Past Reported Workers’ Compensation Cases

The Law Offices of Edward J. Singer, APLC, have litigated various issues that have been reported in Workers’ Compensation Law. The cases listed below are those which have been appealed to either the Workers’ Compensation Appeals Board in San Francisco, the California Court of Appeal or the California Supreme Court.

A number of these cases have been cited as legal authority, reported in scholarly works such as Sullivan on Comp, the California Workers’ Compensation Reporter, and commented upon in LexisNexis Workers’ Compensation e-newsletter.  Some of these cases have been used for training attorneys at the State Compensation Insurance Fund.  Some of these cases have been used for risk management training in Superior Court.

While our offices take pride in assisting individual clients, we also take pride in shaping workers’ compensation case law to benefit all injured workers.

Jackson v. County of Riverside, 2023 Cal. Wrk. Comp. P.D. LEXIS 327

Psychiatric Injury—Good Faith Personnel Actions—Insufficient Rolda Analysis—WCAB, granting reconsideration, rescinded decision in which WCJ found that applicant’s claim for cumulative injury to his heart, circulatory system/hypertension and psyche while employed as housing program assistant from 10/1/2005 through 5/18/2016 was barred by Labor Code § 3208.3(h) good faith personnel action defense, and returned matter to trial level for further proceedings, when WCAB determined that WCJ failed to perform proper analysis for psychiatric claim under Labor Code § 3208.3 and Rolda v. Pitney Bowes, Inc. (2001) 66 Cal. Comp. Cases 241 (Appeals Board en banc opinion), because WCJ did not determine whether applicant’s alleged psychiatric injury involved actual events of employment and whether actual employment events were predominant cause of psychiatric injury, and WCJ analyzed only seven of 18 predicate events described by qualified medical evaluator (QME) as contributing to psychiatric injury, rather than analyzing and discussing all predicate events identified by QME, as she was required to do, and WCAB concluded that WCJ must revisit evidence and issue specific findings on whether applicant demonstrated that one or more actual events of employment occurred, under first prong of Rolda, and then continue with remainder of Rolda analysis; WCAB further determined that WCJ applied incorrect legal standard in finding that applicant’s hypertension claim was barred, as Labor Code § 3208.3(h) precludes recovery only for physical injuries directly and solely resulting from psychological injury suffered as result of good faith personnel action, but not for physical injuries directly caused by stress, such as hypertension, and here there was no substantial medical evidence in record regarding causation of applicant’s internal condition, thus requiring further development of record on this issue. [See generally Hanna, Cal. Law of Emp. Inj. and Workers’ Comp. 2d §§ 8.09[2], [3], 24.03[8], 31.20[4]; Rassp & Herlick, California Workers’ Compensation Law, Ch. 8, §§ 8.01, 8.02, 8.05; Ch. 14, § 14.10.]

Anabelle Shepheard, Applicant v. Laddaran Management Corporation, Employers Preferred Insurance Company, Defendants

Injury AOE/COE—Necessity of Medical Evidence—Credibility Determinations—WCAB, granting reconsideration, rescinded decision in which WCJ found that applicant did not sustain industrial back injury while employed by defendant as cook on 12/15/2019, and returned matter to presiding WCJ for reassignment to new WCJ and trial de novo, when WCJ’s finding of no injury was based on determination that applicant was not credible witness regarding mechanism of her injury and that medical evidence finding injury AOE/COE was not substantial evidence because claimed mechanism of injury was not supported by applicant’s trial testimony, but WCAB rejected WCJ’s credibility determinations, and further found that WCJ improperly substituted her own opinion of applicant’s medical diagnosis over medical opinions of doctors in finding that applicant did not sustain injury AOE/COE, noting that where issues are exclusively matter of scientific or medical knowledge, expert opinion is essential to support judicial findings, and lay testimony or opinion does

