California Workers Compensation Appeals Board of California September 2023 casesADJ10267491 MARIA MENDOZA, Applicant v. SAN GABRIEL TRANSIT, INCORPORATED, BARRETT BUSINESS SERVICES, INCORPORATED; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for ULLICO CASUALTY COMPANY, in liquidation; ACE AMERICAN INSURANCE COMPANY, administered by CORVEL, DefendantsADJ9981669 DELMI CHAVEZ LAZO, Applicant v. D&D PAINTING; WESCO INSURANCE administered by AMTRUST, DefendantsADJ12748629 JAIME ESTRELA, Applicant v. THE PERMANENTE MEDICAL GROUP, Permissibly Self-Insured; ADMINISTERED BY ATHENS ADMINISTRATORS, DefendantsADJ10673950 JOHN MARSHALL, Applicant v. AUTO CLUB OF SO CALIF and OLD REPUBLIC INSURANCE COMPANY ADMINISTERED BY CANNON COCHRAN MANAGEMENT SERVICES, DefendantsADJ12567619 TAWNI FLOT WILLIAMS, Applicant v. SAN BERNARDINO CITY UNIFIED SCHOOL DISTRICT, Permissibly Self-Insured; Adjusted by KEENAN &ASSOCIATES, DefendantsADJ1655822 THOMAS GAUL, Applicant v. DEPARTMENT OF CORRECTIONS INMATE CLAIMS, legally uninsured and adjusted by STATE COMPENSATION INSURANCE FUND, DefendantsADJ16556325 ANA VIELMAN, Applicant v. SUNDERSTORM BAY LLC.; PROTECTIVE INSURANCE, DefendantsADJ17888876 PAMELA FIEHMANN, Applicant v. EL CAMINO HOSPITAL, Permissibly Self-Insured; CORVEL CORPORATION, THIRD PARTY ADMINISTRATOR, DefendantsADJ12164251 ABDUL NAWABI, Applicant v. CYPRESS INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES for its insured TRI CITY ECONOMIC DEVELOP CORPORATION, DefendantsADJ2278057 ELENO PEREZ, Applicant v. S Q & SON LABOR SERVICE; STATE COMPENSATION INSURANCE FUND, DefendantsADJ10431390 SHERRI SPECTOR, Applicant v. ASCENA RETAIL GROUP, INC. DBA LANE BRYANT, INC.; SAFETY NATIONAL CASUALTY CORPORATION, ADMINISTERED BY SEDGWICK CLAIMS MANAGEMENT, DefendantsADJ13282912 JUAN CEJA, Applicant v. INTERNATIONAL PAPER COMPANY; INSURED BY OLD REPUBLIC INSURANCE COMPANY, ADMINISTERED BY SEDGWICK CMS, Defendants NO. ADJ13282912ADJ9258442 FELISA RODRIGUEZ, Applicant v. BUILDING CARE SYSTEMS; STATE COMPENSATION INSURANCE FUND, DefendantsADJ17036305 JAMES SCOTT JOHNSON, Applicant v. COUNTY OF SAN MATEO, Permissibly Self-Insured, Adjusted by ATHENS ADMINISTRATORS, DefendantsADJ16362715 PHIL ZARUBIN, Applicant v. CITY OF RICHMOND, AIMS (SACRAMENTO) et al., DefendantsADJ10444411 LASZLO PROGLI, Applicant v. SOLAIRE ENERGY SYSTEMS; STATE COMPENSATION INSURANCE FUND, DefendantsADJ9930606 LUIS AMEZCUA BARAJAS, Applicant v. PACIFIC DISTRIBUTING, INC.; STATE COMPENSATION INSURANCE FUND, DefendantsADJ12116378 EIREN BRADFORD, Applicant v. R&D WESTWING, INC; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, DefendantsADJ9880634 PATRICK WALSH, Applicant v. SKYLINE STEEL ERECTORS; ZURICH, DefendantsADJ15657256 DAVON HOUSE, Applicant v. GREEN BAY PACKERS; GREAT DIVIDE INSURANCE COMPANY, administered by BERKLEY ENTERTAINMENT, DefendantsSAU9997873 