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

Case No. ADJ1970560 (OAK 0344240)
Regular
Mar 09, 2016

VAZGEN MANAS vs. THE DIRECTOR OF THE DEPARTMENT OF INDUSTRIAL RELATIONS, as administrator of the SUBSEQUENT INJURIES BENEFITS TRUST FUND

This case concerns a credit sought by the Subsequent Injuries Benefits Trust Fund (SIBTF) for permanent disability advances paid to the applicant. The SIBTF argued that its liability for combined permanent disability should be calculated under Labor Code section 4751, which limits liability to the difference between the combined disability and the disability from the subsequent injury alone. The Workers' Compensation Appeals Board agreed, reversing the prior finding that allowed a credit under section 4753 for the employer's payments. The Board clarified that section 4753 applies to payments for preexisting disability, not the subsequent industrial injury, and thus SIBTF's credit is limited by section 4751.

Subsequent Injuries Benefits Trust FundLabor Code section 4751Labor Code section 4753permanent disability advancespreexisting permanent disabilitysubsequent industrial injurycombined permanent disabilitycreditWCJFindings of Fact
References
6
Case No. MISSING
Regular Panel Decision
Jan 24, 1997

Claim of Whitcomb v. Xerox Corp.

In July 1993, a claimant sustained a compensable neck and back injury during employment and subsequently received workers’ compensation benefits. She initiated and settled a third-party action for $50,000, with the employer’s carrier consenting while explicitly reserving its right to seek reimbursement for payments exceeding the settlement amount. A Workers’ Compensation Law Judge classified her as permanently partially disabled and credited the net third-party recovery against her continuing workers’ compensation award. The Workers’ Compensation Board upheld this decision, ruling that the carrier had adequately preserved its offset rights, a finding affirmed on appeal based on substantial evidence from the carrier’s written consent.

Workers' CompensationThird-Party ActionSettlementOffset RightsReimbursementPermanent Partial DisabilityCarrier ConsentAppellate ReviewSubstantial EvidenceFuture Awards
References
3
Case No. ADJ4465666 (OAK 0286384) ADJ2738204 (OAK 0277457)
Regular
Jun 22, 2012

NAQUISHA HENSLEY vs. A.C. TRANSIT DISTRICT, SUBSEQUENT INJURIES BENEFITS TRUST FUND

The Appeals Board granted reconsideration, rescinding the WCJ's decision that denied the employer reimbursement for a $10,200 mistaken payment. The Board found the applicant should have known the payment was an error, given its identical amount to a previous settlement check from the Subsequent Injuries Benefits Trust Fund. While the employer's adjuster was negligent, the Board exercised its discretion to allow the employer a credit of $10,200 against future workers' compensation benefits rather than ordering direct reimbursement due to the time lapse and applicant's spending of the funds. This credit includes future medical treatment, acknowledging the employer's fault in the overpayment.

Workers' Compensation Appeals BoardA.C. Transit DistrictSubsequent Injuries Benefits Trust FundPetition for ReconsiderationFindings And OrdersErroneous PaymentReimbursementCreditStipulated AwardsCompromise and Release
References
9
Case No. MISSING
Regular Panel Decision

Claim of Jones v. Chevrolet-Tonawanda Division, GMC

This case involves appeals from two decisions by the Workers’ Compensation Board concerning a self-insured employer’s entitlement to credit for holiday wages paid to disabled employees. Claimants Hanks and Jones were injured during employment, resulting in lost time, including holidays. The employer paid them compensation for lost time but also provided full wages for holidays as per collective bargaining agreements, subsequently seeking reimbursement under Workers’ Compensation Law § 25 (4)(a). The Board denied these reimbursement requests, stating that holiday pay was a contractual right and not intended to be in lieu of compensation. The appellate court reversed the Board’s decisions, ruling that denying reimbursement would lead to claimants receiving both full wages and compensation for the holidays, creating an imbalance. Therefore, the employer is entitled to reimbursement, and the matters are remitted to the Workers’ Compensation Board for further proceedings consistent with this decision.

Workers' CompensationHoliday PayReimbursementCollective Bargaining AgreementDisabled EmployeesLost WagesSelf-Insured EmployerAppellate ReviewBoard Decision ReversalStatutory Interpretation
References
2
Case No. MISSING
Regular Panel Decision

New York City Transit Authority v. New York State Public Employment Relations Board

The New York City Transit Authority (NYCTA) initiated a CPLR article 78 proceeding to challenge a June 16, 2009, determination by the New York State Public Employment Relations Board (PERB). PERB's determination reversed an earlier administrative law judge's decision, finding that the NYCTA had committed an improper labor practice by unilaterally implementing new standards for off-duty secondary employment without negotiating with the Transport Workers Union of Greater New York, Local 100. PERB directed the NYCTA to make whole certain employees and subsequently filed a cross-petition to enforce its order. The court found that PERB's determination was supported by substantial evidence, noting that an employer's restriction on nonworking time is generally a mandatory subject of negotiations under the Taylor Law. Consequently, the court confirmed PERB's determination, denied the NYCTA's petition, dismissed the proceeding on the merits, and granted PERB's cross-petition for enforcement of its remedial order.