Ramrakha v. State, 2023 Cal. Wrk. Comp. P.D. LEXIS 82

Credit—Overpayment of Permanent Disability Benefits—WCAB, granting reconsideration, held that WCJ erred in disallowing credit for permanent disability indemnity defendant owed in connection with applicant correctional officer’s 9/16/2001 industrial injury (ADJ1415534) for permanent disability overpayment in connection with his 3/16/2003 industrial injury (ADJ4508242), when WCAB found, initially, that defendant’s alleged failure to comply with rule in 8 Cal. Code Reg. § 10555(a) for filing petition for credit was not basis for disallowing credit, and WCAB further reasoned that pursuant to Labor Code § 4909, whether to allow defendant credit for benefits voluntarily paid in error is within WCAB’s discretion based on equities between parties and on whether applicant’s compensation award would be seriously impaired if credit were allowed, that although defendant’s apparent assignment of permanent disability indemnity payments to 3/16/2003 date of injury was imprudent based on stipulated ratings for each of applicant’s injuries, error did not result in impairment of applicant’s ultimate award of 25 percent permanent disability for 9/16/2001 injury, and that whether by happenstance or not, defendant’s payment of permanent disability indemnity for applicant’s two specific injuries was consistent with intent of Labor Code § 4909 to encourage employers to voluntarily pay compensation and, where appropriate, to obtain subsequent reduction in compensation ultimately due to employee; however, WCAB affirmed WCJ’s denial of credit for permanent disability owed by defendant on applicant’s cumulative trauma injury from 3/17/2003 to 2/3/2013 (ADJ8919366), where defendant continued to advance permanent disability payments for three and one-half years even though defendant had doubts regarding agreed medical examiner’s apportionment findings, and that although defendant voluntarily paid benefits on cumulative trauma claim and eventually claimed credit as envisioned by Labor Code § 4909, defendant did so in manner and under circumstances that resulted in material impairment of applicant’s permanent disability award for cumulative injury, such that WCJ correctly denied credit. [See generally Hanna, Cal. Law of Emp. Inj. and Workers’ Comp. 2d §§ 7.04[9][a], 31.14[1]; Rassp & Herlick, California Workers’ Compensation Law, Ch. 6, § 6.19[1].]

Salinas v. The Home Depot, PSI, 2022 Cal. Wrk. Comp. P.D. LEXIS 298

(Issue: Injury AOE/COE—Substantiality of Medical Evidence—WCAB, granting reconsideration, rescinded WCJ’s finding that decedent’s fatal stroke was non-industrial based on opinion of panel qualified medical evaluator (PQME), and returned matter to trial level for further development of factual and medical record, when WCAB concluded that PQME’s opinion regarding causation of applicant’s stroke did not constitute substantial evidence because PQME failed to consider credible testimony of decedent’s widow that decedent took 15,000 to 17,000 steps per day per his fitness watch and averaged approximately four hours of sleep on work nights and, instead, based her causation opinion only on decedent’s long work hours, and WCAB reasoned that it was unclear if PQME utilized proper standard that work need only be contributing cause of injury, that in absence of other evidence, PQME must accept widow’s credible testimony regarding applicant’s sleep habits even without sleep log, and that on remand, parties should seek further clarification from PQME regarding causation. [See generally Hanna, Cal. Law of Emp. Inj. and Workers’ Comp. 2d §§ 4.05[2][a], [3], 27.01[1][c], 34.16[3]; Rassp & Herlick, California Workers’ Compensation Law, Ch. 10, § 10.01[4][c], Ch. 16, § 16.51[2], Ch. 20, § 20.04.])

Humphrey vs. City of San Luis Obispo, 2019 Cal. Wrk. Comp. P.D. LEXIS 467

(Issue: Psychiatric Injury—Good Faith Personnel Actions—WCAB, affirming WCJ’s decision, held that applicant suffered industrial injury to his psyche while employed as city parking coordinator between 5/19/2018 and 7/30/2018, and that defendant did not meet its burden of proving that good faith personnel action, i.e., reclassification of applicant’s position, was substantial cause of applicant’s psychiatric injury for purposes of establishing defense to applicant’s claim of psychiatric injury under Labor Code § 3208.3(h), when panel qualified medical evaluator opined that applicant’s anxiety and depression were caused by overwork and unrealistic work demands on applicant plus applicant’s own internal pressures and expectations, and WCAB concluded that WCJ properly considered entire set of industrial and nonindustrial causal factors as set forth in Rolda v. Pitney Bowes, Inc. (2001) 66 Cal. Comp. Cases 241 (Appeals Board en banc opinion), and determined that while reclassification of applicant’s position was personnel action, it was not reclassification itself that caused applicant’s injury, but rather increased job duties that overwhelmed applicant and substantially caused his injury. [See generally Hanna, Cal. Law of Emp. Inj. and Workers’ Comp. 2d §§ 4.02[3][a], [b], [f], 4.69[3][a], [b], [d]; Rassp & Herlick, California Workers’ Compensation Law, Ch. 10, § 10.06[3][b], [d].])

