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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

Claim of Feliciano v. New York City Health & Hospitals Co.

Claimant sought workers' compensation benefits for bilateral carpal tunnel syndrome. Initially, a Workers' Compensation Law Judge ruled the left hand claim time-barred by Workers' Compensation Law § 28 and established August 28, 2006, as the disability date for the right hand. On appeal, the Workers' Compensation Board affirmed the right hand's disability date but, on its own motion, set December 2003 as the disability date for the left hand, thereby confirming the left hand claim was untimely. The claimant appealed, arguing against two disability dates for a single claim. The court affirmed the Board's decision, finding substantial evidence supported treating the hand injuries as discrete occupational diseases with separate disablement dates and upheld the time-bar for the left hand claim.

Workers' CompensationOccupational DiseaseCarpal Tunnel SyndromeTime-barred ClaimDate of DisablementBilateral InjuriesAppellate ReviewWorkers' Compensation BoardJudicial ReviewStatute of Limitations
References
6
Case No. MISSING
Regular Panel Decision
Jul 18, 1975

the Claim of Forest Westfall v. Linesville Construction Co.

The claimant, a 44-year-old pipe line construction worker, sustained a left eye injury in 1971, leading to enucleation. Twenty years prior, he had lost four fingers of his left hand due to an injury in Ohio. The Workmen's Compensation Board found a 95% loss of use of the left hand, concluding he was not totally and permanently disabled under section 15 (subd 8, par [c]) of the Workmen’s Compensation Law, as he retained full thumb motion. Conflicting medical testimonies regarding the extent of his hand disability were presented. The Appellate Division affirmed the board's decision, citing that the board's conclusion was supported by substantial evidence and that determining conflicting medical testimony is within the board's purview.

Workers' CompensationPermanent DisabilityHand InjuryEye InjuryMedical TestimonyAppellate ReviewSubstantial EvidenceLoss of UsePrior InjuryDisability Percentage
References
4
Case No. 2023 NY Slip Op 03890
Regular Panel Decision
Jul 20, 2023

Matter of Perry v. DOCCS Clinton Corr. Facility

Claimant Robert Perry, a correction officer, initially filed a workers' compensation claim in January 2017 for injuries to his left hand and wrist. This claim was established, leading to an award for schedule loss of use of his left hand in September 2019. Subsequently, in May 2020, Perry was diagnosed with left elbow epicondylitis, which he sought to include as a causally-related injury to his existing claim. The employer and carrier argued the amendment was untimely under Workers' Compensation Law § 28. While a Workers' Compensation Law Judge initially permitted the amendment, the Workers' Compensation Board reversed, deeming the left elbow claim time-barred due to not being filed within two years of the original accident. The Appellate Division, Third Department, affirmed the Board's decision, concluding that the Board properly found no evidence of an injury to the left elbow in claimant's medical records prior to May 2020, and that the Board, as the sole arbiter of credibility, was free to prioritize medical records over claimant's conflicting testimony regarding earlier elbow pain, thus upholding the denial of the claim and the subsequent denial of reconsideration.

Workers' Compensation LawTimeliness of ClaimLeft Elbow InjuryMedical MisdiagnosisSchedule Loss of UseWorkers' Compensation Board DecisionAppellate DivisionCorrectional OfficerClaim AmendmentStatute of Limitations
References
6
Case No. MISSING
Regular Panel Decision

Matter of Santiago v. The NY Operators

Claimant sustained a work-related injury to her right hand and subsequently her left wrist, receiving workers' compensation benefits from October 2008 to December 2013. Payments were suspended in December 2013 based on the employer's medical expert opinion that claimant reached maximum medical improvement. A Workers’ Compensation Law Judge (WCLJ) found a 17.5% loss of use of her right hand and 7.5% loss of use of her left hand. The Workers’ Compensation Board rescinded the WCLJ’s decision, restoring the case to the trial calendar for further development of the record, noting that claimant had not been provided an opportunity to present evidence regarding schedule loss of use percentages. Claimant appealed the Board’s failure to determine awards held in abeyance and paid at a tentative rate. The Appellate Division dismissed the appeal, holding that the Board’s decision was interlocutory and did not dispose of all substantive issues, allowing the claimant to appeal any issues upon a final Board decision.

Workers' CompensationSchedule Loss of UseMaximum Medical ImprovementInterlocutory AppealAppellate ProcedureMedical Expert OpinionBoard Decision RescindedTrial CalendarFurther Development of RecordTentative Rate
References
4
Case No. MISSING
Regular Panel Decision

Claim of Wallace v. Oswego Wire, Inc.

The Workers' Compensation Board affirmed a decision finding a claimant's left hand injury consequentially related to a prior right knee injury. While recuperating from a work-related right knee injury, the claimant's knee gave out, causing him to cut his left hand with a table saw. The employer and its carrier appealed, arguing the claimant's conduct was an intervening act. The court, led by Peters, J., affirmed the Board’s determination, finding substantial evidence that using the table saw, despite the knee condition, was not an unreasonable intervening cause, as prior buckling was infrequent. Judges Crew III, Carpinello, Lahtinen, and Kane concurred with the decision.

