to deliver a progress report prepared by her physician. Ortega again returned to Rady in June 2007 with another progress report prepared by her physician. Trial Court Proceedings After obtaining a right-to-sue letter from the Department of Fair Employment and Housing, Ortega filed a complaint against Rady.
Note: An employer was entitled to summary judgment against a housekeeper's Fair Employment and Housing Act claims because it showed that no reasonable accommodation existed that would have allowed her to continue performing her job.
Citation: D056282
WCC Citation: WCC 37462011 CA
 
 
Case Name: Ortega v. WCAB 05/02/1989
Summary: Abundio Ortega, Petitioner v. Workers' Compensation Appeals Board of the State of California; Los Angeles Stitching Service; and State Compensation Insurance Fund, Respondents. In comments to the job analysis, applicant claimed he frequently was required to bend at the knees and waist and to kneel. The Bureau ordered that further requests for rehabilitation benefits be made within five years after the date of injury. Applicant appealed to the WCJ from the Bureau's March 20, 1984, order, denying he had declined rehabilitation services. On September 5, 1985, the WCJ returned the matter to the Bureau without having decided the appeal.
Note: Where applicant's assertions are not based in the record, Board has duty to develop the record.
Citation: 54 CCC 149
WCC Citation: WCC 27231989 CA
 
 
Case Name: Osbun v. WCAB 05/17/1979
Summary: STEPHEN C. OSBUN, Petitioner, v. WORKERS' COMPENSATION APPEALS BOARD, TOM VETERAN et al. , Respondents. Upon arrival at the construction site, petitioner, accompanied by Harding, was directed by Martinez to begin hanging drywall in certain units. First, a [93 Cal. App. 3d 166] process called 'stocking' involves unloading sheetrock from trucks and placing it inside the buildings. On this job Hintz was responsible for stocking and on the particular day his general laborers were occupied elsewhere. Nevertheless, on this Thursday, petitioner and Harding did comply with Martinez's request and stocked as well as hung the drywall.
Note: Where deposition testimony wasn't before WCAB it would not be considered by reviewing court.
Citation: 93 Cal.App.3d 163
WCC Citation: WCC 27101979 CA
 
 
Case Name: Otis vs. City of Los Angeles, etc. et. al. 10/02/1980
Summary: Since the grant of reconsideration in Otis, various panels of the Appeals Board have granted reconsideration in cases involving the interpretation of Section 4601. 5. Some involved the same issue as in Otis others involved different issues presented by the statute. n5 Prior to its enactment there were no sanctions for non-payment of medical-legal costs by way of penalty and interest. A OTIS V. CITY OF LOS ANGELES 77 MON 13155 and 77 MON 13128 n7 An application was filed on April 18, 1977 alleging injury to the back and assigned case number 77 MON 13128. On October 28, 1977, approximately four months following the filing of the reports, the City of Los Angeles filed a document entitled Petition for Disallowance of Medical-Legal Costs.
Note: Appropriate procedure to follow when contesting medical-legal lien.
Citation: 45 CCC 1132 (En Banc)
WCC Citation: WCC 28711980 CA
 
 
Case Name: Ott v. WCAB 05/06/1981
Summary: LUNETTE OTT, Petitioner, v. WORKERS' COMPENSATION APPEALS BOARD and PACIFIC TELEPHONE AND TELEGRAPH COMPANY, Respondents. Petitioner Lunette Ott (hereinafter Ott) was employed with respondent Pacific Telephone and Telegraph Company (hereinafter Pacific Telephone) as a marketing representative. Subsequent activity centered upon the permanent disability compensation due to Ott and any credit to be allowed for benefits paid by Pacific Telephone. Oral testimony was adduced from Robert D. Harless, a personnel manager in the San Francisco office of Pacific Telephone's employees' benefits department, and Ott. In the case of Mrs. Ott, was her case submitted to the committee?
Note: Employer bears burden of proving voluntary nature of wage payments for credit against indemnity.
Citation: 118 Cal.App.3d 912
WCC Citation: WCC 3381981 CA
 