Leggette vs. CPS Security, 2020 Cal.Wrk.Comp P.D. LEXIS 3, 85 Cal. Comp. Cases 321

(Issue: Injury AOE/COE—Pleading Injury as Specific Injury or Occupational Illness—West Nile Virus—WCAB rescinded WCJ’s finding that applicant, while employed as security guard on 9/23/2018, did not sustain industrial injury in form of West Nile Virus (spread by mosquitos), and issued new decision finding industrial injury, when WCAB concluded that WCJ erred in finding no injury on basis that applicant failed to specify and prove exact date he was bitten by infected mosquito for purposes of supporting claim of specific injury, and determined that (1) where Application for Adjudication of Claim form had options to plead either specific injury or cumulative injury, applicant correctly asserted specific injury given that his West Nile Virus arose out of single mosquito bite rather than longer period of exposure, (2) industrial injury may be specific and at same time constitute occupational disease, which is separate concept from cumulative injury and may result either from single exposure or exposure over extended period of time, (3) in alleging industrial injury on 9/23/2018, applicant here was alleging last date he was employed in occupation exposing him to hazardous condition, i.e., mosquitos and daily mosquito bites that he was subjected to based on location of his job site, (4) injured employees do not generally need to distinguish between date of potential exposure and Labor Code § 5412 date of injury unless it is relevant to issue in case, nor is there statutory requirement to show exact date of exposure, especially in cases such as this, where pinning down precise date would be nearly impossible, and (5) applicant met burden of proof to establish injury AOE/COE in form of West Nile Virus.)

Note: This Decision was considered by Lexis Nexis to be a Top Noteworthy Panel Decision for the period from January through June of 2020.

Megan Prell vs. Cedar Fair, 2016 Cal. Wrk. Comp. P.D. LEXIS 579

(Issue: WCAB rescinded WCJ’s finding that applicant suffered 2 percent permanent disability as result of industrial injury to her left shoulder while employed as performer/greeter/park character on 9/17/2013, and found permanent disability in accordance with panel qualified medical evaluator Jasper Mann, M.D.’s finding of 15 percent whole person impairment, when WCAB found that Dr. Mann’s opinion was sufficient to rebut strict AMA Guides rating under Almaraz v. Environmental Recovery Services/Guzman v. Milpitas Unified School District (2009) 74 Cal. Comp. Cases 1084 (Appeals Board en banc opinion), aff’d sub nom. Milpitas Unified School Dist. v. W.C.A.B. (Guzman) (2010) 187 Cal. App. 4th 808, 115 Cal. Rptr. 3d 112, 75 Cal. Comp. Cases 837)

Hector E. Hernandez (Deceased) vs. City of Los Angeles 2009 Cal.Wrk. Comp. P.D. LEXIS 585

Opinion Filed November 17, 2009; Hector E. Hernandez (Deceased), Geana Hernandez (Widow), Applicant v. City of Los Angeles, PSI, Defendants, 2009 Cal. Wrk. Comp. P.D. LEXIS 520, Opinion Filed October 5, 2009  (Issue: Retroactive Application of Death Benefit Statute for Disabled Minor)

Frank Jones (Deceased) vs. CDCR Kern Valley State Prison, 2014 Cal. Wrk. Comp. P.D. LEXIS 461

Opinion Filed September 18, 2014 (Issue: Minor’s eligibility for Workers’ Compensation Death Benefits when Widow elects CALPERS special death benefit)

Laura Lindquist vs. Superior Court, 2011 Cal. Wrk. Comp. P.D. LEXIS 379

Opinion Filed July 19, 2011 (Issue: Application of 1997 PDRS when Applicant had three level fusion)

