California Workers Compensation Appeals Board of California October 2023 casesADJ9176726 (MF) ANN FILBY, Applicant v. NORTHERN CALIFORNIA FERTILITY MEDICAL CENTER; PREFERRED EMPLOYERS INSURANCE COMPANY, HARTFORD INSURANCE COMPANY OF THE MIDWEST and EMPLOYERS COMPENSATION INSURANCE COMPANY, DefendantsADJ11236899 JOSE JUAN VEGA BUCIO, Decedent ELVIRA SANCHEZ DE VEGA Applicant v. JUAN BERUMEN and UNINSURED EMPLOYERS BENEFIT TRUST FUND, DefendantsADJ11419714 RALPH CHESTNUT, Applicant v. SHASTA COUNTY WORK RELEASE PROGRAM, permissibly self-insured, adjusted by SHASTA MANAGEMENT, DefendantsADJ11236899 JOSE JUAN VEGA BUCIO, Decedent ELVIRA SANCHEZ DE VEGA Applicant v. JUAN BERUMEN and UNINSURED EMPLOYERS BENEFIT TRUST FUND, DefendantsADJ17438570 THOMAS FASOLETTI, Applicant v. CALIFORNIA DEPARTMENT OF TRANSPORTATION, legally uninsured, adjusted by STATE COMPENSATION INSURANCE FUND, DefendantsADJ11273405 YOUNG J. LEE, Applicant v. MILITARY DELI AND BAKERY SERVICES, INC. and UNITED STATES FIRE INSURANCE COMPANY administered by CRUM &FORSTER, DefendantsADJ14485263 LOURDES CARBAJAL, Applicant v. PHIL TRANIS; EMPLOYERS PREFERRED/EMPLOYERS INSURANCE, DefendantsADJ11742595 JOSE GARCIA, Applicant v. BERNABE SOTO, an Uninsured Employer; DANIEL SOLIS; ALLSTATE CORPORATION, DefendantsADJ10960924 VIRGINIA BARRIOS DE HUEZO , Applicant v. BARRETT BUSINESS SERVICES, INC., permissibly self-insured, DefendantsADJ14452765 BRIDGET STEVENS, Applicant v. CLAUSEN HOUSE; REDWOOD FIRE AND CASUALTY INSURANCE COMPANY administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, DefendantsADJ15316244 BRIAN BURKHARD, Applicant v. COUNTY OF MARIN, permissibly self- insured, administered by ATHENS ADMINISTRATORS, DefendantsADJ13205884 OLGA PELAYO, Applicant v. KW INTERNATIONAL; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, DefendantsADJ13092614 CHRISTINA MAUSER (DEC'D), Applicant v. MAMBA SPORTS ACADEMY dba MAMBA, SPORTS ACADEMY FOUNDATION, LLC., MAMBA &MAMBACITA SPORTS FOUNDATION, LLC.; HARTFORD CASUALTY INSURANCE COMPANY, administered by THE HARTFORD, DefendantsADJ7284005 MF RONALD PHILPOT, Applicant v. PERFORMANCE DAIRY SERVICES INC.; IMPERIUM INSURANCE; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION by INTERCARE for ULLICO in liquidation, DefendantsADJ9551349 MAXINE CORENTE, Applicant v. AETNA; ACE AMERICA INSURANCE COMPANY, DefendantsADJ15963667 ROBERT JACKSON, Applicant v. RUSH TRUCK CENTERS; AIU INSURANCE, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ12242523 FRANCISCO CAMACHO (deceased), Applicant v. GABLE HOUSE BOWL, INC.; EVEREST NATIONAL INSURANCE, administered by SEDGWICK CLAIMS MANAGEMENT, DefendantsADJ14258730 DAVID GASKA (deceased), JOAN GASKA, ERICA GRAY, and GAVIN NEIL BELCHER, Applicants v. SEARLES VALLEY MINERALS; XL SPECIALTY