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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
Feb 09, 1979

Hogg v. Workers' Compensation Board

An attorney, acting as the petitioner, sought legal fees from the Workers' Compensation Board for services he provided to clients whose disability benefits were reinstated after his intervention. When the Board did not act on his requests, he initiated a CPLR article 78 proceeding to compel the Board to consider his claims and establish a proper procedure for attorney fee applications. Special Term dismissed his petition, a decision subsequently affirmed on appeal. The appellate court ruled that the Board's prior denial of his fee requests rendered the issue of compelling consideration moot. Furthermore, the court concluded it lacked the authority to order the Board to create a new application procedure for counsel fees.

Attorney feesDisability benefitsWorkers' Compensation LawCPLR Article 78MootnessJudicial authorityAdministrative procedureAppealDismissalLegal representation
References
1
Case No. 2018 NY Slip Op 08227
Regular Panel Decision
Nov 29, 2018

Matter of Kelly v. New York State Workers' Compensation Bd.

In 2006, claimant Grace Kelly established a workers' compensation claim for an occupational disease. The State Insurance Fund (SIF) repeatedly sought to transfer liability to the Special Fund for Reopened Cases, which was denied by Workers' Compensation Law Judges. The Workers' Compensation Board affirmed these denials and assessed $500 penalties against both SIF and its counsel, Walsh and Hacker, for filing an application for review without reasonable grounds. Walsh and Hacker appealed the penalty imposed against them to the Appellate Division, Third Department. The Appellate Division found insufficient evidence to support the Board's finding that Walsh and Hacker's application lacked reasonable grounds, and therefore reversed the penalty against them, modifying and affirming the Board's decision.

PenaltiesAppellate ReviewSpecial Fund for Reopened CasesWorkers' Compensation Law § 25-aWorkers' Compensation Law § 114-aAttorney SanctionsAdministrative LawBoard DecisionJudiciary Law § 431
References
4
Case No. MISSING
Regular Panel Decision
Feb 05, 1980

In re the Claim of Ross v. Standard Milling Co.

This case concerns an appeal from a Workers’ Compensation Board decision, filed on February 5, 1980, which approved a $50 attorney’s fee as a lien upon an award made to the claimant. The claimant had sustained a back injury in March 1978 and received compensation payments from the carrier. After retaining an attorney, a hearing in May 1979 established accident, notice, and causal relationship, formalizing the award already paid by the carrier. The carrier contested the attorney's fee as a lien, arguing the claimant had already received the full award. The Board affirmed the lien, citing relevant case law and Section 24 of the Workers’ Compensation Law. The court ultimately affirmed the Board's decision, with costs to the Workers’ Compensation Board.

Workers' CompensationAttorney's FeesLienAwardAffirmed DecisionStatutory InterpretationNew York LawBoard DecisionInsurance CarrierLegal Services
References
3
Case No. 2017 NY Slip Op 27428
Regular Panel Decision
Dec 14, 2017

New York State Workers' Compensation Bd. v. Compensation Risk Mgrs., LLC

This action was brought by the New York State Workers' Compensation Board (WCB), as an assignee of former members of the Healthcare Industry Trust of New York (HITNY), against Compensation Risk Managers, LLC (CRM), HITNY trustees, and auditing firm UHY LLP. The WCB alleged mismanagement, breach of fiduciary duty, and negligent auditing, leading to the Trust's insolvency. Defendants moved to dismiss on grounds of standing, statute of limitations, and pleading particularity. The court dismissed certain derivative claims and negligent misrepresentation claims against some trustees due to standing issues and statute of limitations. All claims against UHY LLP were dismissed for lack of a near-privity relationship or prior precedent. An implied indemnity claim against the trustees was sustained. The WCB's cross-motion to consolidate related actions was denied.

Workers' Compensation LawGroup Self-Insured Trust (GSIT)Fiduciary DutyNegligenceNegligent MisrepresentationStatute of LimitationsStandingDerivative ActionImplied IndemnityAuditing Firm Liability
References
46
Case No. MISSING
Regular Panel Decision

Claim of Difilippo v. Edison

A claimant, residing in New York City and injured in the Bronx, sought to change the venue of his workers' compensation hearings from Manhattan to White Plains, Westchester County, citing convenience. The Workers’ Compensation Law Judge and subsequently the Workers’ Compensation Board denied this request, finding that the claimant failed to provide sufficient justification or evidence for the change, as required by Board rules. Additionally, the Board assessed a $250 penalty against the claimant's attorney for seeking review without reasonable grounds under Workers’ Compensation Law § 114-a (3) (ii). The appellate court affirmed the Board's decision in its entirety, upholding both the denial of the venue change and the imposition of the attorney penalty.

Workers' Compensation LawVenue ChangeAttorney SanctionAppellate ReviewAdministrative DecisionBurden of ProofProcedural RulesSufficiency of EvidenceNew York Labor LawJudicial Authority
References
2
Case No. 532391
Regular Panel Decision
Nov 18, 2021

Matter of Richman v. New York State Workers' Compensation Bd.

