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

Case No. 2018 NY Slip Op 07391
Regular Panel Decision
Nov 01, 2018

Matter of Community Hous. Improvement Program v. Commissioner of Labor

The Appellate Division, Third Department, dismissed an appeal filed by the Community Housing Improvement Program against the Commissioner of Labor. The appeal sought to challenge a decision by the Industrial Board of Appeals regarding a minimum wage order for the building service industry. The court determined it lacked subject matter jurisdiction because the petitioner failed to properly file a notice of appeal with the court of original instance, which was the Industrial Board of Appeals, not the Appellate Division. Additionally, the petitioner failed to timely and correctly serve the notice of appeal on the respondent's counsel at the designated address. Consequently, due to the complete failure to comply with CPLR 5515, the appeal was dismissed.

JurisdictionAppeal ProcedureService of ProcessAppellate DivisionIndustrial Board of AppealsMinimum WageLabor LawCPLRNew York CourtsStatutory Interpretation
References
12
Case No. 142 SSM 33
Regular Panel Decision
Nov 16, 2017

The Matter of the Claim of Lidia Burgos v. Citywide Central Insurance Program

The New York Court of Appeals affirmed the order of the Appellate Division. The decision concerned the claim of Lidia Burgos against Citywide Central Insurance Program and the Workers' Compensation Board. The Appellate Division had concluded that substantial evidence supported the Workers' Compensation Board's determinations regarding the claimant's degree of impairment and loss of wage-earning capacity. The Court of Appeals found no reason to overturn this conclusion.

Workers' CompensationImpairmentWage-earning CapacitySubstantial EvidenceAppellate DivisionClaimantInsurance ProgramBoard DeterminationJudicial ReviewAffirmed Order
References
1
Case No. MISSING
Regular Panel Decision

Vallecillo v. New York City Department of Corrections

Claimant's counsel, Gerarda M. Rella, appealed a Workers' Compensation Board decision that imposed two $500 penalties. The initial penalty stemmed from a venue request filed without reasonable grounds, seeking a hearing in White Plains despite the claimant residing in Brooklyn and working in Queens, for attorney convenience. The Board affirmed the Workers' Compensation Law Judge's denial of the venue change and the initial penalty. An additional $500 penalty was assessed for a frivolous appeal to the Board. The Appellate Division affirmed the Board's decision, concluding that Rella's venue request lacked justification and that the Board appropriately exercised its discretion in imposing both penalties, especially given Rella's prior awareness of venue rules in similar matters.

Workers' Compensation LawAttorney MisconductFrivolous AppealVenue RequestMonetary PenaltyAppellate ReviewJudicial DiscretionProcedural MotionNew York LawAdministrative Law
References
8
Case No. 2019-01-0122
Regular Panel Decision
Jun 27, 2019

Lowder, William v. XPO Logistics Freight, Inc.

William Lowder, a driver for XPO Logistics, developed hernias on January 2, 2019, after delivering solar panels. XPO Logistics initially denied the claim but later accepted it as part of an ongoing mediation process. Mr. Lowder then requested a 25% penalty for the late payment of temporary disability benefits, specifically temporary partial disability benefits. The Court assessed a $1,098.71 penalty against XPO Logistics under Tennessee Code Annotated section 50-6-205(b)(3)(A) for failing to pay temporary disability benefits within twenty days of having knowledge of Mr. Lowder's disability, rejecting XPO's arguments that the penalty only applied to temporary total disability benefits or required a finding of 'bad faith'.

Workers' CompensationPenalty AssessmentTemporary Disability BenefitsLate PaymentHernia ClaimStatutory InterpretationBad FaithTennessee LawEmployer LiabilityDisability Benefits
References
5
Case No. 2017 NY Slip Op 04184 [150 AD3d 1589]
Regular Panel Decision
May 25, 2017

New York State Workers' Compensation Board v. Program Risk Management, Inc.

The New York State Workers' Compensation Board, acting as administrator and successor to the Community Residence Insurance Savings Plan, initiated legal action against various entities and individuals after the trust became severely underfunded. Defendants include Program Risk Management, Inc. (administrator), PRM Claims Services, Inc. (claims administrator), individual officers of PRM, the Board of Trustees, and Thomas Gosdeck (trust counsel). The plaintiff sought damages for claims such as breach of contract, breach of fiduciary duty, and legal malpractice. The Supreme Court's order partially dismissed some claims and denied others. On cross-appeal, the Appellate Division, Third Department, modified the Supreme Court's order, notably reversing the dismissal of several breach of fiduciary duty claims and common-law indemnification against PRMCS, while affirming denials of motions to dismiss breach of contract, legal malpractice, and unjust enrichment claims. The court's decision was influenced by recent rulings in State of N.Y. Workers' Compensation Bd. v Wang.