 
Case Name: P. v. Machesky 03/12/2010
Summary: The court placed Machesky on five years' probation, conditioned on, among other things, she perform 400 hours of volunteer work. On May 18 the store's workers' compensation insurance carrier, Springfield Insurance Company (Springfield), began paying temporary total disability benefits to Machesky. While at Dodge's office, Machesky stated on a patient questionnaire that she had never suffered any prior work-related injuries. After the car accident, Machesky told emergency room doctors at Scripps Memorial Hospital that she had mild neck pain. In November 2001 Machesky experienced pain in the middle of her back while pushing carts and missed 12 days of work.
Note: A review of the entire record pursuant to People v. Wende, supra, 25 Cal.3d 436, including the possible issues referred to pursuant to Anders v. California, supra, 386 U.S. 738, has disclosed no other reasonably arguable appellate issue.
Citation: D055509
WCC Citation: WCC 36092010 CA
 
 
Case Name: Pac. Employers Ins. Co. v. IAC 06/26/1959
Summary: PACIFIC EMPLOYERS INSURANCE COMPANY (a Corporation), Petitioner, v. INDUSTRIAL ACCIDENT COMMISSION and TOM L. STROER, Respondents. On July 29, 1957, Stroer, employed as a carpenter, sustained an admitted industrial injury to his back. The employer's insurance carrier, the petitioner, voluntarily furnished medical care, and paid compensation, until February 17, 1958. The commission awarded Stroer maximum temporary partial disability payments for the period February 17, 1958, through July 6, 1958. The insurance carrier does not complain of the finding that during the period in question the employee was temporarily partially disabled.
Note: Where partial TD accounts for total wage loss then wages lost is only req. finding.
Citation: 52 Cal.2d 417
WCC Citation: WCC 24981959 CA
 
 
Case Name: Pac. Indem. Co. v. Industrial Accident Comm'n 06/08/1945
Summary: 19289, 19290 June 8, 1945 PACIFIC INDEMNITY COMPANY (A CORPORATION), PETITIONER, v. INDUSTRIAL ACCIDENT COMMISSION, SALOME VALLEZ ET AL. , RESPONDENTS. PROCEEDINGS to review orders of the Industrial Accident Commission awarding compensation for death. There was other evidence indicating that the fatal accident occurred somewhat later. I, § 196, p. 188; 27 Cal. Jur. § 90, p. 392; Larson v. Industrial Acc. The industrial nature of the Vallez boys' trip is significant only in that it brings this phase of the case within the rule of Western Pacific R. R. Co. v. Industrial Acc.
Note: Evidence supports determination that was injury sustained in course and scope of employment.
Citation: 26 Cal. 2d 509
WCC Citation: WCC 30491945 CA
 
 
Case Name: Pacific Gas & Elec. Co. v. IAC 07/17/1961
Summary: PACIFIC GAS AND ELECTRIC COMPANY, Petitioner, v. INDUSTRIAL ACCIDENT COMMISSION, SALLY MARY DREW et al. , Respondents. OPINION DOOLING, J. Petitioner seeks review and the annulment of an award and decision made by the Industrial Accident Commission. The award was based on a finding that the employee's death was the result of the industrial injury 'combined with a non-industrial cancer. 'X-rays taken on February 23, 1958, revealed a fracture of the seventh dorsal vertebra of his thoracic spine. The succeeding article 4 deals exclusively with payments to be made to the dependents of employees following the employee's death.
Note: 4663 has no reference to benefits owed worker's dependents.
Citation: 56 Cal.2d 219
WCC Citation: WCC 25531961 CA
 
 
Case Name: Pacific Gas & Electric vs. WCAB (Bryan) 01/09/2004
Summary: A101872 WCAB No. BAK 135832 Pacific Gas & Electric Company (PG&E) contends the Workers' Compensation Appeals Board (WCAB) erred when it awarded benefits to respondent Clifford Bryan for work-related psychiatric injury. As a "collector" he went to the homes of delinquent customers to either collect money or turn off the gas and electric service. Having concluded the WCAB improperly relied on certain factors when making its decision, we turn to the issue of prejudice. The case is remanded to the WCAB so it can reconsider the matter in light of this opinion. While we remand the case to the WCAB to so it can reconsider its decision, we state no opinion on what decision the WCAB should reach.
Note: Financial status of business not an 'actual event' of employment.
Citation: 114 Cal.App.4th 1174
WCC Citation: WCC 29652004 CA
 
