California Workers Compensation Appeals Board of California March 2024 casesADJ14038029 LANCE D. MIRACO, Applicant v. CITY OF SALINAS, permissibly self-insured, administered by CORVEL CORPORATION, DefendantsADJ12430291 EDDIE LARA, III, Applicant v. ASHLEY FURNITURE, ACE AMERICAN INS.; RANSTAD STAFFING, ESIS, adjusted by GALLAGHER BASSETT, DefendantsADJ10325000 JESSICA CHEVERIE, Applicant v. SCRIPPS HEALTH; SEDGWICK CMS, DefendantsADJ9699778 RODOLFO VILLALOBOS, Applicant v. SHERWIN WILLIAMS permissibly insured and Administered by GALLAGHER BASSETT SERVICES, DefendantsADJ10451326 PEDRO REYES, Applicant v. GARDEN FRESH RESTAURANT CORP. dba SOUPLANTATION; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, DefendantsADJ8655364 SANDRA JACHIM SCHEUING, Applicant v. LAWRENCE LIVERMORE NATIONAL LABORATORY, PERMISSIBLY SELF-INSURED, ADMINISTERED BY GALLAGHER BASSETT, DefendantsADJ13327834 MIGUEL GONZALES, Applicant v. VESTA FOODSERVICE; SAFETY NATIONAL INSURANCE COMPANY, DefendantsADJ12809066 PEDRO LARIOS GAVINO, Applicant v. LUCAS LUCATERO; LUCAS LUCATERO dba ALPHA BUILDING COMPANY, STATE COMPENSATION INSURANCE FUND, DefendantsADJ9457888 JODI COLE, Applicant v. SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantsADJ15637551 CIERRA STIVERS, Applicant v. CLEAN PATH BEHAVIORAL HEALTH; INSURANCE COMPANY OF THE WEST, DefendantsADJ15533334 SUSAN GARIBAY, Applicant v. SCIENTIFIC DRILLING INTERNATIONAL, INC. and ZURICH NORTH AMERICA INSURANCE, DefendantsADJ13262420 JOSE MORALES, Applicant v. KENNY C. RAY, DefendantADJ11199891 YVETTE DANIELS, Applicant v. LOIS FREEMAN LIVING TRUST; STATE FARM FIRE AND CASUALTY COMPANY/SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsADJ12389829 PEDRO CHAVEZ Applicant v. WANDA GROUP, INC.; EMPLOYERS PREFERRED INSURANCE COMPANY, administered by EMPLOYERS INSURANCE GROUP, DefendantsADJ10773229 FIONA GARLAND, Applicant v. SANTA BARBARA UNIFIED SCHOOLDISTIRCT, PSI THROUGH SELF-INSURED SCHOOLS OF CALIFORNIA (SISC), DefendantsADJ13280065 ANTHONY MCCUAN, Applicant v. COUNTY OF KERN, Permissibly Self-Insured, DefendantsADJ13490319 NOVELLA NOBLE, Applicant v. ASCENA RETAIL GROUP, INC.; SAFETY NATIONAL CASUALTY CORP., administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ16798052 ERIKA SOTO PALOS, Applicant v. AMAZON; AMERICAN ZURICH INSURANCE COMPANY and LIBERTY MUTUAL, administered by SEDGWICK, DefendantsADJ11209032 ISAAC RAMIREZ, Applicant v. CAVCO INDUSTRIES INC; SENTRY CASUALTY COMPANY, DefendantsADJ16431629 BRENDA RODRIGUEZ, Applicant v. ULTRA PERSONNEL, LLC., DefendantADJ10925934 RUSSELL BECKERS, Applicant v. NEDERLANDER THEATRICAL CORP.; VIGILANT INSURANCE COMPANY, administered by CHUBB, DefendantsADJ16124753 JOSEFA PERDOMO FLORES, Applicant v. PARTNERS PERSONNEL MANAGEMENT SERVICES LLC; STARR SPECIALTY INSURANCE CO., administered by CORVEL CORP., DefendantsADJ9011956 JENNETH WHEATLE, Applicant v. LOS ANGELES UNIFIED SCHOOL DISTRICT, permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ12473312 