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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

Pierre v. Crown Fire Protection Corp.

This case involves appeals by Crown Fire Protection Corp. and PEM All Fire Extinguisher Corp. from a Supreme Court order denying their motions for summary judgment to dismiss a wrongful death complaint asserted against them. The New York City Transit Authority also cross-appealed the denial of its motion for summary judgment seeking to dismiss third-party complaints filed against it. The appellate court dismissed the appeals of Crown and PEM as withdrawn. Furthermore, the order was modified to grant the Transit Authority's cross-motion for summary judgment, thereby dismissing the third-party complaint of Crown Fire Protection Corp. The court determined that Crown's work, which involved delivery and installation of fire extinguisher devices, did not fall under the categories described in General Obligations Law § 5-322.1. Finally, the decision clarified that a recent amendment to Workers' Compensation Law § 11, which limits third-party suits against employers, would not be applied retroactively to pending actions.

Wrongful Death DamagesSummary Judgment DenialThird-Party IndemnificationGeneral Obligations Law ViolationsWorkers' Compensation AmendmentsStatutory Non-RetroactivityContractual IndemnityConstruction vs. InstallationAppellate ModificationDismissal of Appeals
References
3
Case No. MISSING
Regular Panel Decision

Insurance Corp. of New York v. United States Fire Insurance

This case concerns a dispute between a primary insurer, The Insurance Corporation of New York, and an excess insurer, United States Fire Insurance Company (US Fire), regarding the timeliness of claim notice and US Fire's subsequent disclaimer. The motion court initially denied US Fire's cross-motion for summary judgment, deeming its disclaimer untimely. However, the appellate court determined that US Fire received proper notice on April 20, 2006, not March 16, 2006, making its disclaimers, issued eight days later, timely as a matter of law. Consequently, the appellate court reversed the lower court's decision, granting US Fire's cross-motion for summary judgment and dismissing the complaint against it. Additionally, an appeal from a separate order regarding US Fire's request to rescind an insurance policy was dismissed as abandoned.

Insurance PolicyExcess InsurancePrimary InsuranceTimely NoticeDisclaimer of CoverageSummary JudgmentAppellate ReviewClaim NotificationInsurance ContractLiability Insurance
References
9
Case No. MISSING
Regular Panel Decision
Jun 11, 2003

Theodoreu v. Chester Fire District

In this personal injury action, volunteer firefighter James Theodoreu, along with other plaintiffs, appealed a Supreme Court order granting summary judgment to defendants Chester Fire District and Sugar Loaf Engine Company, Inc. The appellate court affirmed the dismissal, holding that the Volunteer Firefighters’ Benefit Law § 19 provides an exclusive remedy for injuries sustained in the line of duty, thereby barring claims against the fire district (as a political subdivision) and the fire company (due to an employer/employee relationship). Additionally, the defendant Witfield Architectural Group's cross-claims against the fire district and fire company were properly dismissed. This dismissal was based on Witfield's failure to demonstrate that the injured plaintiff suffered a "grave injury," a prerequisite for employer liability under Workers’ Compensation Law § 11 for contribution or indemnity.

Volunteer Firefighters Benefit LawExclusive Remedy ProvisionSummary JudgmentPersonal InjuryWorkers Compensation Law Section 11Grave InjuryEmployer LiabilityCross-claims DismissalAppellate AffirmationPolitical Subdivision
References
7
Case No. MISSING
Regular Panel Decision

Home Depot U.S.A., Inc. v. National Fire & Marine Insurance

Home Depot U.S.A., Inc., the general contractor, commenced an action against its subcontractor's insurer, National Fire & Marine Insurance Company, seeking a declaration of coverage. Home Depot, individually and as assignee of Westward Contracting, Inc., sought to compel National Fire to defend and indemnify it as an an additional insured in an underlying action, and to indemnify Westward. The Supreme Court denied Home Depot's discovery motion, granted National Fire summary judgment declaring Home Depot was not an additional insured, and denied National Fire's motion to dismiss Home Depot's claims as Westward's assignee for lack of standing and for summary judgment on the indemnification obligation to Westward. The appellate court affirmed the Supreme Court's order, finding Home Depot was not an additional insured and that the assignment to Home Depot was valid and did not relieve National Fire of its indemnification obligation to Westward.

Insurance CoverageAdditional InsuredIndemnificationSummary JudgmentStandingAssignment of ClaimsSubcontractor LiabilityGeneral ContractorCommercial General Liability PolicyAppellate Review
References
13
Case No. ADJ10335087 ADJ10335071
Regular
Jan 03, 2020

RICHARD GONZALES vs. CAL FIRE, STATE COMPENSATION INSURANCE FUND, State Employees Adjusting Agency

This case involves two workers' compensation claims for Richard Gonzales against CAL FIRE. The Appeals Board affirmed the award in ADJ10335087, which found a 46% permanent disability. However, the Board rescinded the January 3, 2019 award in ADJ10335071, which found a 77% permanent disability and awarded attorney's fees based on 15% of permanent disability indemnity. The Board remanded ADJ10335071 for further development of the medical record regarding whether permanent disabilities should be added or combined, and to revisit the attorney's fees, specifically including the value of the life pension.

