City of Salinas v. Workers' Comp. Appeals Bd.

CourtCalifornia Court of Appeal
DecidedAugust 20, 2025
DocketH052062
StatusPublished

This text of City of Salinas v. Workers' Comp. Appeals Bd. (City of Salinas v. Workers' Comp. Appeals Bd.) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
City of Salinas v. Workers' Comp. Appeals Bd., (Cal. Ct. App. 2025).

Opinion

Filed 8/20/25

CERTIFIED FOR PUBLICATION

IN THE COURT OF APPEAL OF THE STATE OF CALIFORNIA

SIXTH APPELLATE DISTRICT

CITY OF SALINAS et al., H052062 (WCAB No. ADJ14038029) Petitioners,

v.

WORKERS’ COMPENSATION APPEALS BOARD and LANCE D. MIRACO,

Respondents.

We consider here whether the Workers’ Compensation Appeals Board (WCAB, appeals board, or the Board) acted in excess of its jurisdiction under former section 5909 of the Labor Code1 (Stats. 1992, ch. 1226, § 5, p. 5766) (former section 5909) when it granted a petition for reconsideration of a decision issued more than 60 days earlier. We agree with recent cases holding that the Board acts in excess of its jurisdiction under these circumstances. However, we further conclude that the 60-day timeframe for the grant or denial of a petition for reconsideration does not implicate the

1 All further unspecified statutory references are to the Labor Code. Board’s fundamental jurisdiction, allowing for the possibility of equitable tolling in a narrow class of cases. The City of Salinas (City) and Corvel Corporation (Corvel) (together, petitioners) seek writ review of a decision by the Board granting Lance Miraco’s petition for reconsideration of a decision by the workers’ compensation administrative law judge (WCJ) in Miraco’s workplace injury case. Petitioners contend the Board lacked jurisdiction to grant reconsideration of the WCJ’s decision because it failed to act on Miraco’s petition within 60 days of the filing date, as required by former section 5909. The Board and Miraco (together, respondents) maintain the Board had jurisdiction to act on the petition for reconsideration due to the application of equitable tolling. They contend that tolling should apply when the Board, through no fault of the parties, is unable to review the petition for reconsideration until after the 60-day period has expired. We decide that former section 5909 did not preclude the application of equitable tolling, and the facts warrant its use here. We therefore affirm the order and opinion of the appeals board. I. FACTS AND PROCEDURAL BACKGROUND A. Workers’ Compensation Claim In December 2020, Miraco filed an application for workers’ compensation claim alleging cumulative injury arising from his employment as a police officer with the City during the period ending on December 31, 2013. Miraco claimed injury to his neck, back, and right leg, and heart disease, gastritis, and insomnia arising out of his employment. The City and its claims administrator, Corvel, filed an answer denying the allegations of the application. The matter proceeded to trial before the WCJ.

2 After trial, the WCJ issued her written findings, award, and order (findings and order), finding that Miraco “sustained injury arising out of and in the course of employment during the period from January 1994 through December 31, 2013, to his low back, right leg, and sustained gastritis, gastroesophageal reflux disease, insomnia and hypertensive cardiac disease.” Applying section 5412,2 the WCJ found the date of injury for Miraco’s hypertensive cardiac disease was June 14, 2013, while the date of injury for his orthopedic injuries and related conditions (including gastritis, reflux, and insomnia) was December 16, 2020. The findings and order explained that based on the date of injury, Miraco’s workers’ compensation claim for hypertensive cardiac disease, filed on December 24, 2020, “is barred and is not compensable, as beyond the statutory limitation imposed by [section] 5405.”3 Based on these findings, the WCJ awarded future medical treatment for Miraco’s “injuries to his low back, right leg, gastritis, gastroesophageal reflux disease, and insomnia” but not for his cardiac disease. B. Petition for Reconsideration On October 16, 2023, Miraco timely submitted a petition for reconsideration of the findings and order. The petition for reconsideration challenged the WCJ’s finding that the claim for hypertensive cardiac disease was time barred. Miraco asserted that the facts did not support a finding of compensable temporary disability associated with the cardiac condition, and