INSURANCE, administered by TRISTAR RISK MANAGEMENT, DefendantsADJ6609212 JOEL SALDANA, Applicant v. ATHENS BAKING COMPANY, COMPWEST INSURANCE COMPANY, administered by COMPWEST, DefendantsADJ12250535 ERIKA CRUZ, Applicant v. CAPAY, INC.; BERKSHIRE HATHAWAY, DefendantsADJ13064691 ROBERTA HERNANDEZ, Applicant v. VENTURA POST ACUTE; STARSTONE NATIONAL INSURANCE COMPANY, Administered By CANNON COCHRAN MANAGEMENT SERVICES, INC., DefendantsADJ9078233 DANIEL HUNTER, Applicant v. LOUISIANA WORKERS' COMPENSATION CORPORATION; INSURANCE COMPANY OF NORTH AMERICA/ACE USA; DENVER BRONCOS, DefendantsADJ10618904 STEVEN DEANDA, Applicant v. UNIVERSAL PROTECTION SERVICES; XL SPECIALTY INSURANCE CO., Administered By ESIS, DefendantsADJ11799924 ANDREW GLICK, Applicant v. SWIFT TRANSPORTATION SERVICES, LLC; PERMISSIBLY SELF-INSURED, ADMINISTERED BY CORVEL, DefendantsADJ12924233 SACARIAS MENDEZ, TOMAS MENDEZ, PEDRO MENDEZ, LAZARO LOPEZ, FRANCISCO MENDEZ, Applicants v. BETTER LIVING SO CAL GROUP CORP.; MID-CENTURY INSURANCE CO., FARMERS INSURANCE, DefendantsADJ3602194 BEVERLY TAYLOR, Applicant v. STATE COMPENSATION INSURANCE FUND, Legally uninsured, DefendantsADJ17121403 HAROLD REGIL, Applicant v. AVDC, INC./BIG LOTS; STARR INDEMNITY, administered by SEDGWICK CMS, DefendantsADJ15104781 RIGOBERTO AQUINO, Applicant v. TABRIZI, INC.; BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANY, as administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, DefendantsADJ12288709 IVY WALKER, Applicant v. MACY'S; ACE AMERICAN INS. CO. adjusted by SEDGWICK CMS, DefendantsADJ10334421 GERALDINE ACOSTA, Applicant v. SPRINGBOARD SOLUTIONS; REPUBLIC INDEMNITY INSURANCE COMPANY, DefendantsADJ10074517 GERARDO ZUL, Applicant v. ADAMS BROS FARMING, INC.; INSURANCE COMPANY OF THE WEST, Defendants NO. ADJ10074517ADJ11250045 ANDREW BURNETT, Applicant v. HIGH DESERT JUVENILE DETENTION AND ASSESSMENT CENTER; PERMISSIBLY SELF-INSURED; ADMINISTERED BY COUNTY OF SAN BERNARDINO, DefendantsADJ12336780 MARLON GREEN, Applicant v. UNIVERSITY OF CALIFORNIA, BERKELEY, permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ10210301 MIGUEL AHUMADA, Applicant v. CSW CONTRACTORS and ZURICH NORTH AMERICA administered by CREATIVE RISK SOLUTIONS, DefendantsADJ11362885 NANCY VARGAS, Applicant v. SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantADJ15267091 JOSE DIAZ, Applicant v. BLACK ROCK MILLING COMPANY, INC.; STATE COMPENSATION INSURANCE FUND, DefendantsADJ14092813 JAIME MONTES, Applicant v. 20TH CENTURY AIR, INC.; INSURANCE COMPANY OF THE WEST, THIRD PARTY ADMINISTRATOR, DefendantsADJ17574665 ANTHONY MARTINEZ, Applicant v. FEDEX GROUND PACKAGE SYSTEM, INC., permissibly self-insured; administered by SEDGWICK CMS, DefendantsADJ13890820 ANN MARIE BOERSMA, Applicant v. OAKMONT MANAGEMENT