A.D. vs. Burke Williams, 2007 Cal. Wrk. Comp. P.D. LEXIS 136

Opinion Filed October 15, 2007 (Issue: Sudden and Extraordinary condition of employment when there was a collision at work)

Gregory Martinez vs. City of Anaheim, 2010 Cal. Wrk. Comp. P.D. LEXIS 244

Opinion Filed June 30, 2010 (Issue: Entitlement to TTD when Applicant retired but continued to perform self-employment)

Alfredo Casillas, Applicant v. Ralphs Grocery Company, 2009 Cal. Wrk. Comp. P.D. LEXIS 617

Opinion Filed December 2, 2009 (Issue: Whether Defendant could take credit for overpayment of TTD when Applicant did not cause the overpayment)

Noelle Ewing, Applicant v. Entertainment Partners CNA Claims Plus, Defendants, 2008 Cal. Wrk. Comp. P.D. LEXIS 825

Opinion Filed September 26, 2008 (Issue: How is 6 months employment calculated for purposes of psychiatric claims)

Lee Patrick, Applicant v. Marina City Club, State Compensation Insurance Fund, Defendants, 2010 Cal. Wrk. Comp.P.D. LEXIS 19

Opinion Filed January 5, 2010 (Issue: Whether an injury be caused by Insurance Company misconduct during litigation)

Vicente Oseguera, Applicant v. Wide Awake Developers, State Compensation Insurance Fund, Defendants, 2011 Cal. Wrk. Comp.P.D. LEXIS 289

Opinion Filed May 31, 2011 (Issue: Application of credit is within the discretion of the Workers’ Compensation Judge)

Aleshchai Herndon, Applicant v. City of Pasadena, PSI, Defendant, 2010 Cal. Wrk. Comp. P.D. LEXIS 538

Opinion Filed December 3, 2010 (Issue: Whether injury AOE/COE where there was a going and coming rule where Applicant re-parked her car)

Jon Van Ness, Applicant v. Barbara Herzstein, Fireman’s Fund Insurance Company, Defendants W.C.A.B. No. MON 0324743—WCAB Panel: Commissioners Cuneo, O’Brien, Murray (concurring, but not signing) Workers’ Compensation Appeals Board (Panel Decision)2007 Cal. Wrk. Comp. P.D. LEXIS 23

(Issue: Entitlement to TTD beyond two years where the injury involved an amputation but where the TTD for an unamputated body part)

Jennifer Watrous, Applicant v. Pomona Unified School District, Corvel Corporation, Defendants, 2011 Cal. Wrk. Comp.P.D. LEXIS 593

Opinion Filed December 16, 2011 (Issue: Substantial evidence to support a finding of injury due to parvovirus)

Yolanda Crews, Applicant v. Methodist Hospital of Southern California, PSI by Intercare Insurance Services, Defendants, 2010 Cal. Wrk. Comp.P.D. LEXIS 643

Opinion Filed December 24, 2010 (Issue: Applicant allowed to develop record concerning earnings related to her occupation)

Roy Mayes, Applicant v. City of Pasadena, PSI, Defendant, 2013 Cal. Wrk. Comp.P.D. LEXIS 19

Opinion Filed January 14, 2013(Issue: Labor Code Section 132a applied when probationary employee terminated)

John Kao, Applicant v. Alhambra Unified School District, PSI, JT2 Integrated Resources, Defendants, 2006 Cal. Wrk. Comp.P.D. LEXIS 35

Opinion Filed September 5, 2006 (Issue: Car accident going home from work was industrial.)

County of Orange, PSI, administered by Gates McDonald & Company, Inc. v. W.C.A.B., Janise Turner, 72 Cal. Comp. Cases 170; 2006 Cal. Wrk. Comp. LEXIS 450

December 21, 2006 (Issue: Exclusion of Defendant’s expert witness)

Donald Appleby, Petitioner v. Workers Compensation Appeals Board, Pacific Bell, Respondents.B074408, Court of Appeal, Second Appellate District, Division Five, 59 Cal. Comp. Cases 520; 1994 Cal. Wrk. Comp. LEXIS 3645

32 Cal. Rptr. 2d 375 July 29, 1994 (Issue: Credit against workers’ compensation benefits based upon a salary continuation benefit payments)

