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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 Nicpon v. Zelasko Construction, Inc.

This case involves a workers' compensation claim where the claimant sustained a lower back injury in 2003 and was subsequently classified with a permanent partial disability. A key event was the claimant's settlement of a third-party action in 2008 for $240,000, which included the employer waiving liens and agreeing to cover future medical costs in exchange for the claimant's waiver of future indemnity benefits. Subsequently, in 2011, the employer attempted to transfer liability for these future medical expenses to the Special Fund for Reopened Cases under Workers' Compensation Law § 25-a. The Workers’ Compensation Board initially found the Special Fund liable, reversing a prior Workers’ Compensation Law Judge's finding. However, the Appellate Division reversed the Board's decision, ruling that the third-party settlement constituted a lump-sum payment for the purposes of Workers' Compensation Law § 25-a, thereby preventing the transfer of liability for future medical benefits to the Special Fund. The case was remitted to the Board for the specific calculation of the date of the last payment of compensation.

Workers’ CompensationPermanent Partial DisabilityThird-Party SettlementSpecial Fund for Reopened CasesLump Sum PaymentIndemnity Benefits WaiverFuture Medical ExpensesStatutory InterpretationAppellate ReviewRemittal
References
6
Case No. 2020 NY Slip Op 04473 [186 AD3d 594]
Regular Panel Decision
Aug 12, 2020

Moreno v. Future Health Care Servs., Inc.

The Appellate Division, Second Department, affirmed the denial of class certification for a putative class action brought by former home health care aides against Future Health Care Services, Inc. Plaintiffs alleged violations of Labor Law article 19, specifically concerning minimum wage payments for 24-hour shifts. The court, upon remittitur from the Court of Appeals, considered the Department of Labor's interpretation of Minimum Wage Order Number 11, which permits exclusion of up to 11 hours for sleep and meal breaks in 24-hour shifts. Consequently, the plaintiffs failed to demonstrate commonality, as they did not allege a lack of prescribed breaks or provide sufficient evidentiary basis for systemwide wage violations, thus failing to meet the requirements of CPLR article 9. Therefore, the Supreme Court's decision to deny class certification was upheld.

Class ActionLabor LawMinimum Wage24-hour ShiftsHome Health Care AidesClass CertificationWage OrderAppellate ReviewJudicial InterpretationNew York Department of Labor
References
7
Case No. 2017 NY Slip Op 04775
Regular Panel Decision
Jun 13, 2017

Ironshore Indemnity, Inc. v. W&W Glass, LLC

Ironshore Indemnity, Inc., as subrogee of The Related Companies, L.P., appealed a judgment that dismissed their action. The Supreme Court initially granted the Related Companies' motion to intervene, quash subpoenas, and dismiss the complaint. The Appellate Division, First Department, affirmed this judgment, finding that the Related Companies had a strong interest in the litigation. The court concluded that Ironshore had no subrogation rights because it had not made any payments or covered defense costs on behalf of the Related Companies in the underlying personal injury action. Additionally, Ironshore's subrogation claims were barred by Workers' Compensation Law § 11, as no 'grave injury' was alleged or proven.

subrogation rightsinterventionworkers' compensation lawgrave injuryadditional insuredindemnificationcontributiondefense costsappellate divisionjudgment dismissal
References
6
Case No. ADJ1124123 (BGN 0064929) ADJ3374432 (BGN 0061307)
Regular
Oct 22, 2018

MARY BAKER vs. SWEEETHEART CUPS; CIGA by SEDGWICK CMS for FREMONT INSURANCE in liquidation and PORTEOUS FASTENERS/PACIFIC INDEMNITY COMPANY, CHUBB INSURANCE

The Workers' Compensation Appeals Board granted CIGA's petition for reconsideration, reversing the finding that CIGA remained liable for permanent total disability indemnity and medical treatment for the applicant's industrial injuries. The Board found that because the applicant's injuries resulted in a joint and several award with a solvent insurer, Pacific Indemnity, CIGA has no obligation to pay as "other insurance" was available. The decision clarifies that CIGA is absolved of liability for medical treatment jointly caused by both injuries, but remains liable for treatment solely caused by the September 1979 injury. Pacific Indemnity is now solely responsible for all remaining permanent total disability indemnity and medical treatment costs, adjusting for payments already made by CIGA.

CIGASweetheart CupsPorteous FastenersFremont InsurancePacific IndemnityChubb InsuranceWilkinson doctrinejoint and several liabilitycovered claimsother insurance
References
10
Case No. MISSING
Regular Panel Decision
Sep 23, 1998

Rodgers v. 72nd Street Associates

This opinion details the court's application of CPLR article 50-B for structuring periodic payments of future damages awarded to plaintiffs Frank and Kathleen Rodgers. Following a jury verdict where the Rodgers prevailed in their accident claims against the defendant, the court addressed complex calculations for past and future pain and suffering, lost wages, and annuity losses, accounting for Mr. Rodgers' comparative negligence. Justice Solomon resolved disputes regarding the discounting of lump-sum future awards, determined attorney's fees on periodic payments, and established appropriate discount rates based on actuarial practices and Treasury note rates. The final judgment specifies the amounts for past and future damages, attorney's fees for future payments, and the present value of the annuity contract the defendant is required to purchase.

