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

Case No. ADJ9387309
Regular
Oct 20, 2020

ENEDINA GONZALEZ vs. VEOLIA TRANSPORTATION, INC., OLD REPUBLIC INSURANCE, SEDGWICK CLAIMS MANAGEMENT SERVICES

The Workers' Compensation Appeals Board granted reconsideration of a prior decision that denied the applicant's claim for bilateral knee injury. The Board found that the medical evidence regarding the applicant's knee injury was not substantial and required further development. Specifically, the Board deferred the issue of injury AOE/COE to the bilateral knees and returned the matter to the WCJ for further proceedings. This action allows for the re-evaluation of the knee injury claim, considering potential contributions from post-injury weight gain.

Workers Compensation Appeals BoardVeolia TransportationAgreed Medical ExaminerQualified Medical ExaminerPetition for ReconsiderationFindings Award and OrderArising Out of and Occurring in the Course of EmploymentBilateral KneesCumulative InjurySpecific Injury
References
1
Case No. MISSING
Regular Panel Decision
Jun 02, 2008

Claim of Laezzo v. New York State Thruway Authority

The claimant suffered a work-related slip and fall in 2002, leading to injuries including his head, neck, back, and knees. His morbid obesity contributed to his back and knee issues, prompting him to seek authorization for gastric bypass surgery. The Workers’ Compensation Law Judge approved the surgery, a decision affirmed by the Workers’ Compensation Board, which found the surgery causally related to the compensable injuries. The employer and its carrier appealed, challenging the causal link. The court affirmed the Board's decision, noting substantial evidence that the claimant's weight gain was a result of the sedentary lifestyle imposed by his injuries, and that the surgery would aid in his recovery.

Workers' CompensationConsequential InjuryGastric Bypass SurgeryMorbid ObesityMedical Treatment AuthorizationCausationKnee InjuryBack InjurySedentary LifestyleBoard Decision Appeal
References
2
Case No. MISSING
Regular Panel Decision

Hansen v. Post

The petitioner, a child protective worker, sought custody of Christopher Post, whose parents, Rose and William Post, had a documented history of child abuse and neglect, leading to the removal of seven other children from their care. Christopher had also been involved in two prior neglect proceedings. The parents exhibited severe deficiencies in parenting skills, an inability to address Christopher's emotional disturbances, and a history of rejecting assistance. After voluntarily placing Christopher with the petitioner, who became his psychological parent, they abruptly cut off contact. The Family Court found extraordinary circumstances, justified judicial intervention, and granted custody to the petitioner, a decision which the appellate court subsequently affirmed.

Custody DisputeParental UnfitnessChild NeglectExtraordinary CircumstancesFamily Court Act Article 6Child Protective ServicesAppealParental RightsPsychological ParentEmotional Disturbance
References
5
Case No. MISSING
Regular Panel Decision

Russell v. Gaines

Justice Wesley dissents from the majority's decision, arguing that Workers' Compensation Law § 29 (6) should bar the plaintiff's Labor Law § 240 (1) claim. The dissent contends that defendant Gaines, as an executive employee of Gaines Electrical and owner of the property where the injury occurred, was acting within the scope of his employment and was a coemployee of the plaintiff. Citing precedent like Heritage v Van Patten, the dissent emphasizes that Gaines had indistinguishable duties for safety precautions, and the plaintiff received workers' compensation benefits. Therefore, the dissent concludes that coemployee immunity should apply, prohibiting the majority's outcome.

Workers' Compensation LawLabor LawCoemployee ImmunityScope of EmploymentSummary JudgmentPremises LiabilityCorporate EmployerExecutive EmployeeDissenting OpinionNew York Law
References
4
Case No. ADJ2270634 (VNO 0521616)
Regular
Aug 03, 2018

SHEVON THOMAS vs. POMONA VALLEY HOSPITAL MEDICAL CENTER, Administered by ADMINSURE, INC., SUBSEQUENT INJURIES BENEFITS TRUST FUND

This case concerns an applicant seeking benefits from the Subsequent Injuries Benefits Trust Fund (SIBTF) following a 2005 industrial injury that resulted in a 69% permanent disability and a substantial settlement. The applicant's claim for SIBTF benefits was denied because she failed to establish a prior "labor disabling" permanent disability that existed before the 2005 injury. The Appeals Board upheld the denial, finding that the applicant's evidence of prior symptoms, including a doctor's speculative impairment ratings, lacked substantial medical evidence and did not meet the strict requirements for establishing a pre-existing, labor-disabling condition. The Board emphasized that post-injury medical opinions, especially those based on hypotheticals and inadequate history, cannot retroactively establish a prior disability for SIBTF eligibility.

Subsequent Injuries Benefits Trust FundSIBTFlabor disablingpermanent partial disabilityLabor Code section 4751SB 899apportionmentpreexisting disabilityAMA Guides impairment ratingsretrospective prophylactic work restrictions
References
8
Case No. ADJ12261614
Regular
Dec 11, 2020

Melanie Gaines vs. Beardsley School District

This case concerns Melanie Gaines' workers' compensation claim against Beardsley School District for a right foot injury sustained in April 2018. The Appeals Board granted reconsideration, affirming the finding of injury AOE/COE but deferring the determination of temporary disability from August 5, 2019, onward. The Board found that the claimant's testimony and the QME's report constituted substantial evidence for the injury, and the claim was not barred by the statute of limitations due to the employer not proving prejudice from the delayed notice. The case is returned to the WCJ for further proceedings to develop the record on temporary disability and attorney fees.

