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

Case No. MISSING
Regular Panel Decision

Abreo v. URS Greiner Woodward Clyde

A plaintiff sustained personal injuries while working on a scaffold during a renovation project, alleging violations of Labor Law §§ 200, 240 (1), and 241 (6). Defendants Colgate Scaffolding and URS Greiner Woodward Clyde (now URS Corporation-New York), the alleged general contractor and scaffolding provider, respectively, moved for summary judgment to dismiss the complaint. The Supreme Court denied their motions in part. On appeal, the denial of summary judgment for URS concerning Labor Law § 240 (1) and § 241 (6) claims was affirmed, as triable issues of fact existed and the cited Industrial Code provisions were deemed specific. Colgate's appeal from one order was dismissed as they were not aggrieved, and their motion for summary judgment was also found to lack a prima facie case. The plaintiff was awarded costs.

Personal InjuryLabor LawScaffolding AccidentSummary JudgmentAppellate DecisionConstruction AccidentElevation-Related RiskIndustrial Code ViolationsNegligenceWorkers' Safety
References
14
Case No. 2022 NY Slip Op 00941 [202 AD3d 505]
Regular Panel Decision
Feb 10, 2022

Locke v. URS Architecture & Eng'g-N.Y., P.C.

Plaintiff Michael Locke sustained injuries after slipping on soapy water in a designated restroom at a construction site managed by URS. Locke had repeatedly notified URS of an overflowing sink causing water to pool, but URS attributed responsibility to prime general contractor Tri-Rail. The Supreme Court granted summary judgment to plaintiffs on common-law negligence and Labor Law claims against URS, while denying URS's motion to dismiss and for contractual indemnification against Tri-Rail, and denying Crescent's motion to dismiss. The Appellate Division modified the Supreme Court's order, dismissing the common-law negligence and Labor Law § 200 claims against Crescent and granting URS conditional contractual indemnification against Tri-Rail, pending liability apportionment. The court found URS liable under Labor Law §§ 241(6) and 200 due to its control over the injury-producing activity and notice of the dangerous condition.

Workers' CompensationConstruction Site AccidentSlip and FallPremises LiabilityLabor Law §200Labor Law §241(6)Industrial Code ViolationSummary JudgmentContractual IndemnificationCommon-Law Negligence
References
9
Case No. ADJ 4200496 (GRO 0030688)
Regular
Jan 19, 2010

FRANCISCO MARTINEZ-REYES vs. SOLAMAR FARMS, INC., STATE COMPENSATION INSURANCE FUND

This case concerns the proper method for calculating permanent disability award commutations for a farm laborer with 100% disability sustained on February 10, 2004. The applicant appeals the administrative law judge's decision favoring the Uniformed Reduction (UR) method, arguing the Uniformed Increasing Reduction (UIR) method better accounts for state average weekly wage (SAWW) increases mandated by Labor Code section 4659. The Appeals Board granted reconsideration, rescinded the prior decision, and remanded the case for a new decision. The Board found the UIR method better serves the goal of consistent periodic payments, and the SAWW increase commencement date was not moot.

Workers' Compensation Appeals BoardUniformed Reduction (UR)Uniformed Increasing Reduction (UIR)State Average Weekly Wage (SAWW)Permanent Disability AwardCommutationLabor Code Section 4659Life PensionTotal Permanent DisabilityCost of Living Adjustment (COLA)
References
1
Case No. MISSING
Regular Panel Decision

Uniformed Firefighters Ass'n, Local 94 v. City of New York

The Uniformed Firefighters Association (UFA) and individual firefighters sued the City of New York, challenging the denial of seniority credit for promotional purposes to firefighters initially re-employed under federal programs (CETA and HUD) in "provisional" capacities after layoffs. Plaintiffs argued violations of the CETA statute and the Equal Protection Clause. The District Court found no private right of action under CETA, asserting that its grievance procedures were exclusive. The court also determined that the City had a rational basis for distinguishing between provisional and permanent employees regarding seniority, citing New York Civil Service Law requirements. Consequently, the defendants' motion to dismiss the complaint for failure to state a claim was granted.

Seniority RightsProvisional EmploymentCETA ProgramHUD ProgramCivil Service LawEqual Protection ClauseMotion to DismissFederal FundingBudgetary CrisisFirefighters
References
10
Case No. MISSING
Regular Panel Decision

City of Cohoes v. Uniform Firefighters of Cohoes, Local 2562

The City of Cohoes, as petitioner, sought to prevent arbitration initiated by the Uniform Firefighters of Cohoes, Local 2562, concerning "light duty" assignments for "nonworking" firefighters under General Municipal Law § 207-a (3). The union argued for due process hearings and the arbitrability of these assignments based on their collective bargaining agreement. Justice Harold J. Hughes, however, ruled that issues related to General Municipal Law § 207-a (3) are not subject to arbitration. The court emphasized a strong public policy and established decisional law which supports municipal employers' flexibility in assigning light duty and deems the statute self-contained, separate from contractual arbitration. Consequently, the petitioner's application to stay arbitration was granted, with the court noting that any abuse of employer discretion remains subject to judicial review.