GROUP, LLC; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, DefendantsADJ11994903 DESHAY D. FORD, Applicant v. INSTITUTE FOR APPLIED BEHAVIOR ANALYSIS (LC 132a claim at issue is directly against said employer), DefendantADJ16384536 JOSE DE JESUS LOPEZ PEREZ, Applicant v. SHELDON PALDANIUS, permissibly self-insured; administered by SEDGWICK, DefendantADJ11177494 MARGARITA RODRIGUEZ, Applicant v. SANTA BARBARA UNIFIED SCHOOL DISTRICT; SELF-INSURED SCHOOLS OF CALIFORNIA, DefendantsADJ7873659 CECILIA DIAZ aka PATRICIA GUTIERREZ, Applicant v. DON CARLOS JEWELRY; NATIONAL MINT OF AMERICA, INC., and JDC NATIONAL, DefendantsADJ916498 ANDREW GLOVER, Applicant v. NEW ORLEANS SAINTS; SUBSEQUENT INJURIES BENEFITS TRUST FUND, Defendants NO. ADJ916498ADJ16590361 JUAN CARLOS RUIZ, Applicant v. McCARTHY BUILDING COMPANIES, INC., OLD REPUBLIC INSURANCE CORPORATION/BITCO, administered by GALLAGHER BASSETT SERVICES, INC., DefendantsADJ10311023 LOUIS REYN, Applicant v. HOUSE OF IMPORTS; ACE AMERICAN INSURANCE COMPANY, administered by GALLAGHER BASSETT SERVICES, INC., DefendantsADJ10884813 ALICIA RODRIGUEZ, Applicant v. DYNAMIC EDGE CONSULTING; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, DefendantsADJ15769361 CHRISTOPHER HANSEN, Applicant v. KERN COUNTY SHERIFF'S OFFICE, PRESUMABLY SELF-INSURED, DefendantADJ9626208 JUAN CARAVEZ, Applicant v. RED BLUFF MEADOWS and NATIONAL UNION FIRE INSURANCE COMPANY, administered by AMERICAN INTERNATIONAL GROUP, INC., DefendantsADJ8555784 JULIE VIOR, Applicant v. THE REGENTS OF THE UNIVERSITY OF CALIFORNIA, Permissibly Self-Insured, administered by SEDGWICK CMS, DefendantsADJ13173519 ANABELLE SHEPHEARD, Applicant v. LADDARAN MANAGEMENT CORPORATION; EMPLOYERS PREFERRED INSURANCE COMPANY, DefendantsADJ3499491 JOSE FERREIRA MURILLO, Applicant v. SMITH & ROAN, INC.; STATE COMPENSATION INSURANCE FUND, DefendantsADJ6502989 ALEJANDRA ALBARRAN, Applicant v. BEACH HAVEN INN; STATE FARM INSURANCE, DefendantsADJ10644429 ALEJANDRO BARRAZA, Applicant v. PERFORMANCE CONTRACTING; as adjusted by GALLAGHER BASSETT, LIBERTY MUTUAL NORTHERN CALIFORNIA, DefendantsADJ14277429 KAELIN BURNETT, Applicant v. SAN DIEGO FLEET; ARIZONA HOTSHOTS; TRAVELERS INDEMNITY COMPANY; STATE COMPENSATION INSURANCE FUND, DefendantsADJ11410257 MARIA ELENA PADILLA, Applicant v. JACK IN THE BOX; ACE AMERICAN INSURANCE, ADMINISTERED BY GALLAGHER BASSETT SERVICES, DefendantsADJ10477982 JAMES LANINGA, Applicant v. STATE OF CALIFORNIA, DEPT TRANSPORTATION-DIST 7 MS 88 , Legally Uninsured; STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES, Adjusting Agency, DefendantsADJ7442612 CARLOS RIVERA, Applicant v. TAMARCO CONTRACTOR SPECIALTIES; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for CASTLEPOINT NATIONAL INSURANCE COMPANY, in liquidation, Defendants
