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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
Sep 28, 2004

In re Human Performance, Inc.

Human Performance, Inc., doing business as Woodstock Spa & Wellness, appealed a decision by the Unemployment Insurance Appeal Board. The Board had assessed Human Performance, Inc. for additional unemployment insurance contributions for massage therapists and aestheticians, classifying them as employees. Woodstock argued they were not employees. The court affirmed the Board's decision, finding that Woodstock maintained control over important aspects of the therapists' work, including setting fees, scheduling services, handling complaints, providing workers’ compensation coverage, and supplying the workspace, equipment, and supplies.

Unemployment InsuranceMassage TherapistsAestheticiansEmployer-Employee RelationshipWellness CenterDay SpaIndependent ContractorWorkers Compensation CoverageLabor LawAppeal Board Decision
References
1
Case No. 2013-1461 K C
Regular Panel Decision
Mar 16, 2016

Performance Plus Med., P.C. v. Nationwide Ins.

This case involves an appeal by Performance Plus Medical, P.C., acting as an assignee, against Nationwide Ins. The plaintiff sought to recover assigned first-party no-fault benefits. The Civil Court had previously granted the defendant's motion for summary judgment, leading to the dismissal of the complaint. The Appellate Term affirmed this order, ruling that the defendant's timely verification request tolled the insurer's time to pay or deny the claim, thus rendering the plaintiff's action premature due to a failure to respond to the request. Additionally, the court found that the defendant had successfully demonstrated a prima facie case for denying claims related to the first cause of action based on the workers' compensation fee schedule, which the plaintiff failed to rebut.

No-fault benefitsSummary judgmentVerification requestInsurer's time to payPremature actionWorkers' compensation fee scheduleAppellate reviewCivil Court orderFirst-party benefitsAssigned claims
References
2
Case No. ADJ10765465
Regular
Mar 25, 2018

VIRAJ PATEL vs. TASA CORPORATION, DONALD AND MARIE FERGUSON, dba PROPERTY DAMAGE APPRAISERS OF SANTA CLARA COUNTY, uninsured, PROPERTY DAMAGE APPRAISERS, INC., insured by THE HARTFORD, UNINSURED EMPLOYERS BENEFITS TRUST FUND

The applicant, Viraj Patel, suffered a severe industrial injury while working as a vehicle appraiser. The Workers' Compensation Appeals Board (WCAB) granted reconsideration, overturning the trial judge's finding that Patel was an independent contractor. The WCAB found Patel was an employee of TASA Corporation and Property Damage Appraisers, Inc., based on factors like TASA's control over his work and the integral nature of his role. The case is remanded for further proceedings on compensation.

Workers' Compensation Appeals BoardIndependent contractorEmployee statusRight to controlBorello factorsFranchise agreementIndustrial injuryPTSDLoss of sightTASA Corporation
References
19
Case No. MISSING
Regular Panel Decision

Trustees of the Mosaic & Terrazzo Welfare, Pension, Annuity & Vacation Funds v. High Performance Floors, Inc.

Plaintiffs, trustees of various employee benefit funds, brought this action under ERISA and LMRA to collect employer contributions from defendants HPF, Inc. and High Performance Floors, Inc. The plaintiffs alleged that HPF was an alter ego of, or single employer with, High Performance, aiming to evade obligations under a collective bargaining agreement. Following a non-jury trial, U.S. Magistrate Judge Steven M. Gold concluded that High Performance and HPF were indeed alter egos and constituted a single employer. This determination was based on compelling evidence of shared management, employees, operations, equipment, and a common business purpose, coupled with an intent to circumvent union obligations. Consequently, the court found the defendants jointly and severally liable for the unpaid contributions.

Alter Ego DoctrineSingle Employer DoctrineERISA EnforcementLMRA LitigationUnpaid Employer ContributionsCollective Bargaining Agreement BreachEmployee Benefit Fund ProtectionCorporate DisregardLabor Relations LawJoint and Several Liability
References
30
Case No. 2021 NY Slip Op 02769 [195 AD3d 140]
Regular Panel Decision
May 04, 2021

Robinson v. Great Performances/Artists as Waitresses, Inc.

This class action sought unpaid gratuities under Labor Law § 196-d. The central question was whether an employer has a right to contractual indemnification from a third party for claims brought under this statute. The court determined that contractual indemnification in this context is against public policy, citing similar rulings on other labor laws like the FLSA. The Supreme Court had dismissed the third-party complaint, and this appellate decision affirmed that dismissal, stating that allowing such indemnification would undermine employers' willingness to comply with their statutory obligations.

unpaid gratuitiesLabor Lawcontractual indemnificationpublic policyemployer liabilitywage violationsFair Labor Standards Act (FLSA)third-party claimsclass actionappellate review
References
12
Case No. MISSING
Regular Panel Decision

Mirrer v. Hevesi

The petitioner, a police sergeant for the Port Authority of New York and New Jersey, sought accidental and performance of duty disability retirement benefits after slipping from a fire truck due to foam on his shoes. The respondent Comptroller denied his applications, finding that the incident was not an 'accident' under the Retirement and Social Security Law, as slipping on foam was an inherent risk of his job duties, and that he was not permanently incapacitated from performing his duties. The court affirmed the Comptroller's determination, citing substantial evidence supporting both findings, including the resolution of conflicting expert medical opinions regarding permanent disability. Consequently, the petition was dismissed.