Eugen Cioban v. W.C.A.B., County of Orange, PSI , 73 Cal. Comp. Cases 563; 2008 Cal. Wrk. Comp. LEXIS 88

March 14, 2008 (Issue: Applicant’s entitlement to VMRA benefits when there were 2000 and 2004 dates of injury)

County of Ventura, Petitioner v. Workers’ Compensation Appeals Board, Yvonne Jackson, Respondents, 79 Cal. Comp. Cases 107; 2013 Cal. Wrk. Comp. LEXIS 203

December 18, 2013 Writ of Review Denied (Issue: Psychiatric injury and internal medicine injury supported by substantial evidence)

County of Orange, Petitioner v. Workers’ Compensation Appeals Board, Jack Lean, Respondents, 73 Cal. Comp. Cases 1; 2008 Cal. Wrk. Comp. LEXIS 11

January 30, 2008 (Issue: Petition for Reconsideration timeliness when it was mailed to the local office in San Francisco and not the actual offices of the WCAB

Delores Pugh, Petitioner v. Workers’ Compensation Appeals Board, County of Los Angeles, Respondents, 73 Cal. Comp. Cases 1561; 2008 Cal. Wrk. Comp. LEXIS 376

Opinion Filed November 3, 2008 ,  Petitions for Publication Denied by Court of Appeal December 2, 2008; Petitions for Publication Denied by Supreme Court January 28, 2009 (Issue: Statute of limitation did no bar an Applicant when the applicant did not have “lunch room” notice concerning workers’ compensation rights and benefits)

A.D. Petitioner v. Workers’ Compensation Appeals Board, Burke Williams Day Spa, CNA Claimplus, Respondents , 73 Cal. Comp. Cases 1081; 2008 Cal. Wrk. Comp. LEXIS 224

Writ of Review Denied June 25, 2008 ,  Review Denied August 20, 2008 (Issue: Whether a collision at work was a sudden and extraordinary condition of employment for the purposes of pursuing a psychiatric injury?)

Alexandra Olmos vs. W.C.A.B., Pacific Bell, PSI, 64 Cal. Comp. Cases 305; 1999 Cal. Wrk. Comp. LEXIS 5271

February 3, 1999 (Issue: Labor Code Section 132a discrimination when Defendant threatened Applicant with discipline if she missed more days of employment)

Daimler Chrysler Corporation, PSI, Tristar Risk Management, Petitioner v. Workers’ Compensation Appeals Board, Marcus Freeman, Respondents, 69 Cal. Comp. Cases 1327; 2004 Cal. Wrk. Comp. LEXIS 326

September 29, 2004 (Issue: Labor Code Section 132a violation supported by substantial evidence)

Eaton Corporation, CNA Risk Management Group vs. W.C.A.B., Milada Cherny, 64 Cal. Comp. Cases 504; 1999 Cal. Wrk. Comp. LEXIS 5322

February 4, 1999 (Issue: 100 percent disability for fibromyalgia supported by substantial evidence)

City of Beverly Hills, PSI v. W.C.A.B., Richard Westfall, 63 Cal. Comp. Cases 1315; 1998 Cal. Wrk. Comp. LEXIS 4967

September 8, 1998 (Issue: Cardiovascular injury for Police Officer supported by substantial evidence)

Tara Gellman, Petitioner v. Workers’ Compensation Appeals Board, Goldman, Magdalin & Krikes, LLP, Chubb Group of Insurance Companies, Federal Insurance Company, Respondents, 78 Cal. Comp. Cases 236; 2013 Cal. Wrk. Comp. LEXIS 22

January 16, 2013 Writ of Review Denied (Issue: Whether attorney leaving her home to return to work after appearing in court the prior day was industrial)

City of Pasadena, PSI, Petitioner v. Workers’ Compensation Appeals Board, Roy Mayes, Respondents, 78 Cal. Comp. Cases 701; 2013 Cal. Wrk. Comp. LEXIS 98

May 28, 2013 Writ of Review Denied,  Review Denied July 24, 2013. Review denied by City of Pasadena v. Workers’ Comp. Appeals Bd. & Roy Mayes, 2013 Cal. LEXIS 6193 (Cal., July 24, 2013) (Issue: Can there be a 132a violation when an Applicant is a probationary employee)