Arbitration StayGeneral Municipal Law 207-aLight DutyFirefighter BenefitsPublic Policy ExceptionCollective BargainingEmployer AuthorityDisabled EmployeesTaylor LawMunicipal Employers
References
14
Case No. MISSING
Regular Panel Decision

Insurance Co. of State of the Pennsylvania v. Moore

This appeal addresses whether a worker's compensation carrier is entitled to a proportionate reduction in supplemental income benefits (SIBs) equal to the percentage of reduction for impairment income benefits (IIBs) for a prior compensable injury under the Texas Workers’ Compensation Act. Appellant, Insurance Company of Pennsylvania, sought an 11/17ths reduction in Appellee John H. Moore's SIBs, matching the reduction applied to his IIBs for a previous back injury. A hearing officer granted the IIB reduction but denied the SIB reduction. The trial court upheld this decision. The appellate court reversed, holding that Texas Labor Code § 408.084 is unambiguous and mandates that both IIBs and SIBs be reduced by the same proportion when contribution is warranted for a prior injury. Consequently, Appellant is entitled to an 11/17ths reduction of Appellee’s supplemental income benefits.

Workers' CompensationSupplemental Income Benefits (SIBs)Impairment Income Benefits (IIBs)Prior Compensable InjuryProportionate ReductionStatutory InterpretationTexas Labor CodeSummary JudgmentAppellate ReviewCommission Appeals Panel
References
24
Case No. 2022 NY Slip Op 02174
Regular Panel Decision
Mar 31, 2022

Matter of City of Troy (Troy Uniformed Firefighters Assn., Local 86 IAFF, AFL-CIO)

This case concerns an appeal by the City of Troy against a Supreme Court order that denied its application to permanently stay arbitration with the Troy Uniformed Firefighters Association. The dispute arose from the City's implementation of COVID-19 pandemic executive orders, which resulted in non-essential civilian employees working from home or taking leave, while essential firefighters remained on duty. The union filed a grievance seeking equal paid time off or monetary compensation for its members. The Appellate Division, Third Department, reversed the Supreme Court's order, concluding that arbitration of the dispute was precluded as a matter of public policy. The court reasoned that the City's actions were a required compliance with statewide public health directives during an extraordinary emergency, and therefore, could not constitute a breach of the collective bargaining agreement that would warrant arbitration.

ArbitrationPublic Policy ExceptionCollective Bargaining AgreementCOVID-19 PandemicExecutive OrdersEssential WorkersGrievanceAppellate ReviewMunicipal LawLabor Relations
References
11
Case No. ADJ7971001
Regular
Apr 16, 2013

DARRYL OYAS vs. CALIFORNIA STATE DEPARTMENT OF CORRECTIONS, STATE COMPENSATION INSURANCE FUND

This case involves a dispute over the attorney's fees awarded in a workers' compensation claim for a 100% permanent disability award. The applicant's attorney argues the administrative law judge erred by excluding the State Average Weekly Wage (SAWW) adjustment factor and by using the Uniform Reduction method for commutation instead of the Uniform Increasing Reduction (UIR) method. The Appeals Board granted reconsideration to allow the judge to recalculate the attorney's fees, incorporating a reasonable SAWW adjustment and applying the UIR commutation method, while still considering factors for determining the fee's reasonableness. The Board emphasized separating the calculation of the award's commuted value from the determination of the attorney's fee percentage.

State Compensation Insurance FundWorkers' Compensation Appeals BoardFindings and AwardAttorney's FeePermanent DisabilityState Average Weekly Wage (SAWW)Uniform Increasing Reduction (UIR) methodCommutationStipulations with Request for AwardCorrectional Officer
References
5
Case No. ADJ339088 (SDO 0304788)
Regular
Aug 30, 2016

Gregory Parrent vs. SBC-PACIFIC BELL TELEPHONE COMPANY

This case clarifies the utilization review (UR) and independent medical review (IMR) process for medical treatment recommendations within a Medical Provider Network (MPN). The Appeals Board affirmed that even when a physician is part of the defendant's MPN, their treatment recommendations are subject to UR by the employer if disputed. If UR denies or modifies the recommendation, the dispute must then proceed to IMR, not the Appeals Board. The applicant's contention that MPN physicians' recommendations are exempt from UR was rejected, emphasizing a uniform standard of care and review for all medical treatment.

Workers' Compensation Appeals BoardSBC-Pacific Bell Telephone CompanySedgwick Claims Management ServicesPetition for ReconsiderationMedical Provider Network (MPN)Independent Medical Review (IMR)Utilization Review (UR)Labor Code section 4600primary treating physicianRequest for Authorization (RFA)
References
5
Case No. 2015-08-0359
Regular Panel Decision
Apr 26, 2016

Hannigan, Sean v. Paramount Uniform Rental

Sean Hannigan, an employee of Paramount Uniform Rental, filed a request for an Expedited Hearing seeking medical and temporary disability benefits for an alleged back injury sustained on July 28, 2015, while lifting uniforms. Paramount denied the claim, citing inconsistencies with video evidence and a history of prior back surgeries. The court found Mr. Hannigan established medical causation through Dr. Ferguson's testimony, who opined that the injury more likely than not arose from his employment. The court ordered Paramount to provide medical benefits and temporary total disability benefits from August 13, 2015, to September 1, 2015, but denied all other requested temporary disability benefits, noting Mr. Hannigan's subsequent employment and failure to return to work at Paramount.

Back InjuryLumbar StrainDisc HerniationMedical CausationExpedited HearingTemporary DisabilityEmployer AccommodationPhysician TestimonyPrior SurgeriesSpinal Stenosis
References
6
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