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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
Sep 17, 1980

Bass v. Westchester Concrete, Inc.

This case involves an appeal from a Workers’ Compensation Board decision, which was initially filed on March 14, 1980, and later amended on September 17, 1980. The employer's insurance carrier sought reimbursement from the Special Disability Fund under Workers’ Compensation Law § 15(8), claiming a known prior physical impairment of bilateral deafness in the claimant. The record established that the claimant's total disability stemmed from a severe psychoneurotic disorder, with a pre-existing psychiatric condition materially and substantially exacerbating the present disability due to a compensable accident. However, the appeal found no substantial evidence that the employer had prior knowledge of this psychiatric condition; only the bilateral deafness was known, which was deemed incidental to the current disability. Consequently, the Board's decision, which presumably denied reimbursement, was affirmed, with costs awarded to the Special Disability Fund.

Workers' CompensationSpecial Disability FundReimbursement ClaimPrior Physical ImpairmentBilateral DeafnessPsychoneurotic DisorderPre-existing ConditionEmployer KnowledgeTotal DisabilityCompensable Accident
References
0
Case No. MISSING
Regular Panel Decision
Oct 14, 1999

Claim of Williams v. New York State Department of Transportation

The claimant, who suffered a work-related injury in 1988, initially received permanent partial disability benefits at a mild rate in May 1996. Dissatisfied with this assessment, the claimant appealed, presenting medical evidence suggesting a more severe disability. This led the Workers’ Compensation Board to restore the case to the trial calendar for further development of the record concerning the degree of disability post-May 6, 1996. Although two physicians testified, with one indicating a moderate disability and another a total disability, the Workers’ Compensation Law Judge (WCLJ) ultimately awarded benefits at a moderate partial disability rate. Upon the claimant's subsequent appeal, the Board ruled that the claimant was precluded from raising the issue of their degree of disability, citing regulatory provisions. The appellate court found that the Board had abused its discretion, as the issue was explicitly remanded by the Board previously, and the claimant was still aggrieved by the WCLJ's award despite an increase in benefits. Consequently, the court reversed the Board's decision and remitted the matter for further proceedings.

Workers' CompensationDisability AssessmentAppellate ReviewAbuse of DiscretionProcedural ErrorMedical EvidenceDegree of DisabilityRemittalNew York LawAdministrative Appeal
References
0
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 Kowalchyk v. Wade Lupe Construction Co.

The claimant, a carpenter over 60 with an 11th-grade education, fractured his back and wrist in August 1985 while on a construction jobsite. Initially, his physician, Dr. James Slavin, considered him totally disabled, and he received total disability benefits from his employer's carrier. However, in December 1985, the employer reduced benefits to a partial disability rate, relying on a report from their consultant, Dr. Edward Pasquarella. The claimant subsequently filed for compensation, leading to a determination by the Workers’ Compensation Law Judge and ultimately the Workers’ Compensation Board that he had a total industrial disability. The employer appealed this decision, arguing it lacked substantial evidence. The court affirmed the Board's decision, considering the claimant’s physical limitations, age, work experience, and limited education, concluding he had no marketable skills outside carpentry.

Workers' CompensationTotal Industrial DisabilityPartial DisabilityMedical Testimony ConflictEarning Capacity AssessmentAppellate ReviewVocational RehabilitationAge & Education FactorsCarpenter InjuryScaffold Accident
References
3
Case No. MISSING
Regular Panel Decision

Claim of Tucci v. Kimball

Claimant, a nursery school teacher, sustained a work-related lower back injury in December 1974, leading to permanent partial disability and workers’ compensation benefits. Following a second laminectomy in 1993, she developed worsening urinary incontinence. The Workers’ Compensation Board affirmed a finding that claimant was totally disabled due to this condition, deeming it a consequence of her original work-related injury. The employer and its workers’ compensation carrier appealed. The appellate court affirmed the Board’s decision, noting that while conflicting medical opinions existed, the neurologist’s testimony provided substantial evidence to support the finding of total disability stemming from the 1974 injury.

work-related injurylower back injuryurinary incontinencepermanent partial disabilitytotal disabilitylaminectomymedical opinionsneurologist testimonysubstantial evidenceWorkers' Compensation Board
References
1
Case No. MISSING
Regular Panel Decision
Feb 16, 2006

Claim of McDonald v. Water Tunnel Contractors

The claimant, a former sand hog, filed for workers' compensation benefits after being diagnosed with occupational lung diseases, including chronic obstructive pulmonary disease (COPD) and silicosis. Initially, the Workers' Compensation Law Judge (WCLJ) established the case for COPD and silicosis, and classified claimant with a permanent partial disability, leading to awards. The employer's carrier sought reimbursement from the Special Disability Fund for silicosis-related benefits, as per Workers’ Compensation Law § 15 (8) (ee). However, a subsequent WCLJ decision, prompted by the Special Disability Fund, found no disability due to silicosis, thereby denying reimbursement. The Workers' Compensation Board reversed this WCLJ decision, ruling that the Special Disability Fund lacked standing to challenge the diagnosis and was liable for reimbursement. This Court reversed the Board's decision, affirming that the Special Disability Fund has standing to challenge the diagnosis affecting its reimbursement liability, and found no substantial medical evidence in the record to support a finding of disability due to silicosis. Consequently, the Special Disability Fund is not required to reimburse the carrier for silicosis, and the case is remitted to the Board for further proceedings to determine if claimant suffers from another qualifying dust disease for which reimbursement may be applicable.