Disability Retirement BenefitsAccidental DisabilityPerformance of Duty DisabilityPolice SergeantFirefighting OperationsLa Guardia AirportSlip and FallInherent Risk of EmploymentCervical Spine InjuryExpert Medical Evidence
References
5
Case No. MISSING
Regular Panel Decision

Zimmer v. Chemung County Performing Arts, Inc.

This case is an appeal from an order of the Supreme Court in Tioga County, which granted defendants' motions to set aside a $350,000 jury verdict in favor of the plaintiff and ordered a new trial. The trial court's decision to grant a new trial was affirmed by the appellate court, acknowledging the trial court's discretion in evaluating errors. The basis for setting aside the verdict included the plaintiff's attorney's improper introduction of new medical evidence (CAT scan and X-rays) shortly before trial, without proper notice, and the subsequent testimony of Dr. Leonard J. Barron based on this evidence. Additionally, plaintiff's attorney engaged in prejudicial tactics during summation, attacking the reliability of defendants' medical expert and injecting speculative arguments about inflation and improper references to workers' compensation reimbursement. These combined errors led the trial court, and subsequently the appellate court, to conclude that defendants were denied a fair trial, thus justifying a new trial on damages.

Appeal ProcedureNew TrialEvidentiary RulingsDiscovery AbuseMedical Expert TestimonyJury Verdict Set AsideAttorney MisconductPrejudicial ErrorsDamages DeterminationFair Trial
References
6
Case No. MISSING
Regular Panel Decision
Apr 29, 1975

Brewery Workers Pension Fund v. New York State Teamsters Conference Pension & Retirement Fund

In an action for a declaratory judgment and for specific performance of a certain agreement, defendants appeal from a judgment and order (one paper) of the Supreme Court, Queens County, dated April 29, 1975, which, *inter alia,* granted plaintiffs’ motion for summary judgment. Judgment and order affirmed, with $20 costs and disbursements. There are no issues requiring a trial.

Declaratory JudgmentSpecific PerformanceSummary JudgmentAppealAffirmedQueens CountySupreme CourtContract LawJudgment and OrderAppellate Division
References
0
Case No. 2023 NY Slip Op 04168 [219 AD3d 1003]
Regular Panel Decision
Aug 03, 2023

Matter of Campos v. Performance Master, Inc.

Claimant Denis Campos, a construction worker, filed for workers' compensation benefits after falling from a ladder. A Workers' Compensation Law Judge (WCLJ) established the claim and put American Zurich Insurance Company on notice regarding a specific workers' compensation policy. American Zurich contested, arguing the policy was canceled or that other policies applied, but failed to provide evidence for the identified policy despite being directed to do so. The WCLJ determined the policy remained in effect, making American Zurich the liable carrier. The Workers' Compensation Board affirmed this decision, declining to consider new evidence submitted by American Zurich on administrative appeal, and subsequently denied their application for reconsideration. The Appellate Division affirmed the Board's decisions, finding no abuse of discretion in refusing new evidence or denying reconsideration.

Workers' Compensation BenefitsInsurance Coverage DisputePolicy CancellationAdministrative ReviewEvidence SubmissionAppellate DivisionWCLJ DecisionBoard AffirmationReconsideration DenialAbuse of Discretion
References
5
Case No. MISSING
Regular Panel Decision

Matter of Molloy v. DiNapoli

The petitioner, a correction officer, sought performance of duty disability retirement benefits after sustaining multiple left shoulder injuries across several work-related incidents. While the New York State and Local Employees’ Retirement System conceded permanent disability, the respondent Comptroller denied the application, concluding that the initial June 6, 2008 incident was not the proximate cause of the disability. Conflicting medical evidence was presented, with orthopedic surgeon Andrew Beharrie linking the disability to the 2008 incident, while independent medical examiner Bradley Wiener attributed the need for surgical intervention to subsequent incidents in 2009 and 2010. The Hearing Officer and Comptroller credited Wiener's opinion, noting the lack of immediate medical treatment after the first incident and the petitioner's return to full duty. The court affirmed the Comptroller's determination, finding it to be supported by rational, fact-based medical opinion and substantial evidence.

Disability RetirementPerformance of DutyCorrection OfficerShoulder InjuryCausal RelationshipMedical EvidenceIndependent Medical ExaminationComptroller's DeterminationSubstantial EvidenceCPLR Article 78
References
6
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