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

Case No. 01-07-00747-CV
Regular Panel Decision
Dec 06, 2007

in Re Michael Medina

Relators, 55 individuals referred to as "the Medina Plaintiffs," filed a petition for writ of mandamus challenging a trial court's order authorizing independent medical examinations (IMEs) to assess their physical and mental injuries. The Medina Plaintiffs are workers who suffered injuries from the British Petroleum Texas City Refinery explosion and subsequently sued their former attorney, Ammons, for legal malpractice, alleging he settled their personal injury suit before their future medical care was resolved and without fully assessing their claims. Ammons sought IMEs for all 55 plaintiffs. The Court of Appeals for the First District of Texas held that the trial court did not abuse its discretion in ordering physical IMEs for all plaintiffs, as their physical condition was in controversy due to the "suit-within-a-suit" nature of the malpractice claim. However, the appellate court found that the trial court abused its discretion by granting a global order for psychological IMEs for all plaintiffs, as the evidence did not show that all plaintiffs asserted mental injury beyond the normal distress accompanying physical injury, nor had they designated psychological experts. The Court conditionally granted the petition for writ of mandamus regarding the psychological IMEs, requiring the trial judge to rescind that portion of the order.

MandamusIndependent Medical ExaminationLegal MalpracticePersonal InjuryPsychological InjuryPhysical InjuryAbuse of DiscretionTexas LawCivil ProcedureGood Cause
References
7
Case No. MISSING
Regular Panel Decision

Clear Water Psychological Services PC v. American Transit Insurance Co.

Plaintiff Clear Water Psychological Services PC sought no-fault benefits from defendant American Transit Insurance Company. The plaintiff moved for summary judgment, while the defendant cross-moved for a 90-day stay, arguing that the assignor, Oshane Crooks, was acting as an employee at the time of the November 10, 2014 automobile accident, falling under Workers’ Compensation Board jurisdiction. A key issue was the admissibility of an uncertified police accident report (MV-104AN) which suggested the assignor was driving a taxi. The court ruled the uncertified report inadmissible under CPLR 4518 (c) for authentication reasons, despite the officer's personal observations. However, acknowledging the unresolved factual question of the assignor’s employment status and the Workers’ Compensation Board's primary jurisdiction, the court granted the defendant’s motion, staying the action for 90 days for a Workers’ Compensation Law applicability determination.

No-fault benefitsSummary judgmentStay of actionWorkers' CompensationPolice accident reportAdmissibility of evidenceCPLR 4518Vehicle and Traffic LawPrimary jurisdictionEmployment status
References
12
Case No. MISSING
Regular Panel Decision
Mar 15, 2012

RCN Telecom Services of New York, LP v. Frankel

This case involves petitioners challenging a ruling that their backup power equipment is assessable as real property and contesting tax assessments on that equipment. The petitioners argued that the equipment should not be considered real property under Real Property Tax Law § 102 (12) (f) because it falls under an exception for movable machinery or equipment. They also contended that the equipment should be exempt as telecommunications equipment and that assessments were void due to lack of timely notice. The court modified the lower court's decision, declaring that the backup power equipment is assessable as real property and that the assessments are not nullities for lack of notice.

real propertytax assessmentbackup power equipmentpower generating apparatusmovable machinerytelecommunications equipmentRPTLstatutory interpretationsummary judgmentNew York
References
1
Case No. 2015-455 K C
Regular Panel Decision
Dec 19, 2017

Metro Psychological Servs., P.C. v. Travelers Prop. & Cas. Ins. Co.

This case involves Metro Psychological Services, P.C., as an assignee, seeking first-party no-fault benefits from Travelers Property & Casualty Insurance Company. The defendant moved for summary judgment, arguing the assignor's injuries occurred during employment, which would make workers' compensation benefits applicable. The Civil Court denied the defendant's motion and granted the plaintiff's cross-motion for summary judgment. The Appellate Term reversed this order, concluding there was an unresolved issue as to whether the plaintiff's assignor was acting in the course of employment at the time of the accident. Consequently, the matter was remitted to the Civil Court to be held in abeyance, pending a determination by the Workers' Compensation Board regarding the parties' rights under the Workers' Compensation Law, underscoring the Board's primary jurisdiction in such matters.

No-Fault BenefitsWorkers' Compensation LawPrimary JurisdictionAbeyanceSummary JudgmentAppellate ReviewInsurance DisputeMedical ProviderAssigneeCourse of Employment
References
9
Case No. MISSING
Regular Panel Decision

Held v. New York State Workers' Compensation Board

Petitioners, consisting of group self-insured trusts (GSITs), initiated a proceeding to challenge assessments levied by the New York State Workers’ Compensation Board under Workers’ Compensation Law § 50 (5) (former [f]). They argued that the statute was inapplicable to GSITs and that the Board failed to meet statutory prerequisites for the assessments. The Supreme Court annulled the assessments on the grounds that the Board failed to satisfy prerequisites, although it deemed the statute applicable to GSITs. Petitioners appealed the Supreme Court’s finding that the statute was applicable. The appellate court dismissed the appeals, determining that petitioners were not aggrieved by the judgment as they had received the relief sought—the annulment of the assessments. The court also clarified that collateral estoppel would not apply to the interpretation of the statute, which is a pure question of law, and that the discovery issue was academic.