Workers' Compensation LawGroup Self-Insured TrustBreach of ContractBreach of Fiduciary DutyLegal MalpracticeUnjust EnrichmentStatute of LimitationsEquitable EstoppelAlter Ego LiabilityCommon-Law Indemnification
References
20
Case No. 2022-08-0195
Regular Panel Decision
Sep 02, 2022

Evans, Antron v. Family Dollar Stores, Inc.

Mr. Antron Evans requested a panel of psychiatrists, attorney's fees, and payment of a medical bill following a store robbery where he sustained a head injury. Family Dollar, the employer, contended he was not entitled to a psychiatric panel without a referral from an authorized physician, disputed the medical bill, and denied wrongfully denying the claim for attorney's fees. The Court denied Mr. Evans's requests for a psychiatric panel and payment of the emergency room bill, citing the statutory requirement of a panel physician's referral for psychiatric services and lack of proof for the medical bill. However, the Court granted his request for attorney's fees due to Family Dollar's five-month delay in timely initiating medical benefits. Additionally, Family Dollar was referred to the Compliance Program for potential penalties concerning the late filing of the First Report of Injury and the untimely provision of a panel of physicians.

Workers' CompensationMedical Benefits DenialAttorney's Fees GrantEmployer PenaltiesExpedited HearingPsychiatric ReferralStatutory InterpretationLate Claim ProcessingFirst Report of Injury DelayPost-Traumatic Stress
References
6
Case No. 2021-02-0655
Regular Panel Decision
May 05, 2022

Oteey, Eddie v. Asplundh Tree Expert Company

Eddie Otey, an employee, filed for an expedited hearing seeking payment for authorized medical bills and penalties for late payments from his employer, Asplundh Tree Expert Company. The Court found that Asplundh did not dispute the medical bills from Drs. Snelson, Jett, and Austin, and ordered the employer to pay them. However, Mr. Otey's request for payment of prescription medications was denied due to insufficient documentation. The case was referred to the Compliance Program to consider an administrative penalty against Asplundh for late payment of authorized medical treatment. Additionally, Dr. Snelson was referred to the Compliance Program for contacting and demanding payment directly from Mr. Otey for his work-related injury.

expedited hearingmedical expenseslate payment penaltyworkers' compensation claimsdental injuryauthorization of treatmentbilling disputescompliance referralemployee protectionsemployer responsibilities
References
1
Case No. MISSING
Regular Panel Decision

Lugo v. Gaines

This dissenting opinion concerns a petitioner's request for review of a determination terminating his participation in a temporary release program and for monetary damages. The petitioner, an inmate, was removed from the program after a urine sample tested positive for cocaine. The dissent argues that the procedures followed, despite a lack of formal chain of custody documentation, did not violate the petitioner's due process rights, as strict rules of evidence are not required in such disciplinary proceedings. Citing judicial precedent, the dissenting judges emphasize that an inmate's constitutional protections are diminished by institutional needs. Therefore, they would affirm the termination of the petitioner's work release program.

temporary release programdrug testingdue processinmate rightscorrectional facilitiesadministrative hearingchain of custodyurine analysisArticle 78State liability
References
8
Case No. MISSING
Regular Panel Decision
Mar 21, 1980

Claim of White v. New York City Housing Authority

This case concerns an appeal by the employer, New York City Housing Authority, and its carrier, the State Insurance Fund, from a Workers' Compensation Board decision filed March 21, 1980. The Board affirmed a penalty imposed on the carrier for failing to timely reimburse the employer for wages paid to a claimant. An earlier award, affirmed by the board on April 25, 1979, directed reimbursement to the Authority. The carrier's failure to pay within 10 days of the April 1979 decision, specifically by May 25, 1979, resulted in a 20% penalty under Workers' Compensation Law § 25 (subd 3, par [c]). The court affirmed the penalty, ruling that the statute is self-executing and applies even when the payment is to an employer for wages advanced, emphasizing the legislative intent to ensure prompt compensation.

Workers' Compensation LawPenalty AssessmentLate PaymentEmployer ReimbursementInsurance Carrier LiabilityStatutory InterpretationAppellate ReviewNew YorkWage CreditDisability Benefits
References
3
Case No. MISSING
Regular Panel Decision

De Mayo v. Rensselaer Polytech Institute

The Workers' Compensation Board directed the Special Fund for Reopened Cases to pay a penalty to a claimant under Workers’ Compensation Law § 25 for failing to timely pay an award. The Special Fund appealed this decision, contending that the penalty provision applied only to employers or insurance carriers, not to them. The court, however, disagreed with the Special Fund's interpretation. Citing prior case law, the court held that the Special Fund, once liable for compensation benefits due to the passage of time, stands in the shoes of the carrier regarding the obligation to make timely payments. Therefore, the court affirmed the Board's decision to impose the penalty, emphasizing the legislative policy for prompt compensation payments to injured workers.

Workers' CompensationPenaltyTimely PaymentStatutory InterpretationSpecial FundReopened CasesInsurance CarrierAppellate ReviewStatutory ConstructionLegislative Intent
References
5
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