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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

Claim of Bruzzese v. Guardsman Elevator Co.

In 1994, the claimant sustained head, neck, and back injuries at work, leading to an award for permanent partial disability, which included a wage expectancy adjustment under Workers’ Compensation Law § 14 (5). Following back surgery in 1998, the case was reopened, and the claimant was found to be temporarily totally disabled. Benefits for this temporary total disability were calculated based on the claimant's average weekly wage at the time of injury, without applying the wage expectancy adjustment. The claimant appealed, arguing that since the permanent partial disability preceded the temporary total disability, the wage expectancy adjustment should also apply to the latter period. The court disagreed, affirming the Workers’ Compensation Board's decision, citing established case law that Workers’ Compensation Law § 14 (5) is applicable only to awards for permanent partial disability and not temporary disability.

Wage expectancyTemporary total disabilityPermanent partial disabilityWorkers' Compensation benefitsBack injuryAppellate reviewDisability calculationWorkers' Compensation BoardAverage weekly wage
References
1
Case No. MISSING
Regular Panel Decision

Schmidt v. Falls Dodge, Inc.

The claimant was awarded a 21.43% schedule loss of use for binaural hearing loss in 2007. The Workers’ Compensation Law Judge and the Workers’ Compensation Board determined that this award was not subject to temporary disability benefits the claimant was already receiving from earlier workers' compensation cases. The employer and State Insurance Fund appealed, contending that a Court of Appeals decision overruled prior holdings regarding the overlap of schedule and nonschedule awards. The appellate court affirmed the Board's decision, distinguishing between schedule awards for future earnings loss and nonschedule awards for temporary disability during a limited time frame, concluding they do not overlap.

Workers' CompensationSchedule Loss of UseTemporary DisabilityBinaural Hearing LossAward OverlapAppellate DecisionInsurance FundEmployer LiabilityMedical BenefitsEarnings Loss
References
3
Case No. MISSING
Regular Panel Decision
Jul 24, 2002

In re the Claim of Miller v. North Syracuse Central School District

This case involves an appeal from a Workers' Compensation Board decision concerning overlapping workers' compensation awards. The claimant, a food services worker, filed two separate claims: one for occupational disease to her shoulders, leading to a schedule loss of use award, and another for bilateral carpal tunnel syndrome, which resulted in a temporary total disability award for the period from December 13, 1999, to February 14, 2000. The State Insurance Fund argued that the schedule loss of use award should be suspended for this period to prevent an overlap. Initially, a Workers’ Compensation Law Judge disagreed, but the Workers’ Compensation Board reversed, ruling in favor of suspending the schedule award. On appeal, the court reversed the Board's decision, clarifying that a schedule award is not allocable to a specific period of disability and therefore does not overlap with a temporary total disability award covering a limited timeframe. The court distinguished this from cases involving permanent disability awards. The matter was remitted to the Workers’ Compensation Board for recalculation of the claimant’s award.

Workers' CompensationSchedule Loss of UseTemporary Total DisabilityOverlapping AwardsEarning CapacityOccupational DiseaseCarpal Tunnel SyndromeShoulder InjuryAppellate ReviewRecalculation of Award
References
7
Case No. 2021 NY Slip Op 07401
Regular Panel Decision
Dec 23, 2021

Matter of Carola B.-M. v. New York State Off. of Temporary & Disability Assistance

Petitioners Carola B.-M. and Tiara M. challenged the denial of their supplemental nutrition assistance program (SNAP) benefits by the New York State Office of Temporary and Disability Assistance and the Orleans County Department of Social Services. The benefits were denied because they were deemed ineligible college students. The Appellate Division, Fourth Department, reversed this determination, holding that participation in the Adult Career and Continuing Education Services, Vocational Rehabilitation program (ACCES-VR) qualifies as a Job Training Partnership Act (JTPA) program. This status exempts the students from certain SNAP eligibility requirements. The court found that the original determination was based on an unreasonable interpretation of relevant regulations, annulled the decision, granted the petition, and remitted the case for a calculation of retroactive benefits.

SNAP benefitscollege student eligibilityJob Training Partnership ActACCES-VRvocational rehabilitationCPLR article 78regulatory interpretationpublic assistancefood stampsAppellate Division
References
28
Case No. ADJ7099916
Regular
Jun 20, 2014

ANGELICA SANCHEZ vs. TORRES FARM LABOR, SEABRIGHT INSURANCE COMPANY

The defendant sought reconsideration of an award finding industrial injury to the applicant's cervical spine and psyche, in addition to admitted injuries, and awarding temporary disability. The defendant argued the temporary disability award was improper as the psychologist relied upon by the judge did not review orthopedic records, and that EDD benefits should be credited. The WCJ conceded the temporary disability finding lacked substantial evidence, agreeing the psychologist's opinion was insufficient due to lack of review of the orthopedic records. The Appeals Board granted reconsideration, adopting the WCJ's recommendation to limit temporary disability to the period found by the orthopedic QME. A dissenting opinion argued that substantial evidence, including the primary treating physician's reports, supported the initial temporary disability award.