Workers' Compensation Appeals BoardAdjudication NumberFindings of FactOrderPetition for ReconsiderationDecision After ReconsiderationInjury AOE/COERight Foot InjuryTemporary Total DisabilityStatute of Limitations
References
9
Case No. MISSING
Regular Panel Decision

Vullo v. Sheets (In Re Sheets)

The debtors, James and Irene Sheets, filed a Chapter 7 bankruptcy petition and exempted their two pre-petition personal injury actions under New York State law. After the lawsuits settled post-petition, the trustee initiated an adversary proceeding to claim the proceeds as property of the bankruptcy estate. The court determined that because the personal injury actions were validly exempted from the estate at the commencement of the case, their proceeds did not subsequently become estate property. Citing legal precedent, the decision emphasized that exempted property and its resulting proceeds revert to the debtors' control, not the trustee's. Consequently, the trustee's application for a turnover order seeking these personal injury recoveries was denied.

Bankruptcy LawChapter 7 BankruptcyProperty ExemptionsPersonal Injury ProceedsBankruptcy EstateAdversary ProceedingTurnover OrderNew York Exemption LawDebtor RightsPost-Petition Settlements
References
5
Case No. MISSING
Regular Panel Decision
Jan 31, 2006

Magadan v. Interlake Packaging Corp.

The plaintiff, a factory worker, sustained personal injuries while operating an S3A 7/8” Book Stitcher, leading to a lawsuit against the manufacturer (Interlake Packaging Corporation), its successor (Samuel Strapping Services), and the seller (Suburban Graphic Supply Corp.). The injury occurred when her finger was caught by the machine's needle due to an improperly adjusted finger guard. Initially, the Supreme Court granted summary judgment to the defendants, finding no design defect. However, the appellate court partially reversed this decision, concluding that triable issues of fact existed regarding the defendants' failure to provide adequate warnings about operating the machine without proper finger guard adjustment. Furthermore, the court found triable issues concerning the defendants' post-sale duty to warn about safety modifications.

Personal InjuryProducts LiabilityNegligenceDesign DefectFailure to WarnSummary JudgmentAppealFactory Worker InjuryMachine SafetyPost-Sale Duty to Warn
References
9
Case No. MISSING
Regular Panel Decision

Zapico v. Bucyrus-Erie Co.

This case addresses post-trial motions concerning the liability of Atlantic Container Lines (ACL), a stevedore, to Bucyrus-Erie Co., a truck-crane manufacturer and third-party plaintiff. The central issue is whether ACL enjoys immunity from contribution or indemnity claims under 33 U.S.C. § 905, following a jury finding that both Bucyrus-Erie's negligent manufacturing and ACL's incompetent employee (Antonio Fuet) equally contributed to the injury of Adolfo Millan and death of Joseph Zapico, ACL's employees. ACL argued it was immune as a compensation-paying stevedore and lacked an indemnity agreement. The court found that Bucyrus-Erie's claim was not 'on account of' the employee injury, but rather for partial indemnification based on ACL's implied warranty of workmanlike performance or a quasi-contractual theory. The court concluded that extending third-party benefits or apportioning damages based on fault would not violate statutory immunity and would be equitable, especially given manufacturers' lack of control over stevedoring functions and increasing strict liability. Therefore, ACL's motion for judgment in its favor was denied, Bucyrus-Erie Co.'s motion to amend its pleadings was granted, and Celia Zapico's motion to strike the jury's finding of contributory negligence was denied.

Stevedore LiabilityMaritime IndemnityLongshoremen's ActThird-Party ClaimsProduct Manufacturer NegligenceEmployee IncompetenceContribution LawWarranty of Workmanlike PerformanceFederal Civil ProcedurePost-Trial Litigation
References
14
Case No. ADJ8312614, ADJ9055869
Regular
Sep 02, 2017

IMELDA TAPIA DE RODRIGUEZ vs. BIRRIERIA JALISCO, FARMERS INSURANCE, CYPRESS INSURANCE COMPANY

This case consolidates two workers' compensation claims filed by applicant Imelda Tapia De Rodriguez against Birrieria Jalisco. In one claim (ADJ9055869), the WCJ found a specific injury occurred but was barred by the post-termination defense; the Appeals Board affirmed this finding. In the other claim (ADJ8312614), the WCJ found no injury arose out of employment, which the Appeals Board also affirmed, relying on medical evidence and applicant's failure to properly cite record support in her petition. Applicant appealed, arguing the post-termination defense was inapplicable due to employer notice issues and that her credibility was wrongly assessed without proper interpreter use. A dissenting opinion argues that exceptions to the post-termination defense, specifically notice to the employer prior to termination and the date of injury occurring after termination, should have been applied, warranting reversal and further proceedings.

Workers' Compensation Appeals BoardReconsiderationJoint Findings and OrdersPost-Termination DefenseLabor Code Section 3600(a)(10)Statute of LimitationsLabor Code Section 3550Notice of RightsQualified Medical EvaluatorSubstantial Evidence
References
10
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