 
Case Name: Painter v. WCAB 03/27/1985
Summary: OPINION SONENSHINE, J. Donna B. Painter has petitioned for a writ of review after the Workers' Compensation Appeals Board (WCAB) denied her petition for reconsideration. Painter filed a petition for reconsideration before the WCAB, contending the judge erred by relying exclusively on the conclusions of Dr. Schwartz. Due to illness, the trial judge did not prepare a report on reconsideration for use by the WCAB. [1] Section 5908. 5 requires the WCAB decision to 'state the evidence relied upon and specify in detail the reasons for the decision. 'The WCAB also argues lack of compliance with section 5908. 5 resulted in no prejudice because Painter is aware of the evidentiary basis for the board's decision.
Note: Board fails to 'state evidence relied upon/reasons for decision' by simply incorporating original decision; review not appropriate.
Citation: 166 Cal.App.3d 264
WCC Citation: WCC 26971985 CA
 
 
Case Name: Palestini v. General Dynamics Corp. 06/07/2002
Summary: LOUIE PALESTINI et al. , Plaintiffs and Appellants, v. GENERAL DYNAMICS CORPORATION et al. , Defendants and Respondents. Luce, Forward, Hamilton & Scripps, Charles A. Bird and Timothy R. Pestotnik for Defendant and Respondent General Dynamics Corporation. 3 From March 1982 to June 1992, Louie Palestini worked as a plastics fabricator, group leadman, and supervisor at General Dynamics's manufacturing plants in San Diego. Hughes, joined by General Dynamics, filed a general demurrer to the section 3602(b)(2) cause of action on the ground it was barred by the exclusive remedy provisions of the Workers' Compensation Act (§ 3200 et seq. ). The amended complaint alleges that Louie Palestini was employed by General Dynamics through June 1992, and was employed by Hughes through January 1994.
Note: Facts sufficiently pled in complaint to allege fraudulent concealment exception to exclusive remedy.
Citation: 99 Cal.App.4th 80
WCC Citation: WCC 28592002 CA
 
 
Case Name: Palm Medical Group, Inc. v. State Compensation Insurance Fund 03/25/2008
Summary: CERTIFIED FOR PUBLICATION IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA FIRST APPELLATE DISTRICT DIVISION THREE PALM MEDICAL GROUP, INC. , Plaintiff and Appellant, v. STATE COMPENSATION INSURANCE FUND, Defendant and Appellant. Ct. No. 421984) Palm Medical Group, Inc. (Palm), an occupational medical clinic located in Fresno, was denied admission into the preferred provider network (PPN) operated by State Compensation Insurance Fund (SCIF), a California public enterprise fund operating throughout the state as a nonprofit workers' compensation insurer. SCIF is the largest workers' compensation insurance carrier in the State of California. [¶] (b) State Compensation Insurance Fund's reasons for rejection of Palm Medical Group's application for admission to the Preferred Provider Network were arbitrary and unreasonable?"The jury answered "no" to subparagraph (a) and "yes" to subparagraph (b), and was directed to question number three which read, "Do you find by a preponderance of the evidence that if fair procedures had been provided by State Compensation Insurance Fund in connection with Palm Medical Group's 2001-2002 application for admission to State Compensation Insurance Fund's Preferred Provider Network, that Palm Medical Group should have been admitted into the Preferred Provider Network?"
Note: Defendant 'possessed power so substantial over the market for the treatment of occupational injuries in the Fresno area in 2001-2002 that the failure to admit an ordinary, competent medical provider to its PPN would significantly impair that provider's ability to practice occupational medicine in the Fresno area and, so, Defendant owed Plaintiff a duty of fair procedure in acting on its application to the PPN.
Citation: A114651
WCC Citation: WCC 33302008 CA
 
 
Case Name: Palmer v. BNSF Railway Co. 09/30/2010
Summary: IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA THIRD APPELLATE DISTRICT (San Joaquin) No. C057964 September 30, 2010 SHAWN M. PALMER, PLAINTIFF AND APPELLANT, v. BNSF RAILWAY COMPANY, DEFENDANT AND RESPONDENT. Plaintiff Shawn M. Palmer, a railroad switchman, was injured as he climbed down from a tanker car while wearing a device used to remotely control locomotives. He sued his employer, defendant BNSF Railway Company, for personal injury under the Federal Employers' Liability Act (FELA), 45 U. S. C. § 51 et seq. However, the court also found that a "cause of action for negligence under the FELA is preempted by the [FRSA]. This appeal presents questions of law involving the interplay between federal statutes, and we review the granting of summary judgment de novo.
Note: The Federal Railroad Safety Act did not bar a railroad switchman's Federal Employer's Liability Act suit.
Citation: C057964
WCC Citation: WCC 36742010 CA
 
