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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

Cicatello v. Brewery Workers Pension Fund

This case addresses an action brought by employees and retired employees of the New York State Teamsters Conference Pension and Retirement Fund (Teamsters Fund) seeking to enjoin the merger of the Teamsters Fund with the Brewery Workers Pension Fund. Plaintiffs alleged multiple violations of the Employee Retirement Income Security Act of 1974 (ERISA), including insufficient employee notification of the proposed merger, potential reduction in benefits, and failure to meet minimum funding standards. Chief Judge Curtin of the federal court determined that ERISA provisions cited by plaintiffs were either inapplicable to multiemployer plans at the time or had established mechanisms to address the concerns. The court also found the claim regarding the merger not being in the best interests of Teamsters Fund participants to be barred by res judicata due to prior state court decisions. Consequently, the court denied the request for preliminary injunctive relief and dismissed the complaint for failure to state a claim.

Employee Retirement Income Security Act (ERISA)Pension FundsFund MergerPreliminary InjunctionDeclaratory JudgmentRes JudicataMulti-employer PlansFiduciary DutyMinimum Funding StandardsTax Qualification
References
12
Case No. MISSING
Regular Panel Decision

Textile Workers Pension Fund v. Standard Dye & Finishing Co.

Plaintiff Textile Workers Pension Fund sued Defendant Standard Dye & Finishing Co., Inc. to collect withdrawal assessments under the Multiemployer Pension Plan Amendments Act of 1980 (MPPAA). Standard Dye ceased its primary business operations in June 1980, prior to the MPPAA's effective date of September 26, 1980, but retained a few employees for clean-up and dismantling work through October 1980, for whom pension contributions were made. The core legal issue is whether Standard Dye "completely withdrew" from the pension plan before September 26, 1980, which would eliminate liability due to the Tax Reform Act of 1984. The Court analyzed the meaning of "permanently ceases all covered operations" under 29 U.S.C. § 1383(a), considering similar precedents. The Court found that the retention of a skeleton crew for liquidation activities did not prevent a complete cessation of covered operations. Therefore, Standard Dye effected a complete withdrawal prior to the MPPAA's effective date.

Multiemployer Pension Plan Amendments ActWithdrawal LiabilityPension PlanComplete WithdrawalCovered OperationsTax Reform Act of 1984Retroactive ApplicationSummary JudgmentStatutory InterpretationCollective Bargaining Agreement
References
11
Case No. 03-01-00631-CV
Regular Panel Decision
Jun 21, 2002

Everest National Insurance Company v. Texas Workers' Compensation Commission Subsequent Injury Fund Leonard W. Riley, Jr., in His Official Capacity as Director of Texas Workers' Compensation Commission And John Casseb, in His Official Capacity as Administrator of Subsequent Injury Fund

Everest National Insurance Company (Everest) sought reimbursement from the Subsequent Injury Fund for overpaid workers' compensation benefits after district court judgments reversed prior agency decisions. The Fund denied a portion of the requested amount, leading Everest to file a declaratory judgment suit in district court. The district court dismissed the suit, citing lack of subject-matter jurisdiction due to Everest's alleged failure to exhaust administrative remedies. The Texas Court of Appeals reversed this decision, holding that Everest was not required to exhaust administrative remedies because the Fund had previously stated no such remedies existed. The appellate court found Everest was authorized to bring a direct suit for declaratory relief under the Uniform Declaratory Judgments Act to enforce the Fund's statutory obligation, remanding the case for a decision on the merits.

Workers' CompensationInsurance ReimbursementSubsequent Injury FundAdministrative Procedure ActDeclaratory JudgmentExhaustion of Administrative RemediesSubject-Matter JurisdictionStatutory InterpretationTexas Court of AppealsJudicial Review
References
8
Case No. 100559/2014
Regular Panel Decision
Mar 27, 2020

State of N.Y. ex rel. Edelweiss Fund, LLC v. Jpmorgan Chase & Co.

