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

Case No. 71 Civ. 2381
Regular Panel Decision
May 27, 1971

Botany Industries, Inc. v. New York Joint Board, Amalgamated Clothing Workers of America

Botany Industries, Inc., an employer, sought to vacate a labor arbitration award, while the New York Joint Board, Amalgamated Clothing Workers of America, the union, sought its confirmation and enforcement. The dispute arose from a 1966 agreement between Botany and the Joint Board, which restricted Botany from doing business with non-union manufacturers of boys', students', and junior clothing and from licensing its 'Botany' trademark under similar conditions. Botany argued these provisions constituted an illegal 'hot cargo' agreement under section 8(e) of the Labor Management Relations Act. The union contended the agreement was protected by the 'garment industry exemption' or was a 'work preservation clause.' The court, presided over by Chief Judge Edelstein, found it had jurisdiction to review the award. It determined Botany did not fall under the garment industry exemption, nor was the agreement a valid work preservation clause. Consequently, the court held the agreement void and unenforceable, thereby vacating Arbitrator Gray's award.

Labor LawArbitration AwardHot Cargo ClauseGarment Industry ExemptionCollective Bargaining AgreementJudicial ReviewUnfair Labor PracticeUnion AgreementContract EnforcementTrademark Licensing
References
40
Case No. ADJ2590975 (STK 0190237)
Regular
Sep 12, 2011

RAFAEL DELEON vs. STATE OF CALIFORNIA, CDCR, MULE CREEK PRISON, adjusted by STATE COMPENSATION INSURANCE FUND

In this workers' compensation case, the Appeals Board affirmed a prior award granting medical treatment for applicant's diabetes. Despite the defendant's argument that diabetes treatment was for a non-industrial condition, the Board found it necessary to prevent worsening of the applicant's industrially caused heart disease. Medical evaluators concluded that controlling diabetes is an essential component of treating industrial heart conditions, making the treatment compensable. The decision hinges on the principle that treatment for non-industrial conditions is covered when essential to cure or relieve the effects of an industrial injury.

Workers' Compensation Appeals BoardIndustrial InjuryHeart ConditionDiabetesGastrointestinal DifficultiesAgreed Medical EvaluatorTreating PhysicianCardiologistMedical TreatmentLabor Code Section 4600
References
9
Case No. 03-cv-4134
Regular Panel Decision

Infantolino v. Joint Industry Board of the Electrical Industry

Anthony Infantolino sued the Joint Industry Board of the Electrical Industry (JIB) and Thomas Bush, alleging unlawful retaliation under the Americans with Disabilities Act (ADA) and New York State/City laws. JIB moved for summary judgment, arguing procedural defects and substantive failures, including that it was not Infantolino's employer. The court found JIB to be a 'joint labor-management committee' and thus a 'covered entity' under the ADA, refuting the employer argument. The court denied summary judgment regarding the retaliation claims, finding genuine issues of fact as to whether JIB's stated reasons for its actions were pretexts for impermissible retaliation. However, the motion for summary judgment was granted in part, denying punitive and compensatory damages for the ADA retaliation claim and punitive damages for the New York State Human Rights Law claim, but allowing punitive damages for the New York City Human Rights Law claim.

ADA RetaliationDisability DiscriminationSummary JudgmentBurden-Shifting FrameworkCausal ConnectionPretextPunitive DamagesCompensatory DamagesNew York City Human Rights LawNew York State Human Rights Law
References
36
Case No. ADJ3931400 (MON 0218725) ADJ4561489 (MON 0257189)
Regular
Nov 07, 2008

ELLEAN SLAUGHTER vs. CENTINELA HOSPITAL MEDICAL CENTER/TENET HEALTHCARE CORPORATION

This case involves a petition to reopen a worker's compensation claim where the applicant's permanent disability increased from 77.5% to 100% due to chronic pain syndrome. The defendant argued for apportionment to non-industrial conditions like multiple sclerosis and chronic fatigue syndrome. The Appeals Board granted reconsideration, rescinded the original award, and remanded the case for a new permanent disability rating, specifically requiring apportionment of the increased disability to the applicant's non-industrial conditions as per *Vargas v. Atascadero State Hospital*.

ReconsiderationPermanent DisabilityApportionmentNew and Further DisabilityChronic Pain SyndromeMultiple SclerosisChronic Fatigue SyndromeAgreed Medical ExaminersSB 899Vargas v. Atascadero State Hospital
References
3
Case No. ADJ10170331
Regular
Sep 23, 2019

ROBIN WITHERS vs. ALLIED BARTON SECURITY SERVICES, ARCH INSURANCE COMPANY

This case concerns Robin Withers' petition for reconsideration of a workers' compensation ruling denying her claim for psychiatric injury. The administrative law judge found that Withers sustained industrial injury in the form of headaches but not to her psyche. Withers argued she proved a work-related psychiatric injury, citing symptoms that predated significant non-industrial stressors. However, the evidence, including expert opinion, indicated that non-industrial stressors were the predominant cause of her psychiatric condition. Therefore, the petition for reconsideration was denied.

