California Workers Compensation Appeals Board of California April 2024 casesADJ11167605 GINA DAVIS, Applicant v. ORACLE AMERICA, INC. and SAFETY NATIONAL CASUALTY CORPORATION, administered by TRISTAR RISK MANAGEMENT, DefendantsADJ7665104 BERNARDINA ORELLANA, Applicant v. SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantsADJ13076996 ELAINE LISTER, Applicant v. STATE OF CALIFORNIA, DEPARTMENT OF PUBLIC HEALTH; legally uninsured, adjusted by STATE COMPENSATION INSURANCE FUND, DefendantsADJ12634852 LEROY THOMAS, Applicant v. COUNTRYWIDE ROUTER & PLUMBING; NORGUARD INSURANCE COMPANY. DefendantsADJ10746901 RUTH SERRANO, Applicant v. NOVA COMMERCIAL COMPANY, INC., and CYPRESS INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, DefendantsADJ15371062 JOSE VASQUEZ, Applicant v. AMERICAN INDUSTRIAL SERVICES; NEXT LEVEL ADMINISTRATORS, DefendantsADJ12140821 LORNA SUTHERLAND, Applicant v. GOLD TRAIL UNION SCHOOL DISTRICT, permissibly self-insured, administered by SCHOOLS INSURANCE AUTHORITY, Defendants NO. ADJ12140821, ADJ14587162ADJ14344483 BRIAN JORDAN, Applicant v. ST. LOUIS CARDINALS; ATLANTA BRAVES; LOS ANGELES DODGERS; TEXAS RANGERS; ACE AMERICAN INSURANCE COMPANY, administered by ESIS; USF&G, administered by GALLAGHER BASSETT; ACE AMERICAN INSURANCE COMPANY, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ3642528 ELLEN BERGEN, Applicant v. DEPARTMENT OF TRANSPORTATION - DISTRICT 11; STATE COMPENSATION INSURANCE FUND, Defendants NO. ADJ3642528ADJ8627409 PAUL PIUROWSKI, Applicant v. DALLAS COWBOYS; ACE AMERICAN INSURANACE COMPANY, administered by ESIS; MIAMI DOLPHINS; MULTI-LINE CLAIMS SERVICES, INC.; TAMPA BAY BANDITS; ZENITH INSURANCE COMPANY on behalf of NORTH RIVER INSURANCE COMPANY; SUMMIT CONSULTING on behalf of ASSOCIATED INDUSTRIES OF FLORIDA SELF-INSURERS FUND, DefendantsADJ12549416 MICHAEL STIERMAN, Applicant v. VILLAS ON THE GREEN; ZURICH NORTH AMERICA INSURANCE COMPANY, DefendantsADJ10079949 ILENE GELFAND, Applicant v. THE KROGER COMPANY dba RALPHS, permissibly self-insured, administered by SEDGWICK CMS, DefendantsADJ12414651 JESSICA ORDENANA, Applicant v. ROYAL AIRLINE LINEN; UTICA MUTUAL INSURANCE COMPANY, DefendantsADJ12857821 FELIPE PALOMERA, Applicant v. MARIN SANITARY SERVICES, INC.; ALASKA NATIONAL SERVICES COMPANY, DefendantsADJ14870064 APRIL MEDLEY, Applicant v. CALIFORNIA DEPARTMENT OF CORRECTIONS & REHABILITATION, PLEASANT VALLEY, legally uninsured; STATE COMPENSATION INSURANCE FUND, adjusting agency, DefendantsADJ15858070 ROBERT KELLEY, Applicant v. LAWRENCE BERKELEY NATIONAL LABORATORY, permissibly self-insured; c/o SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ12901263 YOLANDA RAMIREZ, Applicant v. SWAT FAME, INC.; ZURICH AMERICAN INSURANCE COMPANY, DefendantsADJ2618433 THOMAS LOPEZ, Applicant v. SWIFT TRANSPORTATION; CALIFORNIA INS. GUARANTEE ASSOCIATION, administered by INTERCARE, et. al., DefendantsADJ12226694 GUILLERMO GONZALEZ, Applicant v. THE BICYCLE CASINO; ARCH INDEMNITY INS. CO., Administered by GALLAGHER