California Workers Compensation Appeals Board of California February 2024 casesADJ18054174 MATTHEW O'DONOVAN, Applicant v. CITY OF ARCATA, PRESUMABLY SELF-INSURED, BY CIRA, ADMINISTERED BY LWP CLAIMS SOLUTIONS, INC., DefendantsADJ10837400 JOSE F. VILLEGAS, Applicant v. MARQUEZ BROTHERS INTERNATIONAL, INC.; TRAVELERS; MISSION FOODS; CNA adjusted by BROADSPIRE, DefendantsADJ6488980 RUIFEN BI, Applicant v. UNIVERSITY OF CALIFORNIA IRVINE; SEDGWICK, DefendantsADJ12707737 JAMES ROSS, Applicant v. CITY OF SCOTTS VALLEY; ACCLAMATION INSURANCE MANAGEMENT SERVICES, DefendantsADJ11248872 LYNDA VALERO, Applicant v. CALIFORNIA DEPARTMENT OF SOCIAL SERVICE/IHSS, DefendantsADJ1988087 DONNA MONTANO, Applicant v. STATE OF CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT, legally self-insured, adjusted by STATE COMPENSATION INSURANCE FUND/ STATE CONTRACTS, DefendantsADJ16953860 JOVANNI HERNANDEZ, Applicant v. PARTNERS PERSONNEL MANAGEMENT SERVICES LLC; STARR SPECIALTY INSURANCE, DefendantsADJ15853585 COLIN JOINER v. BEST FORMULATIONS, INC.; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, Defendants NO. ADJ15853585ADJ11208094 GREGORY VAUGHN, Applicant v. COLORADO ROCKIES; TAMPA BAY RAYS; ACE AMERICAN INSURANCE COMPANY, ADMIN. BY CHUBB, DefendantsADJ12509226 GEOFFREY RAYA, Applicant v. COUNTY OF RIVERSIDE, PERMISSIBLY SELF-INSURED, DefendantsADJ11861129 ERIC BATES, Applicant v. CINCINNATI REDS, PERSMISSIBLY SELF-INSURED, DefendantsADJ11408575 JODI VIEIRA, Applicant v. KAISER PERMANENTE, permissibly self-insured, DefendantADJ15524643 LE ROY HUNTER, Applicant v. ADP TOTALSOURCE GROUP, INC./TRAMO @ HOME, INC. and AMERICAN HOME ASSURANCE COMPANY BY HELMSMAN MANAGEMENT SERVICES, LLC, DefendantsADJ16681782 MARIA CISNEROS, Applicant v. LOS ANGELES UNIFIED SCHOOL DISTRICT; administered by SEDGWICK, DefendantsADJ12184079 ALFREDO PEREZ, Applicant v. WESTSIDE AG; MEADOWBROOK INSURANCE LAS VEGAS, DefendantsADJ16406595 TERESITA DE JESUS ASCENCIO, Applicant v. TWIN DOLPHIN HOSPITALITY LLC DBA COMFORT INN; ILLINOIS MIDWEST INSURANCE AGENCY LLC ON BEHALF OF NATIONAL CASUALTY COMPANY, DefendantsADJ7701836 TIFFANY HILL, Applicant v. STATE OF CALIFORNIA, IN-HOME SUPPORT SERVICES; legally uninsured, adjusted by INTERCARE, Defendants NO. ADJ7701836ADJ8233486 DAVID LIN, Applicant v. AUTOMOBILE CLUB OF SOUTHERN CALIFORNIA SEDGWICK, DefendantsADJ14359855 DONNA DOWDEN, Applicant v. STATE OF CALIFORNIA/DEPARTMENT OF JUSTICE; STATE COMPENSATION INSURANCE FUND; SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantsADJ12273693 MATTHEW DANIELS, Applicant v. SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantsADJ16272432 JUAN ALBERTO SUREC PEREZ, Applicant v. J C FLAG CORPORATION, VIRENDRA SHAH; SSFI, DefendantsADJ10607794 