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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 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. 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
Aug 02, 2012

Keefe v. Aramatic Refreshment Services Inc.

The claimant had two established workers' compensation claims for back injuries from 2004 and 2009, with benefits equally apportioned. The dispute arose regarding the calculation of benefits for the 2009 claim, specifically whether to use the claimant's 2009 wages or the higher 2004 wages. The Workers’ Compensation Board ruled that the 2009 wages should be used for the 2009 claim, aligning with Workers’ Compensation Law § 15 (5) and § 15 (7). The Appellate Division affirmed this aspect of the Board's decision. However, the Board's unexplained reduction of a temporary total disability award to a marked temporary partial disability was found to be an error, leading to a remittal of the matter to the Board for further proceedings to address this inconsistency.

Workers' CompensationBack InjuriesDisability BenefitsWage CalculationTemporary Partial DisabilityTemporary Total DisabilityStatutory InterpretationRemittalApportionmentJudicial Review
References
3
Case No. MISSING
Regular Panel Decision

Parish v. DiNapoli

Petitioner, a correction officer, was injured in April 1999 and May 2004, leading to her being placed on leave without pay. She applied for disability retirement benefits and performance of duty disability retirement benefits, both of which were denied. The Hearing Officer found the disability retirement application untimely and that the injury was not a result of a direct act of an inmate for performance of duty benefits. The Respondent adopted these findings, leading to this CPLR article 78 proceeding. The court confirmed the determination, dismissing the petition, finding the application for disability benefits untimely and agreeing that a floor waxing by an inmate does not constitute an 'act of an inmate' for performance of duty disability retirement benefits.

Disability RetirementPerformance of Duty DisabilityCorrection OfficerTimeliness of ApplicationAct of an InmateWorkers' Compensation BenefitsMedical Leave of AbsenceCPLR Article 78New York LawPublic Employees
References
2
Case No. MISSING
Regular Panel Decision

Williams v. Barrios-Paoli

The New York State Office of Temporary and Disability Assistance denied the petitioner's application for special foster care benefits for her two foster children. The children were born prematurely, syphilitic, and addicted to crack cocaine, suffering from various physical and developmental conditions requiring a high degree of physical care and supervision. The respondents' finding that the children did not require such care was deemed not supported by substantial evidence. The court annulled the administrative determination, granted the petitioner's CPLR article 78 petition, and remitted the matter for further action consistent with its decision.

Foster Care BenefitsSpecial Needs ChildrenPhysical CareSupervisionDevelopmental DisabilitiesHyperactivityAttention Deficit DisordersRitalinSpecial EducationEmotionally Disturbed
References
3
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. ADJ4025440 (VNO 0557895)
Regular
Mar 12, 2012

CHARLES B. HANLON vs. WYLE HOLDINGS, INC., AIG adjusted by CHARTIS CLAIMS, INC.

The Workers' Compensation Appeals Board granted reconsideration to clarify an ambiguous award for temporary disability benefits. The applicant sustained a cumulative injury resulting in temporary and permanent disability. The defendant argued the award was unclear regarding the coordination of temporary disability payments with benefits already paid by the Employment Development Department (EDD). The Board clarified that the applicant is to be compensated for temporary disability, less amounts paid by EDD, with adjustments potentially needed to match the agreed-upon temporary disability rate. Furthermore, the Board clarified that EDD's overpayments of unemployment benefits made after the applicant's permanent and stationary date are to be reimbursed from the applicant's permanent disability benefits.

Cumulative industrial injuryTemporary disability indemnityPermanent disability benefitsPetition for ReconsiderationFindings and AwardAmbiguous awardEDD benefitsLabor Code §4904Agreed Medical ExaminerTemporary total disability
References
0
Case No. MISSING
Regular Panel Decision

Bullard v. St. Mary's Hospital

Claimant, a secretary at St. Mary's Hospital, developed rheumatoid arthritis, resulting in a permanent partial disability. The Workers' Compensation Board ruled it an occupational disease and awarded compensation. Liability was apportioned among three employers: Rochester Savings Bank, Woodward Health Center, and St. Mary's Hospital. The Special Disability Fund (SDF) was deemed liable for benefits after the initial 104-week disability period. SDF appealed, contending its reimbursement should be limited to St. Mary's Hospital's one-third share. The court affirmed the Board's decision, holding that Workers' Compensation Law § 44 makes the last employer (St. Mary's) responsible for total compensation, and Workers' Compensation Law § 15 (8) (d) requires SDF to fully reimburse the employer's carrier, Sedgwick James, for benefits paid after 104 weeks.

Occupational DiseaseRheumatoid ArthritisPermanent Partial DisabilityApportionmentSpecial Disability FundReimbursementWorkers' Compensation LawLast Employer LiabilityInsurance CarrierWorkers' Compensation Board
References
0
Case No. MISSING
Regular Panel Decision

Truly v. Regan

Petitioner, employed by Brooklyn Developmental Center, sustained a lower back and left leg injury in January 1986. After a period of inactivity, she stopped working in March 1987 due to her injuries and began receiving workers' compensation benefits. In February 1988, her applications for ordinary disability retirement benefits (under Retirement and Social Security Law art 14) and article 15 disability retirement benefits (under art 15) were denied by the respondent. The ordinary disability application was denied because she was not 'in service' at the time of filing, having been terminated in May 1987. The article 15 disability application was deemed untimely, as it was filed in February 1988, beyond the three-month window from her last payroll date of March 27, 1987, and she lacked approved medical leave. The court confirmed the denial and dismissed her petition.

Disability RetirementOrdinary Disability BenefitsArticle 15 Disability BenefitsIn Service RequirementTimely FilingCPLR Article 78 ProceedingEmployment TerminationMedical LeaveNew York State Employees' Retirement SystemAlbany County
References
5
Case No. MISSING
Regular Panel Decision
Jul 09, 1984

Claim of Holmes v. Cornell University

A claimant challenged Cornell University's denial of disability benefits, arguing he was not an academic employee excluded from coverage under the Disability Benefits Law. The Workers’ Compensation Board affirmed an administrative law judge's decision, ruling the claimant was not engaged in a professional capacity and thus eligible for benefits. Cornell appealed, but the court affirmed the board's decision, finding its interpretation of the statute within its area of competence was not irrational. The court noted Cornell had previously deducted disability benefit payments from the claimant's paycheck, further supporting the board's classification.

Disability Benefits LawProfessional CapacityAcademic EmployeeCoverage ExclusionWorkers' Compensation BoardStatutory InterpretationPayroll DeductionsEligibility for BenefitsAppellate Review
References
1
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