MELVIN GARCIA GALDAMES, Applicant v. VINYL TECHNOLOGY, INC.; SEDGWICK 14442 ORANGE, Defendants Real Parties in Interest: Mesa Pharmacy, Mesa Pharmacy, Inc., and Mesa Pharmacy Irvine, Lien ClaimantsADJ5709650 VELIA RODRIGUEZ ORTEGA, Applicant v. SUNRISE SENIOR LIVING THE STRATFORD; STATE COMPENSATION INSURANCE FUND, Defendants No. ADJ5709650ADJ15824387 GUADALUPE MEDINA, Applicant v. MI PUEBLO FOOD CENTER; SAFETY NATIONAL CASUALTY, CORP., Adjusted by YORK/SEDGWICK, DefendantsADJ15075519 LUCIO ROJAS, Applicant v. 801 SOUTH LOS ANGELES STREET LLC; EMPLOYERS ASSURANCE COMPANY, DefendantsADJ14746391 EDNA SOUTHER, Applicant v. PRIME HEALTHCARE SERVICES; AMERICAN CLAIMS MANAGEMENT, DefendantsADJ8811311 RICHARD BECK, Applicant v. CAL TRANS; STATE COMPENSATION INSURANCE FUND DefendantsADJ9601706 JESSE SANCHEZ, Applicant v. CVS PHARMACY; NEW HAMPSHIRE INSURANCE COMPANY, ADMINISTERED BY SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsADJ13614921 JOSE GUTIERREZ, Applicant v. GLASSWERKS LA INC CO AVALON GLASS AND MIRROR; insured by SAFETY NATIONAL INSURANCE COMPANY, administered by MATRIX ABSENCE MANAGEMENT, DefendantsADJ10266348 PABLO PALMA, Applicant v. SHAW INDUSTRIES GROUP INC.; SAFETY NATIONAL CASUALTY CORPORATION, Administered By GALLAGHER BASSETT SERVICES, INC., DefendantsADJ15912467 DAVID FURMANSKI, Applicant v. COUNTY OF LOS ANGELES; permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ13070871 ANGIE SMITH, Applicant v. ALAMEDA COUNTY MEDICAL CENTER, permissibly self-insured, administered by BETA HEALTHCARE GROUP DefendantsADJ16801627 MIGUEL LEMUS, Applicant v. GOODFELLOW BROS., LLC; BROADSPIRE, DefendantsADJ10199818 JHONNY ARTURO AREVALO NAVARRO, Applicant v. SANTA ANA CORPORATION FITNESS, INC. dba GOLDS GYM; THE HARTFORD, DefendantsADJ11808374 GABRIEL MORA (DECEASED), Applicant v. CUSTOM FRESH CUTS, INC.; THE HARTFORD, DefendantsADJ7940908 JIMMY HAMMOND, Applicant v. TESORO WEST COAST CORPORATION; COMMERCE AND INDUSTRY INSURANCE COMPANY, administered by BROADSPIRE SERVICES, INC., DefendantsADJ15191158 ABDULELAH KHARFAN, Applicant v. STEVENS CREEK QUARRY INC; STARR INDEMNITY LIABILITY NEW 15 YORK; GALLAGHER BASSETT, DefendantsADJ15199903 TIMOTHY LAHEY, Applicant v. MEDLINE INDUSTRIES; PROPERTY INSURANCE AND CASUALTY COMPANY OF HARTFORD, administered by BROADSPIRE, DefendantsADJ16395611 TONDERAI MUZOTA, Applicant v. AMAZON.COM, INC.; ZURICH AMERICAN INSURANCE COMPANY, administered by SEDGWICK CMS, DefendantsADJ10104601 ROBERT AIELLO, Applicant v. TEAMSTERS LOCAL NO. 70; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for ULLICO CASUALTY COMPANY in liquidation, by its servicing facility INTERCARE INSURANCE SERVICES; STATE COMPENSATION INSURANCE FUND, DefendantsADJ11726227 DARRIN CHAVEZ v. BONANZA CONCRETE; INSURANCE COMPANY OF THE WEST, DefendantsADJ12401308 BLADIMIR SOTO, Applicant v. TUTOR PERINI; ZURICH NORTH