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

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. 2017 NY Slip Op 08595 [156 AD3d 1043]
Regular Panel Decision
Dec 07, 2017

New York State Workers' Compensation Board v. Any-Time Home Care Inc.

The New York State Workers' Compensation Board, acting as administrator for a dissolved self-insured trust, initiated an action to recover a $133 million cumulative deficit from former trust members. Various defendants sought to dismiss the complaint, asserting claims were time-barred by a three-year statute of limitations for statutory liabilities, failed to adequately state claims against individual partners, and were barred by the doctrine of laches. The Supreme Court denied these motions. On appeal, the Appellate Division, Third Department, affirmed the Supreme Court's order, ruling that the claims were contractual, subject to a six-year limitation period, and that laches did not apply against the state enforcing a public right. The court also found the complaint sufficiently specific regarding the liability of individual defendants.

Workers' Compensation LawSelf-Insurance TrustJoint and Several LiabilityStatute of LimitationsContractual LiabilityLaches DoctrineAppellate ReviewGroup Self-InsurerDeficit RecoveryPartnership Liability
References
16
Case No. MISSING
Regular Panel Decision

Silverman v. New York State Workers' Compensation Board

This is a dissenting opinion from Judge Malone Jr. concerning the Workers' Compensation Board's denial of Donna Silverman's license renewal application. The Board denied the renewal based on her alleged lack of knowledge of Workers' Compensation Law, particularly regarding claimant advice on job searches, and an undisclosed partnership with her husband, Irwin Silverman. Judge Malone Jr. argues that the Board's questioning was vague and her responses were adequate, and that the finding of an undisclosed partnership was arbitrary and capricious, lacking a clear definition and sufficient evidence. The dissent would reverse the Supreme Court’s judgment, which upheld the Board’s decision, but the final order states that the judgment is affirmed.

License RenewalWorkers' Compensation RepresentativeProfessional CompetenceUndisclosed PartnershipDissenting OpinionAdministrative LawJudicial ReviewArbitrary and CapriciousRegulatory InterpretationLabor Market Attachment
References
1
Case No. ADJ163759 (OAK 0311040) ADJ592970 (OAK 0311039)
Regular
Apr 02, 2016

EDWARD LEWIS vs. BRYCO CONSTRUCTION, STATE COMPENSATION INSURANCE FUND

This case involves Edward Lewis seeking workers' compensation for injuries from Bryco Construction. The Workers' Compensation Appeals Board denied Lewis's petition for removal, an extraordinary remedy. Removal was denied because Lewis failed to demonstrate substantial prejudice or irreparable harm from the judge's order continuing a settlement conference with discovery still open. The Board adopted the judge's reasoning that reconsideration would be an adequate remedy should an adverse decision occur later.

Petition for RemovalWorkers' Compensation Appeals BoardWCJ ReportSubstantial PrejudiceIrreparable HarmReconsiderationMandatory Settlement ConferenceDiscoveryDahl DecisionVocational Expert
References
3
Case No. 2018 NY Slip Op 05037 [163 AD3d 558]
Regular Panel Decision
Jul 05, 2018

Matter of Empire State Transp. Workers' Compensation Trust v. Special Funds Conservation Comm.

This case concerns a proceeding initiated by Empire State Transportation Workers' Compensation Trust for judicial approval of a settlement, nunc pro tunc, against the Special Funds Conservation Committee. The underlying issue stemmed from the Trust's failure to obtain consent from the Special Funds for a claimant's personal injury settlement, which led the Workers' Compensation Board to find a waiver of reimbursement rights. After an initial denial by the Supreme Court, the Appellate Division reversed and remitted, affirming the court's discretion in compelling such consent. Upon remittitur, the Supreme Court granted the petition, directing the Special Funds to provide nunc pro tunc consent. The Appellate Division affirmed this subsequent order, concluding that the settlement was reasonable, the delay was adequately explained, and no prejudice was demonstrated against the Special Disability Fund.

Workers' CompensationNunc Pro TuncSettlement ApprovalPersonal Injury ActionSpecial Funds Conservation CommitteeAppellate DiscretionReimbursement WaiverJudicial ReviewAppellate PracticeNassau County
References
14
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

Claim of Rankin v. Half Hollow Hills Central School District

Claimant, a school bus driver, suffered a work-related injury in November 2007 and filed for workers' compensation benefits in March 2008. The employer contested the claim, arguing that the claimant failed to provide timely written notice within 30 days as required by Workers' Compensation Law § 18. The Workers' Compensation Board, however, found that the claimant had given adequate oral notice and excused the failure to comply with the written notice statute, leading to the employer's appeal. The Appellate Division affirmed the Board's decision, noting that failure to provide timely written notice can be excused if notice could not be given, the employer had knowledge, or the employer was not prejudiced. The court credited the claimant's testimony that she verbally informed both a bus dispatcher and her supervisor shortly after the accident, finding substantial evidence to support the Board's determination of adequate oral notice.

Workers' Compensation Law § 18Timely NoticeOral NoticeExcused NoticeEmployer KnowledgeAppellate DivisionSubstantial EvidenceBus DriverWork-related InjuryWorkers' Compensation Board
References
4
Case No. MISSING
Regular Panel Decision

Claim of McKenzie v. New York Jockey Injury Compensation Fund

Claimant, an exercise rider at Belmont Racetrack, suffered pelvic injuries in December 2003 while working a horse. Despite an expired license, a Workers’ Compensation Law Judge (WCLJ) established his case and determined he was a covered employee of the New York Jockey Injury Compensation Fund, holding the Fund responsible for medical treatment. The Workers’ Compensation Board upheld this decision. The Appellate Division affirmed, referencing *Matter of Adames v New York Jockey Injury Compensation Fund, Inc.* (15 AD3d 696 [2005]), which established that an exercise rider is a covered employee of the Fund under relevant Workers’ Compensation Law and Racing, Pari-Mutuel Wagering and Breeding Law provisions, irrespective of license expiration. The court found the Fund’s remaining contentions lacked merit.

Exercise RiderWorkers' CompensationJockey Injury Compensation FundExpired LicenseCovered EmployeeThoroughbred RacingPelvic InjuryAppellate DecisionBoard DecisionStatutory Interpretation
References
1
Case No. MISSING
Regular Panel Decision

Burroughs v. Empire State Agricultural Compensation Trust

Claimant, a dairy farmer, sustained work-related injuries in November 2001 when he fell from a ladder. A claim for workers’ compensation benefits was filed, which the carrier controverted, disputing claimant's employee status. A Workers’ Compensation Law Judge (WCLJ) determined that the employer was a limited liability corporation and claimant was an executive officer, thus covered under the Workers' Compensation Law. The Workers’ Compensation Board upheld the WCLJ’s findings. The appellate court reversed the Board's decision, concluding that the record was insufficient to establish the employer’s true status or claimant’s relationship to it, and remitted the matter for further development of the record.

Workers' CompensationEmployment StatusLimited Liability CorporationExecutive OfficerCoverage DisputeAppellate ReviewRemittalRecord DevelopmentNew York Workers' Compensation LawDairy Farmer
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
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