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Case Law Database

Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. MISSING
Regular Panel Decision

Claim of Petty v. Dresser Industries

The decedent, a chipper, developed silicosis/pneumoconiosis due to workplace silica exposure and died in May 1997. A Workers’ Compensation Law Judge awarded death benefits to his widow, attributing the death to an occupational disease and ruling that the Special Funds Conservation Committee would reimburse the employer after a 260-week waiting period starting May 14, 1997. The employer and its carrier appealed, contending that under Workers’ Compensation Law § 15 (8) (ee), reimbursement should commence after 104 weeks from July 15, 1993, the date of diagnosis, as this date preceded August 1, 1994. The Workers’ Compensation Board affirmed the 260-week period, noting that no date of disablement was established during the decedent's lifetime, thus making the date of death the trigger for the waiting period, which fell after August 1, 1994. The appellate court affirmed the Board's decision, deferring to its interpretation that the date of death constitutes the date of disablement when no claim for benefits was made during the decedent’s life, leading to the 260-week waiting period.

SilicosisPneumoconiosisOccupational DiseaseWorkers' CompensationSpecial FundsReimbursementDate of DisablementDate of DeathWaiting PeriodAppellate Review
References
4
Case No. MISSING
Regular Panel Decision

Bullard v. St. Mary's Hospital

Claimant, a secretary at St. Mary's Hospital, developed rheumatoid arthritis, resulting in a permanent partial disability. The Workers' Compensation Board ruled it an occupational disease and awarded compensation. Liability was apportioned among three employers: Rochester Savings Bank, Woodward Health Center, and St. Mary's Hospital. The Special Disability Fund (SDF) was deemed liable for benefits after the initial 104-week disability period. SDF appealed, contending its reimbursement should be limited to St. Mary's Hospital's one-third share. The court affirmed the Board's decision, holding that Workers' Compensation Law § 44 makes the last employer (St. Mary's) responsible for total compensation, and Workers' Compensation Law § 15 (8) (d) requires SDF to fully reimburse the employer's carrier, Sedgwick James, for benefits paid after 104 weeks.

Occupational DiseaseRheumatoid ArthritisPermanent Partial DisabilityApportionmentSpecial Disability FundReimbursementWorkers' Compensation LawLast Employer LiabilityInsurance CarrierWorkers' Compensation Board
References
0
Case No. MISSING
Regular Panel Decision

Claim of Salvet v. Union Carbide Linde Division

Claimant sustained two compensable injuries, leading to a permanent partial disability classification in 1983 with a nonschedule award of $95 per week. Subsequently, in 1984, the claimant was diagnosed with a 24.2% occupational binaural hearing loss, resulting in a schedule award of $105 per week for 36.3 weeks. The Workers' Compensation Board, following an application by the carrier, reduced this schedule award to $10 per week. This reduction was based on Workers' Compensation Law § 15 (6) (a), which sets a maximum of $105 per week for compensation for permanent or temporary partial disability, indicating that the aggregate of both awards should not exceed this statutory limit. The appellate court affirmed the Board's decision, ruling that the statutory maximum applies to the total of all permanent partial disability awards, irrespective of whether they are schedule or nonschedule awards.

Workers' Compensation LawPermanent Partial DisabilityOccupational Hearing LossSchedule AwardNonschedule AwardStatutory MaximumAggregate AwardsWorkers' Compensation Board AppealStatutory InterpretationConcurrent Awards
References
6
Case No. MISSING
Regular Panel Decision

Claim of Kellish v. Kellish Tire Sales, Inc.

The claimant, who suffered a work-related injury in 1999, applied for workers' compensation benefits in 2001. The Workers' Compensation Board initially set his average weekly wage at $126, which was based on his part-time employment where he worked one day a week and received $126 plus health insurance. The claimant appealed, arguing that his average weekly wage should be calculated under Workers’ Compensation Law § 14 (3) and that health insurance payments should be included. The Workers' Compensation Board affirmed the initial finding. The Supreme Court, Appellate Division, Third Department, affirmed the Board's decision, concluding that there was substantial evidence that the claimant voluntarily limited his work availability. The court also held that health insurance payments are not part of the definition of wages under Workers’ Compensation Law § 2 (9).

Workers' CompensationAverage Weekly WagePart-time EmploymentVoluntary LimitationHealth InsuranceWage CalculationAppellate ReviewNew York LawStatutory InterpretationWorkers’ Compensation Law § 14
References
5
Case No. MISSING
Regular Panel Decision

Fletcher v. Wegmans

Claimant sustained a work-related knee injury in November 2002. The Workers' Compensation Board calculated her average weekly wage at $398.49 by applying Workers' Compensation Law § 14 (3) and (4), as the claimant did not work a standard five or six-day week. The employer appealed, arguing improper statutory application. The appellate court affirmed the Board's decision, finding that the Board correctly utilized Workers' Compensation Law § 14 (3) to determine annual average earnings and subsequently Workers' Compensation Law § 14 (4) to establish the average weekly wage.