AMERICA, DefendantsADJ14380906 CAYETANO GONZALEZ, Applicant v. LAM RESEARCH CORPORATION and SAFETY NATIONAL CASUALTY CORPORATION, administered by TRISTAR RISK MANAGEMENT, DefendantsADJ10504110 CLARENCE METZGER, Applicant v. ATLANTA BRAVES; ST. LOUIS CARDINALS/ANHEUSER BUSCH INC., ACE AMERICAN INSURANCE, ADJUSTED BY SEDGWICK CMS; SAN DIEGO PADRES; PHILADELPHIA PHILLIES; ARGONAUT INSURANCE, NEW YORK METS; CIGA GLENDALE, DefendantsADJ11171247 WILLIAM FERRIAN, Applicant v. EMERGENCY MEDICAL SERVICES CORPORATION dba AMERICAN MEDICAL RESPONSE; ACE AMERICAN INSURANCE COMPANY, administered by SEDGWICK CMS, INC., DefendantsADJ3770629 PATRICIA CURTIS, Applicant v. COUNTY OF LOS ANGELES, Permissibly Self-Insured, Administered by YORK RISK SERVICES GROUP, DefendantsADJ13140605 JOHN KOSTICK, Applicant v. OIL CHANGERS; LIBERTY MUTUAL, DefendantsADJ8209954 JOHN NAVROTH II, Applicant v. MERVYN'S STORES; ACE AMERICAN INSURANCE COMPANY, ADMINISTERED BY CONSTITUTION STATE SERVICES, Defendants.ADJ10758177 CARLOS SMITH, Applicant v. COUNTY OF SACRAMENTO, Permissibly Self-Insured, DefendantADJ10860733 LILIBETH GONZALEZ, Applicant v. ROSS STORES, INC.; ARCH INSURANCE COMPANY, administered by SEDGWICK, Defendants Nos. ADJ8945901, ADJ10860733ADJ11812549 TERRY MURPHY, Applicant v. GREEN 16 LLC; AMERICAN CASUALTY COMPANY, ADMIN. BY CNA CLAIMS PLUS, DefendantsADJ8051313 LUIS SANTANA, Applicant v. COCA-COLA, permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsADJ14966902 CECILIA DURAN, Applicant v. COUNTY OF IMPERIAL, permissibly self-insured, administered by ATHENS ADMINISTRATORS, DefendantsADJ14079324 RANDY ELLEDGE, Applicant v. KADON TRUCKING, BARRETT BUSINESS SERVICES, INC.; ACE AMERICAN INSURANCE COMPANY, administered by CORVEL, Defendants.ADJ424792 RONALD THEUS, Applicant v. MELODY EXPRESS, ILLEGALLY UNINSURED; UNINSURED EMPLOYERS BENEFITS TRUST FUND, DefendantsADJ8185944 LINDA BECERRA, Applicant v. CONIFER HEALTH SOLUTION, PERMISSIBLY SELF-INSURED, ADMINISTERED BY SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ12475830 LORENA ZAVALA, Applicant v. RED ROBIN BURGER & SPIRITS EMPORIUMS; SAFETY NATIONAL CASUALTY adjusted by BROADSPIRE, DefendantsADJ17834820 TAYLOR DAMERON, Applicant v. MEYERS CONSTRUCTORS, INC.; ATHENS ADMINISTRATORS ORANGE, DefendantsADJ16636711 JAMES FELIX, Applicant v. UNITED STAFFING ASSOCIATES, LLC; ZURICH AMERICAN INSURANCE COMPANY, administered by GALLAGHER BASSETT, DefendantsADJ8439665 SHARON MCKINLEY, Applicant v. CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION, legally uninsured; STATE COMPENSATION INSURANCE FUND, STATE CONTRACTS ADJUSTING AGENCY, DefendantsADJ11451772 EDUARDO CASELIN-HUERTA, Applicant v. MONTIE WAYNE SHEET METAL; CALIFORNIA INSURANCE COMPANY, ADMISTERED BY APPLIED RISK SERVICES, DefendantsADJ11355769 JOSEPH MARK GODFREY, Applicant v. R RANCH AT THE LAKE RANCH OWNERS; STATE