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

Case No. MISSING
Regular Panel Decision

Emspak v. Conroy

The defendants moved for a further bill of particulars regarding item 30 and requested the entire bill be verified by a union officer. The plaintiff's attorney acknowledged the omission for item 30 was an oversight and agreed to provide it. He argued his self-verification was proper under subdivision 3 of rule 99 of the Rules of Civil Practice, citing the plaintiff's absence from the county, and claimed defendants waived objection by not returning the bill within 24 hours. The court clarified that Rules 10 and 11 do not apply to verification. While an attorney can verify a bill of particulars under rule 117, the court ruled that merely stating the party is out of county is insufficient; the attorney must also detail the basis of their knowledge, especially given a prior order requiring an oath for inability to furnish particulars. The motion for a further bill was granted.

Bill of particularsVerificationAttorney verificationRules of Civil PracticeWaiverMotionCourt procedurePleadingSufficiency of verification
References
3
Case No. ADJ8949526, ADJ8672351
Regular
Nov 05, 2018

ALFREDO ARGUETA vs. LA BREA DINING, ZENITH INSURANCE COMPANY

The Workers' Compensation Appeals Board denied reconsideration, upholding the administrative law judge's finding that the defendant was not liable for further payment on the lien claimant's invoices. The lien claimant argued the defendant's Explanation of Review (EOR) was deficient and thus they were not obligated to pursue a second bill review. The Board found this argument inconsistent with Labor Code section 4622, which requires timely objection to denied amounts, and adopted the WCJ's report. A dissenting opinion argued that a deficient EOR negates the requirement for a second bill review.

WCABLien claimantPetition for ReconsiderationExplanation of Review (EOR)Labor Code Section 4603.3Labor Code Section 4622Second Bill ReviewWCAB Rule 10451.1Perez v. Colorama Wholesale NurseryMedical-legal billing disputes
References
1
Case No. MISSING
Regular Panel Decision

Hojnowski v. Buffalo Bills, Inc.

David Hojnowski, a former equipment manager for the Buffalo Bills, sued his former employer alleging age discrimination under the Age Discrimination in Employment Act, New York State Human Rights Law, and violations of the Employee Retirement Income Security Act. The Buffalo Bills moved to dismiss the claims and compel arbitration, citing an arbitration clause in Hojnowski's employment contract. Hojnowski contended that the arbitration agreement was unenforceable due to the absence of arbitration rules and unconscionability. The court determined that the arbitration rules were sufficiently incorporated into the agreement and that the contract was not unconscionable. Consequently, the court granted the Bills' motion, compelling Hojnowski to arbitration and dismissing his complaint.

Arbitration AgreementEmployment LawAge DiscriminationERISANew York State Human Rights LawMotion to DismissContract EnforceabilityUnconscionability DefenseFederal Arbitration ActNFL Commissioner
References
25
Case No. ADJ8485371
Regular
Dec 01, 2014

MICHAEL (MIKE) STRATTON vs. SAN DIEGO CHARGERS, ZENITH NORTH AMERICA, BUFFALO BILLS

The Workers' Compensation Appeals Board reconsidered a prior decision regarding Michael Stratton's cumulative injury claim against the San Diego Chargers and Buffalo Bills. While the original judge found Stratton's claim against the Bills timely, the Board reversed this, determining it was barred by the statute of limitations. The Board found that neither employer breached a duty to notify Stratton of his workers' compensation rights at the time of his employment. Therefore, the statute of limitations was not tolled, and Stratton's claim against the Buffalo Bills is dismissed.

WCABStatute of LimitationsLabor Code Section 5405Date of InjuryTollingCumulative InjuryProfessional Football PlayerSan Diego ChargersBuffalo BillsZenith North America
References
17
Case No. MISSING
Regular Panel Decision
Apr 21, 2004

Zenteno v. Geils

The defendants appealed an order from the Supreme Court, Westchester County, which granted the plaintiff's motion to restore a personal injury action to the trial calendar and for leave to serve a supplemental bill of particulars. The Appellate Division affirmed the order, finding that the plaintiff demonstrated a meritorious cause of action and a reasonable excuse for delay, citing extensive medical evaluations and difficulties obtaining authorization from the Workers’ Compensation Board. The court also determined that the defendants were not prejudiced by the restoration. Furthermore, an alleged agreement to proceed to arbitration was deemed unenforceable due to non-compliance with CPLR 2104 "open court" requirements. Finally, the Supreme Court's decision to grant leave for a supplemental bill of particulars was upheld, as it pertained to continuing consequences of existing injuries rather than new ones, aligning with CPLR 3043 [b].

