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Case Law Database

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

Case No. MISSING
Regular Panel Decision

People v. Headley

The defendant, John E. Headley, an attorney and outside counsel for the New York City Transit Authority (NYCTA), faced charges including grand larceny, falsifying business records, and conspiracy. He was accused of fraudulently obtaining paid assignments from the NYCTA to procure independent medical examinations (IMEs) by using a fictitious name, "James Douglas," to conceal a conflict of interest. Headley moved to dismiss the indictment, arguing a lack of intent to defraud and no pecuniary loss to the NYCTA, as the contracted IME services were rendered. The court granted the dismissal of the larceny and first-degree falsifying business records counts, ruling that the prosecution failed to demonstrate criminal intent to deprive the NYCTA of property or that the submitted documents constituted "business records" for the purpose of those specific charges. However, the motion to dismiss the charges of offering a false instrument for filing in the first degree was denied, as concealing his identity frustrated the NYCTA's legitimate interests in a fair vendor selection process and accurate vendor identification, thus constituting an "intent to defraud" under that statute.

Grand LarcenyFalsifying Business RecordsConspiracyFalse PretensesIndependent Medical Examinations (IMEs)Conflict of InterestIntent to DefraudPecuniary LossSufficiency of EvidenceMotion to Dismiss
References
28
Case No. MISSING
Regular Panel Decision

People v. Brennan

This case is an appeal from a judgment convicting the defendant of filing a false instrument in the first degree, stemming from false answers given to the Broome County Office of Risk and Insurance regarding workers' compensation benefits for a back injury. The defendant appealed on several grounds including denial of speedy trial, insufficient evidence to establish intent to defraud, alleged irregularities in grand jury proceedings, an improper Sandoval ruling concerning prior convictions, and ineffective assistance of counsel. The court affirmed the judgment, rejecting all of the defendant's claims. It found the speedy trial argument unpersuasive, confirmed that a rational jury could conclude intent to defraud, stated grand jury challenges were foreclosed by conviction, and deemed the Sandoval ruling and counsel's assistance effective. Furthermore, arguments for dismissal in the interest of justice and juror discharge were not preserved for review.

False InstrumentSpeedy TrialWorkers' Compensation BenefitsIntent to DefraudGrand Jury ProceedingsSandoval RulingEffective Assistance of CounselAppellate ReviewCredibilityCriminal Conviction
References
21
Case No. Bankruptcy No. 04-16354-CAG. Adversary No. 06-1283
Regular Panel Decision
Sep 11, 2009

In Re Smtc Mfg. of Texas

This case involves a Chapter 7 Trustee's adversary proceeding against the debtor, SMTC Manufacturing Corporation of Texas, and its affiliates, alleging fraudulent transfers and seeking to pierce the corporate veil. The Trustee claimed four categories of fraudulent transfers (intercompany, expense reallocations, net balance, and fixed asset transfers) were made to insiders with intent to defraud creditors, particularly Flextronics, the debtor's lessor. The court determined that transfers made on or after March 1, 2003, did not involve "assets" under the Texas Uniform Fraudulent Transfer Act (TUFTA) because the property was fully encumbered by a valid lien. For transfers before this date, while the debtor was insolvent, the Trustee failed to prove actual intent to defraud or lack of reasonably equivalent value. Additionally, the court rejected the veil-piercing claims, finding the debtor's operations sufficiently independent and no evidence of reliance by Flextronics on the parent company's financial backing. The court granted the Defendants' motion for a take-nothing judgment against the Trustee.

BankruptcyChapter 7Fraudulent TransferTexas Uniform Fraudulent Transfer Act (TUFTA)Corporate Veil PiercingAlter EgoSham to Perpetrate FraudSubsidiary LiabilitySecured TransactionsLien
References
88
Case No. MISSING
Regular Panel Decision
Aug 07, 2007

People v. Maynard

The defendant appealed a conviction for third-degree grand larceny and workers' compensation fraud. The appellate court found that the defendant's guilty plea was not knowingly, voluntarily, and intelligently entered because her statements during the plea colloquy negated essential elements of the crimes, specifically criminal intent for larceny and intent to defraud for workers' compensation fraud. The court noted the defendant's claim of not reading a question thoroughly and misunderstanding terms related to volunteer work, which triggered a duty for the trial court to inquire further. Consequently, the judgment was reversed, the plea vacated, and the case remitted for further proceedings. A dissenting justice argued that the totality of the defendant's colloquy, including her knowledge of submitting false statements to ensure benefits, sufficiently established intent.

Grand LarcenyWorkers' Compensation FraudGuilty PleaPlea ColloquyCriminal IntentIntent to DefraudPreservation RequirementVacating PleaRemittalAppellate Review
References
7
Case No. SRO 0088351
Significant
Mar 20, 2002

Cheryl Coldiron vs. Compuware; Permissibly Self-Insured, by And through Gallagher Bassett Services, Inc., Adjusting Agent

The board issues a notice of intent to sanction a third-party administrator for failing to disclose the correct insurance carrier for over six years and schedules a conference to clarify the employer-insurer relationship.