LUISA MATIAS, Applicant v. NATURIPE BERRY GROWERS; ZENITH INSURANCE COMPANY, DefendantsADJ12880191 ANTHONY GILLILAND, Applicant v. WALMART INC.; ACE AMERICAN INSURANCE CO. as administered by SEDGWICK CMS, DefendantsADJ13828921 GILLIAN CLARKE, Applicant v. COUNTY OF ALAMEDA; AIMS, DefendantsADJ13080333 JOAQUIN GUARDADO GALVANEZ, Applicant v. JACOBELLIS SAUSAGE COMPANY INC., and OAK RIVER INSURANCE COMPANY administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES; INSURANCE COMPANY OF THE WEST, Defendants.ADJ15391752 ANNETTE MCDONNELL, Applicant v. PARADISE RIDGE WINERY; OAK RIVER INSURANCE, administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, DefendantsADJ7873659 CECILIA DIAZ aka PATRICIA GUTIERREZ, Applicant v. DON CARLOS JEWELRY; NATIONAL MINT OF AMERICA, INC., and JDC NATIONAL, DefendantsADJ16374323 NICHOLAS NOSCE, Applicant v. UNITED BUILDING CONTRACTORS INC; STATE COMPENSATION INSURANCE FUND, DefendantsADJ13511748 SEEYENGKEE LY, Applicant v. STATE OF CALIFORNIA; Legally Uninsured; STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES, Adjusting Agency, DefendantsADJ16546628 ROBERTO VELA, Applicant v. MARATHON PETROLEUM COMPANY; OLD REPUBLIC INSURANCE, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsADJ12007058 ANA GARCIA, Applicant v. HEI HOSPITALITY, LLC; THE NORTH RIVER INSURANCE COMPANY, administered by BROADSPIRE SERVICES, INC., Defendants NO. ADJ12007058ADJ12540234 JEFFERY MCCOY, Applicant v. TERMINIX GLOBAL HOLDINGS; AMERICAN ZURICH INSURANCE COMPANY, AND ADMINISTERED BY ZURICH NORTH AMERICA, DefendantsADJ16655371 LAURIANO AGUILAR, Applicant v. B&S PLASTICS dba WATERWAY PLASTICS; SAFETY NATIONAL CASUALTY COMPANY, administered by TRISTAR RISK MANAGEMENT, DefendantsADJ9958896 SALVADOR ZAMORA, Applicant v. HOSPITALITY STAFFING SOLUTIONS; ACE AMERICAN INSURANCE COMPANY; ESIS, DefendantsADJ14572860 VERA SALDANA, Applicant v. MUNGER BROS; ARCH INSURANCE COMPANY ADMINISTERED BY LWP CLAIMS SOLUTIONS, DefendantsADJ15186987 PAUL CURTIS, Applicant v. BUFFALO SABRES; TRAVELERS INDEMNITY COMPANY, DefendantsADJ1744449 RUBEN ORGANISTA, Applicant v. SUBSEQUENT INJURIES BENEFITS TRUST FUND, DefendantADJ16280220 JOHANNA MILLS, Applicant v. ADP TOTAL SOURCE INCORPORATED/INTELLIGENT TECHNOLOGIES, LLC; AIU INSURANCE COMPANY BY HELMSMAN MANAGEMENT SERVICES, LLC, Defendants NO. ADJ16280220ADJ7238534 ROBERTO GUEVARA, Applicant v. PLAZA DE MARISCOS; STATE COMPENSATION INSURANCE FUND, DefendantsADJ14904660 CARLOS CHAVEZ LOPEZ, Applicant v. INTERIOR REMOVAL SPECIALIST; ZURICH AMERICAN INSURANCE COMPANY, DefendantsADJ2618433 MF THOMAS LOPEZ, Applicant v. SWIFT TRANSPORTATION; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, administered by INTERCARE, et. al., DefendantsADJ10380421 