Workers' Compensation LawSpecial Disability FundSilicosisOccupational Lung DiseasePermanent Partial DisabilityReimbursement ClaimsStandingSubstantial EvidenceAppellate ReviewMedical Diagnosis
References
10
Case No. MISSING
Regular Panel Decision

Claim of Baltsavias v. Caldor, Inc.

Claimant sustained work-related injuries in August 1975 and March 1977, leading to a permanent partial disability. The Workers’ Compensation Board apportioned the disability 25% to the 1975 case and 75% to the 1977 case, sustaining awards and an allowance for claimant’s former attorneys. The claimant appealed, arguing for permanent total disability and challenging legal fees. However, the court found these arguments outside the scope of the appeal, noting that prior decisions had established the nature and extent of disability and no timely appeal was taken. Reviewing the record, the court found substantial evidence to support the Board’s factual findings regarding carrier responsibility for medical bills and the average weekly wage. Consequently, the Board’s decision was affirmed.

Workers' CompensationPermanent Partial DisabilityAppealBoard DecisionMedical BillsAverage Weekly WageCausally Related DisabilityTimelinessLegal FeesReopened Cases
References
0
Case No. 2018 NY Slip Op 08980
Regular Panel Decision
Dec 27, 2018

Matter of Ricci v. Maria Regina Residence

This case involves an appeal by the Special Disability Fund from a Workers' Compensation Board decision. The Board had ruled that the workers' compensation carrier for Maria Regina Residence was entitled to reimbursement from the Special Disability Fund for a claim related to Cyndia Ricci's work-related knee injury, asserting Ricci had pre-existing heart and arthritis conditions. The Appellate Division, Third Department, found that the record lacked substantial evidence to support the Board's finding that Ricci's preexisting conditions hindered her employment potential. The court concluded that the medical opinion relied upon was based on generalities and speculation, and that conditions controlled by medication do not, without more, constitute a hindrance to employability. Consequently, the Board's decision was reversed, and the matter was remitted for further proceedings.

Workers' CompensationSpecial Disability FundReimbursement ClaimPreexisting ImpairmentEmployabilityMaterially and Substantially Greater DisabilityMedical OpinionOrthopedic SurgeonAppellate ReviewSubstantial Evidence
References
11
Case No. MISSING
Regular Panel Decision
Jul 11, 1996

Claim of Saunders v. Pepsi Cola

On December 28, 1989, the claimant sustained a lower back injury while working, leading to two surgeries and workers' compensation benefits. X-rays revealed a pre-existing condition of spondylolisthesis. The employer's workers' compensation carrier sought to impose liability on the Special Disability Fund under Workers' Compensation Law § 15 (8) (d). The Workers' Compensation Board concluded that the claimant's disability was solely caused by the 1989 accident and discharged the Special Disability Fund. The Appellate Division affirmed this decision, finding substantial evidence that the spondylolisthesis was asymptomatic and did not contribute to the subsequent disability.

Workers' CompensationSpecial Disability FundSpondylolisthesisPre-existing ConditionPermanent Partial DisabilityAsymptomaticApportionmentMedical EvidenceLiabilityWorkers' Compensation Board
References
3
Case No. MISSING
Regular Panel Decision

Matter of Alamin v. Down Town Taxi, Inc.

Claimant, a taxi driver, sustained neck and back injuries in a February 2008 work-related motor vehicle accident. His workers' compensation claim was established. A Workers’ Compensation Law Judge initially awarded benefits from February 2008 to October 2009, finding a moderate causally related disability after November 2008. However, the Workers’ Compensation Board later rescinded awards after November 20, 2008, ruling that no further causally related disability existed from that date. Claimant's subsequent request for reconsideration and/or full Board review was denied. The current court dismissed the appeals from the WCLJ's January 2013 decision and the Board's January 2014 decision due to procedural irregularities (direct appeal from WCLJ and untimely filing of notice of appeal). The court affirmed the Board’s March 2014 decision denying reconsideration, concluding that the Board did not abuse its discretion or act arbitrarily, as the claimant failed to present new evidence or demonstrate a material change in condition.

Workers' CompensationAppellate ProcedureDismissal of AppealReconsideration DenialCausally Related DisabilityMotor Vehicle AccidentIndependent Medical ExaminationProcedural BarAbuse of DiscretionTimeliness of Appeal
References
6
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