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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 08227
Regular Panel Decision
Nov 29, 2018

Matter of Kelly v. New York State Workers' Compensation Bd.

In 2006, claimant Grace Kelly established a workers' compensation claim for an occupational disease. The State Insurance Fund (SIF) repeatedly sought to transfer liability to the Special Fund for Reopened Cases, which was denied by Workers' Compensation Law Judges. The Workers' Compensation Board affirmed these denials and assessed $500 penalties against both SIF and its counsel, Walsh and Hacker, for filing an application for review without reasonable grounds. Walsh and Hacker appealed the penalty imposed against them to the Appellate Division, Third Department. The Appellate Division found insufficient evidence to support the Board's finding that Walsh and Hacker's application lacked reasonable grounds, and therefore reversed the penalty against them, modifying and affirming the Board's decision.

PenaltiesAppellate ReviewSpecial Fund for Reopened CasesWorkers' Compensation Law § 25-aWorkers' Compensation Law § 114-aAttorney SanctionsAdministrative LawBoard DecisionJudiciary Law § 431
References
4
Case No. MISSING
Regular Panel Decision

Claim of D'Addio v. Peter Annis, Inc.

A widow filed a claim for workers' compensation death benefits after her husband, who had an established claim for asbestosis, died. A Workers' Compensation Law Judge (WCLJ) found a work-related death and ordered the employer's carrier to deposit funds into the aggregate trust fund (ATF) in July 2010. The carrier did not appeal this initial decision. After a subsequent WCLJ decision in December 2010 reiterated the ATF deposit, the carrier sought review, arguing the deposit was unwarranted. The Workers' Compensation Board denied the carrier's application as untimely. The appellate court affirmed the Board's decision, holding that the 30-day appeal period for the July 2010 decision had expired and the later WCLJ decision did not extend that timeframe. The court found no abuse of discretion by the Board.

Workers' CompensationUntimely ApplicationAggregate Trust FundDeath BenefitsAsbestosisOccupational DiseaseAppellate ReviewBoard DiscretionTimelinessAppeal Denial
References
5
Case No. 532391
Regular Panel Decision
Nov 18, 2021

Matter of Richman v. New York State Workers' Compensation Bd.

Claimant, Rebecca Richman, appealed three decisions from the Workers' Compensation Board regarding her claim for a work-related right shoulder injury. She alleged a fall at work on January 19, 2018, but did not seek medical treatment for 19 months. A Workers' Compensation Law Judge initially established the claim, but the Board reversed, finding that Richman failed to submit sufficient, credible medical evidence to demonstrate a causally-related injury and denied her claim. The Board subsequently denied her application for reconsideration and/or full Board review. The Appellate Division affirmed the Board's decisions, concluding that the Board's finding of no causally-related injury was supported by substantial evidence and that the Board did not abuse its discretion in denying reconsideration.

Workers' Compensation ClaimCausation (Medical)Shoulder InjuryMedical Evidence SufficiencyBoard ReversalAppellate Division ReviewBurden of ProofCredibility of EvidenceOsteoarthritis DiagnosisDelayed Medical Treatment
References
8
Case No. MISSING
Regular Panel Decision

Matter of Saratoga Skydiving Adventures v. Workers' Compensation Board

Saratoga Skydiving Adventures appealed a Workers’ Compensation Board decision upholding a stop-work order. The initial order was issued after an investigation revealed the company lacked workers' compensation coverage, with owner Bob Rawlins asserting his workers were independent contractors. Following a hearing, a Workers’ Compensation Law Judge denied Saratoga Skydiving's application to lift the order. The appellate court affirmed this denial, determining that substantial evidence supported the finding of an employer-employee relationship for pilots and jump instructors, given their integral role in the business and Rawlins' control over their work. Consequently, Saratoga Skydiving was required to maintain workers' compensation coverage for these individuals.

Workers' CompensationStop-Work OrderEmployer-Employee RelationshipIndependent ContractorSkydiving BusinessHazardous EmploymentUninsured Employers’ FundAppellate ReviewSubstantial EvidenceLabor Law
References
7
Case No. MISSING
Regular Panel Decision
Jun 11, 1993

Empire Insurance v. Workers' Compensation Board

Empire Insurance Company denied Hugh Wofsy's no-fault benefits claim, alleging he was a Dial-a-Car, Inc. employee requiring Workers' Compensation. An Administrative Law Judge later found Wofsy an independent contractor, denying him Workers' Compensation. Empire sought to reopen the Workers' Compensation claim to participate, which the Board denied. Empire then initiated a CPLR article 78 proceeding, where the IAS Court allowed the reopening and ordered Empire to pay Wofsy, with potential reimbursement. The Appellate Division subsequently reversed this judgment, dismissing Empire's petition, emphasizing that Workers' Compensation Law § 23 vests exclusive appeal jurisdiction with the Third Department and precludes article 78 proceedings for reviewing Board decisions' substance.