Workers' Compensation Appeals BoardEn BancPetition for ReconsiderationFindings and AwardPermissibly Self-InsuredThird-Party AdministratorHigh Self-Insured RetentionSanctionsLabor Code Section 5813Excusable Error
References
5
Case No. ADJ12226694, ADJ12414651, ADJ12414992, ADJ12414993
Significant
Jun 17, 2024

GUILLERMO GONZALEZ, et al., Applicants vs. THE BICYCLE CASINO; ARCH INDEMNITY INS. CO., administered by GALLAGHER BASSETT, et al., Defendants

The Appeals Board consolidates two cases and issues a notice of intent to impose sanctions and costs against attorney Susan Garrett and hearing representative Lance Garrett for filing petitions for reconsideration with the willful intent to disrupt or delay proceedings.

Labor Code Section 5813SanctionsCostsAttorney's FeesImproper MotiveFrivolousUnnecessary DelayPetitions for ReconsiderationOrder Approving Compromise and ReleaseWillful Intent
References
13
Case No. ADJ8965291; ADJ10451326; ADJ10750348; ADJ15382349; ADJ15382351; ADJ16951068; ADJ16951573; ADJ16953628; ADJ16953629; ADJ16124753; ADJ16124750; ADJ17290772; ADJ16953860
Significant

Alfredo Ledezma, et al. vs. Kareem Cart Commissary and Mfg, State Compensation Insurance Fund, et al.

The Workers' Compensation Appeals Board consolidates eight cases and issues a notice of intent to impose sanctions against attorney Susan Garrett and hearing representative Lance Garrett for a pattern of filing frivolous petitions for reconsideration with the intent to delay trial proceedings.

WCABen bancconsolidationsanctionscostsattorney's feesremovalreconsiderationLabor Code section 5813willful intent
References
12
Case No. ADJ13332737, ADJ15218980, ADJ12640295
Significant
Jun 17, 2024

ABEL HIDALGO, et al. vs. ROMAN CATHOLIC ARCHBISHOP, permissibly self-insured, administered by SEDGWICK, et al.

The Workers' Compensation Appeals Board consolidates three cases to address sanctions against attorney Susan Garrett and hearing representative Lance Garrett for filing petitions for reconsideration with the intent to disrupt or delay trial proceedings, issuing a notice of intent to impose sanctions and costs.

En BancSanctionsCostsAttorney's FeesLabor Code 5813Willful IntentImproper MotiveFrivolousDelay TacticsPetition for Reconsideration
References
13
Case No. MISSING
Regular Panel Decision

Prave v. State

The State of New York appealed 17 separate orders from the Court of Claims that denied its motion for summary judgment in actions alleging intentional assault stemming from the Attica uprising. The State contended that the claimants' acceptance of workers' compensation benefits barred their intentional tort claims, constituting an election of remedies. Claimants argued they never applied for benefits and should not be bound by such an election. The Appellate Division held that accepting benefits, even if initiated by the employer, generally precludes a subsequent tort action if the Workers' Compensation Board determined the injuries were compensable. To pursue their tort claims, claimants must first seek to rescind the Board's prior determination that their injuries were accidental. Therefore, the Court unanimously reversed the lower court's orders, granted summary judgment to the State, and dismissed the claims without prejudice for claimants to seek a redetermination from the Workers' Compensation Board.

Attica UprisingWorkers' CompensationIntentional TortExclusive RemedySummary JudgmentCollateral AttackWorkers' Compensation BoardRescission of AwardElection of RemediesCourt of Claims
References
6
Case No. ADJ739750 (FRE 0217695) ADJ3422922 (FRE 0217696) ADJ4620151 (FRE 0217213)
Regular
Sep 23, 2010

JERRY P. WILLIAMS vs. GOLDEN STATE VINTNERS and STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board (WCAB) initially issued a Notice of Intention to Impose Sanctions against State Compensation Insurance Fund (SCIF) for failing to provide a computer printout of benefits. SCIF objected, asserting the printout was available at a prior Mandatory Settlement Conference (MSC) with a former attorney. Although the printout was not explicitly mentioned in the MSC pre-trial statement or offered at trial, the WCAB accepted SCIF's representation of its availability. Consequently, finding no willful failure to comply with a regulatory obligation, the WCAB dismissed the Notice of Intention to Impose Sanctions.

Workers' Compensation Appeals BoardNotice of Intention To Impose SanctionsWCAB Rule 10607computer printout of benefitsMandatory Settlement Conference (MSC)Declaration of Desiree A. Mercadopre-trial conference statementproposed exhibitsEAMSwillful failure to comply
References
0
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