Personal InjuryTrial Calendar RestorationSupplemental Bill of ParticularsArbitration Agreement EnforcementCPLR 2104CPLR 3043Medical ExaminationsWorkers' Compensation IssuesAppellate ReviewProcedural Motion
References
20
Case No. MISSING
Regular Panel Decision
Oct 08, 2009

D'Elia v. City of New York

The plaintiff appealed an order from the Supreme Court, Queens County, concerning personal injuries sustained while working as a surveyor. The original order granted summary judgment to defendants on common-law negligence and Labor Law §§ 200 and 241(6) claims, and denied the plaintiff's cross-motion to amend his bill of particulars to include a violation of 12 NYCRR 23-1.23. The appellate court modified the order, granting the plaintiff's cross-motion for leave to amend his bill of particulars and denying summary judgment to defendants on the Labor Law § 241(6) claim. However, the court affirmed the dismissal of common-law negligence and Labor Law § 200 claims, finding defendants lacked supervisory authority over the plaintiff's work. The case involved an alleged fall on a steeply inclined slope made of loosely compacted dirt and rocks at a construction site.

Personal InjuryLabor LawSummary JudgmentBill of Particulars AmendmentConstruction Site AccidentWorkplace SafetyIndustrial Code ViolationNegligenceAppellate ReviewEarthen Slope Fall
References
13
Case No. ADJ3196569 (POM 0282676)
Regular
Aug 28, 2009

JEANETTE DOMINGUEZ, vs. RICH PRODUCTS; ZURICH NORTH AMERICA INSURANCE

Lien claimants sought reconsideration of a WCJ's award of minimal amounts for pharmacy services, arguing they should have been paid their full billed amounts. The Workers' Compensation Appeals Board denied the petition, agreeing with the WCJ's findings that the billed amounts were not reasonable or necessary. The Board also noted the petition was procedurally deficient for lack of verification and for failing to clearly state contentions or reference the record. Therefore, the lien claimants' petition for reconsideration was denied on both substantive and procedural grounds.

Workers' Compensation Appeals BoardLien claimantsPetition for ReconsiderationFindings and AwardCompromise and ReleaseCumulative injuryProduction workerIndustrial injuryAdministrative law judgeWCJ Report
References
2
Case No. MISSING
Regular Panel Decision

Hornacek v. Zurich Insurance

This case addresses a dispute over discovery in a personal injury action arising from a December 14, 1974, automobile accident. The plaintiff, suffering from complete amnesia due to a severe head injury, sought to recover basic economic loss from his automobile insurer. The defendant insurer denied coverage, citing an exclusion for intoxication as an affirmative defense. Plaintiff moved under CPLR 3041 to compel the defendant to provide a bill of particulars detailing witnesses and documentary evidence supporting the intoxication defense. Defendant cross-moved to vacate or modify this demand, arguing the information was evidentiary. The court, recognizing the plaintiff's amnesia as a 'special circumstance,' granted the plaintiff's motion in part, ordering the defendant to disclose the requested information to ensure fairness and prevent surprise at trial, while denying the defendant's motion to vacate.

Bill of ParticularsAffirmative DefenseAmnesiaIntoxication ExclusionInsurance CoverageSpecial CircumstancesEvidentiary DisclosureCPLR 3041CPLR 3123Automobile Accident
References
9
Case No. 24388/85, 43236/85
Regular Panel Decision

Martin A. v. Gross

This case consolidates two motions challenging the defendants' failure to provide sufficient preventive services to avoid foster care placement for children, as mandated by State and Federal law. Plaintiffs, including numerous families, sought preliminary injunctions and class certification against the New York State Department of Social Services (NYSDSS) and New York City Human Resources Administration (NYCHRA) and their commissioners. Judge Elliott Wilk found that the defendants failed to meet their statutory obligations, citing numerous examples of non-compliance and systemic deficiencies in providing protective and preventive services. The court granted preliminary injunctive relief, ordering the City to develop a compliant plan and enjoining the State from enforcing an arbitrary 90-day limit on emergency shelter as a preventive service. However, motions for class certification and contempt were denied, as were the City's cross-motions to dismiss and for summary judgment.

Preventive ServicesChild WelfareFoster Care PlacementFamily IntegrityPreliminary InjunctionSocial Services LawNew York State Department of Social ServicesNew York City Human Resources AdministrationHomelessnessHousing Services
References
15
Case No. ADJ6943627
Regular
Feb 11, 2013

BILL MCINNES vs. VICENTE FOODS, COMPWEST INSURANCE COMPANY

This case involves untimely petitions for reconsideration filed by the applicant, Bill McInnes. The Workers' Compensation Appeals Board (WCAB) dismissed these petitions because they were filed more than twenty days after the WCJ's decision, with no mailing extension applicable due to personal service. Even if timely, the petitions would have been denied on the merits based on the WCJ's report. Additionally, the applicant's attorney's letter, attempting to serve as a reconsideration petition, was also dismissed as both untimely and insufficient.

Petition for ReconsiderationUntimely FilingLabor Code Section 5903Mailing ExtensionCode of Civil Procedure Section 1013WCAB Rule 10507Jurisdictional Time LimitPersonal ServiceStrom v. WCABSkeletal Petition
References
5
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