BENITO DE HARO, Applicant v. LEGACY FRAMERS, INCORPORATED; FEDERAL INSURANCE COMPANY, administered by GALLAGHER BASSETT SERVICES, INCORPORATED, DefendantsADJ10931911 ERNESTO SERRANO, Applicant v. D'ANDREA GRAPHICS COMMUNICATIONS; CYPRESS INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, DefendantsADJ12426913 MARCUS CAZARES, Applicant v. NORMAN BELL ENTERPRISES; STATE COMPENSATION INSURANCE FUND, DefendantsADJ11387717 M. SUSAN GROVER, Applicant v. TEAM SAN JOSE; ALASKA NATIONAL INSURANCE COMPANY, DefendantsADJ12479931 GLORIA MONTES, Applicant v. FAMILY RANCH, INC.; ZENITH INSURANCE COMPANY, DefendantsADJ10647098 DENNIS MORALES, Applicant v. COUNTY OF LOS ANGELES, permissibly self-insured; administered by SEDGWICK CMS, DefendantsADJ12214846 OMAR MARAVILLA, Applicant v. ATWAL BROTHERS FARMING, INC., ADVANTAGE WORKERS' COMPENSATION INS. CO., DefendantsADJ16974657 JOEL CHAVEZ, Applicant v. HC WEST LLC; ZURICH LOS ANGELES; LIBERTY INSURANCE CORPORATION, administered by BROADSPIRE, DefendantsADJ12560810 RONALD PERKINS, Applicant v. ALBERTSONS COMPANIES, INC. permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ12131630 JORGE GOMEZ, Applicant v. JAM-MART CRYSTAL PROMOTIONS; EMPLOYERS PREFERRED INSURANCE COMPANY, DefendantsADJ15347791 ANDRE FLORES, Applicant v. CALIFORNIA DEPARTMENT OF TRANSPORTATION, LEGALLY UNINSURED; STATE COMPENSATION INSURANCE FUND, STATE CONTRACT SERVICES, DefendantsADJ11599995 ANA MARROQUIN, Applicant v. CHIPTON-ROSS STAFFING, INC.; ZURICH NORTH AMERICA, DefendantsADJ16588373 HERIBERTO SOLIS, Applicant v. KANSAS CITY ROYALS; ACE AMERICAN INSURANCE COMPANY/CHUBB, administered by GALLAGHER BASSETT and SEDGWICK CMS; WINDY CITY THUNDERBOLTS; VIRGINIA SURETY COMPANY, administered by SEDGWICK CMS, DefendantADJ17503090 JAVIER HIDALGO, Applicant v. DUCOING MANAGEMENT, INC.; SIRIUS POINT AMERICA INSURANCE COMPANY, administered by CORVEL, DefendantsADJ17029088 AZZA SIDAHMED, Applicant v. ALAMEDA COUNTY COUNSEL, permissibly self-insured and administered by AIMS, DefendantsADJ9665055 DARRIN BRAATEN, Applicant v. LLOYD W. AUBRY COMPANY, INC.; THE HARTFORD, DefendantsADJ10049929 KRISTINA GALLO, Applicant v. SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantADJ1663481 TOM GADDY, Applicant v. PATTON STATE HOSPITAL. legally uninsured, Adjusted by STATE COMPENSATION INSURANCE FUND, DefendantsADJ9283221 ARSEN HAKOBYAN, Applicant v. CYPRESS SECURITY, LLC; EVEREST NATIONAL INSURANCE COMPANY, DefendantsADJ10085912 DENNIS DUTRA, Applicant v. J.B. HUNT TRANSPORT SERVICES; ZURICH AMERICA INSURANCE COMPANY, HAMPSHIRE INSURANCE COMPANY AS ADMINISTERED BY YORK, DefendantsADJ17969942 TAMMY MCLEMORE, Applicant v. SAN BERNARDINO COUNTY PROBATION; COUNTY OF SAN BERNARDINO, DefendantsADJ16953628 SANDRA DE RIVAS, Applicant v. KHRG WILSHIRE LLC; INDEMNITY INSURANCE COMPANY OF NORTH AMERICA, ADMINISTERED BY ESIS, DefendantsADJ11292929 KRISTOPHER SHAW, Applicant v. BLUECREW, INC./VENSURE