Workers Compensation Appeals BoardADJ10170331Findings of FactPetition for ReconsiderationWCJpsychiatric injuryPQMEpredominant causenon-industrial stressorssexual harassment
References
2
Case No. ADJ2570690 (BAK 0136703) ADJ2091641 (BAK 0136704) ADJ2368957 (BAK 0136705)
Regular
Feb 01, 2016

WESLEY CHAMBERS vs. SCHLUMBERGER DOWELL, TRAVELERS INDEMNITY COMPANY OF ILLINOIS, TRAVELERS INSURANCE COMPANY

In this Workers' Compensation Appeals Board decision, the applicant sustained a 100% permanent disability award due to orthopedic and psychiatric injuries. The Board granted reconsideration, agreeing with the applicant's total permanent disability but finding the prior apportionment to non-industrial factors was insufficient. The Board amended the award to incorporate a 15% apportionment to non-industrial factors based on medical opinion, reducing the compensable permanent disability to 85%, and returned the case for a new rating. This adjustment stems from the applicant's pre-existing "family problems" which contributed to his psychiatric condition, independent of his industrial injuries.

Workers' Compensation Appeals BoardReconsiderationPermanent DisabilityApportionmentCumulative TraumaPsychiatric InjuryOrthopedic InjuryAgreed Medical ExaminerQualified Medical EvaluatorMedical Evidence
References
1
Case No. ADJ2126841 (LAO 0848423)
Regular
Oct 23, 2014

ESPERANZA LUCIA MELENDEZ vs. KELLERMEYER BUILDING SERVICES LLC, ZURICH AMERICA INSURANCE COMPANY, GALLAGHER BASSETT SERVICES, INC.

The Board reconsidered a WCJ's award of home health care for an applicant injured in 2004, finding the defendants' arguments regarding IMR and authorization rules inapplicable due to the injury date. While affirming the need for home health care supported by medical opinions, the Board remanded the case to determine the specific scope and amount of such services, distinguishing them from non-industrial conditions. The Board reversed the WCJ's finding that the applicant's right ankle injury was industrially related due to a lack of substantial medical evidence and applicant testimony. Therefore, the award is affirmed in part, with the home health care scope deferred and the ankle injury deemed non-industrial.

Independent Medical ReviewLabor Code section 4610.5home health caremedical treatmentsection 4600prescriptionqualified medical evaluatoradmissiblehearsaycompensable consequence
References
2
Case No. MISSING
Regular Panel Decision
Jul 30, 1982

Claim of Terwilliger v. Green Fuel Economizer, Inc.

The claimant appealed a Workers' Compensation Board decision, challenging both the apportionment of his award between an industrial accident and a pre-existing condition, and the board's finding of moderate disability. The court emphasized that full compensability hinges on whether the industrial accident activated a previously dormant and non-disabling pre-existing condition. Despite the claimant's attending physician testifying that his pre-existing condition was asymptomatic prior to the accident, the record contained evidence of prior low back problems. The court reiterated that resolving conflicting medical evidence, concerning both apportionment and the degree of disability, falls exclusively within the Board's purview. Since the Board's decision was supported by substantial evidence, the appellate court affirmed it.

Workers' CompensationApportionmentPre-existing conditionDisabilityMedical evidenceConflicting testimonySubstantial evidenceAppellate reviewIndustrial accidentBoard decision
References
3
Case No. MISSING
Regular Panel Decision

Claim of Foulton v. Martec Industries

The claimant, a laborer for Martec Industries, sought workers' compensation benefits for a back injury allegedly sustained on June 7, 2006. Martec and its workers' compensation carrier controverted the claim, citing the claimant's history of prior back injuries in 1998 and 2000. A Workers' Compensation Law Judge initially awarded benefits, concluding the June 7, 2006 incident constituted an accidental work-related aggravation of prior injuries, a decision affirmed by the Workers' Compensation Board. On appeal, the court reversed the Board's decision, finding insufficient evidence that the June 7, 2006 incident caused a new disability. Evidence showed the claimant had experienced chronic back pain since 1998, and physicians attributed his disability primarily to preexisting conditions. The matter was remitted to the Workers' Compensation Board for further proceedings.

Workers' CompensationBack InjuryAggravationPreexisting ConditionMedical EvidenceDisability BenefitsAppellate ReviewReversalRemittalEmployer Liability
References
3
Case No. MISSING
Regular Panel Decision

Matter of Marzovilla v. New York State Industrial Board of Appeals

Petitioners Nicola Marzovilla and Valodome, Inc., challenged a determination by the Industrial Board of Appeals (IBA) which found they violated Labor Law § 196-d by misappropriating employee tips at their New York City restaurant, iTrulli. The misappropriation occurred from 2001 to 2005 through the inclusion of senior employees, Gianni Linardic and Alex Steidl, in a mandatory tip pool, despite their ineligibility due to supervisory roles or non-service primary duties. The Department of Labor (DOL) initially assessed approximately $407,000 in owed wages, interest, and penalties, a finding largely upheld by the IBA. The Appellate Division confirmed the IBA's decision, concluding that Linardic exercised "meaningful authority" over other servers and Steidl's duties were not principally customer service, thus rendering both ineligible for tip sharing. Consequently, the determination of tip misappropriation was upheld, and the petitioners' CPLR article 78 petition was dismissed.

Tip PoolingWage MisappropriationLabor Law § 196-dIndustrial Board of AppealsAppellate ReviewRestaurant IndustrySupervisory EmployeesTip EligibilityCPLR Article 78Judicial Review
References
6
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