Category Archives: WCAB

Understanding Medicare Set-Asides: When and Why to Submit to CMS

When settling a workers’ compensation claim, particularly when the claimant is a Medicare beneficiary or may soon become one, it is crucial to consider Medicare’s interests regarding future medical expenses. This is where a Workers’ Compensation Medicare Set-Aside Arrangement (WCMSA) comes into play. A WCMSA is designed to allocate a portion of the workers’ compensation […]

Intersecting Legal Precedents: The Synergistic Overlap of Virgil and Kite Cases in Workers’ Compensation Law

The Virgil v. State Compensation Insurance Fund decision has not only clarified aspects of combining impairments in workers’ compensation claims but also creates an interesting dialogue with earlier cases, notably the Kite case. Understanding the relationship between these two cases is critical for defense attorneys, as it provides a broader context for interpreting the WCAB’s […]

Unpacking Workers’ Compensation: How Lodging and Food Allowances Impact Wage Calculations in Injury Claims

In a recent decision, Hidalgo v. Ducoing Management, Inc., the Workers’ Compensation Appeals Board (WCAB) addressed whether lodging and food allowances should be included in the calculation of a worker’s wages for temporary disability benefits. The case involved an injured laborer who claimed weekly earnings of $1,658.46, while the employer argued that his earnings were […]

California Regulators Accuse Business Owner in Fresno of Workers’ Compensation Fraud

On May 16, 2024, the Fresno Bee reported that California regulators were accusing a business owner in Fresno of workers’ compensation fraud. Heigo Kubar—the former owner of a Fresno-based trucking company—is facing allegations that he underreported company payroll by approximately $2 million. Mr. Kubar is facing three felony criminal counts. He had pleaded not guilty […]

California Workers’ Compensation Appeals Board Orders Reconsideration in Valley Fever Case

In a recent decision, the California Workers’ Compensation Appeals Board (WCAB) ordered the reconsideration of a denied workers’ compensation claim involving a case of advanced Valley Fever, also known as disseminated coccidioidomycosis. This decision underscores the complexities of proving workplace-related illnesses and the importance of comprehensive evidence and expert testimony. Case Background The case involves […]

California Labor Code §3208.3 Claims: How is “Sudden and Extraordinary” Defined?

In California, employers are required to carry no-fault workers’ compensation insurance coverage for their employees. If a person is hurt on the job, they can file for benefits. However, California Labor Code § 3208.3(d) states that employers cannot be held liable through a workers’ compensation claim for a “psychiatric injury” of an employee who has […]

What Evidence Can an Employer Use to Defend a Labor Code 132(a) Claim?

An employee who is injured on the job has the right to file for workers’ compensation benefits. They cannot be punished for doing so. Indeed, even if an employer believes that a worker is filing a false claim, retaliation should be avoided. Under California Labor Code § 132(a), an employer that engaged in retaliation can […]

WCAB Protects Employee Privacy from Overbroad Discovery

In an important decision safeguarding employee medical privacy rights, a panel of the California Workers’ Compensation Appeals Board granted a petition for removal and rescinded a judge’s order requiring an injured worker to disclose her complete 10-year medical treatment history. The case involved Jennifer Reveles, an employee who suffered a workplace injury while employed by […]

WCAB Denies Defendant’s Petition for Removal Over Discovery Denial

In a 2023 panel case Richard Beck v. Cal Trans, State Compensation Insurance Fund, 2023 Cal. Wrk. Comp. P.D. LEXIS 248, involving a 58-year-old heavy equipment operator who suffered a hand and wrist injury in 2012, the Workers’ Compensation Appeals Board (WCAB) denied the defendant’s petition for the extraordinary remedy of removal after a judge […]

Attorneys Hit with $40,000.00 in Sanctions for Frivolous Delay Tactics

A recent en banc decision from California’s Workers’ Compensation Appeals Board serves as a stern warning to attorneys: abuse of legal procedures to cause delay will not be tolerated and can result in severe monetary sanctions. In the consolidated matter of Alfredo Ledezma et al. v. Kareem Cart Commissary and Mfg., the Appeals Board imposed […]