MARVIN MAYEN CORDOVA, Applicant v. TIKAL, INC.; TRUCK INSURANCE EXCHANGE, DefendantsADJ11129122 JESUS LIZARDO, Applicant v. HOME CARE ASSISTANCE, LLC; administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, DefendantsADJ12104893 ELLIE GONZALEZ, Applicant v. LOS ANGELES UNIFIED SCHOOL DISTRICT, SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants NO. ADJ12104893ADJ1163499 HAZEL CROSBY, Applicant v. STATE OF CALIFORNIA, DEPARTMENT OF MOTOR VEHICLES, Legally Uninsured; STATE COMPENSATION INSURANCE FUND/ STATE CONTRACT SERVICES, Adjusting Agent, DefendantsADJ13404851 SONALI SHAH, Applicant v. CVS PHARMACY and ACE AMERICAN INSURANCE COMPANY, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES; AIG/NEW HAMPSHIRE INSURANCE COMPANY, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, DefendantsADJ9352174 JESSICA MEANOR, Applicant v. CALIFORNIA DEPARTMENT OF CORRECTIONS AND REHABILITATION, legally uninsured; SCIF STATE EMPLOYEES, DefendantsADJ15208827 SHARQUENT JACOBS, Applicant v. TRIDENT MARITIME SYSTEMS; TRAVELERS DIAMOND BAR, DefendantsADJ15336311 EVA CHANG, Applicant v. COSTCO WHOLESALE CORPORATION, permissibly self-insured, administered by HELMSMAN MANAGEMENT, DefendantsADJ10708805 ISMAEL NAVARRO, Applicant v. CITY OF MONTEBELLO (PSI), administered by HAZELRIGG CLAIMS MGMT. SVCS. INC., A TRISTAR COMPANY, DefendantsADJ13190030 AKWELEY KARENE BEECHAM, Applicant v. UC DAVIS, permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., DefendantsADJ12647804 ANGELA LOPEZ OVANDO, Applicant v. UNITED STAFFING ASSOCIATES, BARON HR; ZURICH, UNITED WISCONSIN INSURANCE COMPANY, DefendantsADJ9017829 ANDRES GARCIA, Applicant v. DIAMOND STAFFING SERVICES, INC.; NATIONAL RETAIL TRANSPORTATION; CALIFORNIA INSURANCE GUARANTEE ASSOCIATION For LUMBERMEN'S UNDERWRITING ALLIANCE, In Liquidation; THE HARTFORD COMPANY, Administered by TRISTAR RISK MANAGEMENT, DefendantsADJ10173211 FADHL SHAIE, Applicant v. ABM INDUSTRIES, INC., PERMISSIBLY SELF-INSURED AND ADMINISTERED BY SEDGWICK, DefendantsADJ14750024 VERNELL FLETCHER, Applicant v. XPO LOGISTICS INC. and ACE AMERICAN INSURANCE COMPANY, administered by CORVEL CORPORATION, Defendants.ADJ10036954 JOSEPH MAYOR, Applicant v. ROSS VALLEY SANITARY DISTRICT, PERMISSIBLY SELF-INSURED, administered by SEDGWICK CMS, DefendantsADJ659445 WALTER AMAYA CANO (Deceased), Applicant v. APEX DESIGN BUILDERS, INC.; BELLA TOLUCA, LLC; NILE NIAMI; STATE COMPENSATION INSURANCE FUND for APEX DESIGN BUILDERS; others uninsured,ADJ8615830 LEENETT LUMPKIN, Applicant v. COUNTY OF MONTEREY, permissibly self-insured, administered by INTERCARE HOLDINGS INSURANCE SERVICES, INC., DefendantsADJ9095312 MICHAEL ROSE, Applicant v. LOS ANGELES DODGERS; ACE AMERICAN INSURANCE/CHUBB, Defendants