EMPLOYER SERVICES, INC.; STATE NATIONAL INSURANCE COMPANY, administered by, CANNON COCHRAN MANAGEMENT SERVICES, INC., DefendantsADJ12488612 MARIA ALICIA ORTEGA, Applicant v. CASA COLINA, Inc., Permissibly Self-Insured, DefendantADJ16333581 LUCIA DIEGO, Applicant v. MADONNA INN; administered by PREFERRED EMPLOYERS SAN DIEGO, DefendantsADJ12973629 JOSE MORALES, Applicant v. CORPORATE PACKAGING INC. and COMPWEST INSURANCE COMPANY, DefendantsADJ14429241 JAIME RUIZ, Applicant v. EMILIO JAIME RICHART ORTEGA dba RICHART TRUCKING, DefendantsSAU8813471 KIMBERLY KENNEY, Applicant v. SEGUOYAH, INC. FARMERS INSURANCE EXCHANGE, et al., Defendants Real Parties in Interest: Firstline Health, Inc. dba U.S. Health &Orthopedics, Lien ClaimantADJ12660350 OMAR MURO, Applicant v. RND CONTRACTORS, INC.; OLD REPUBLIC GENERAL INSURANCE COMPANY, DefendantsADJ17524010 JILL BOWLER-SCHREUER, Applicant v. BAY CITY MARINE INC.; NATIONWIDE NATIONAL CASUALTY INSURANCE; AS ADMINISTERED BY CHARLES TAYLOR THIRD PARTY ADMIN., DefendantsADJ18852191 RAFAEL GONZALEZ, Applicant v. CASSIL FREIGHTS; AND CASSIL FREIGHTS; PREFERRED PROFESSIONAL INSURANCE, ADMINISTERED BY OMAHA NATIONAL UNDERWRITER, DefendantsADJ15448165 JOSEPH CARR, Applicant v. GMI BUILDING SERVICES, INC.; BENCHMARK INSURANCE COMPANY, DefendantsADJ14514349 THELMA VENTURA, Applicant v. YUCAIPA TRADING COMPANY RIO RANCH MARKET; GREAT AMERICAN INSURANCE COMPANY, DefendantsADJ15467286 FRANCISCO CHAN VALENZUELA, Applicant v. ILINK BUSINESS MANAGEMENT; ZURICH, administered by COTTINGHAM BUTLER, DefendantsADJ10821987 RUBEN FRAZIER III, Applicant v. STATE of CALIFORNIA DEPARTMENT OF CORRECTIONS and REHABILITATION - FOLSOM STATE PRISON, legally uninsured, administered by STATE COMPENSATION INSURANCE FUND/ STATE CONTRACT SERVICES, DefendantsADJ12335487 CARLOS ROGUEL SIRIN, (DEC.), Applicant v. ARYZTA LLC; ARCH INSURANCE ADMINISTERED BY GALLAGHER BASSETT, DefendantsADJ7640424 MARGARITA CHAVOLLA, Applicant v. GRIMMWAY ENTERPRISES, INC. (PSI); Adjusted by TRISTAR, DefendantsADJ11339093 DAVID DO, Applicant v. COUNTY OF LOS ANGELES, permissibly self-insured, administered by SEDGWICK CMS; SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantsADJ18173191 MARC STELLING, Applicant v. CITY OF GILROY (PSI), ADMINISTRATED BY INNOVATIVE CLAIMS SAN RAMON, DefendantsADJ16035179 HEVER RIVERA FLORES, Applicant v. L.A. SPECIALTY FOOD PRODUCE COMPANY, INC.; SAFETY NATIONAL CASUALTY CORPORATION, administered by TRISTAR RISK MANAGEMENT, DefendantsADJ15327275 ANTHONY SOUZA, (Deceased), Applicant v. CALIFORNIA SUBSTANCE ABUSE TREATMENT FACILITY, CORCORAN; STATE COMPENSATION INSURANCE FUND, DefendantsADJ13276965 GRACIELA NUNEZ, Applicant v. REGENTS OF THE UNIVERSITY OF CALIFORNIA, permissibly self-insured, administered by, SEDGWICK CLAIMS MANAGEMENT SERVICES DefendantsADJ11434587 RICHARD FISHER, Applicant v. KLINGSPOR ABRASIVES, INC.; ALLIANZ GLOBAL CORPORATE AND SPECIALTY, DefendantsADJ8984416 MARIA