BASSETT, DefendantsADJ121643 ALMA AGUERO, Applicant v. BRIAN HUNT DPI, INC.; CHECKMATE STAFFING INC.; UNINSURED EMPLOYERS BENEFITS TRUST FUND, DefendantsADJ16783231 JENNIFER REVELES, Applicant v. STATE OF CALIFORNIA SIERRA CONSERVATION CENTER, adjusted by STATE COMPENSATION INSURANCE FUND, DefendantsADJ2030301 TOMAS PEREZ, Applicant v. CLEANCO CONSTRUCTION; HINKLEY AND ASSOCIATES; REDLANDS UNIFIED SCHOOL DISTRICT; JOSEPH P. SOARES dba CLEAN CO; TIG MANCHESTER; KEENAN ASSOCIATES RIVERSIDE; SCIF INSURED GLENDALE, DefendantsADJ10616244 ELVIS QUINTANILLA, Applicant v. HERNANDEZ ENTERPRISES ROOFING, INC.; STATE COMPENSATION INSURANCE FUND; BAMA AUTO CENTER; PENNSYLVANIA MANUFACTURING ASSOCIATION; MATTES AUTO SALES; MIKE MATTES; GABRIELA MATTES; MATTES 1997 FAMILY TRUST UTD 8/27/97; JAVIER ROMERO; ANTONIO VASQUEZ; UNINSURED EMPLOYERS BENEFITS TRUST FUND, DefendantsADJ1471935 JESUS RIOS, Applicant v. BRYAN JONES dba THE KB GROUP, ILLEGALLY UNINSURED; UNINSURED EMPLOYERS BENEFITS TRUST FUND, Defendants NO. ADJ1471935ADJ14095917 JESUS MADRIGAL RUIZ, Applicant v. JONATHAN LOUIS INTERNATIONAL; LIBERTY INSURANCE CORPORATION ADMINISTERED BY LIBERTY MUTUAL INSURANCE, DefendantsADJ17812320 JANETH RODRIGUEZ, Applicant v. K&N ENGINEERING; ARCH INDEMNITY, administered by GALLAGHER BASSETT SERVICES, DefendantsADJ11248992 THOMAS DOUGHERTY, Applicant v. H.L. MOE CO., INC.; AIG, adjusted by GALLAGHER BASSETT; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA; DefendantsADJ16527694 FLEETA HILL, Applicant v. COSTCO WHOLE FOOD CORP, PSI, ADMINISTRATED BY HELMSMAN MANAGEMENT, DefendantsADJ13188687 DOUGLAS BOPP, Applicant v. HARRIS RANCH BEEF COMPANY; PERMISSIBLY SELF-INSURED, ADMINISTERED BY TRISTAR RISK MANAGEMENT, DefendantsADJ8894930 LUIS FIGUEROA, Applicant v. GREEN ZONE TRUCKING, INC.; PACGRAN, INC., and UNINSURED EMPLOYERS BENEFITS TRUST FUND (UEBTF), DefendantsADJ11633165 JOSE ALVARADO, Applicant v. EMPLOYNET, INC.; AMTRUST, DefendantsADJ11767169 CHRISTINA BRUCE, Applicant v. KERN COUNTY SHERIFF'S DEPARTMENT, DefendantsADJ11919641 JOSE MALDONADO, Applicant v. WASTE MANAGEMENT INC; ACE AMERICAN INSURANCE COMPANY; GALLAGHER BASSETT SERVICES INC., DefendantsADJ17627255 KIMBERLY MARQUEZ, Applicant v. WM. BOLTHOUSE FARMS; PERMISSIBLY SELF-INSURED; ADMINISTERED BY INTERCARE, DefendantsADJ1939621 DEE DEVILLE, Applicant v. THE BOEING COMPANY; AIG CLAIMS SERVICES, DefendantsADJ13208164 ANTHONY BARRON, Applicant v. PHILADELPHIA PHILLIES; UNITED STATES FIDELITY AND GUARANTY INSURANCE, administered by Gallagher Bassett; LOS ANGELES DODGERS; NATIONAL UNION FIRE INSURANCE COMPANY, administered by Gallagher Bassett; PACIFIC EMPLOYERS INSURANCE/ACE, administered by ESIS, Defendants NO. ADJ13208164ADJ12980584 ENRIQUE VARGAS, Applicant v. INFINITY STAFFING SERVICES; ARCH INSURANCE COMPANY, administered by SEDGWICK; DefendantsADJ8368911 CAROLINE JACKMAN, Applicant v. STATE OF CALIFORNIA, DEPARTMENT OF GENERAL SERVICES, legally uninsured; STATE COMPENSATION INSURANCE FUND, DefendantsADJ9985543 