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

Case No. G107 435
Regular Panel Decision
Jun 02, 2023

Matter of Marku v. ABM Industries

This case concerns the claim of Denise Perry under the Workers' Compensation Law. The Workers' Compensation Law Judge (WCLJ) previously found that the employer, Adventist Home Care, established a violation of Workers' Compensation Law § 114-a by the claimant for willfully making false statements to obtain benefits. Consequently, the WCLJ disallowed indemnity benefits and imposed both mandatory and discretionary penalties. A Board Panel decision filed on February 17, 2022, affirmed the WCLJ's findings. The claimant subsequently filed an application for reconsideration on March 18, 2022, which the Board Panel reviewed. After considering the claimant’s arguments, the Board Panel determined that the application did not raise new issues or present new material evidence, nor did it demonstrate an erroneous statement of material fact or law in the prior decision. Therefore, the Board Panel, by a majority vote, affirmed its prior decision.

Workers' Compensation FraudFalse RepresentationIndemnity Benefits DisallowanceWCL § 114-a PenaltyApplication for Reconsideration DeniedBoard Panel AffirmationWillful MisrepresentationWorkers' Compensation Law Judge DecisionEmployer Established Violation
References
0
Case No. MISSING
Regular Panel Decision

Texas Workers' Compensation Insurance Fund v. Texas Workers' Compensation Commission

The Texas Workers’ Compensation Insurance Fund, now Texas Mutual, challenged an appeals panel decision by the Texas Workers’ Compensation Commission which awarded lifetime income benefits to claimant Leonard D. Watts. Watts, a truck driver for Mono Chem Corporation, sustained a leg injury in 1994, leading to severe medical conditions and ultimately the loss of use of both feet. A hearing officer initially denied lifetime benefits due to insufficient evidence of a causal connection to the original injury, but the appeals panel twice reversed this decision, rendering a new decision in favor of Watts. Texas Mutual sought judicial review, arguing the appeals panel exceeded its statutory authority and improperly engaged in factual-sufficiency review. The district court set aside the appeals panel's decision. This court, however, reversed the district court's decision, affirming the appeals panel’s award of lifetime income benefits to Watts, holding that the appeals panel acted within its statutory authority.

Workers' CompensationLifetime Income BenefitsAppeals Panel ReviewJudicial ReviewFactual SufficiencyStatutory AuthorityCausationRes JudicataCollateral EstoppelTexas Labor Code
References
13
Case No. MISSING
Regular Panel Decision

Matter of Burns v. New York State Workers' Compensation Board

Claimant sought workers' compensation benefits due to injuries from an automobile accident. As an employee of the Workers’ Compensation Board, his claim was processed through a neutral outside arbitration process. An arbitrator established his claim and average weekly wage. Claimant appealed, arguing his average weekly wage should have been calculated differently due to a recent promotion, as per Workers’ Compensation Law § 14 (2). An arbitration panel declined to address this argument because it was not raised before the arbitrator. The appellate court affirmed the panel's decision, citing that the panel could decline review of issues not previously raised, consistent with 12 NYCRR 300.13 [e] [1] [iii].

ArbitrationAverage Weekly WageWorkers' CompensationAppellate ReviewIssue PreservationAdministrative LawProcedural Due ProcessStatutory InterpretationWorkers’ Compensation Board
References
2
Case No. MISSING
Regular Panel Decision

Claim of Mulligan v. Workers' Compensation Board

The claimant, a former workers' compensation law judge, appealed the denial of reduced earning benefits, which stemmed from his claim that stress from his job caused him to voluntarily withdraw from the labor market. He had previously received benefits for a 1995 angina attack. An arbitrator and subsequent arbitration panel concluded that he voluntarily withdrew from the labor market, a determination the claimant contested, asserting his retirement was due to work-related stress. The court, led by Judge Carpinello, found substantial evidence supported the panel's decision, noting the claimant never complained of stress to supervisors, sought accommodations, or applied for disability retirement. The court affirmed the arbitration panel's decision, denying the claimant's appeal.

Voluntary Withdrawal from Labor MarketReduced Earning BenefitsWorkers Compensation BenefitsArbitration Panel DecisionSubstantial EvidenceDisability RetirementJob-Related StressAppellate ReviewLabor Market WithdrawalClaim Denial
References
8
Case No. WCB No. G076 2707
Regular Panel Decision
Dec 09, 2021

Matter of Duncan v. John Wiley & Sons, Inc.

This Board Panel Decision concerns an appeal by the applicant, Joseph Lafayette, regarding a Workers' Compensation Law Judge's (WCLJ) finding on the causal relationship of his back injury. The applicant sustained injuries to his back, neck, and shoulder during his employment. The WCLJ had previously established a causal relationship for the neck and shoulder injuries but disallowed the claim for the back injury. Upon review, the Board Panel determined that the medical evidence in the record supports a causal relationship between the claimant's employment and his lower back injury. As a result, the Panel modified the WCLJ's decision to establish a causal relationship for the back injury, while affirming the other aspects of the original decision.

Workers' CompensationBack InjuryNeck InjuryShoulder InjuryCausal RelationshipMedical EvidencePanel ReviewWCLJ DecisionModificationAppeal
References
2
Case No. MISSING
Regular Panel Decision

Leone v. Columbia Sussex Corp.