 
Case Name: Palmer v. WCAB 06/23/1987
Summary: WALLACE EARL PALMER, Petitioner, v. WORKERS' COMPENSATION APPEALS BOARD and ALUMINUM COMPANY OF AMERICA, Respondents (Opinion by Woods, P. J. , with Kingsley and McClosky, JJ. , concurring. )In the application, '9/24/48 - 11/11/78' was typed in a blank space below which were the words '(Date of Injury). 'In his November 29, 1978, report, Dr. Urabec stated that 'Robert Palmer' complained of slight irritation due to industrial smoke exposure and occasional wheezing due to industrial steam exposure. On August 15, 1984, applicant filed a petition to reopen pursuant to sections 5410, 5803, and 5804. The WCJ concluded, however, that in the interest of justice each party should be allowed the opportunity to establish the legal date of injury.
Note: Case remanded to determine when applicant knew or should have known disability was work-related.
Citation: 192 Cal.App.3d 1241
WCC Citation: WCC 25331987 CA
 
 
Case Name: Paris v. USI Southern California Ins. Services 09/12/2008
Summary: IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA SECOND APPELLATE DISTRICT DIVISION THREE LANCE PARIS, Plaintiff and Appellant, v. USI OF SOUTHERN CALIFORNIA INSURANCE SERVICES, INC. , Defendant and Respondent. INTRODUCTION Plaintiff and appellant Lance Paris (Paris) sued his ex-employer, defendant and respondent USI of Southern California Insurance Services, Inc. , a California corporation (USI). Prior to April 1, 2003, USI provided loss control services to its clients by hiring Paris as an independent contractor. The billing procedures Neither Rastigue nor any other USI employee asked Paris to provide USI with invoices for loss control services, nor did any USI employee tell Paris that he must "bill, invoice, and collect for loss control services" in order to earn a commission. [P]roducers at USI began to give free loss control services to their clients, i. e. , [Paris] would provide the same services to the clients, but the producers refused to charge the clients, thus .
Note: [Unpublished] There are triable issues of fact as to whether USI breached the April 1, 2003, employment agreement by failing to pay Paris all wages, bonuses, and commissions.
Citation: B200225
WCC Citation: WCC 34232008 CA
 
 
Case Name: Parish v. WCAB 05/04/1989
Summary: HERBERT PARISH, Petitioner, v. WORKERS' COMPENSATION APPEALS BOARD and COUNTY OF VENTURA, Respondents (Opinion by Abbe, J. , with Stone (S. The WCAB, based on the conflict in the medical evidence between Dr. Markovitz and Dr. Winsor, granted reconsideration and referred the matter to an independent medical examiner, Dr. Brotman. In its decision after reconsideration, the WCAB rescinded the WCJ's finding, and found applicant did not sustain industrial heart injury. Here, the WCAB, relying heavily on Dr. Brotman's opinion, conceded that the presumption of Labor Code section 3212. 5 was applicable, yet erroneously inferred applicant's symptoms must have resulted from surmised contemporaneous nonindustrial factors. The WCAB did not specify, and the record does not disclose, what '. . . contemporaneous nonwork-related event. . . ,' if any, was the sole cause of applicant's heart trouble.
Note: a congenital disease is entitled to the presumption if there is an employment nexus.
Citation: 210 Cal.App.3d 92
WCC Citation: WCC 4151989 CA
 
 
Case Name: Park v. Arkema, Inc. 08/30/2012
Summary: PARK v. ARKEMA, INC. WHASAM PARK et al. , Plaintiffs and Appellants, v. ARKEMA, INC. , et al. , Defendants and Respondents. Plaintiffs and appellants Whasam Park (Park) and Anne Park (collectively, plaintiffs) appeal from the summary judgment entered in favor of defendants and respondents Arkema, Inc. (Arkema) and Turkish Products, Inc. (collectively, the Arkema defendants) in this personal injury action premised on alleged occupational exposures to various toxic chemicals. Park alleged that his exposure to benzene-containing chemical products was a substantial factor in causing his leukemia. Plaintiffs filed this action on April 13, 2006 against the manufacturers and suppliers of various chemical products to which Park was allegedly exposed. In his August 25, 2008 declaration, Brautbar opined that exposure to benzene can cause the type of leukemia from which Park suffers.
Note: A former machine tool operator suffering from leukemia should have been allowed to present the opinion of a doctor linking his condition to his workplace exposure to benzene in opposition to a motion for summary judgment, even though that doctor was no longer designated as an expert witness.
Citation: B229513
WCC Citation: WCC 39282012 CA
 
