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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

ICG Link, Inc. v. Philip Steen v. TN Sports, LLC v. ICG Link, Inc.

This case involves a dispute between ICG Link, Inc., a website development company, and Nashville Sports Leagues, LLC, TN Sports, LLC, and Philip Steen, regarding payment for website development services. The trial court found no express contract but imposed a quasi-contract, awarding ICG $27,806.34 and holding Philip Steen personally liable. On appeal, the Court affirmed the trial court's finding of a quasi-contract and Mr. Steen's personal liability. However, the appellate court modified the monetary award, determining ICG was entitled to $13,952.88 after accounting for the value of benefits received and deductions.

Website DevelopmentBreach of ContractUnjust EnrichmentQuasi-ContractQuantum MeruitPersonal LiabilityLLCMutual AssentContract IndefinitenessAppellate Review
References
18
Case No. MISSING
Regular Panel Decision

Fernandez v. North Shore Orthopedic Surgery & Sports Medicine, P.C.

Frank Fernandez, an x-ray technician, sued his former employer, North Shore Orthopedic Surgery & Sports Medicine, P.C., for retaliation under Title VII after filing a national origin discrimination complaint. A jury found in favor of Fernandez, awarding back pay, front pay, and punitive damages. North Shore subsequently moved for judgment as a matter of law, a new trial, and to modify the damage awards. The court denied North Shore's motions for judgment and a new trial, affirmed the jury's back pay award, but vacated and reduced the front pay award from $160,000 to $50,000, and the punitive damages award from $100,000 to $50,000.

RetaliationTitle VIIEmployment DiscriminationBack PayFront PayPunitive DamagesMitigation of DamagesFederal Rules of Civil ProcedureJudicial DiscretionEquitable Relief
References
27
Case No. MISSING
Regular Panel Decision
May 14, 2014

Forest Rehabilitation Medicine PC v. Allstate Insurance

Plaintiff Forest Rehabilitation Medicine PC sued defendant Allstate to recover $3,490 for no-fault medical benefits provided to assignor Tracy Fertitta. The core issue was the medical necessity of "Calmare pain therapy" (scrambler therapy), a novel treatment. The court conducted a bench trial, hearing expert testimony from both sides. Dr. Ayman Hadhoud, for the defense, argued the treatment was not medically necessary, not cost-effective, and essentially a form of physical therapy. Dr. Jack D’Angelo, for the plaintiff, countered that the therapy, though new, had FDA approval, was used by the military, and reduced the assignor's pain levels. Applying the Frye standard, the court found the evidence regarding Calmare scrambler therapy reliable and ruled it was medically necessary for Ms. Fertitta's pain management. Consequently, judgment was awarded to the plaintiff, Forest Rehabilitation Medicine PC, for $3,490 plus attorney's fees and interest.

No-Fault InsuranceMedical NecessityCalmare Pain TherapyScrambler TherapyNovel TreatmentFrye StandardExpert TestimonyPain ManagementFDA ApprovalCervical Radiculopathy
References
14
Case No. MISSING
Regular Panel Decision

Garza v. Doctors on Wilcrest, P.A.

Garza, an x-ray technician and radiation safety officer, was fired by Doctors on Wilerest, P.A., Duncan G. Bowell, M.D., and Alan Reichman, M.D., after reporting uncertified x-ray procedures to the Texas Board of Medical Examiners. A jury initially awarded Garza damages for wrongful termination, but the trial court granted the Doctors' motion for judgment notwithstanding the verdict (JNOV). Garza appealed, arguing the trial court erred in granting JNOV and denying her trial amendment to add a private whistleblower cause of action. The appellate court affirmed the trial court's decision, finding Garza's case did not fit the narrow Sabine Pilot exception for refusing an illegal act, nor did it extend to the Del Mar exception. Furthermore, the court declined to recognize a common law cause of action for private whistleblowers, citing the Texas Supreme Court's precedent in Austin v. Healthtrust, Inc., which defers such matters to legislative action.

Wrongful TerminationWhistleblower ProtectionEmployment-at-will doctrineCommon Law ExceptionSabine Pilot ExceptionLegislative IntentTexas Labor LawJNOVTrial AmendmentMedical Professionals
References
6
Case No. MISSING
Regular Panel Decision

Doctor of Medicine in the House, P.C. v. Allstate Ins.

This case concerns a medical service provider plaintiff seeking $1,876.76 in no-fault claim benefits. The defendant insurance company denied the claim, citing that the fees were excessive under the workers’ compensation fee schedule and that prior reimbursements had exhausted the daily 8-unit limit for physical medicine procedures. The central legal question involved interpreting paragraph 11 of the Official New York Workers’ Compensation Medical Fee Schedule, Physical Medicine (2010), specifically whether the 8-unit limit applied per provider or cumulatively across all claimants. The court ruled in favor of the plaintiff, clarifying that the 8-unit rule is an individual provider fee limitation and not an exhaustion regulation for all claimants, distinguishing it from the $50,000 basic economic loss limit.

No-Fault BenefitsWorkers' Compensation Fee ScheduleMedical Reimbursement8-unit RuleFee Schedule InterpretationInsurance LawPhysical MedicineStatutory InterpretationClaim DenialExcessive Billing
References
9
Case No. 2024 NY Slip Op 00599 [224 AD3d 428]
Regular Panel Decision
Feb 06, 2024

Matter of New Millennium Pain & Spine Medicine, P.C. v. Garrison Prop. & Cas. Ins. Co.