periodic paymentsCPLR article 50-Bfuture damagesattorney's feeslump-sum awardsdiscount ratesannuity contractcomparative negligencepersonal injurystructured settlements
References
9
Case No. 18-CV-0361
Regular Panel Decision
Mar 06, 2018

Commodity Futures Trading Comm'n v. McDonnell

The Commodity Futures Trading Commission (CFTC) sued Patrick McDonnell and his company, CabbageTech, Corp. d/b/a Coin Drop Markets (CDM), alleging a deceptive and fraudulent virtual currency scheme. The defendants were accused of offering fraudulent trading and investment services related to virtual currency, misappropriating investor funds, and misrepresenting trading advice and future profits. The primary legal questions involved the CFTC's standing to sue and whether virtual currencies are considered commodities under the Commodity Exchange Act (CEA). The court affirmed both questions, finding that virtual currencies function as commodities and that the CFTC has jurisdiction over fraud in underlying spot markets, not just derivatives. Consequently, the court granted a preliminary injunction in favor of the CFTC and denied the defendants' motion to dismiss for lack of jurisdiction, concluding there was a reasonable likelihood of continued CEA violations without the injunction.

Virtual CurrencyBitcoinLitecoinCommodity Exchange ActCFTC JurisdictionFraudMisappropriationPreliminary InjunctionSpot Market RegulationFinancial Technology
References
60
Case No. ADJ329334 (OAK 0311178), ADJ2064025 (OAK 0318666)
Regular
Feb 22, 2013

Vilma Ruiz vs. Margaret O'Leary, California Insurance Guarantee Association, for Fremont Indemnity Company, Republic Indemnity Company

The California Workers' Compensation Appeals Board rescinded a prior award finding Republic Indemnity liable for applicant's cumulative injury. The Board ruled that the applicant's compromise and release agreement with Republic barred further claims against them, and that CIGA was not liable because other insurance (Republic) was available. The Board also determined that the applicant's specific injury claim caused no temporary disability, permanent disability, or need for future medical treatment. Consequently, the applicant was awarded no further benefits in either case.

Workers' Compensation Appeals BoardCalifornia Insurance Guarantee AssociationFremont Indemnity CompanyRepublic Indemnity Companycumulative injuryspecific injurycompromise and releaseinsolvent carriercovered claimsother insurance
References
18
Case No. ADJ10857121
Regular
Sep 13, 2022

GEORGE ZEBER vs. NEW YORK YANKEES, TRAVELERS INDEMNITY COMPANY

The Workers' Compensation Appeals Board granted reconsideration of a prior award concerning applicant George Zeber's claim against the New York Yankees and Travelers Indemnity Company. The Board amended the prior decision to defer the issue of insurance coverage to mandatory arbitration. Findings were amended to reflect that Travelers Indemnity Company insured the employer from April 5, 1976, to April 5, 1977, and the award was clarified to be against Travelers for future medical treatment.

Workers' Compensation Appeals BoardPetition for ReconsiderationInsurance CoverageMandatory ArbitrationCumulative Trauma PeriodMedical TreatmentMedical Record DevelopmentStatute of LimitationsPermanent DisabilityUSF&G
References
2
Case No. ADJ1160933 (SAL 0073085) ADJ1668595 (SAL 0073084)
Regular
Feb 17, 2012

MARIA AYALA vs. MANN PACKING COMPANY, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, On Behalf of INDUSTRIAL INDEMNITY In Liquidation, Administered by SEDGWICK CMS

The Workers' Compensation Appeals Board granted CIGA's reconsideration request, overturning a prior order that denied CIGA relief from administering further medical treatment. The Board found that Zenith's joint and several liability under a 1999 Stipulated Award constituted "other insurance," relieving CIGA, as Industrial Indemnity's insolvency insurer, of its obligation. The court clarified that the settlement between Zenith and Industrial Indemnity addressed only their contribution claims, not Zenith's liability to the applicant. Consequently, Zenith is now responsible for administering the award of future medical treatment.

CIGAIndustrial IndemnityZenith InsuranceStipulated AwardJoint and Several LiabilityOther InsuranceInsurance Code Section 1063.1Covered ClaimsInsolvency InsuranceCumulative Trauma
References
4
Case No. MON 328728 MON 328729
Regular
Jan 30, 2008

RICARDO GARAY vs. INDUSTRIAL CONTAINER SERVICES, AMERICAN HOME ASSURANCE COMPANY, AIG CLAIM SERVICES

This case involves a dispute over temporary disability indemnity payments and a claimed overpayment by the defendant. The Appeals Board rescinded the prior findings on temporary disability due to conflicting evidence regarding payment dates and disability periods. The matter is returned to the trial level for further development of the record and new findings on temporary disability, potential overpayments, and the priority of liens, while affirming the findings of industrial injury, permanent disability, and the need for future medical treatment.

Workers Compensation Appeals BoardRicardo GarayIndustrial Container ServicesAmerican Home Assurance CompanyAIG Claim ServicesMON 328728MON 328729ReconsiderationJoint Findings and AwardWCJ
References
9
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