Colleen Williams, Petitioner vs. Workers Compensation Appeals Board, McDonnell Douglas/Boeing, Fremont/Industrial Indemnity Company, AIG Claims Services, Inc., Respondents, 65 Cal. Comp. Cases 316; 2000 Cal. Wrk. Comp. LEXIS 6219

February 15, 2000 (Issue: did going and coming rule apply when Applicant gave a co-worker a ride)

David Diaz v. W.C.A.B., Pacific Bell, PSI, 63 Cal. Comp. Cases 119; 1997 Cal. Wrk. Comp. LEXIS 6068

December 30, 1997 (Issue: Penalty in delaying authorization for pain clinic)

Patrick v. State Compensation Insurance Fund(2004) 32 CWCR 43

(Board Panel Decision) (Issue: Substantial evidence found for psychiatric injury when there was credible testimony, a treating doctor report indication causation, and an AME report?)

Chava Cohen, Applicant v. Sheridan Assisted Living, Inc., State Compensation Insurance Fund, Defendants, 2010 Cal. Wrk. Comp. P.D. LEXIS 228

Opinion Filed May 27, 2010  (Issues: Ogilve, Earnings and Psychiatric injury due to a sudden and extraordinary condition of employment)

Jesseka Betts, v. YMCA 2015 Cal. Wrk. Comp. P.D. LEXIS 248 (Panel Decision)

Opinion Filed May 4, 2015: Issue: Did the Required Vehicle Exception apply when YMCA child-care site director suffered a compensable injury to her neck, back, chest and other body parts in a car accident on 8/21/2013 while en route to off-site, work-related meeting at Del Taco.

Rayshaun Moore v. Waste Management, 2014 Cal. Wrk. Comp. P.D. LEXIS 621

Opinion Filed November 3, 2014: Issue: Was dismissal valid when was unclear from dismissal order whether the objection was reviewed by WCJ or whether WCJ reviewed objection and concluded no good cause was shown for applicant’s failure to prosecute.

Anne Chou vs. County of Riverside, 2019 Cal. Wrk. Comp. P.D. LEXIS 28

The WCAB granted reconsideration and ruled that “[s]ince lawful, good faith nondiscriminatory personnel actions are causative factors of an industrial psychiatric injury, they cannot be “other factors” for the purposes of section 4663. Thus, by the plain language of sections 3208.3 and 4663 factors of lawful, good faith nondiscriminatory personnel actions are not apportionable, as any permanent disability caused by these factors is permanent disability caused “by the direct result of injury arising out of and occurring in the course of employment.””

Frank Romano, Applicant v. Providence Health and Services, Sedgwick Claims Management Services, Defendants, 2019 Cal. Wrk. Comp. P.D. LEXIS 110 (Panel Decision)

“Permanent Disability-Apportionment-WCAB, granting reconsideration, rescinded WCJ’s finding that applicant delivery person was entitled to award of 4 percent permanent disability for 5/6/2016 industrial injury, after apportionment to nonindustrial condition based on orthopedic panel qualified medical evaluator’s opinion, and WCAB substituted new finding that applicant was entitled to unapportioned award of 7 percent permanent disability, when WCAB reasoned that, in determining apportionment of permanent disability, physician’s duty is to determine what percentage of permanent impairment was caused by industrial injury and what percentage of impairment was caused by factors other than industrial injury, that to constitute substantial evidence on issue of apportionment, physician must detail exact nature of apportionable disability and set forth basis for apportionment according to correct legal principles, that here panel qualified medical evaluator upon whom WCJ relied assigned 5 percent whole person impairment [*2] pursuant to DRE Category II in AMA Guides based solely on presence of muscle spasm and apportioned 40 percent to nonindustrial causes, but did not discuss in his report or deposition how nonindustrial factors contributed to presence of muscle spasm and instead referred to MRI which showed degenerative spine changes that panel qualified medical evaluator admitted were not basis of his impairment determination, that while applicant may have nonindustrial pathology and while applicant’s back “condition” may be 40 percent attributable to nonindustrial causes, relevant inquiry is causation of impairment found by reporting physician, not amorphous “condition,” and that because defendant did not meet its burden of proof on issue of apportionment, applicant is entitled to unapportioned award.”