JENNIFER ACOSTA, Applicant v. PLANNED PARENTHOOD; CYPRUS INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, DefendantsADJ11018186 ROSARIO MONTES, Applicant v. WESTSIDE CHILDREN'S CENTER; STATE COMPENSATION INSURANCE FUND; EVEREST NATIONAL INSURANCE COMPANY, administered by GALLAGHER BASSETT SERVICES, INC.; PACIFIC EMPLOYERS INSURANCE COMPANY/ACE AMERICAN INSURANCE COMPANY, administered by ESIS, DefendantsADJ13691697 EDGAR REYES, Applicant v. UNITED TECHNOLOGIES CORPORATION AKA COLLINS AEROSPACE; AIG CLAIMS administered by GALLAGHER BASSETT, DefendantsADJ15329303 JOHN FUENTES, Applicant v. WORKFORCE ENTERPRISES WFE, INC.; BENCHMARK INS. CO., administered by AMERICAN CLAIMS MANAGEMENT, Defendants.ADJ14083898 ALEX WANG, Applicant v. JM MANUFACTURING COMPANY, INC., dba JM EAGLE MANUFACTURING COMPANY; LIBERTY MUTUAL INSURANCE, DefendantsADJ12595156 ROBERT ACEVEDO, Applicant v. OLD DOMINION FREIGHT LINE, INC., and ACE AMERICAN INSURANCE COMPANY, administered by GALLAGHER BASSETT SERVICES, INC., DefendantsADJ12515803 NIRMAL KUMAR, Applicant v. BANWAIT PROPERTIES, INC.; ZENITH SACRAMENTO, DefendantsADJ11306542 DAVID BELTRAN, Applicant v. BURGIO STUCCO, INC.; STATE COMPENSATION INSURANCE FUND, DefendantsADJ16699262 BRIAN GANOZA, Applicant v. RV MUR OPERATIONS; CYPRESS INSURANCE COMPANY c/o BERKSHIRE HATHAWAY HOMESTATE COMPANIES, DefendantsADJ6840627 DORA SOSA, Applicant v. WEST COAST COMPUTER EXCHANGES INC; AMERICAN CLAIMS SAN DIEGO, DefendantsADJ10253709 CELESTINO LECHUGA, Applicant v. GATES AND RODRIGUEZ BUILDERS, INC.; REDWOOD FIRE AND CASUALTY INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, DefendantsADJ8965291 ALFREDO LEDEZMA, et al., Applicants v. KAREEM CART COMMISSARY AND MFG; STATE COMPENSATION INSURANCE FUND, et al., DefendantsADJ13756193 JULIANA ROQUE CASTRO, Applicant v. ESPARZA ENTERPRISES, INC.; administered by PACIFIC CLAIMS MANAGEMENT FRESNO, DefendantsADJ11354883 ANTHONY MASSIA, Applicant v. R. J. DONOVAN CORRECTIONAL FACILITY. legally uninsured, adjusted by STATE COMPENSATION INSURANCE FUND, DefendantsADJ6649353 FELIMON CADORNA, Applicant v. MICREL SEMICONDUCTOR; TRAVELERS INDEMNITY COMPANY OF CONNECTICUT (TRAVELERS ST. PAUL); ZURICH AMERICAN INSURANCE, DefendantsADJ13069105 DIANE CLAY, Applicant v. COUNTY OF LOS ANGELES, permissibly self-insured, administered by SEDGWICK. DefendantsADJ3211105 SANDRA NORTH, Applicant v. SEE'S CANDY SHOPS, INC.; ZURICH NORTH AMERICA, DefendantsADJ17537823 JEIMY LONDONO ROCHA, Applicant v. JTM STAFFING, L.L.C., insured by SIRIUSPOINT AMERICA INSURANCE COMPANY, C/O CORVEL, DefendantsADJ9640229 RUZANNA MAGHAKYAN, Applicant v. MULTILINGUAL SOCIAL SERVICES and EMPLOYERS COMPENSATION INSURANCE COMPANY, DefendantsADJ15095314 DONACIANO LOPEZ, Applicant v. GKN PLC; SAFETY NATIONAL CASUALTY CORPORATION, administered by BROADSPIRE, DefendantsADJ10658105 KIMBERLEY HOM, Applicant v. SAN FRANCISCO UNIFIED SCHOOL DISTRICT, permissibly self-insured, administered by ATHENS ADMINISTRATORS, DefendantsADJ15719224 LISA LACY, Applicant