 
Case Name: Parker v. WCAB 10/01/1992
Summary: DENNIS PARKER, Petitioner, v. WORKERS' COMPENSATION APPEALS BOARD and FREMONT POLICE DEPARTMENT, Respondents. (1977) 75 Cal. App. 3d 113, 118 [142 Cal. Rptr. 42]; Bauer v. County of Los Angeles (1969) 34 Cal. Comp. Cases 594 [Board en banc opn. ]. )II On May 9, 1991, the instant case proceeded to hearing before WCJ Robert Laws at the Oakland Board. Thus, an injured employee may be fully capable of working and his or her medical condition not yet permanent and stationary. It is immaterial to our decision that the parties stipulated to an apportionment of PD between the two injuries.
Note: Injuries cannot be combined for rating if no common body part though P&S at same time.
Citation: 9 Cal.App.4th 1636, 57 CCC 608
WCC Citation: WCC 28671992 CA
 
 
Case Name: Parks v. WCAB 03/21/1983
Summary: On this day, Parks drove to the exit of the lot and turned left onto Compton Boulevard. At that moment, three youths pulled open the driver's door on Parks' car, wrestled her purse away from her and fled. Parks was unable to return to work for three weeks as a result of the physical and emotional trauma from this assault. However, our decisions in Greydanus and Henslick indicate that the WCAB read Chairez too narrowly in denying compensation to Parks. The WCAB, however, ignored the fact that the risk to which Parks was subjected also met the second prong of the Chairez test.
Note: Going and coming rule not a bar to compensation where teacher was exposed to special risk in parking lot.
Citation: 33 Cal. 3d 585
WCC Citation: WCC 30561983 CA
 
 
Case Name: Parkwoods Comm. Assn. v. CIGA 08/07/2006
Summary: James A. Richman This action was brought by plaintiff Parkwoods Community Association (Parkwoods) following the settlement of its earlier construction defect action arising out of the construction of the Parkwoods condominium development in Oakland. Parkwoods and CIGA agreed upon the amount that CIGA would pay Parkwoods if CIGA is required to pay the obligations of Reliance and the Reliance Insureds, and agreed that this declaratory relief action would be brought to resolve their dispute as to whether Parkwoods' claim is a "covered claim" within the meaning of Insurance Code section 1063. 1, subdivision (c)*fn1 that CIGA is obligated to pay. . . . 'CIGA issues no policies, collects no premiums, makes no profits, and assumes no contractual obligations to the insureds. 'Permitting Parkwoods to recover from CIGA in the present case would, in effect, sanction an indirect recovery that could not be obtained directly. The matter is remanded with instructions to vacate the judgment entered in favor of Parkwoods and to enter judgment in favor of CIGA.
Note: Because other insurance was available to Parkwoods, CIGA is not obligated to satisfy a 'covered claim'.
Citation: 141 Cal. App. 4th 1362
WCC Citation: WCC 31722006 CA
 
 
Case Name: Parrent v. SBC-Pacific Bell Telephone Company 08/30/2016
Summary: WORKERS' COMPENSATION APPEALS BOARD STATE OF CALIFORNIA  .             GREGORY PARRENT, Applicant, .             v. .             SBC-PACIFIC BELL TELEPHONE COMPANY, Permissibly Self-Insured; .             administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants. .             Case No. ADJ339088 (SDO 0304788) .             OPINION AND DECISION AFTER RECONSIDERATION .             We granted reconsideration in this matter to provide an opportunity to further study the legal and factual issues raised by the Petition for Reconsideration. I.   .           Applicant sustained an industrial injury to his bilateral upper extremities while employed by  SBC-Pacific Bell Telephone Company as a service representative during the period May 10, 1999 through November 17, 2002. .           For the foregoing reasons, .           IT IS ORDERED that, as our Decision After Reconsideration, the Findings of Fact, issued September 8, 2015, is AFFIRMED. .           WORKERS' COMPENSATION APPEALS BOARD .           KATHERINE ZALEWSKI .           !CONCUR, .           DEIDRA E. LOW2 .           I CONCUR (See Separate Concurring Opinion), .           MARGUERITE SWEENEY .           DATED AND FILED AT SAN FRANCISCO, CALIFORNIA .           AUG 3 0 2016 CONCURRING OPINION  .           I concur with the detennination to affinn the WCJ's finding that he did not have jurisdiction to address the issue of the medical necessity of the treatment recommended by applicant's MPN treating physician, where the defendant submitted the request for authorization to utilization review (UR) pursuant to Labor Code section 4610 et seq.
Note:
Citation: ADJ339088 (SDO 0304788)
WCC Citation: ADJ339088 (SDO 0304788)
 