Workers' CompensationConsequential InjuryIntervening CauseRight Knee InjuryLeft Hand InjuryTable Saw AccidentCausationAppellate ReviewBoard DecisionFactual Issue
References
4
Case No. 534614
Regular Panel Decision
Feb 16, 2023

In the Matter of the Claim of Joseph Marcellino

The case involves an appeal from a Workers' Compensation Board decision concerning claimant Joseph Marcellino's eligibility for a schedule loss of use (SLU) award for permanent injuries to his left elbow and left thumb. Following an April 2015 accident, Marcellino had established claims for multiple injuries, undergoing surgery in 2016. Conflicting medical opinions arose between his treating orthopedic surgeon, Dimitro Christoforou, who assessed significant SLU percentages, and the carrier's orthopedic surgeon, Peter Spohn, who found minimal or no SLU for the left hand, wrist, and thumb. A Workers' Compensation Law Judge (WCLJ) credited Spohn's opinion, awarding 15% SLU for the left wrist but no permanency for the left elbow or left thumb. The Workers' Compensation Board affirmed this decision. On appeal, the Appellate Division, Third Judicial Department, affirmed the Board's decision, reiterating that the Board has the discretion to resolve conflicting medical opinions and reject medical evidence even without opposing proof, finding their determination supported by substantial evidence.

Workers' Compensation LawSchedule Loss of UsePermanent Partial DisabilityMedical EvidenceConflicting Medical OpinionsCredibility AssessmentAppellate DivisionWorkers' Compensation BoardOrthopedic InjuriesElbow Injury
References
7
Case No. ADJ18492736
Regular
Sep 30, 2025

MARIA HERNANDEZ vs. VALLARTA FOOD ENTERPRISES, INC.; SAFETY NATIONAL CASUALTY CORPORATION

The Workers' Compensation Appeals Board reviewed a petition for reconsideration filed by Safety National Insurance, challenging a WCJ's finding that Maria Hernandez sustained injury to multiple body parts. The Board found the treating physician's report lacked substantial medical evidence due to inadequate records and a flawed job description. Additionally, the Qualified Medical Evaluator's (QME) reports were incomplete and inconsistent regarding all body parts except the left hand. Consequently, the Board granted reconsideration, rescinded the original decision, and substituted new findings, determining that Hernandez sustained a cumulative injury only to her left hand while deferring the issue of injury to other body parts for further development of the record.

WCABPetition for ReconsiderationFindings of Fact and Ordersubstantial medical evidenceQualified Medical Evaluator (QME)cumulative traumabilateral shoulderswristshandsleft hand injury
References
19
Case No. CV-23-1298
Regular Panel Decision
May 30, 2024

In the Matter of the Claim of Michael Garofalo

Michael Garofalo, a lineman, sustained a left hand crush injury in January 2020 while working for Verizon New York, Inc. His workers' compensation claim was established. Following a permanency evaluation, his treating physician, Brian J. Harley, assessed a 35% schedule loss of use (SLU) of the left hand, using the 2012 New York State Guidelines for Determining Impairment. An independent medical examiner, Thomas R. Haher, initially concurred but later revised his opinion to 50% SLU based on the 2018 Guidelines. A Workers' Compensation Law Judge (WCLJ) adopted Harley's 35% SLU opinion, which the Workers' Compensation Board upheld. On appeal, the Appellate Division found that Harley improperly relied on the 2012 Guidelines instead of the applicable 2018 Guidelines, as the first medical evaluation occurred after January 1, 2018. The court determined that the Board's decision, relying on Harley's erroneous application of the guidelines, lacked substantial evidence. The decision was reversed, and the matter was remitted to the Workers' Compensation Board for a new determination of the appropriate SLU percentage.

Workers' CompensationSchedule Loss of UseLeft Hand InjuryMedical Guidelines2018 Impairment GuidelinesAppellate ReviewRemittalMedical Opinion ConflictTraumatic InjuryFractures
References
7
Case No. ADJ12320361
Regular
Feb 18, 2025

LINDA ERNEST vs. TRADER JOE'S, SEDGWICK CLAIMS MANAGEMENT SERVICES

The Appeals Board considered a Petition for Reconsideration filed by Defendant Trader Joe's, administered by Sedgwick Claims Management Services. The petition challenged the Workers' Compensation Judge's (WCJ) decision dated November 26, 2024, which found that the defendant did not meet its burden of proof regarding apportionment for injuries to the applicant's left hand, left wrist, and left knee. The WCJ's decision awarded 51% permanent disability based on the medical reporting of PQME Michael Slutzker, MD, but only found apportionment for the low back injury. The defendant specifically contended that the WCJ erred in not allowing apportionment for the left knee. The Appeals Board denied the petition, adopting and incorporating the WCJ's report, which concluded that the Qualified Medical Evaluator's (QME) report lacked sufficient explanation and detail to support the proposed apportionment for the left knee, thus failing to meet the defendant's burden of proof.

Workers Compensation Appeals BoardPetition for ReconsiderationLabor Code Section 5909Transmission of CaseElectronic Adjudication Management SystemReport and RecommendationApportionmentPermanent DisabilityCausationQualified Medical Evaluator
References
11
Case No. ADJ9799720
Regular
Jan 29, 2016

HOWARD GARNER vs. DEPARTMENT OF CORRECTIONS AND REHABILITATION, legally uninsured; STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted the defendant's petition for reconsideration to correct a transcription error, amending the findings to reflect an injury to the applicant's left "little" toe instead of the left "middle" toe. The applicant's petition for reconsideration was denied, as the Board found no evidence to support claims of injury to his hand, hip, or a deformed left little toe, and the medical examiner did examine the relevant body part. The decision affirmed the findings of no permanent disability or need for further treatment for the left little toe.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings of FactInmate LaborerPanel Qualified Medical ExaminerTranscription ErrorLeft Little ToePermanent Partial DisabilityFurther Medical TreatmentDepartment of Corrections and Rehabilitation
References
0
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