Alfred Leone sustained injuries when a scaffold plank broke at a construction site owned and operated by Columbia Sussex Corp. He was an employee of Smith Glass Co., a subcontractor, and the scaffold was erected by another subcontractor, Panelized Systems, Ltd. Columbia Sussex Corp. appealed orders denying its motion to amend its answer with a Workers’ Compensation Law defense and denying summary judgment on its third-party complaint against Panelized. The appellate court reversed the denial to amend, finding a question of fact on whether Leone was a special employee of Columbia, thus allowing the Workers' Compensation defense to be asserted. However, the court affirmed the denial of summary judgment for indemnification against Panelized, ruling contractual indemnification inapplicable and common-law indemnification premature.

Personal InjuryScaffold AccidentWorkers' Compensation LawSpecial EmploymentAmended AnswerSummary JudgmentContractual IndemnificationCommon-Law IndemnificationSubcontractor LiabilityConstruction Accident
References
9
Case No. G0699450
Regular Panel Decision
Aug 10, 2023

Matter of Von Maack v. Wyckoff Heights Medical Center

The claimant, Yvette Robles, sustained a work-related injury to her left knee. The Workers' Compensation Law Judge (WCLJ) initially established accident, notice, and causal relationship. However, the employer and carrier appealed, contending the claim was untimely filed. A Board Panel modified the WCLJ's decision, determining that the claim was barred by Workers' Compensation Law § 28 due to untimely filing. The Full Board subsequently affirmed the Board Panel's decision, upholding the bar to the claim.

Timeliness of ClaimWCL § 28Board Panel ReviewAccident, Notice, and Causal RelationshipLeft Knee InjuryEmployer AppealFull Board ReviewClaim BarredStatute of LimitationsWork-Related Injury
References
0
Case No. MISSING
Regular Panel Decision

United States v. Hunt

The defendant, Howard Hunt, an attorney, was indicted for conspiring to intimidate a prospective witness in a narcotics case. After being found guilty by a jury on January 19, 1967, Hunt filed a motion to quash the jury panel, alleging violations of federal statutory schemes for jury selection due to incorrect standards and inadequate sources for prospective jurors. The Court, presided over by Senior District Judge Graven, held a three-day hearing on the motion. The defendant's challenges primarily focused on alleged discrimination against Mexican-Americans and an imbalance in economic attainment and employment representation within the jury panel, specifically concerning Bexar County. The Court denied the motion, finding no evidence of impermissible selective judgment by suggesters, no significant disparity indicating discrimination against Mexican-Americans (especially when considering eligibility factors like age, citizenship, and English language proficiency), and no purposeful discrimination based on economic status or occupation, given the complexities of jury selection in metropolitan areas and the efforts made to ensure a broad cross-section of the community.

Jury SelectionJury PanelRacial DiscriminationJury QualificationsStatutory ComplianceCross-Section of CommunitySan Antonio DivisionBexar CountyFifth CircuitJudicial Conference
References
8
Case No. MISSING
Regular Panel Decision

Benavidez v. TRAVELERS INDEMNITY COMPANY OF CONNECTICUT

This case addresses two key issues concerning judicial review of a Texas Workers' Compensation Commission Appeals Panel decision. The first issue is when a party seeking judicial review is required to file a copy of its petition with the Commission under Texas Labor Code section 410.253. The second issue is whether untimely notice to the Commission under this section deprives the trial court of jurisdiction over the judicial review action. The court of appeals had previously held that the filing was required within forty days of the Appeals Panel decision and was mandatory and jurisdictional. However, the Supreme Court, referencing Albertson’s, Inc. v. Sinclair, clarifies that the petition must be filed with the Commission on the same day it is filed in the trial court, and while timely filing is mandatory, it is not jurisdictional. Consequently, the court of appeals' judgment was reversed, and the case was remanded to the trial court for further proceedings.

Workers' CompensationJudicial ReviewAppeals Panel DecisionTimely FilingJurisdictionMandatory RequirementTexas Labor CodeCourt of Appeals ReversalRemandCivil Procedure
References
3
Case No. WCB No. G0699039
Regular Panel Decision
Sep 23, 2011

HARRIS, JEFFREY T. v. SCHMIDT, ASHLEY E.

Leo P. DiLuzio sustained work-related injuries to his neck, back, and left knee on July 19, 2005. He was classified with a permanent partial disability and received an additional 25 weeks of Schedule Loss of Use (SLU) for his left knee, making it a 50% SLU. The self-insured employer argued that the 525-week cap on indemnity benefits for concurrent SLU and PPD awards under Workers' Compensation Law § 15(3)(w) should apply, despite the pre-July 26, 2010 accident date. The Workers' Compensation Law Judge (WCLJ) ruled that the claimant was entitled to both SLU and PPD awards without the 525-week cap. The Board Panel affirmed the WCLJ's decision, referencing Matter of Sanchez and clarifying that the 525-week cap in § 15(3)(w) is applicable only to accidents occurring on or after July 26, 2010.

Workers' CompensationPermanent Partial DisabilitySchedule Loss of UseIndemnity BenefitsConcurrent AwardsStatutory InterpretationAccident DateLegislative AmendmentSection 15(3)(w)Section 15(3)(v)
References
1
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