Group Self-Insured TrustsWorkers' Compensation LawStatutory InterpretationAssessmentsAnnulmentAppeal DismissalAggrieved PartyCollateral EstoppelCPLR Article 78Declaratory Judgment
References
12
Case No. 2021 NY Slip Op 04626 [197 AD3d 518]
Regular Panel Decision
Aug 04, 2021

D. S. v. Positive Behavior Support Consulting & Psychological Resources, P.C.

This case involves an appeal by the Port Jefferson School District from an order denying its motion to dismiss a personal injury complaint. The infant plaintiff, a special education student, was allegedly injured by a therapist, Vito Silecchia, during a behavioral therapy session. The plaintiffs sued the School District, among others, alleging Silecchia was an employee or agent. The District contended Silecchia was an independent contractor retained through Positive Behavior Support Consulting and Psychological Resources, P.C. The Appellate Division affirmed the Supreme Court's denial of the dismissal motion, stating that the complaint adequately stated a cause of action and that documentary evidence did not conclusively establish an independent contractor relationship, given provisions in the agreement suggesting the District maintained some control over the services.

Personal InjuryRespondeat SuperiorIndependent ContractorMotion to DismissAppellate ReviewVicarious LiabilitySchool District LiabilitySpecial EducationTherapist NegligenceCPLR 3211 (a) (1)
References
25
Case No. MISSING
Regular Panel Decision
Jun 14, 2005

Claim of Horton v. Salt

Claimant appealed a Workers' Compensation Board decision that reduced penalties against the employer and its carrier for late benefit payments. The Workers' Compensation Law Judge initially assessed a penalty of 20% of the late payments plus six $300 assessments. The Board agreed on late payments but reduced the penalty to only one $300 assessment, interpreting Workers’ Compensation Law § 25 (1) (e) as allowing a single $300 assessment per "instance" of application. The Court found the Board's interpretation not irrational but noted its inconsistency with prior Board decisions on similar facts without providing an explanation. Consequently, the Court reversed the Board's decision and remitted the matter for further proceedings.

Workers' CompensationLate Payment PenaltiesStatutory InterpretationAdministrative LawAgency PrecedentArbitrary and CapriciousJudicial ReviewRemandWorkers' Compensation BoardEmployer Obligations
References
6
Case No. 2024 NY Slip Op 01755
Regular Panel Decision
Mar 28, 2024

Matter of Anderson v. City of Yonkers

Melissa Anderson, a second-grade teacher, filed a workers' compensation claim alleging psychological injuries due to COVID-19 exposure and anxiety about returning to in-person teaching. The Workers' Compensation Board had previously disallowed the claim, finding the stress was not greater than that experienced by similarly situated teachers. The Appellate Division, Third Department, reversed this decision, highlighting an inconsistency in how the Board assesses psychological versus physical injury claims related to COVID-19, stating that both should be compensable to the same extent if caused by a workplace accident. The court clarified that a claimant could establish a workplace accident for COVID-19-related injuries by demonstrating specific exposure or an elevated risk in the work environment. The case was remitted to the Workers' Compensation Board for reconsideration in line with the court's guidance, requiring an assessment of a workplace accident and causal connection while considering the claimant's unique vulnerabilities.

COVID-19Psychological InjuryWorkers' CompensationWorkplace StressCausationAppellate DivisionRemandDisparate TreatmentTeacherEmployment Law
References
56
Case No. MISSING
Regular Panel Decision

Claim of Cedeno v. Pacoa

The Workers' Compensation Board assessed a $500 monetary penalty against claimant's counsel for an unsubstantiated request to change the hearing venue from Queens/Nassau to White Plains, Westchester County. The Workers’ Compensation Law Judge initially assessed $250. The appellate court affirmed the Board's decision, finding ample support for the assessment under Workers’ Compensation Law § 114-a (3) (ii). The court ruled that the Board had authority to increase the penalty and overlooked a procedural defect regarding who filed the appeal, treating it as filed by counsel.

Workers' CompensationVenue ChangeCounsel FeesMonetary PenaltyAppellate ReviewBoard DecisionProcedural MotionUnpreserved ArgumentSubstantial EvidenceJudicial Authority
References
5
Case No. ADJ1824746 (AHM 0146484) ADJ3300397 (AHM 0146486)
Regular
May 06, 2013

DIONISIO VASQUEZ vs. V CLAD LAMINATES, INC., PENNSYLVANIA MANUFACTURES ASSOC. INSURANCE CO., VIRGINIA SURETY

The Workers' Compensation Appeals Board affirmed the prior award for applicant Dionisio Vasquez's psychological injury, upholding the lien of Psychological Assessment Services for $22,772.71 plus penalties and interest. The Board also affirmed the lien of Royal Medical Group for treatment and reports dated December 8, 2007, and January 5, 2008, but excluded payment for a September 27, 2008 report. While the majority found substantial evidence supported the psychological treatment, a dissenting opinion argued that the number and intensity of therapy sessions, and the delay in treatment, lacked sufficient evidentiary support.

Workers Compensation Appeals BoardReconsiderationIndustrial InjuryPsycheHandsV Clad LaminatesPennsylvania ManufacturersVirginia SuretyPsychological Assessment ServicesRoyal Medical Group
References
0
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