Public EmploymentLabor RelationsCollective BargainingImproper Labor PracticeOff-Duty Secondary EmploymentCivil Service LawTaylor LawJudicial ReviewSubstantial EvidenceAdministrative Law
References
21
Case No. SFO 0500209
Regular
Jul 01, 2008

LAVENDER GALVAO vs. KINKO'S, ZURICH AMERICAN INSURANCE COMPANY

The Appeals Board granted reconsideration, amending the prior award to allow the employer a credit against Vocational Rehabilitation Maintenance Allowance (VRMA) for wages earned by the applicant from subsequent employment. While the applicant was found to be a Qualified Injured Worker (QIW) entitled to vocational rehabilitation services and VRMA, the Board distinguished this case from *Gamble v. Workers' Comp. Appeals Bd.*, finding that the applicant's subsequent employment replaced her injured position rather than being concurrent. Therefore, allowing the credit prevents the applicant from receiving a windfall and is consistent with the wage-loss basis of temporary disability indemnity.

Qualified Injured WorkerVocational Rehabilitation ServicesVocational Rehabilitation Maintenance AllowanceVRMATemporary Disability RateCredit for Wages EarnedWage Loss BasisRehabilitation UnitFindings Order AwardPetition for Reconsideration
References
9
Case No. MISSING
Regular Panel Decision

Castro v. New York City Transit Authority

Claimant suffered compensable right knee injuries in 1992 and 1994, leading to a stipulated 22.5% schedule loss of use award in 2001, after which the cases were closed. Upon reopening in 2005, liability shifted from the employer's workers' compensation carrier to the Special Fund for Reopened Cases under Workers’ Compensation Law § 25-a. Following a recurrence of injuries in October 2005, the Fund sought a credit for the prior schedule loss of use award paid by the carrier, which was initially denied but later granted by the Workers’ Compensation Board. Claimant appealed this decision, arguing that the Fund should not receive credit for awards commencing more than two years prior to the transfer of liability, citing Workers’ Compensation Law § 25-a (1) and prior case law. The Appellate Division affirmed the Board's decision, explaining that the Fund assumes the carrier's rights and responsibilities, including any existing credits, and distinguished the cited precedent based on a lack of injury reclassification in the current case.

Workers' Compensation Law § 25-aSchedule Loss of Use AwardSpecial Fund for Reopened CasesCredit Against AwardsLiability TransferRecurrence of InjuryAppellate DivisionWorkers' Compensation Board DecisionStipulationCase Reopening
References
5
Case No. MISSING
Regular Panel Decision

Claim of Beth V. v. New York State Office of Children & Family Services

Claimant, a youth division aide, suffered severe injuries including physical assault, rape, and kidnapping during work, leading to established workers' compensation benefits and a classification of permanent partial disability. She subsequently reached a $650,000 settlement in a federal civil rights action against her employer and co-employees for the same injuries. The workers' compensation carrier waived its lien for past benefits but asserted a right to a credit for future payments against the settlement under Workers’ Compensation Law § 29. The Workers’ Compensation Board reversed a Workers’ Compensation Law Judge’s decision, ruling in favor of the carrier's credit, finding the settlement covered the same injuries for which workers' compensation benefits were awarded. The appellate court affirmed the Board's decision, confirming the carrier's entitlement to a credit against the third-party settlement recovery.

Workers' CompensationThird-Party SettlementCredit Against RecoveryLienFuture BenefitsPermanent Partial DisabilityPTSDRapeCivil Rights ClaimFederal Lawsuit
References
4
Case No. MISSING
Regular Panel Decision

Claim of Barron v. Ellis Hospital

The claimant, who suffered a work-related injury in 1992, was receiving workers' compensation benefits when he was arrested and incarcerated in March 1994. He spent 237 days in pretrial detention, which were credited against his subsequent indeterminate sentence following a guilty plea in August 1994. His employer, Ellis Hospital, and its workers' compensation insurance carrier, the State Insurance Fund (collectively "the employer"), sought a credit for the benefits paid to the claimant during his 237 days of pretrial detention. The Workers' Compensation Board denied this request, and the employer appealed. The court affirmed the Board's decision, relying on precedent that allows recipients of workers' compensation benefits to continue receiving them up to the date of conviction, regardless of pretrial incarceration. The court rejected the employer's argument to treat the credited pretrial detention as part of the conviction, emphasizing the claimant's presumption of innocence and the equal protection concerns related to denying benefits based on the ability to post bail.

Workers' CompensationIncarcerationPretrial DetentionEqual ProtectionPenal LawCredit for Time ServedBenefits DiscontinuationPresumption of InnocenceAppellate ReviewNew York Law
References
11
Case No. MISSING
Regular Panel Decision

State v. New York State Public Employment Relations Board

The Communications Workers of America/Graduate Employees Union (CWA) petitioned the Public Employment Relations Board (PERB) to be certified as the bargaining representative for graduate and teaching assistants at State University of New York (SUNY) campuses. Initially, PERB's Director dismissed the petition, concluding that these assistants were not 'public employees' under the Taylor Law, applying a balancing test. PERB subsequently rejected this balancing test, establishing a new standard focused on the existence of a regular and substantial employment relationship not explicitly excluded by the Legislature. Under this new standard, PERB reversed the Director's decision, determining that graduate and teaching assistants are covered employees and constitute an appropriate bargaining unit. SUNY then initiated a CPLR article 78 proceeding to annul PERB's determination, arguing legal error in PERB's adopted test and that collective bargaining for academic issues violated public policy. The court upheld PERB's interpretation as reasonable and legally permissible, affirming PERB's determination and dismissing SUNY's petition.

Collective BargainingPublic EmployeesTaylor LawGraduate AssistantsTeaching AssistantsPublic Employment Relations BoardPERBCivil Service LawEmployment RelationshipPublic Policy
References
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