v. COUNTY OF LOS ANGELES HEALTH SERVICES; administered by SEDGWICK, DefendantsADJ17619294 DIMA PISLAR, Applicant v. UC DAVIS MEDICAL CENTER, permissibly self-insured and administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantADJ12459250 ALEJANDRA GOMEZ, Applicant v. FERRARI CARANO; STATE NATIONAL INSURANCE COMPANY administered by MEADOWBROOK INSURANCE LAS VEGAS ADMINISTRATOR, DefendantsADJ14743350 DOMONIQUE LOPEZ, Applicant v. ALBERTSONS, permissibly self-insured; administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsADJ11166250 DIANE CLAY, Applicant v. COUNTY OF LOS ANGELES, Permissibly Self-Insured; TRISTAR, DefendantsADJ12139553 NELSON SAMPLE (deceased); BRENDA MORALES, dependent and guardian ad litem for ARIA CARMEN SAMPLE, ad litem (a minor), Applicant v. AUTOMOTIVE CLUB OF SOUTHERN CALIFORNIA; OLD REPUBLIC GENERAL INSURANCE COMPANY, administered by CCMSI, DefendantsADJ14759959 GWENETTA THOMAS, Applicant v. FEDEX GROUND PACKAGE SYSTEM, INC administered by SEDGWICK 94520, DefendantsADJ13458859 MICHAEL GARCIA, Applicant v. CITY OF SEASIDE, permissibly self-insured; administered by ATHENS ADMINISTRATORS, DefendantsADJ14629670 FARIDA MAL, Applicant v. FAMILY HEALTH CENTERS OF SAN DIEGO; REDWOOD FIRE and CASUALTY INSURANCE COMPANY, DefendantsADJ17737796 KIM SCUDDER, Applicant v. ST. MARY'S MEDICAL CENTER, Permissibly Self-Insured, adjusted by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsADJ16170210 JACK ZUREK, Applicant v. COUNTY OF SACRAMENTO, Permissibly Self-Insured, DefendantADJ14445198 CRYSTAL PERALTA, Applicant v. DERMALOGICA INC; AIG CLAIMS administered by BROADSPIRE BREA, DefendantsADJ12733273 JEREMY THORNTON, Applicant v. G&C AUTO BODY; INSURANCE COMPANY OF THE WEST, DefendantsADJ12320337 MIRNA QUINTANILLA, Applicant v. JOHNNY WAS, LLC; MASSACHUSETTS BAY INSURANCE COMPANY, administered by THE HANOVER INSURANCE GROUP; TRAVELERS, DefendantsADJ8520459 ARMEN MURADYAN, Applicant v. AJR TRUCKING; INSURANCE COMPANY OF THE WEST, DefendantsADJ11244503 AVELINA GONZALEZ, Applicant v. ABBOTT CARDIOVASCULAR SYSTEMS, INC.; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, DefendantsADJ11799924 ANDREW GLICK, Applicant v. SWIFT TRANSPORTATION SERVICES, LLC; PERMISSIBLY SELF-INSURED, ADMINISTERED BY CORVEL, DefendantsADJ11316047 CYNTHIA PUCKETT, Applicant v. STATE OF CALIFORNIA - IHSS, legally uninsured and administered by INTERCARE, DefendantsADJ11230497 JULIETTE BONENFANT, Applicant v. BARON S MARKET PLACE; PREFERRED EMPLOYERS INSURANCE COMPANY, DefendantsADJ10961161 ROSA UHES, Applicant v. FRANCIS CORD COPPOLA PRESENTS, LLC; NORTH RIVER INSURANCE COMPANY administered by CRUM & FORSTER. DefendantsADJ16468047 JOSE LUIS HUITRON, Applicant v. CUSTOM METAL FINISHING INC.; EMPLOYERS PREFERRED INSURANCE COMPANY, administered by EMPLOYERS INSURANCE GROUP, DefendantsADJ17732618 TAMARAH DECKER, Applicant v. HOME CARE PROVIDERS, INC., dba ASPIRE HOME HEALTHCARE; BENCHMARK INSURANCE COMPANY, administer by BENCHMARK ADMINISTRATORS, Defendants