COMPENSATION INSURANCE FUND, DefendantsADJ9708136 TYLOR BUNDY, Applicant v. COUNTY OF SAN LUIS OBISPO, PERMISSIBLY SELF-INSURED; ADMINISTERED BY INTERCARE, DefendantsADJ8919366 MF MICHAEL RAMRAKHA, Applicant v. STATE OF CALIFORNIA, RICHARD J. DONOVAN CORRECTIONAL FACILITY, legally uninsured; STATE COMPENSATION INSURACE FUND, STATE CONTRACT SERVICES SAN DIEGO, DefendantsADJ14387238 CHAD RICHARDSON, Applicant v. VICTOR VALLEY COMMUNITY COLLEGE, permissibly self-insured, administered by KEENAN &ASSOCIATES, DefendantsADJ17142305 LUCILA HERNANDEZ, Applicant v. REGENTS OF THE UNIVERSITY OF CALIFORNIA, LOS ANGELES, permissibly self-insured administered by SEDGWICK, DefendantsADJ13725819 LUIS SILVA, Applicant v. NANCE CORPORATION dba BOB'S TIRE CENTER; MARKEL SERVICE, INC. dba MARKEL INSURANCE SERVICES, DefendantsADJ7358844 HODA KHAMMASH, Applicant v. STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION, LEGALLY UNINSURED, STATE COMPENSATION INSURANCE FUND, ADJUSTING AGENCY, DefendantsADJ12765398 NADINE DELAROSA, Applicant v. DOUBLE P CORP., AUNTIE ANNE'S PRETZEL; CITIZENS INSURANCE COMPANY OF AMERICA, administered by HANOVER INSURANCE GROUP DefendantsADJ7651912 SELENE BARUCH ALCANTARA MARTINEZ (deceased), Applicant v. KELLOGG COMPANY, permissibly self-insured; administered by CORVEL CORPORATION, DefendantADJ11143930 GERARDO ARAIZA, Applicant v. SCOTCH PAINT CORPORATION; COMPWEST INSURANCE COMPANY; OAK RIVER INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY, DefendantsADJ8996318 LYNNE SHAW, Applicant v. AUTOMOBILE CLUB OF SOUTHERN CALIFORNIA; HARTFORD INSURANCE, DefendantsADJ11969576 YESENIA CASAREZ, Applicant v. THE CHEESECAKE FACTORY; ACE AMERICAN INSURANCE COMPANY, administered by CORVEL CORP., Defendants No. ADJ11969576ADJ9784641 KHALILUR AZMI, Applicant v. COUNTY OF ORANGE, permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsADJ14989612 ESPERANZA ZAMBRANA, Applicant v. STATE OF CALIFORNIA- IHSS, legally uninsured; administered by INTERCARE HOLDINGS INSURANCE, DefendantsADJ11412367 SCOTT BEAR, Applicant v. CVS HEALTH CORPORATION; XL INSURANCE AMERICA, INC., administered by SEDGWICK, DefendantsADJ11364195 LEOBARDO SANTOS LORA, Applicant v. RUBIO'S VINEYARD MANAGEMENT, LLC and PREFERRED EMPLOYERS INSURANCE COMPANY, DefendantsADJ10237626 CLAYTON DARBY, Applicant v. GOLDEN VISTA CONSTRUCTION INC.; SECURITY NATIONAL INSURANCE COMPANY; AMTRUST, DefendantsADJ12300876 JEANETTE ATILANO, Applicant v. UC SAN FRANCISCO, PERMISSIBLY SELF-INSURED, ADJUSTED BY SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ15674888 DARLENE GIST, Applicant v. COUNTY OF LOS ANGELES, DEPARTMENT OF PUBLIC SOCIAL SERVICES, Permissibly Self-Insured, Adjusted by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsSAU9981873 GRISELDA ALVAREZ, Applicant v. COLOR IMAGE APPAREL DBA BELLA CANVAS; INSURANCE CO. OF THE WEST, et al., Defendants