This case involves two appeals by New Millennium Pain & Spine Medicine, P.C. against Garrison Property & Casualty Insurance Company and GEICO Casualty Company. New Millennium sought to vacate master arbitration awards that denied its claims for no-fault benefits for medical services. The Supreme Court denied these applications. The Appellate Division, First Department, affirmed the Supreme Court's decisions, stating that an arbitrator's award will not be set aside unless it is irrational. The court also addressed the argument regarding a 20% wage offset in no-fault benefits, finding it unavailing under Insurance Law § 5102 (b). Ultimately, New Millennium was not entitled to attorneys' fees as it was not the prevailing party.

No-fault benefitsarbitration awardvacaturinsurance lawwage offsetappellate reviewmedical servicesno-fault policy exhaustionattorneys' feesCPLR Article 75
References
8
Case No. 2020 NY Slip Op 04896 [186 AD3d 1770]
Regular Panel Decision
Sep 03, 2020

Matter of Wen Liu v. Division of Gen. Internal Medicine, Mount Sinai Sch. of Medicine

Wen Liu, a data programming analyst, filed for workers' compensation benefits in May 2010, claiming a neck injury from a June 5, 2008 fall at work due to dizziness. The employer failed to timely file a notice of controversy, but a Workers' Compensation Law Judge (WCLJ) disallowed the claim, finding no causal connection between the injuries and employment. The Workers' Compensation Board upheld this decision, which the claimant appealed. The Appellate Division affirmed the Board's decision, emphasizing that the employer's procedural failure did not absolve the claimant of proving a causal relationship. Substantial evidence supported the Board's rejection of the claimant's medical proof, as emergency room records contradicted her later descriptions of the incident and indicated pre-existing conditions.

Workers' CompensationCausationMedical EvidenceTimely NoticeBurden of ProofInjuryFallDizzinessNeck InjuryCarpal Tunnel Syndrome
References
7
Case No. 2017 NY Slip Op 06635
Regular Panel Decision
Sep 26, 2017

Hamburg v. New York University School of Medicine

Plaintiff, Carole Hamburg, M.D., sued New York University School of Medicine for age discrimination under the New York City Human Rights Law and for breach of contract after her employment was not renewed. The Supreme Court granted NYU summary judgment on the age discrimination claim but denied it for the breach of contract claim. On appeal, the Appellate Division, First Department, affirmed the dismissal of the age discrimination claim, finding no evidence of discriminatory intent in NYU's restructuring and phase-out of the general radiology section. The court further modified the lower court's decision, granting summary judgment to NYU on the breach of contract claim, ruling that Dr. Hamburg was not contractually entitled to a year's notice of non-renewal as her non-tenure-eligible position automatically terminated unless renewed. Consequently, the entire complaint was dismissed.

Age DiscriminationEmployment ContractFaculty EmploymentUniversity AdministrationDepartment RestructuringSummary JudgmentAppellate ReviewContract InterpretationTenure-EligibleNon-Tenure Track
References
19
Case No. 01-04-00797-CV
Regular Panel Decision
Jul 20, 2006

Marine Transport Corporation v. the Methodist Hospital, the Institute for Preventive Medicine/Methodist Healthcare Systems, the Methodist Hospital/Institute for Preventive Medicine Management, Inc. and Rashid Khan, M.D.

Marine Transport Corporation (Marine) appealed the dismissal of its claims against The Methodist Hospital and Dr. Rashid Khan. Marine's employee, Richard Guillory, a seaman, was certified fit for duty by the appellees despite medical issues and later died from an infection. Marine sought damages under the maritime doctrine of maintenance and cure, alleging negligence in the fitness-for-duty certification. The appellate court affirmed that while federal maritime law applied to Marine's claim, the underlying health care liability claims were governed by state law's former article 4590i, requiring expert reports. However, the trial court abused its discretion by denying Marine's motion for a 30-day extension to file these reports, as the attorney's failure was due to accident or mistake, not conscious indifference. Therefore, the judgment of dismissal was reversed, and the case was remanded for further proceedings.

Maritime LawMaintenance and CureHealth Care LiabilityMedical NegligenceExpert Report RequirementTexas Civil Practice and Remedies CodeAbuse of DiscretionAccident or MistakeSeaman InjuryFitness for Duty Certification
References
41
Case No. 19-0497
Regular Panel Decision
Jun 25, 2021

in Re Academy, Ltd. D/B/A Academy Sports + Outdoors

This case concerns a petition for writ of mandamus filed by Academy Sports + Outdoors, a retailer from which the perpetrator of the 2017 Sutherland Springs church shooting purchased a weapon. The plaintiffs, victims and their families, sued Academy for negligence and related claims. Academy sought summary judgment under the federal Protection of Lawful Commerce in Arms Act (PLCAA), which generally shields firearm retailers from liability for third-party criminal conduct, but the trial court denied it. The Supreme Court of Texas reviewed whether the PLCAA's predicate exception (for knowing violation of a statute applicable to sale) or negligent entrustment exception applied. The Court held that Academy did not violate the Gun Control Act regarding the sale of the rifle or magazines, and that Texas law does not recognize negligent entrustment based on a sale. Consequently, the PLCAA bars the lawsuits, and the Court conditionally granted Academy's petition for writ of mandamus, directing the trial court to grant summary judgment.

Firearm liabilityPLCAAMandamusSummary judgmentNegligent entrustmentGun Control ActStatutory interpretationFederal preemptionTexas Supreme CourtProduct liability
References
50
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