Workers' Compensation Appeals BoardPetition for ReconsiderationDecision After ReconsiderationTemporary Disability IndemnityPsychiatric InjuryOrthopedic InjurySubstantial Medical EvidenceQualified Medical EvaluatorApportionmentPermanent Disability
References
0
Case No. MON 0289273, MON 0283627
Regular
May 19, 2008

XXZZX vs. BEER MEDICAL GROUP, INC., AMERICAN MANUFACTURER'S INSURANCE CO.

The Workers' Compensation Appeals Board granted reconsideration, rescinding a prior award for continuing temporary disability. The Board found the administrative law judge lacked jurisdiction to award temporary disability beyond five years from the injury date and that a prior stipulation with request for award on March 8, 2007, had already settled all temporary disability claims. Therefore, the applicant is not entitled to the awarded temporary disability from October 22, 2003, to the present.

Res judicatacollateral estoppeljurisdictiontemporary disabilitydate of injurystipulated awardreopeningSupplemental Findings and AwardWCJPetition for Reconsideration
References
1
Case No. MISSING
Regular Panel Decision

Di Piazza v. George Campbell Painting Co.

The case involves the appeal of a Workers' Compensation Board decision concerning a decedent's widow. The decedent sustained fatal injuries from electrocution while working for the employer. The Board initially awarded death benefits, temporary total disability, and facial disfigurement, but later rescinded the disability award, upholding the disfigurement. The employer appealed, arguing the disfigurement award was improper without a permanent partial disability finding. The court reversed the Board's decision, finding that the evidence of grave injuries supported total, not partial, disability, making the disfigurement award irrational. The matter was remitted for further proceedings consistent with the court's decision.

Workers' CompensationFacial DisfigurementTemporary Total DisabilityDeath BenefitsConcurrent AwardsAppellate ReviewStatutory InterpretationMedical EvidenceAccidentElectrocution
References
4
Case No. ADJ4092048 (SAC 0315575)
Regular
Feb 03, 2012

CLINTON BAKER vs. TRAYLOR BROTHERS; ST. PAUL FIRE and MARINE UNSURANCE

This case concerns a dispute over temporary disability benefits awarded to applicant Clinton Baker. The Appeals Board granted reconsideration of a prior award finding total temporary disability from May 21, 2007, to the present. The Board determined that while jurisdiction exists to award temporary disability beyond five years post-injury if disability began within that period and a timely petition to reopen was filed, the prior award was rescinded. The matter is returned to the WCJ for further proceedings to clarify the correct commencement date of temporary disability, which applicant argues should be March 19, 2007, a date within the statutory five-year window.

Workers' Compensation Appeals BoardReconsiderationFindings and AwardTemporary Total DisabilityPetition to ReopenFive-Year PeriodJurisdictionIndustrial InjurySpineRight Shoulder
References
3
Case No. ADJ1237800 (AHM0151777)
Regular
Jan 22, 2016

KENNETH ROSENBERG vs. STATE OF CALIFORNIA, CALIFORNIA HIGHWAY PATROL DISABILITY AND RETIREMENT, Legally Uninsured, STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES, Adjusting Agency

The Workers' Compensation Appeals Board granted reconsideration to clarify clerical errors in a previous award. The Board amended the award to reflect that the defendant, California Highway Patrol, is "legally uninsured" and affirmed the application of the "duty belt" presumption (Labor Code section 3213.2). The Board also affirmed the finding of $43\%$ permanent disability, temporary disability, and the denial of apportionment, finding that the defendant waived any due process claims regarding temporary disability by not objecting at trial.

Workers' Compensation Appeals BoardCalifornia Highway PatrolLegally UninsuredState Compensation Insurance FundPetition for ReconsiderationFindings and AwardAdministrative Law JudgePermissibly Self-InsuredLow Back InjuryLeft Shoulder Injury
References
2
Case No. MISSING
Regular Panel Decision

Claim of Fox v. Crosbie-Brownlie, Inc.

On December 1, 1997, the claimant suffered a work-related injury, leading to temporary partial disability benefits. The Workers’ Compensation Board later determined a permanent partial disability, ruling that future wage expectancy should apply only to the portion of the schedule award exceeding the temporary disability period. The court reversed this decision, clarifying that Workers’ Compensation Law § 14 (5) allows wage expectancy solely for permanent partial disability awards, not temporary ones. It emphasized that a schedule award compensates for lost earning power, independent of actual time lost, and should wholly incorporate the determined wage expectancy rate. The court concluded that any prior temporary disability payments should serve as a credit against the total schedule award.

Workers' CompensationPermanent Partial DisabilityTemporary DisabilityWage ExpectancySchedule Loss-of-Use AwardDisability BenefitsCredit OffsetEarning PowerNew York Workers' Compensation BoardAppellate Review
References
8
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