Workers Compensation Appeals BoardReconsiderationFindings and AwardIndustrial InjuryPermanent DisabilityAttorney's FeeQualified Medical Evaluator (QME)Agreed Medical Evaluator (AME)Combined Values Chart (CVC)Synergistic Effect
References
8
Case No. MISSING
Regular Panel Decision

McClernon v. Beaver Dams Volunteer Fire Department, Inc.

Plaintiff Michael J. McClernon, Sr., a former President of the Beaver Dams Volunteer Fire Department, sued the Department under 42 U.S.C. § 1983, claiming his civil rights were violated when he was suspended and expelled. McClernon alleged retaliation for exercising his freedom of speech after writing a letter to the U.S. Fire Administration, complaining about unequal grant money distribution and alleging misuse of funds by other fire departments. The court found that while his speech touched on public concern, it had a damaging effect on inter-departmental relations and caused disruption within the Beaver Dams Department. Consequently, the court granted summary judgment to the defendant, concluding that the department was justified in expelling McClernon due to the detrimental impact of his speech.

Civil RightsFirst AmendmentFreedom of SpeechRetaliationPublic EmployeeVolunteer Fire DepartmentSummary JudgmentPublic ConcernInter-organizational CooperationWorkplace Disruption
References
20
Case No. 2023 NY Slip Op 06419 [222 AD3d 1139]
Regular Panel Decision
Dec 14, 2023

Matter of Martinez v. Eastchester Fire Dist.

Claimant Tina Martinez, a fire department lieutenant, filed a claim for workers' compensation benefits after contracting COVID-19 at work in December 2020. A Workers' Compensation Law Judge (WCLJ) established the claim, authorized medical treatment, and set her average weekly wage. The employer (Eastchester Fire District and its claims administrator) appealed this decision to the Workers' Compensation Board but failed to serve claimant's new legal representative with the application for review, despite having notice of the substitution of counsel. The Board denied the employer's application for review due to non-compliance with service requirements under 12 NYCRR 300.13 (b). The Appellate Division, Third Department, affirmed the Board's decision, finding no abuse of discretion in denying the employer's application for review based on defective service.

COVID-19 ClaimService RequirementsAppellate ReviewAdministrative AppealDue ProcessLegal RepresentationSubstitution of CounselBoard ReviewWCLJ DecisionEmployer Appeal
References
4
Case No. MISSING
Regular Panel Decision

Yoda, LLC v. National Union Fire Insurance

The Supreme Court, New York County, initially denied defendant National Union Fire's motion to dismiss the complaint and granted plaintiffs' cross motion for summary judgment, declaring the insurer’s disclaimer of coverage ineffective under Insurance Law § 3420 (d). The appellate court unanimously modified this order, denying the cross motion for summary judgment without prejudice to renewal after discovery, citing the lack of conducted discovery. However, the appellate court affirmed the denial of National Union’s motion to dismiss, noting lingering questions regarding the parties' intentions, the terms of the subcontract, and National Union’s delay in disclaiming coverage, which prevent a determination that Yoda and Riverhead were not additional insureds. Additionally, the employers’ liability exclusion in National Union's policy was found unavailing, as liability would be indirect if Yoda and Riverhead are determined to be additional insureds.

Insurance CoverageDisclaimer of CoverageSummary JudgmentMotion to DismissAdditional Insured StatusEmployers' Liability ExclusionAppellate ReviewDiscovery ProceedingsSubcontract TermsLabor Law Litigation
References
5
Case No. MISSING
Regular Panel Decision
Apr 18, 2006

Claim of Mayette v. Village of Massena Fire Department

A firefighter for the Village of Massena Fire Department, exposed to xylene fumes and severe sunburns in 1989, developed basal cell carcinoma and psychological conditions, leading him to file for workers' compensation in 2002. Although a Workers' Compensation Law Judge (WCLJ) initially found prima facie evidence, an independent medical examination report was later precluded. Subsequent decisions by a WCLJ and the Workers' Compensation Board found no causal link between the claimant's exposure and his disability, deeming the treating physician's testimony speculative. The appellate court affirmed, concluding that the Board's determination was supported by substantial evidence and that the claimant failed to prove causation with competent medical evidence, upholding the rejection of speculative expert opinions.

chemical exposurexylenebasal cell carcinomaskin canceroccupational diseasemedical causationspeculative testimonyexpert witnessappellate reviewfirefighter
References
11
Case No. MISSING
Regular Panel Decision

Pellerin v. Nationwide Mutual Fire Insurance

Plaintiff Patrick Pellerin filed an action seeking a declaration that defendant Nationwide Mutual Fire Insurance Company is obligated to defend him and his son, Shawn Pellerin, in an underlying personal injury lawsuit. Nationwide moved for summary judgment, arguing the Pellerins failed to provide timely notice of the incident as required by their homeowner's insurance policy. The Pellerins cross-moved for summary judgment, asserting sufficient notice and the inapplicability of an intentional act exclusion. The court denied Nationwide's motion and granted the Pellerins' cross-motion, ruling that the notice given was reasonable as a matter of law and Nationwide failed to establish a genuine issue regarding the intentional act exclusion. Consequently, Nationwide was ordered to defend and indemnify the Pellerins in the underlying lawsuit.

Summary JudgmentInsurance CoverageNotice RequirementsIntentional Act ExclusionHomeowners PolicyDuty to DefendDuty to IndemnifyPersonal InjuryDeclaratory JudgmentNew York Law
References
7
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