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

Case No. 2017 NY Slip Op 08595 [156 AD3d 1043]
Regular Panel Decision
Dec 07, 2017

New York State Workers' Compensation Board v. Any-Time Home Care Inc.

The New York State Workers' Compensation Board, acting as administrator for a dissolved self-insured trust, initiated an action to recover a $133 million cumulative deficit from former trust members. Various defendants sought to dismiss the complaint, asserting claims were time-barred by a three-year statute of limitations for statutory liabilities, failed to adequately state claims against individual partners, and were barred by the doctrine of laches. The Supreme Court denied these motions. On appeal, the Appellate Division, Third Department, affirmed the Supreme Court's order, ruling that the claims were contractual, subject to a six-year limitation period, and that laches did not apply against the state enforcing a public right. The court also found the complaint sufficiently specific regarding the liability of individual defendants.

Workers' Compensation LawSelf-Insurance TrustJoint and Several LiabilityStatute of LimitationsContractual LiabilityLaches DoctrineAppellate ReviewGroup Self-InsurerDeficit RecoveryPartnership Liability
References
16
Case No. 2017 NY Slip Op 04008 [150 AD3d 1505]
Regular Panel Decision
May 18, 2017

Claim of Jie Cao v. Five Star Travel of NY Inc.

Norman Lan Chen, a bus driver, was involved in a 2007 bus accident. He successfully applied for workers' compensation benefits, and the Workers' Compensation Board found Five Star Travel of NY Inc. (his employer) to be uninsured and liable for awards. A settlement agreement was approved by the Board in October 2011. In May 2015, Five Star Travel of NY Inc. sought to reopen the claim and revisit the settlement approval, but the Board denied the application. The Appellate Division, Third Department, affirmed the Board's decision, finding that no material new evidence was presented and the application was untimely. The court also held that the Board was correct in declining to revisit the previously approved Workers' Compensation Law § 32 settlement agreement.

Workers' Compensation BoardAppealClaim ReopeningSettlement AgreementUninsured EmployerTimelinessJudicial ReviewAppellate DivisionBus Accident
References
6
Case No. 2017 NY Slip Op 04009 [150 AD3d 1507]
Regular Panel Decision
May 18, 2017

Matter of Jie Cao v. Five Star Travel of NY Inc.

Claimant, a bus driver, was involved in a 2007 accident and successfully applied for workers' compensation benefits, naming "Five Stars Travel Bus Inc." as his employer. Five Star Travel of NY Inc. (Five Star) did not appear after being served, leading to a WCLJ finding it liable for awards and assessments. After subsequent awards and medical treatment authorizations, a settlement was approved in 2013. In May 2015, Five Star sought to reopen the claim and challenge the prior decisions and settlement, but the Workers' Compensation Board denied the application due to untimely submission of new material evidence and the non-reviewable nature of an approved waiver agreement. The Appellate Division affirmed the Board's decision.

Workers' CompensationBus AccidentUninsured EmployerClaim ReopeningSettlement AgreementBoard ReviewAppellate DivisionTimelinessContinuing JurisdictionDue Process
References
6
Case No. MISSING
Regular Panel Decision

Claim of Mott v. ITT Industries

A claimant, who performed clerical duties for the employer for over 27 years, was diagnosed with bilateral carpal tunnel syndrome in 2006 and applied for workers’ compensation benefits. The Workers’ Compensation Board affirmed the disallowance of the claim as time-barred pursuant to Workers’ Compensation Law § 28. The appellate court reversed the Board's decision, noting that despite the claimant's prior awareness of work-related symptoms, the Board failed to establish the crucial date of disablement. Without this finding, the conclusion regarding the claim being time-barred could not be supported. The matter was remitted to the Workers’ Compensation Board for further proceedings.

Occupational DiseaseCarpal Tunnel SyndromeStatute of LimitationsDate of DisablementAppellate ProcedureClaim DisallowanceReversalRemittiturLegal InterpretationCausation
References
5
Case No. MISSING
Regular Panel Decision

Claim of Hazzard v. Adams Russell Cable Services

Claimant, a line technician, sustained a left knee injury in January 1987 but did not file a workers' compensation claim until August 1995. The employer's carrier argued the claim was time-barred under Workers’ Compensation Law § 28, a contention upheld by the Workers’ Compensation Law Judge and subsequently affirmed by the Board. On appeal, the claimant argued that a C-4 medical report from 1987 or an advance payment of compensation should have prevented the claim from being time-barred. The Appellate Division affirmed the Board's decision, finding no evidence that the C-4 report was filed with the Board within the two-year statutory period, nor that the employer or carrier made an advance payment to waive the statute of limitations.