2 Section 5412 provides, “The date of injury in cases of occupational

diseases or cumulative injuries is that date upon which the employee first suffered disability therefrom and either knew, or in the exercise of reasonable diligence should have known, that such disability was caused by his present or prior employment.” 3 Section 5405 provides “the period within which proceedings may be

commenced for the collection of” the relevant benefits “is one year from . . . [¶] (a) The date of injury.” 3 no finding of industrial permanent disability or opinion as to industrial causation for his cardiac condition, until the September 2021 report of qualified medical examiner Robert Nacouzi, M.D. Miraco argued that the WCJ erred in deeming the date of the cardiac injury to be in 2013, based on Dr. Nacouzi’s retrospective analysis in 2021 of tests performed on Miraco in June 2013. Instead, he maintained that Dr. Nacouzi’s report (received in September 2021) provided the first doctor’s opinion that Miraco’s hypertensive cardiac disease contributed to a permanent disability and was industrially caused. Miraco asked the Board to grant reconsideration and order, pursuant to section 5412, that the date of injury for his hypertensive cardiac disease was September 7, 2021, that the hypertensive cardiac disease was not barred by the statute of limitations, and that further medical care was appropriate for the cardiac condition. The City and Corvel answered the petition for reconsideration within 10 days, noting there was no substantial disagreement about the relevant facts in the case, including the medical reports addressed in the WCJ decision. As to the disputed date of hypertensive cardiac injury, the City asserted that the medical evidence from 2013 was of permanent disability and supported the WCJ’s determination under section 5412. On November 7, 2023, the WCJ served on the parties a report and recommendation on the petition for reconsideration (report and recommendation). Apart from correcting certain dates referenced in the findings and order, the WCJ recommended denying the petition for reconsideration. Under former section 5909, based on Miraco’s filing of the petition for reconsideration on October 16, 2023, the Board had until December 15, 2023, to “act[] upon” the petition before it was “deemed to have been denied.” (See 4 former § 5909 [“A petition for reconsideration is deemed to have been denied by the appeals board unless it is acted upon within 60 days from the date of filing.”].) The Board did not issue its decision until March 12, 2024 (March 12 order), when it granted the petition for reconsideration. In deeming its March 12 order timely, the Board invoked the judicially created exception to the 60-day deadline articulated in Shipley v. Workers’ Comp. Appeals Bd. (1992) 7 Cal.App.4th 1104 (Shipley) for petitions that are not received by the Board due to procedural irregularity. The March 12 order noted that pursuant to regulation, petitions for reconsideration are required to be filed at the district office, not directly with the Board, which then has 60 days under former section 5909 to act upon the petition. However, according to the Board, the Shipley decision applies the principle that “ ‘a party may not be deprived of a substantial right without notice’ ” to allow tolling of the 60-day period to grant or deny reconsideration during the period that the petition has not yet been received by the Board.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Addison v. State of California
578 P.2d 941 (California Supreme Court, 1978)
Genlyte Group, LLC v. Workers' Compensation Appeals Board
69 Cal. Rptr. 3d 903 (California Court of Appeal, 2008)
Land v. Workers' Compensation Appeals Board
125 Cal. Rptr. 2d 432 (California Court of Appeal, 2002)
Shipley v. Workers' Compensation Appeals Board
7 Cal. App. 4th 1104 (California Court of Appeal, 1992)
Boehm & Associates v. Workers' Compensation Appeals Board
90 Cal. Rptr. 2d 486 (California Court of Appeal, 1999)
Blankenship v. Allstate Insurance
186 Cal. App. 4th 87 (California Court of Appeal, 2010)
Bonnell v. Medical Bd. of California
82 P.3d 740 (California Supreme Court, 2003)
McClung v. Employment Development Department
99 P.3d 1015 (California Supreme Court, 2004)
Truck Insurance Exchange v. Workers' Compensation Appeals Board
2 Cal. App. 5th 394 (California Court of Appeal, 2016)
Kabran v. Sharp Memorial Hosp.
386 P.3d 1159 (California Supreme Court, 2017)
J.M. v. Huntington Beach Union High School Dist.
389 P.3d 1242 (California Supreme Court, 2017)
McDonald v. Antelope Valley Community College District
194 P.3d 1026 (California Supreme Court, 2008)
Dep't of Corr. & Rehab. v. Workers' Comp. Appeals Bd.
238 Cal. Rptr. 3d 224 (California Court of Appeals, 5th District, 2018)

Cite This Page — Counsel Stack

Bluebook (online)
City of Salinas v. Workers' Comp. Appeals Bd., Counsel Stack Legal Research, https://law.counselstack.com/opinion/city-of-salinas-v-workers-comp-appeals-bd-calctapp-2025.