Claimant, Rebecca Richman, appealed three decisions from the Workers' Compensation Board regarding her claim for a work-related right shoulder injury. She alleged a fall at work on January 19, 2018, but did not seek medical treatment for 19 months. A Workers' Compensation Law Judge initially established the claim, but the Board reversed, finding that Richman failed to submit sufficient, credible medical evidence to demonstrate a causally-related injury and denied her claim. The Board subsequently denied her application for reconsideration and/or full Board review. The Appellate Division affirmed the Board's decisions, concluding that the Board's finding of no causally-related injury was supported by substantial evidence and that the Board did not abuse its discretion in denying reconsideration.

Workers' Compensation ClaimCausation (Medical)Shoulder InjuryMedical Evidence SufficiencyBoard ReversalAppellate Division ReviewBurden of ProofCredibility of EvidenceOsteoarthritis DiagnosisDelayed Medical Treatment
References
8
Case No. MISSING
Regular Panel Decision

Matter of Saratoga Skydiving Adventures v. Workers' Compensation Board

Saratoga Skydiving Adventures appealed a Workers’ Compensation Board decision upholding a stop-work order. The initial order was issued after an investigation revealed the company lacked workers' compensation coverage, with owner Bob Rawlins asserting his workers were independent contractors. Following a hearing, a Workers’ Compensation Law Judge denied Saratoga Skydiving's application to lift the order. The appellate court affirmed this denial, determining that substantial evidence supported the finding of an employer-employee relationship for pilots and jump instructors, given their integral role in the business and Rawlins' control over their work. Consequently, Saratoga Skydiving was required to maintain workers' compensation coverage for these individuals.

Workers' CompensationStop-Work OrderEmployer-Employee RelationshipIndependent ContractorSkydiving BusinessHazardous EmploymentUninsured Employers’ FundAppellate ReviewSubstantial EvidenceLabor Law
References
7
Case No. MISSING
Regular Panel Decision

Castleberry v. Hudson Valley Asphalt Corp.

This case concerns an application by a plaintiff, injured in 1973, for the apportionment of attorney's fees incurred in a third-party action. The plaintiff, who receives weekly workers' compensation benefits from Utica Mutual Insurance Co., secured a $75,000 settlement after an initial judgment was set aside on appeal. The central issue was whether the compensation carrier, Utica Mutual, should bear the full amount of the attorney's fees for the $75,000 settlement, thereby vacating its $20,402 lien. The court, exercising its discretion under Workers’ Compensation Law § 29, determined that since the entire settlement benefited the carrier by reducing its future obligations, the carrier should be responsible for all attorney's fees, and its lien was consequently vacated.

Attorney's Fees ApportionmentLien VacationThird-Party SettlementInsurance Carrier LiabilityWorkers' Compensation Law § 29Subrogation RightsEquitable ApportionmentJudicial DiscretionStatutory BenefitWorkers' Compensation Benefits
References
0
Case No. MISSING
Regular Panel Decision

Nuara v. State of New York Workers' Compensation Board

Petitioners, two terminated group self-insured trusts (GSITs), challenged monetary assessments levied against them by the New York State Workers' Compensation Board and its chairman. The assessments were imposed pursuant to various sections of the Workers’ Compensation Law, utilizing a "pure premium calculation" method established by 2007 amendments. The court considered new 2008 legislation that further amended the calculation method for ceased self-insurers but declined to apply it retroactively. Ultimately, the court found the Board's interpretation of "the preceding year" in its pure premium calculation for terminated GSITs to be unreasonable and contrary to the clear statutory language. Consequently, the levied assessments were annulled and vacated.

Group Self-Insured TrustsMonetary AssessmentsStatutory InterpretationRetroactive ApplicationPure Premium CalculationAdministrative LawCPLR Article 78Legislative IntentStatutory ConstructionSelf-Insurance Liabilities
References
19
Case No. MISSING
Regular Panel Decision
Jun 11, 1993

Empire Insurance v. Workers' Compensation Board

Empire Insurance Company denied Hugh Wofsy's no-fault benefits claim, alleging he was a Dial-a-Car, Inc. employee requiring Workers' Compensation. An Administrative Law Judge later found Wofsy an independent contractor, denying him Workers' Compensation. Empire sought to reopen the Workers' Compensation claim to participate, which the Board denied. Empire then initiated a CPLR article 78 proceeding, where the IAS Court allowed the reopening and ordered Empire to pay Wofsy, with potential reimbursement. The Appellate Division subsequently reversed this judgment, dismissing Empire's petition, emphasizing that Workers' Compensation Law § 23 vests exclusive appeal jurisdiction with the Third Department and precludes article 78 proceedings for reviewing Board decisions' substance.

No-fault insuranceIndependent contractor disputeEmployee status determinationCPLR Article 78 proceedingAppellate Division jurisdictionWorkers' Compensation Law § 23Judicial review of administrative decisionsInsurance coverage disputeAdministrative Law Judge rulingReimbursement claim
References
2
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