GARIBAY, Applicant v. COUNTY OF LOS ANGELES, permissibly self-insured, DefendantsADJ9898386 KERI NOYCE, Applicant v. WEST CONTRA COSTA UNIFIED SCHOOL DISTRICT permissibly self-insured, administered by CONTRA COSTA COUNTY SCHOOLS INSURANCE GROUP, DefendantsADJ14889020 SANTIAGO RAMOS, Applicant v. PRIDE STAFF; TWIN CITY FIRE INSURANCE COMPANY c/o GALLAGHER BASSETT SERVICES, DefendantsADJ13788787 ZOEY MEIDINGER, Applicant v. MOUNTAIN MIKE'S PIZZA; EMPLOYERS ASSURANCE SAN FRANCISCO, DefendantsADJ17191297 BREEZI TIEDEMANN, Applicant v. SUKUT CONSTRUCTION; AMERICAN COMPENSATION INSURANCE GROUP adjusted by TRISTAR, DefendantsADJ16690008 HERLIN CINTO, Applicant v. H&H DELISH LLC/TERIYAKI MADNESS; TECHNOLOGY INSURANCE COMPANY, administered by AMTRUST NORTH AMERICA, DefendantsADJ11614069 CARMEN LANDIN-TAYLOR, Applicant v. MAGIC MOUNTAIN LLC. dba SIX FLAGS MAGIC MOUNTAIN and PROPERTY AND CASUALTY INSURANCE COMPANY OF HARTFORD, administered by BROADSPIRE, DefendantsADJ11612609 VERONICA RINCON, Applicant v. THE PERMANENTE MEDICAL GROUP, INC. Permissibly Self Insured; administered by ATHENS ADMINISTRATORS, DefendantsADJ15739502 KEVIN WATKINS, Applicant v. PASADENA UNIFIED SCHOOL DISTRICT, PERMISSIBLY SELF-INSURED, ADMINISTERED BY LWP CLAIMS SOLUTIONS, DefendantsADJ11154169 JORGE MITCHELL, Applicant v. INTERIOR RESOURCES; REPUBLIC UNDERWRITERS INSURANCE COMPANY, administered by SEDGWICK CMS/ATLAS, Defendants24-CV-1140 (LTS) EVER MEZA aka HEBER VALLADARES, Applicant v. HOMESTATE HOSPITALITIES LLC; PREFERRED EMPLOYERS INSURANCE, Defendants Defendant.ADJ12766196 TYLER SLAVIN, Applicant v. ST. LOUIS RAMS/LOS ANGELES RAMS; GREAT DIVIDE INSURANCE COMPANY, c/o BERKLEY ENTERTAINMENT; FOOTBALL NORTHWEST LLC/SEATTLE SEAHAWKS, permissibly self-insured, administered by CCMSI, DefendantsADJ13397065 AHMADREZA RAZI, Applicant v. PRIMARY CARE ASSOCIATES CALIFORNIA; HARTFORD SACRAMENTO, DefendantsADJ17290772 LENNORIS DOSS, Applicant v. YARDLEY ORGILL, INC. YO FAB, CO.; HARTFORD CASUALTY INSURANCE COMPANY, DefendantsADJ12590930 PORSHA MARTIN, Applicant v. BAKERSFIELD BEHAVIORAL HOSPITAL; TRAVELERS PROPERTY & CASUALTY CO. OF AMERICA, administered by TRAVELERS, DefendantsADJ10857121 GEORGE ZEBER, Applicant v. NEW YORK YANKEES; TRAVELERS INDEMNITY COMPANY, DefendantsADJ15179609 CHAD FONCECA, Applicant v. CINCINNATI REDS, SELF-INSURED, DefendantsADJ972712 CARTER STEPHENS, Applicant v. CITY OF PASADENA, permissibly self-insured, administered by AIMS, DefendantsADJ11853453 DESIDERIO SANDOVAL, Applicant v. MENLOP, INC.; TECHNOLOGY INSURANCE COMPANY, ADMINISTERED BY AMTRUST NORTH AMERICA, DefendantsADJ15137561 CHRISTOPHER KENDALL (DECEASED), Applicant v. SUNRUN, INC.; LIBERTY INSURANCE CORPORATION, administered by LIBERTY MUTUAL, DefendantsADJ3107843 CHRIS DERBOGHOSSIAN, Applicant v. ALL TUNE &LUBE; ERIE INSURANCE COMPANY, administered by SOUTHLAND CLAIMS, DefendantsADJ8760735 ASAEL FUENTES, Applicant v. ROAD DOG DRIVERS; TOWER INSURANCE COMPANY, in