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

Case No. 2021 NY Slip Op 02579 [193 AD3d 1305]
Regular Panel Decision
Apr 29, 2021

Matter of New York Off. for People with Dev.al Disabilities (Civil Serv. Empls. Assn., Inc., Local 1000, AFSCME, AFL-CIO)

The New York Office for People with Developmental Disabilities (petitioner) sought to vacate an arbitration award that reinstated employee Chad Dominie, who was found to have sexually harassed a coworker. The arbitrator had ordered Dominie's reinstatement despite sustaining multiple charges of sexual harassment, citing mitigating factors. Supreme Court granted the petition, vacating the award and remitting for a new penalty before a different arbitrator. The Appellate Division affirmed this decision, holding that the arbitrator's unconditional reinstatement of Dominie violated the strong public policy against sexual harassment in the workplace. The court emphasized the egregious and escalating nature of Dominie's conduct, concluding that the award failed to protect other employees and conflicted with the employer's obligation to eliminate sexual harassment.

Sexual HarassmentWorkplace SafetyArbitration ReviewPublic Policy ViolationEmployee MisconductDisciplinary ProceedingsReinstatement OrderAppellate Court DecisionCollective BargainingEmployer Responsibility
References
9
Case No. MISSING
Regular Panel Decision

Mylette v. Mylette

The plaintiff moved to have the defendant's disability pension, from the New York City Police Pension Fund, classified as a marital asset subject to equitable distribution under Domestic Relations Law § 236 (B) (4) (b). The defendant, a former New York City police officer, received the disability pension after a line-of-duty knee injury, terminating his employment after 12 years, short of the 15 years required for vesting. The court reviewed legal precedents from various states and New York, which generally treat disability pensions as separate property, particularly when compensating for personal injuries rather than deferred compensation. The court found that the defendant's pension was purely compensation for his injury, distinguishing it from retirement benefits, and that he had no option to choose a regular retirement package. Therefore, the court denied the plaintiff's motion, ruling that the disability pension is the defendant's separate property.

Domestic Relations LawDisability PensionMarital PropertyEquitable DistributionSeparate PropertyPolice Pension FundPersonal Injury CompensationNonvested BenefitsFamily LawProperty Classification
References
31
Case No. MISSING
Regular Panel Decision

Claim of Martone v. Niagara Frontier Transportation Authority-Metro

In 2005 and 2007, a bus driver (claimant) suffered work-related neck and back injuries. Initially, a Workers’ Compensation Law Judge found him permanently totally disabled. However, the Workers’ Compensation Board modified this, determining he had a permanent partial disability with a 75% loss of wage-earning capacity based on medical evidence and other factors. The claimant appealed this decision, arguing a lack of substantial evidence for the partial disability finding. The Appellate Division affirmed the Board's decision, noting medical reports indicating submaximal efforts, high medication dosages, symptom magnification, and the ability to ambulate, which supported the finding of partial disability. The court also upheld the 75% loss of wage-earning capacity, finding it supported by substantial evidence after considering the claimant's impairment, work restrictions, age, education, and work experience.

Permanent Partial DisabilityWage-Earning CapacityChronic Pain SyndromeLumbar Spine SurgeryMedical EvidenceSubmaximal EffortsSymptom MagnificationAppellate ReviewBoard DecisionMedical Treatment Guidelines
References
2
Case No. ADJ3192331
Regular
Feb 17, 2010

AURORA REALIVASQUEZ vs. TURBOT JET PRODUCTS, INC., STATE COMPENSATION INSURANCE FUND

The applicant sought reconsideration of a Workers' Compensation Appeals Board (WCAB) decision that awarded 50% permanent disability, apportioned from a prior award. The applicant argued the defendant failed to prove the prior award's disability overlapped with the current injury. The WCAB denied reconsideration, finding the defendant met its burden by demonstrating overlapping subjective factors of disability between the prior and current injuries, based on medical reports from Dr. Capen and Dr. Danzig. This overlap in disability affecting the same earning abilities justified the apportionment under Labor Code section 4664(b).

Workers' Compensation Appeals BoardReconsiderationFindings and AwardPermanent DisabilityApportionmentIndustrial InjuryNeck InjuryShoulder InjuryBimanual InjuryCumulative Trauma
References
4
Case No. MISSING
Regular Panel Decision

Medoy v. Warnaco Employees' Long Term Disability Insurance Plan

Plaintiff, Audrey Medoy, sued Warnaco Employees’ Long Term Disability Insurance Plan and Warnaco, Inc. (Defendants) under ERISA, alleging wrongful termination of disability benefits, failure to provide requested documents, and failure to retain claims records. Medoy's disability benefits were discontinued in 1987 without notice. After years of requesting information and appealing the decision, which was hampered by the destruction of her claims file, she filed this action in 1997. Defendants moved to dismiss the complaint, arguing that the claims were untimely, that Medoy was not a 'participant' entitled to disclosure, and that ERISA § 1027 did not cover claims records. The court denied Defendants' motion to dismiss on all grounds, finding her claims timely, her status as a 'participant' colorable, and claims records subject to retention under ERISA § 1027.