No-fault insuranceIndependent contractor disputeEmployee status determinationCPLR Article 78 proceedingAppellate Division jurisdictionWorkers' Compensation Law § 23Judicial review of administrative decisionsInsurance coverage disputeAdministrative Law Judge rulingReimbursement claim
References
2
Case No. MISSING
Regular Panel Decision

Transcontinental Refrigerated Lines, Inc. v. Workers' Compensation Board

Transcontinental Refrigerated Lines, Inc. (TRL), a Pennsylvania common carrier, appealed decisions by the New York Workers' Compensation Board that denied its applications for redetermination of civil penalties. The penalties were imposed because TRL allegedly failed to secure New York workers' compensation insurance, despite having coverage in Pennsylvania. TRL contended that its interstate operations and Pennsylvania base exempted it from New York's requirements. The Board had relied on an earlier Workers’ Compensation Law Judge decision concerning an employee, Clarence Edick, which characterized TRL as a 'covered employer in NY.' The Appellate Division reversed the Board's decisions, concluding that TRL was entitled to a hearing to litigate the fundamental jurisdictional issue of its obligation under Workers' Compensation Law § 50, as the Edick proceeding did not definitively resolve this broader question.

Civil PenaltiesDue Process RightsJurisdictional DisputesInterstate EmployerInsurance ObligationAdministrative ReviewAppellate ProcedureRemand OrderStatutory ComplianceProcedural Safeguards
References
3
Case No. MISSING
Regular Panel Decision

Silverman v. New York State Workers' Compensation Board

This is a dissenting opinion from Judge Malone Jr. concerning the Workers' Compensation Board's denial of Donna Silverman's license renewal application. The Board denied the renewal based on her alleged lack of knowledge of Workers' Compensation Law, particularly regarding claimant advice on job searches, and an undisclosed partnership with her husband, Irwin Silverman. Judge Malone Jr. argues that the Board's questioning was vague and her responses were adequate, and that the finding of an undisclosed partnership was arbitrary and capricious, lacking a clear definition and sufficient evidence. The dissent would reverse the Supreme Court’s judgment, which upheld the Board’s decision, but the final order states that the judgment is affirmed.

License RenewalWorkers' Compensation RepresentativeProfessional CompetenceUndisclosed PartnershipDissenting OpinionAdministrative LawJudicial ReviewArbitrary and CapriciousRegulatory InterpretationLabor Market Attachment
References
1
Case No. MISSING
Regular Panel Decision

Matter of Alamin v. Down Town Taxi, Inc.

Claimant, a taxi driver, sustained neck and back injuries in a February 2008 work-related motor vehicle accident. His workers' compensation claim was established. A Workers’ Compensation Law Judge initially awarded benefits from February 2008 to October 2009, finding a moderate causally related disability after November 2008. However, the Workers’ Compensation Board later rescinded awards after November 20, 2008, ruling that no further causally related disability existed from that date. Claimant's subsequent request for reconsideration and/or full Board review was denied. The current court dismissed the appeals from the WCLJ's January 2013 decision and the Board's January 2014 decision due to procedural irregularities (direct appeal from WCLJ and untimely filing of notice of appeal). The court affirmed the Board’s March 2014 decision denying reconsideration, concluding that the Board did not abuse its discretion or act arbitrarily, as the claimant failed to present new evidence or demonstrate a material change in condition.

Workers' CompensationAppellate ProcedureDismissal of AppealReconsideration DenialCausally Related DisabilityMotor Vehicle AccidentIndependent Medical ExaminationProcedural BarAbuse of DiscretionTimeliness of Appeal
References
6
Case No. MISSING
Regular Panel Decision

Workers' Compensation Board v. Met-Impro Services, Inc.

This case involves four related actions under Workers' Compensation Law § 26 concerning the enforcement of a Workers' Compensation award. The Supreme Court had erroneously granted defendant Robert San Miguel's motion to vacate judgments against him. San Miguel, identified as the president of the corporate employers, was held personally liable for unpaid benefits under Workers’ Compensation Law § 26-a (1) (a). The court clarified that personal liability for corporate officers does not depend on active management or involvement in the underlying accident. Furthermore, there is no statutory basis to vacate a judgment merely because an officer was not specifically named in the initial administrative determination. Consequently, San Miguel's vague denial of involvement was insufficient, and his motion to vacate the judgments against him was denied.

Workers' CompensationPersonal LiabilityCorporate OfficerJudgment VacationAdministrative LawAppellate ReviewStatutory InterpretationEmployer LiabilityUnpaid BenefitsNew York Law
References
3
Case No. MISSING
Regular Panel Decision

Claim of Seo v. UTOG 2-Way Radio, Inc.

The claimant, a limousine driver for UTOG 2-Way Radio, Inc., was injured in an automobile accident while driving home from work. Initially, a Workers’ Compensation Law Judge (WCLJ) denied benefits, ruling the injuries did not arise from employment. Eagle Insurance Company, the no-fault carrier, appealed to the Workers’ Compensation Board, which initially reversed the WCLJ, deeming the claimant an 'outside worker' eligible for 'portal to portal' coverage. UTOG appealed this reversal, but the full Board rescinded the decision and referred it back. Upon reconsideration, the Board panel determined that Eagle lacked standing as it was not a party in interest under Workers’ Compensation Law § 23 and affirmed the WCLJ's denial of benefits. Eagle then appealed to the Appellate Division, which reversed the Board's decision, citing prior cases, and remitted the matter for further proceedings.

Automobile AccidentLimousine DriverWorkers' Compensation BenefitsStanding to AppealNo-Fault Insurance CarrierOutside WorkerPortal to Portal CoverageAppellate ReviewBoard ReconsiderationRemittal
References
2
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