liquidation and administered by CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, DefendantsADJ11411398 FELIPE MARTINEZ, Applicant v. COUNTY OF ORANGE, permissibly self-insured administered by SEDGWICK CMS, DefendantsADJ17785685 JESUS RODRIGUEZ, Applicant v. UNITED AIRLINES, PSI, ADMINISTERED BY SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsADJ8544742 AGAZIO CATANIA, Applicant v. SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantADJ16953633 MARK SHAFFER, Applicant v. XCEL MECHANICAL SYSTEMS INC./ACCO ENGINEERED SYSTEMS; LIBERTY MUTUAL INSURANCE COMPANY; ZURICH AMERICAN INSURANCE COMPANY, DefendantsADJ11349951 RAYMA CALDERON, Applicant v. DAVE AND BUSTERS; ACE AMERICAN INSURANCE COMPANY/ESIS, INC., DefendantsADJ11168233 ANGEL JIMENEZ, Applicant v. STATE OF CALIFORNIA, DEPARTMENT OF CALIFORNIA HIGHWAY PATROL, legally uninsured; STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES, DefendantsADJ2339305 EDETTE KING, Applicant v. WALMART, INC.; ACE AMERICAN, ADMINISTERED BY SEDGWICK, DefendantsADJ9953725 OSWALDO ARAMBULA INGUEZ, Applicant v. HIDDEN VALLEY RANCH; CYPRESS INSURANCE, DefendantsADJ972712 (LAO0861202) CARTER STEPHENS, Applicant v. CITY OF PASADENA, permissibly self-insured, administered by AIMS, DefendantsADJ17046531 WILLIAM BURTON, Applicant v. UNITED NATURAL FOOD INC, INSURED BY INDEMNITY INSURANCE COMPANY, DefendantsADJ13430791 PATRICIA GAITAN, Applicant v. ST. JOSEPH'S MEDICAL CENTER OF STOCKTON, permissibly self-insured, as adjusted by SEDGWICK; DefendantsADJ11365948 MICHELLE LEAL PIMENTEL, Applicant v. MONTEREY COUNTY HOUSING AUTHORITY; INNOVATIVE CLAIMS SOLUTIONS, DefendantsADJ4145263 SHARON ANGELL, Applicant v. SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantsADJ11661712 KELLY TOUPE, Applicant v. PHENOMENEX INC.; SEDGWICK CLAIMS MANAGEMENT, DefendantsADJ13584402 OCTAVIO GARCIA, Applicant v. FANTASY ACTIVE WEAR, INC.; STARNET INSURANCE COMPANY, administered by, BERKLEYNET DefendantsADJ7026552 PARISS KELLY, Applicant v. CARPET MASTER CHEM-DRY; WAUSAU UNDERWRITER'S INSURANCE COMPANY, insured by LIBERTY MUTUAL INSURANCE COMPANY, DefendantsADJ1737668 (MF) JOSE LUIS RASCON, Applicant v. FUTURE MACHINE PRODUCTS; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for PACIFIC NATIONAL INSURANCE COMPANY, in liquidation, DefendantsADJ3214135 VICTOR GONZALEZ, Applicant v. UNITED AUTO CRAFT; STATE COMPENSATION INSURANCE FUND, DefendantsADJ1628659 BRENDA CHRISTIANSON, Applicant v. SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantsADJ15024673 LILIANA C. IZDREA, Applicant v. ALLIED UNIVERSAL SECURITY; ESIS WEST CLAIMS, DefendantsADJ14797929 CRISTOBAL RICO, Applicant v. RESIDENTIAL DESIGN SERVICES; ZURICH AMERICAN INSURANCE; SENTRY CASUALTY COMPANY, DefendantsADJ10421975 JOSE JORGE POBLANO RAMIREZ, Applicant v. BORUE O'BRIEN; STATE COMPENSATION INSURANCE FUND, DefendantsADJ14965765 TAMARA WOODS, Applicant v. COUNTY OF SACRAMENTO, permissibly self-insured, Defendant