 
Case Name: Parrent v. WCAB 01/05/2017
Summary:   .   D071162   .    WCAB No. ADJ339088   .   THE COURT:   .   From 1999 to 2002, Gregory Parrent suffered industrial injury while working for Pacific Bell Telephone Company (Pac Bell). On December 12, 2014, Parrent (through his counsel, Robert A. McLaughlin) requested an independent medical review (IMR) of the UR determination. Parrent sought reconsideration by the WCAB, arguing (1) the "WCAB has immediate jurisdiction over a treatment recommendation of a [MPN] treating physician prior to [UR]," (2) the WCAB has "immediate jurisdiction over a treatment recommendation of an MPN treating physician after UR and/or URIndependent Medical Review ('IMR')," and (3) the "statutory framework does not permit UR-IMR under §§ 4610, 4610. 5 and 4610. 6 of a treatment recommendation made by a MPN treating physician within Article 2. 3. "   .   The WCJ issued a report and recommendation to the WCAB recommending denial of Parrent's request for reconsideration. The WCAB concluded no statutory or regulatory authority supported the conclusion advanced by Parrent and the applicable statutes and regulations bind employers to the UR process set forth in sections 4610, 4610. 5 and 4610. 6.   .   "In considering a petition for writ of review of a decision of the WCAB, this court's authority is limited. [We] must determine whether the evidence, when viewed in light of the entire record, supports the award of the WCAB.
Note: The 4th District Court of Appeal on Thursday denied review of a dispute over whether an employer can refer a treatment recommendation from a doctor within its own medical provider network through utilization review and independent medical review.
Citation: WCAB No. ADJ339088)
WCC Citation:
 
 
Case Name: Pasquinelli v. State of CA 02/20/1975
Summary: ROBERT J. PASQUINELLI et al. , Plaintiffs and Respondents, v. THE STATE OF CALIFORNIA et al. , Defendants and Appellants (Opinion by Friedman, J. , with Puglia, P. J. , and Janes, J. , concurring. )Petitioner Pasquinelli suffered several injuries, the last on May 30, 1970, and received 226-7/8 days of benefits under section 4800, separating for permanent disability on October 15, 1970. In the trial court the state asserted the bar of a one-year period of limitations; petitioners sought shelter under the five-year statute governing some workmen's compensation proceedings. (Monroe v. Trustees of the California State Colleges, 6 Cal. 3d 399, 405 [99 Cal. Rptr. 129, 491 P. 2d 1105]. )Petitioner Pasquinelli did not voluntarily relinquish the salaried leave of absence granted by Labor Code section 4800.
Note: Claim for 1 yr. salary needs to be filed within 3 yrs. of employer's wrongful termination of benefits.
Citation: 45 Cal.App.3d 457
WCC Citation: WCC 26751975 CA
 
 
Case Name: Pasquotto v. Hayward Lumber 02/27/2006
Summary: The Current Injuries On October 8, 1999, applicant was seen by Steven Dosch, M. D. , for a pre-employment physical examination for the truck driving job with Hayward Lumber. On or about October 19, 1999, applicant was hired as a driver by Hayward Lumber. As such, I believe Mr. Pasquotto would have had fifty percent of his current level of lumbar spine disability even in the absence of his employment at Hayward Lumber. The remaining fifty percent of lumbar spine disability is directly related to the Applicant's employment and injuries at Hayward Lumber. "On October 6, 2004, the WCJ issued rating instructions for applicant's December 2001 and August 2, 2002 back injuries with Hayward Lumber.
Note: Order approving a compromise and release settlement is not a prior award of permanent disability for apportionment purposes.
Citation: 71 CCC 223
WCC Citation: WCC 31452006 CA
 
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