Work-related injuryAverage weekly wage calculationWorkers' Compensation Law § 14Statutory interpretationKnee injuryBoard decision affirmedWage calculation methodsAppellate reviewEmployer appealWorkers' Compensation benefits
References
3
Case No. MISSING
Regular Panel Decision
Feb 19, 1997

Till v. Chautauqua Opportunities, Inc.

The claimant, a private preschool teacher, suffered a compensable injury. The Workers’ Compensation Board calculated her average weekly wage based on Workers’ Compensation Law § 14 (1), asserting she worked “substantially the whole of the year” despite her 41-week annual employment. The employer contended this was irrational, arguing that predictable seasonal layoffs should be factored into the annual earnings calculation, preventing her from receiving benefits equivalent to a full-time, full-year employee. The court agreed, holding that the formula in Workers’ Compensation Law § 14 (1) was inapplicable when seasonal layoffs are a known incident of employment. Therefore, the average weekly wage should be calculated under subdivisions (3) and (4) of Workers’ Compensation Law § 14. The Board's decision was reversed, and the matter remitted for further proceedings consistent with the court's ruling.

Workers' CompensationAverage Weekly WageSeasonal EmploymentRemittiturStatutory InterpretationSection 14Appellate DivisionWage CalculationEmployment DurationBoard Decision Reversal
References
6
Case No. MISSING
Regular Panel Decision

Claim of House v. International Talc Co.

Arthur House suffered a compensable occupational disease in 1973, resulting in permanent total disability and received workers' compensation benefits based on his 1973 average weekly wage. He died in 1995 from lung disease. His widow, the claimant, filed for death benefits, contending the benefits should be calculated based on the average weekly wage of a comparable employee for the year preceding his death (March 17, 1994, to March 17, 1995). The Workers’ Compensation Law Judge and the Board, however, determined that death benefits should be calculated based on House's average weekly wage from the date of his original injury, April 5, 1973. This Appellate Division affirmed the Board's decision, interpreting Workers’ Compensation Law §§ 2, 14, and 38 to establish that the date of the original injury or accident is the basis for computing both disability and death benefits, not the date of death.

Death BenefitsAverage Weekly Wage CalculationOccupational DiseasePermanent Total DisabilityStatutory InterpretationDate of DisablementAppellate DivisionTalcosisClaimant's Widow
References
6
Case No. OAK 0335075
Regular
Jan 14, 2008

DAVID ALBINI vs. STATE OF CALIFORNIA, DEPARTMENT OF TRANSPORTATION, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) dismissed the applicant's petition and granted the defendant's petition for reconsideration. The WCAB rescinded the original award finding the applicant entitled to up to 104 weeks of temporary disability (TD) beyond two years of the first payment. The WCAB clarified that TD benefits are limited to 104 compensable weeks within two years from the *actual date* of the first TD payment, not when it was first owed.

Workers' Compensation Appeals BoardPetition for ReconsiderationTemporary Total Disability (TTD)Temporary Disability Indemnity (TDI)Labor Code Section 4656aggregate disability paymentscompensable weeksdate of commencement of temporary disability paymentSB 899WCJ
References
3
Case No. MISSING
Regular Panel Decision

Claim of Salinas v. Diner

A claimant, a waitress, suffered a fractured hip and filed for workers' compensation benefits. Her case was established for a work-related injury, and a hearing was held to determine her average weekly wage, specifically regarding tip income. The Workers' Compensation Board calculated her average weekly wage as $111.30 based on reported salary and tips. The claimant appealed, contending that unreported tip income of $266 should have been included, which would raise her average weekly wage to $199.97. The court affirmed the Board's decision, stating that Workers' Compensation Law § 14 and 12 NYCRR 357.1 [c] mandate that tip valuation be based on amounts reported to the employer, absent a specific agreement.

Workers' CompensationAverage Weekly WageTip IncomeUnreported IncomeWage CalculationWaitressFractured HipBoard Decision AppealStatutory InterpretationNYCRR
References
0
Case No. MISSING
Regular Panel Decision

Claim of Barnard v. John Mezzalingua Associates, Inc.

The claimant sustained work-related injuries to both hands in 2004 and applied for workers’ compensation benefits. Initially, a Workers’ Compensation Law Judge set the average weekly wage at $447.10 using a 260-multiple. The employer appealed, arguing for a lower wage based on actual earnings. The Workers’ Compensation Board subsequently determined a miscalculation occurred and established the average weekly wage at $343.92, applying a 200-multiple under Workers’ Compensation Law § 14 (3) because the claimant did not work substantially the whole year. The Appellate Division affirmed the Board's decision, finding the 200-multiple accurately reflected the claimant's earning capacity, as she was a full-time employee who did not voluntarily limit her availability.

Workers' CompensationAverage Weekly WageWage CalculationSection 14MultiplierEarning CapacityAppellate ReviewBoard DecisionOccupational DiseaseNew York
References
5
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