California WCABInsurance carrier
Falls Lake Insurance Company
Falls Lake Insurance Company is named as an insurance carrier in 7 released California WCAB decisions from 2021–2025. The disputes run to AOE/COE (1), Psyche AOE/COE (1) and Jurisdiction / venue (1). Defense most often ran through Park Guenthart (2). The employer appearing most often is Affinity Home Health Care Services (1). The office that heard the most of them is Van Nuys.
- Decisions
- 7
- Years
- 2021–2025
- Issues disputed
- 3
- District offices
- 6
What they litigate
Disputed issues across the decisions this insurance carrier is named in. Every row opens the decisions it counts.
7 more firms appear in the same decisions and are not listed: we could not read which side they were on.
- Affinity Home Health Care Services1
- Baron HR1
- Country Fresh Herbs1
- DMS Contractors, INC.1
- Home Health Care Solutions, INC.1
- O'Tasty Foods, INC.1
- Pinnacle Company, INC.1
- Rudgear Logistics, LLC.1
- Trion Solutions, INC.1
Where they appear
How the appealed decisions came out
These are decisions that were appealed and published — the tail of a system that mostly settles. Most claims end in a compromise and release or a stipulation and never reach a panel, so nothing below describes how this insurance carrier does its work. It describes how a set of appealed disputes came out.
Counted over 6 appealed decisions. Not this insurance carrier’s book of work.
Decisions
Newest decisions this insurance carrier is named in, each with the passage the panel turned on and a link to the official PDF.
- ADJ12047380 · 2024-11-05 · Los Angeles District OfficeJurisdiction / venueremanded
Determinative passage · p.1In the Findings and Order of April 20, 2021, the workers' compensation judge ("WCJ") found that applicant was employed by "Baron HR," and not by "Trion Solutions," in connection with applicant's claims that he sustained industrial injury to various body parts on February 22, 2019 (ADJ12047380) and during the period January 6, 2014 through February 22, 2019 (ADJ12048111). The WCJ also found that there was general-special employer relationship between "Baron HR LLC" as the general employer and "O'Tasty Food, Inc." allegedly insured by Falls Lake Insurance, administered by Sedgwick - as the special employer. In addition, the WCJ disallowed admission of Exhibits B and G into evidence, and the WCJ ordered Falls Lake Insurance ("Falls Lake"), the alleged insurer of special employer "O'Tasty Food, Inc.," to administer applicant's claims of injury.
The WCJ's findings on employment and administration were incomplete, inconsistent, and included issues not raised at trial, raising due process concerns. The Appeals Board rescinded the WCJ's decision and returned the matter for further proceedings to clarify the employment relationship and administration issues.
Official decision · page 1 → - ADJ10834249 · 2022-05-09 · Van Nuys District OfficePsyche AOE/COEapplicant prevailed
Determinative passage · p.3This matter proceeded to trial on December 22, 2021. At trial the parties stipulated that the applicant age 62 on the alleged date of injury, while employed during the period April 12, 2016, through April 12, 2017, as a laborer, Occupational Group Number 360, at Tarzana, California, by Country Fresh Herbs, sustained injury arising out of and in the course of employment to his lumbar spine, neck, shoulders, knees, feet, and thoracic spine. The parties also stipulated that Applicant was employed by Country Fresh Herbs from 1995 to December 20, 2020 and that PQME Silverman found that the Applicant's entire period of employment was injurious. At the time of injury, the employer's workers' compensation carriers were Republic Underwriters for the period January 1, 2016, through December 31, 2016; Falls Lake Insurance Company for the period January 1, 2017, through December 31, 2017; and Preferred Professional Insurance Company for the period January 1, 2018, through December 20, 2020. The sole issue presented for determination was the date of injury pursuant to Labor Code § 5412 and Labor Code § 5500.5, with Republic Underwriters contending that the liability period pursuant to Labor Code § 5500.5 is after its last date of coverage.
The WCJ found that the date of injury for cumulative trauma was September 12, 2017, based on the presence of permanent disability and applicant's knowledge of the disability caused by employment on that date, supported by Dr. Silverman's evaluation and reports.
Official decision · page 3 → - ADJ15136580 · 2025-05-09 · Lodi District OfficeReconsideration / removalapplicant prevailed
Determinative passage · p.1We have considered the allegations of the Petition for Disqualification filed by the applicant and the contents of the report of the workers' compensation administrative law judge (WCJ) with respect thereto. Based on our review of the record, we will grant applicant's petition for disqualification of the assigned trial judge, order the assigned trial judge disqualified, and return this matter to the Presiding Judge for reassignment of the case to a new WCJ.
The Appeals Board found an appearance of bias sufficient to warrant disqualification despite no actual bias being proven, based on the objective test of whether a reasonable person might doubt the judge's impartiality.
Official decision · page 1 → - ADJ14109208 · 2025-01-17 · Long Beach District OfficeReconsideration / removaldefendant prevailed
Determinative passage · p.1The Petition for Removal of the decision issued on November 25, 2024 has been withdrawn by petitioner. Therefore, it will be dismissed.
Petitioner withdrew the Petition for Removal, so the Board dismissed it as moot.
Official decision · page 1 → - ADJ10932194 · 2021-06-09 · Salinas District OfficeReconsideration / removaldefendant prevailed
Determinative passage · p.1We have considered the allegations of applicant's Petition for Removal/Reconsideration, defendant's answer and the contents of the report of the workers' compensation administrative law judge (WCJ) with respect thereto. Based on our review of the record and for the reasons discussed below, we will deny the Petition as one seeking reconsideration.
The WCJ's decision included a threshold finding of injury AOE/COE, making it a final decision subject to reconsideration, but the petition challenged an interlocutory discovery issue, so removal was denied as petitioner did not show significant prejudice or irreparable harm.
Official decision · page 1 →
Also recorded as
The same insurance carrier is printed several ways across the decisions, and all of them were counted as one. This is every spelling behind the figures above.
- FALLS LAKE FIRE AND CASUALTY COMPANY
- FALLS LAKE FIRE & CASUALTY INSURANCE
- FALLS LAKE FIRE & CASUALTY COMPANY
- Falls Lake Insurance Company
- FALLS LAKE FIRE & CASUALTY
- FALLS LAKE INSURANCE
- Falls Lake Ins. Co.
Is this your company and something here is wrong? Tell us and we will fix it. Every figure on this page is a count of released decisions this insurance carrier is named in, and the decisions themselves are listed above with the passage each turned on.
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