This is a qui tam action brought by Edelweiss Fund, LLC on behalf of the State of New York against numerous financial institutions and their subsidiaries. The Relator alleges a fraudulent scheme involving the "robo-resetting" of interest rates for municipal Variable Rate Demand Obligations (VRDOs) and a conspiracy, in violation of the New York False Claims Act. Defendants, acting as remarketing agents, allegedly failed to set the lowest possible interest rates for VRDOs by using an algorithm and grouping unrelated bonds, thereby extracting excessive fees and benefiting their own money market funds. The court denied the defendants' joint motion to dismiss, finding the complaint sufficiently pleaded fraud and conspiracy under the NYFCA's heightened pleading standards. Additionally, M & T Bank Corporation's separate motion to dismiss was denied, as the court ruled that the NYFCA applies even to conduit bonds where government funds are involved, upholding a broad interpretation of the Act.

Qui Tam ActionFalse Claims ActNew York State Finance LawMunicipal BondsVariable Rate Demand Obligations (VRDOs)Interest Rate ManipulationRobo-Resetting SchemeFinancial InstitutionsRemarketing AgentsConspiracy
References
17
Case No. 13-21-00361-CV
Regular Panel Decision
Oct 12, 2023

Accident Fund General Insurance Company v. Rodrigo Mendiola

Rodrigo Mendiola, a truck driver, suffered severe burns in an accident, leading to an above-the-knee amputation and significant injury to his left hand. His employer's workers' compensation insurer, Accident Fund General Insurance Company, disputed his claim for lifetime income benefits based on the total loss of use of his left hand. The trial court, applying the Travelers Insurance Co. v. Seabolt standard, found sufficient evidence that Mendiola's hand lacked substantial utility, entitling him to benefits. The Court of Appeals affirmed the trial court's judgment, upholding the application of the Seabolt standard and concluding the evidence factually supported the finding of total loss of use.

Workers' CompensationLifetime Income BenefitsTotal Loss of UseBurn InjuriesHand InjuryAmputationMedical EvidenceFactual SufficiencyAppellate ReviewStare Decisis
References
29
Case No. 10-93-224-CV
Regular Panel Decision
May 18, 1994

Subsequent Injury Fund of the State of Texas (Formerly the Second Injury Fund) v. Larry Milligan

The Subsequent Injury Fund appeals a judgment awarding Larry Milligan lifetime benefits for injuries sustained at work. Milligan suffered two ankle injuries in 1987 and a third in 1989, leading to the total loss of use of both feet. He sued the Fund for lifetime benefits after settling with the workers' compensation carrier. The jury found permanent, total loss of use of both feet. The Fund challenged its statutory liability for lifetime benefits and the court's refusal to submit a jury question on total and permanent incapacity. The appellate court affirmed, finding the first issue unpreserved and the second resolved by a statutory conclusive presumption of total and permanent incapacity for the loss of both feet.

Workers' Compensation LawSubsequent Injury FundLifetime BenefitsTotal Permanent IncapacityAnkle InjuriesStatutory InterpretationAppellate ReviewJury InstructionsConclusive PresumptionOccupational Injuries
References
6
Case No. MISSING
Regular Panel Decision

Martinez v. Second Injury Fund of Texas

Vera N. Martinez, suffering from a pre-existing leg impairment, sustained a work injury to her other leg, leading to a claim for total permanent disability. She filed suit against her insurer, Standard Fire Insurance Company, and the Second Injury Fund (Fund). Standard Fire conceded liability for the work injury. The primary legal dispute concerned whether claims against the Fund were subject to the same strict 20-day filing period as actions challenging Industrial Accident Board decisions. The district court denied the Fund's jurisdictional challenge, but the court of appeals reversed. The Texas Supreme Court ultimately reversed the court of appeals, holding that statutory notice to the Industrial Accident Board for a worker's compensation claim is automatically considered notice and filing of a claim against the Second Injury Fund, thereby affirming the trial court's jurisdiction.