ERISALong-term Disability BenefitsStatute of LimitationsFailure to DiscloseRecord RetentionFutility ExceptionAccrual of ActionPlan Administrator DutiesParticipant StatusMotion to Dismiss
References
37
Case No. ADJ171583 (MON 0294858) ADJ261117 (MON 0308771)
Regular
Feb 02, 2009

Camey Cresor vs. GOLDMAN, SACHS & COMPANY, ILLINOIS NATIONAL INSURANCE CO.

This case concerns an applicant seeking reconsideration of a workers' compensation award for psychiatric injury and other conditions. The applicant was found to have an $82\%$ permanent disability rating, with $80\%$ attributed to psychiatric issues after apportionment. The key dispute is the $20\%$ apportionment of psychiatric disability to non-industrial factors, which the applicant argues is improper for a finding of permanent total disability based on vocational unfeasibility. The Appeals Board denied the petition, adopting the WCJ's report which cited precedent (Hertz Corp. v. Workers' Comp. Appeals Bd. (Aguilar)) confirming that vocational unfeasibility is subject to apportionment.

Workers Compensation Appeals BoardAmended Joint Finding and Awardindustrial injurypsychelow backheadachespermanent disabilitypermanent total disabilityapportionmentnon-industrial factors
References
1
Case No. MISSING
Regular Panel Decision

Smith v. New York State & Local Retirement Systems

Petitioner, a taxpayer services representative, sustained a back injury in March 1981 while lifting forms, leading to a decline in attendance and eventual termination in November 1989. She applied for accidental and ordinary disability retirement benefits, both of which were denied by the Comptroller. The accidental disability claim was denied because the incident was not deemed an 'accident' under Retirement and Security Law § 63. The ordinary disability claim was denied as untimely, having been filed approximately six months after her termination, exceeding the 90-day limit stipulated by Retirement and Social Security Law § 62. The Supreme Court dismissed the challenge to the ordinary disability denial due to untimeliness and transferred the accidental disability challenge to this Court. This Court confirmed the Comptroller's determination on both counts, rejecting the petitioner's estoppel argument regarding the untimely ordinary disability application and finding substantial evidence to support the finding that the injury did not constitute an 'accident' within the meaning of the relevant law, as it resulted from ordinary employment duties without an unexpected event.

Disability Retirement BenefitsAccidental DisabilityOrdinary DisabilityUntimely ApplicationEstoppel Against GovernmentWork-Related InjuryBack InjuryDefinition of AccidentOrdinary Employment DutiesSubstantial Evidence Review
References
16
Case No. MISSING
Regular Panel Decision

Matter of Franklin v. New England Motor Freight

Claimant, a tractor-trailer truck driver, suffered work-related back injuries in 2012 and 2013, leading to disability benefits. A Workers' Compensation Law Judge initially determined a 75% loss of wage-earning capacity, factoring in vocational considerations. However, the Workers' Compensation Board reduced the award, ruling that vocational factors are not applicable for temporary disability determinations. The Appellate Division affirmed the Board's decision, emphasizing that Workers’ Compensation Law § 15 (5-a) does not permit consideration of vocational factors for temporary partial disabilities, reserving such considerations for the duration of permanent partial disability benefits.

Workers' Compensation LawWage-earning capacityTemporary partial disabilityPermanent partial disabilityVocational factorsAppellate reviewBack injuryTractor-trailer truck driverInjury recurrenceCompensation rate
References
7
Case No. MISSING
Regular Panel Decision
May 15, 2012

Hamzik v. Office for People with Developmental Disabilities

Plaintiff John J. Hamzik sued the Office for People with Developmental Disabilities (OPWDD) and several individual employees, alleging discrimination based on sex, age, and disability, as well as equal protection, due process, and retaliation claims under federal and state laws, including Title VII, ADEA, and ADA. Defendants moved to dismiss the amended complaint, and plaintiff cross-moved to file a second amended complaint. The District Court, finding that many claims were barred by Eleventh Amendment immunity or failure to exhaust administrative remedies, and that the remaining claims failed to state a plausible cause of action, granted the defendants' motion to dismiss. All federal claims were dismissed with prejudice, the cross-motion was denied as futile, and the remaining state law claims were dismissed without prejudice.

DiscriminationRetaliationDue ProcessEqual ProtectionTitle VIIADEAADAEleventh Amendment ImmunityAdministrative ExhaustionMotion to Dismiss
References
50
Case No. MISSING
Regular Panel Decision
Oct 29, 2015

Matter of Rosales v. Eugene J. Felice Landscaping

The case involves an appeal by an employer and its workers’ compensation carrier from a Workers’ Compensation Board decision. The Board affirmed a WCLJ ruling that the claimant, a landscaper injured in 2010, sustained a permanent partial disability and a 90% loss of wage-earning capacity. The WCLJ had considered various vocational factors, including the claimant's age, limited English skills, and low education, to determine a 10% wage-earning capacity and a $300 weekly benefit rate. The employer argued that vocational factors should not be used to determine wage-earning capacity for computing the compensation rate in permanent partial disability cases. However, the appellate court affirmed the Board's decision, distinguishing permanent from temporary disabilities and concluding that vocational factors are appropriately considered under Workers’ Compensation Law § 15 (5-a) when fixing wage-earning capacity in permanent partial disability cases without actual earnings, especially when the injury contributed to the loss.

permanent partial disabilitywage-earning capacityvocational factorsWorkers' Compensation Law § 15benefit durationcompensation ratephysical impairmentback surgerylimited English skillseducational background
References
10
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