Workers' CompensationTime-barred ClaimStatute of LimitationsAdvance PaymentMedical ReportBoard AffirmationAppellate ReviewKnee InjuryLine Technician
References
2
Case No. MISSING
Regular Panel Decision

Claim of Elias v. New York City Human Resources Administration

The Workers’ Compensation Board ruled that the claimant’s workers’ compensation benefits claim, filed on March 10, 1987, was timely. This decision came despite the claimant's initial failure to provide timely written notice, which was excused because the employer had actual notice of the injury. The claimant suffered a back injury on October 15, 1985, while at work, pushing a file cabinet. The Board found that the two-year Statute of Limitations under Workers’ Compensation Law § 28 did not bar the claim. The appellate court affirmed the Board's decisions, ruling in favor of the claimant.

Workers' CompensationStatute of LimitationsTimely NoticeActual NoticeBack InjuryEmployer LiabilityBoard DecisionAppealExcused NoticeOccupational Injury
References
0
Case No. MISSING
Regular Panel Decision

Matter of Johnson v. T.L. Cannon Management

Claimant, a broiler cook, allegedly sustained a work-related injury in February 2012 but delayed applying for workers' compensation benefits until April 2013. The Workers' Compensation Law Judge initially disallowed the claim, citing claimant's failure to provide timely notice to the employer. The Workers' Compensation Board subsequently affirmed this decision. On appeal, the Court upheld the Board's determination, finding no grounds to overturn it. The Court emphasized the requirement for timely written notice of injury within 30 days, noting that while exceptions exist, excusing such failures remains within the Board's discretion, and the 14-month delay, coupled with the supervisor's lack of recall regarding an injury report, supported the Board's findings.

Workers’ CompensationTimely NoticeEmployer KnowledgeAccident ReportingCredibility DeterminationBoard DiscretionAppellate ReviewInjury ClaimAdministrative AppealWorkers’ Compensation Board
References
7
Case No. 2015-455 K C
Regular Panel Decision
Dec 19, 2017

Metro Psychological Servs., P.C. v. Travelers Prop. & Cas. Ins. Co.

This case involves Metro Psychological Services, P.C., as an assignee, seeking first-party no-fault benefits from Travelers Property & Casualty Insurance Company. The defendant moved for summary judgment, arguing the assignor's injuries occurred during employment, which would make workers' compensation benefits applicable. The Civil Court denied the defendant's motion and granted the plaintiff's cross-motion for summary judgment. The Appellate Term reversed this order, concluding there was an unresolved issue as to whether the plaintiff's assignor was acting in the course of employment at the time of the accident. Consequently, the matter was remitted to the Civil Court to be held in abeyance, pending a determination by the Workers' Compensation Board regarding the parties' rights under the Workers' Compensation Law, underscoring the Board's primary jurisdiction in such matters.

No-Fault BenefitsWorkers' Compensation LawPrimary JurisdictionAbeyanceSummary JudgmentAppellate ReviewInsurance DisputeMedical ProviderAssigneeCourse of Employment
References
9
Case No. ADJ3106373 (SRO 0136132) ADJ3762980 (SRO 0129707) ADJ642079 (SRO 094945) ADJ3252691 (SRO 094944) ADJ3202994 (SRO 090481)
Regular
Oct 01, 2010

KEVIN JANNELLE vs. FREEMAN MOTORS, ST. PAUL/TRAVELERS INSURANCE COMPANY, DAN MOTTAZ VIDEO, STATE COMPENSATION INSURANCE FUND, MACERICH COMPANY, CHUBB SERVICES CORPORATION

The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior ruling that denied Travelers' petition for contribution and/or reimbursement. The Board found that Travelers timely "instituted proceedings" for contribution by filing a Declaration of Readiness to Proceed on January 16, 2009, within one year of the applicant's settlement approval. The case is remanded for arbitration of Travelers' claims and to address SCIF's statute of limitations defense.

Workers' Compensation Appeals BoardContributionReimbursementDeclaration of Readiness to ProceedLabor Code Section 5500.5Compromise and ReleaseStatute of LimitationsArbitrationCumulative TraumaBilateral Upper Extremities
References
1
Case No. MISSING
Regular Panel Decision

Claim of Mickelson v. Value Construction

Claimant, a carpenter, sought workers' compensation benefits for a left wrist injury in April 2013. The Workers' Compensation Board initially ruled the claim time-barred but later rescinded that decision, establishing the claim with a disablement date of May 6, 2013, corresponding to the diagnosis of a work-related ligament injury and arthritis. The employer and carrier appealed this decision. The Appellate Division, Third Department, affirmed the Board's finding regarding the timely filing and date of disablement, noting it was supported by substantial evidence, despite the claimant's earlier symptoms. However, the Court found that the Board failed to address a previously raised issue concerning whether the left wrist injury was consequentially related to a 2003 right wrist injury. Consequently, the Court modified the Board's decision by remitting the matter for further proceedings to address this unadjudicated issue.

Workers' CompensationTimeliness of ClaimDate of DisablementOccupational DiseaseLeft Wrist InjuryCarpal Tunnel SyndromeLigament InjuryArthritisMedical DiagnosisRemittal
References
3
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