Workers' CompensationSecond Injury FundJurisdictionStatutory InterpretationFiling DeadlinesNotice RequirementTotal Permanent DisabilityPre-existing ConditionIndustrial Accident BoardTexas Law
References
5
Case No. MISSING
Regular Panel Decision

Teamsters, Chauffeurs, Warehousemen & Helpers, Local Union No. 182 v. New York State Teamsters Council Health & Hospital Fund

Plaintiff Teamsters Local Union No. 182 (Local 182) filed an action against the New York State Teamsters Council Health & Hospital Fund and the New York State Teamsters Conference Pension and Retirement Fund (the Funds) under 29 U.S.C. § 185. Local 182 sought a declaration affirming the existence of valid collective bargaining agreements between April 1992 and March 1994, which mandated grievance and arbitration procedures, and an order compelling the Funds to arbitrate layoff-related grievances. The Union contended there was a long-standing oral agreement to adhere to applicable provisions of the National Master Freight Agreement (NMFA). The Funds moved for summary judgment, asserting a lack of subject matter jurisdiction and denying the existence of any agreement with requisite definiteness. The court denied the summary judgment motion, affirming subject matter jurisdiction and finding that Local 182 presented genuine issues of material fact concerning the existence of a collective bargaining agreement.

Collective Bargaining AgreementSummary Judgment MotionLabor DisputeUnion RightsGrievance ProcedureArbitrationSeniority RightsLayoffsNational Master Freight AgreementPension Benefits
References
24
Case No. 15-25-00134-CV
Regular Panel Decision
Jul 30, 2025

Texas Association of School Boards Risk Management Fund // Southwest Texas Junior College v. Southwest Texas Junior College // Cross-Appellee, Texas Association of School Boards Risk Management Fund

This case involves an intergovernmental contract dispute between the Texas Association of School Boards Risk Management Fund (Appellant) and Southwest Texas Junior College (Appellee). The College is seeking replacement cost value benefits under a self-insurance contract for property damage allegedly sustained during an April 2021 hailstorm. The College claims a waiver of the Fund’s governmental immunity under TEX. LOC. GOV’T CODE § 271.152, asserting equitable theories of waiver and unconscionability, and intentional torts of fraud and bad faith to expand coverage beyond the express terms of the agreement. The Fund argued that its governmental immunity had not been waived for these claims and damages, emphasizing that statutory waivers are to be narrowly construed. The trial court partially granted the Fund's jurisdictional plea, dismissing claims for exemplary, consequential, or treble damages, but denied the plea regarding the College's equitable and intentional tort theories, viewing them as defensive in nature. The Fund appeals this partial denial, arguing that the Act's narrow immunity waiver does not extend to these theories which attempt to create coverage where none explicitly exists in the written contract.

Governmental ImmunityContract DisputeSelf-Insurance PoolRisk ManagementEquitable DoctrinesIntentional TortsWaiverUnconscionabilityTexas LawAppellate Review
References
14
Case No. No. 77 Civ. 4712 (MP)
Regular Panel Decision
Mar 27, 1978

National Ben. Fund, Etc. v. Presby. H., Etc.

The National Benefit Fund for Hospital and Health Care Workers and the National Pension Fund for Hospital and Health Care Workers (the Funds) sued Presbyterian Hospital in the City of New York, Inc. (Hospital) to recover allegedly owed contributions based on collective bargaining agreements. The Hospital moved to dismiss, asserting the action was barred by a prior arbitration award between the Union (District 1199, National Union of Hospital and Health Care Employees) and the Hospital, which concerned the same contributions and was dismissed due to the Union's unreasonable delay. The District Court, treating the motion as one for summary judgment, held that the arbitration award had res judicata effect. The court determined that the Funds were either in privity with the Union or acted as third-party beneficiaries subject to the same defenses as the promisee Union. Consequently, the court granted the Hospital's motion to dismiss the complaint.

Arbitration AwardRes Judicata DoctrineEmployee Benefit FundsCollective Bargaining DisputesSummary Judgment MotionHospital Labor RelationsUnion RepresentationERISA ClaimsPreclusionFederal District Court
References
19
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