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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
May 06, 2002

Claim of De Simone v. Consolidated Edison Co. of New York, Inc.

A claimant, after a 33-year career with the employer involving asbestos exposure, was diagnosed with a severe, permanent asbestos-related pulmonary and pleural disease by July 2000. He retired in May 2001 at age 55, informing his employer that his disability prevented him from continuing work. The employer challenged his eligibility for post-retirement benefits, asserting a voluntary withdrawal from the labor market. However, a Workers’ Compensation Law Judge and subsequently the Workers’ Compensation Board found a causal link between his disability and retirement, awarding him benefits. The appellate court affirmed the Board's decision, concluding that substantial evidence supported the finding that the claimant's retirement was not a voluntary withdrawal from the labor market.

Asbestos ExposureOccupational DiseasePulmonary AsbestosPleural DiseaseRetirement BenefitsVoluntary WithdrawalLabor MarketSubstantial EvidenceCausationDisability
References
4
Case No. MISSING
Regular Panel Decision

Smith v. New York State & Local Retirement Systems

Petitioner, a taxpayer services representative, sustained a back injury in March 1981 while lifting forms, leading to a decline in attendance and eventual termination in November 1989. She applied for accidental and ordinary disability retirement benefits, both of which were denied by the Comptroller. The accidental disability claim was denied because the incident was not deemed an 'accident' under Retirement and Security Law § 63. The ordinary disability claim was denied as untimely, having been filed approximately six months after her termination, exceeding the 90-day limit stipulated by Retirement and Social Security Law § 62. The Supreme Court dismissed the challenge to the ordinary disability denial due to untimeliness and transferred the accidental disability challenge to this Court. This Court confirmed the Comptroller's determination on both counts, rejecting the petitioner's estoppel argument regarding the untimely ordinary disability application and finding substantial evidence to support the finding that the injury did not constitute an 'accident' within the meaning of the relevant law, as it resulted from ordinary employment duties without an unexpected event.

Disability Retirement BenefitsAccidental DisabilityOrdinary DisabilityUntimely ApplicationEstoppel Against GovernmentWork-Related InjuryBack InjuryDefinition of AccidentOrdinary Employment DutiesSubstantial Evidence Review
References
16
Case No. MISSING
Regular Panel Decision
May 15, 2012

Hamzik v. Office for People with Developmental Disabilities

Plaintiff John J. Hamzik sued the Office for People with Developmental Disabilities (OPWDD) and several individual employees, alleging discrimination based on sex, age, and disability, as well as equal protection, due process, and retaliation claims under federal and state laws, including Title VII, ADEA, and ADA. Defendants moved to dismiss the amended complaint, and plaintiff cross-moved to file a second amended complaint. The District Court, finding that many claims were barred by Eleventh Amendment immunity or failure to exhaust administrative remedies, and that the remaining claims failed to state a plausible cause of action, granted the defendants' motion to dismiss. All federal claims were dismissed with prejudice, the cross-motion was denied as futile, and the remaining state law claims were dismissed without prejudice.

DiscriminationRetaliationDue ProcessEqual ProtectionTitle VIIADEAADAEleventh Amendment ImmunityAdministrative ExhaustionMotion to Dismiss
References
50
Case No. 2020 NY Slip Op 02301 [182 AD3d 821]
Regular Panel Decision
Apr 16, 2020

Matter of Community, Work, & Independence, Inc. v. New York State Off. for People with Dev. Disabilities

This case involves a CPLR article 78 proceeding initiated by Community, Work, and Independence, Inc. (petitioner) to challenge a determination affirming the objection to its proposed discharge of M.D., an individual with developmental disabilities, from day habilitation services. M.D.'s parents objected to the discharge, and an administrative hearing sustained their objection, a decision later affirmed by the Commissioner of the Office for People with Developmental Disabilities. The Appellate Division, Third Department, confirmed the Commissioner's determination, finding that the burden of proof was appropriately placed on the service provider. The court concluded that substantial evidence supported the finding that discharging M.D. was not reasonable, considering his needs, the lack of suitable alternative programs, and despite the petitioner's financial concerns. The court suggested that financial issues for service providers should be addressed by seeking increased funding rather than by discharging individuals.

Developmental DisabilityHCBS WaiverDischarge ServicesAdministrative HearingBurden of ProofSubstantial EvidenceFinancial ConcernsService ProviderMedicaid FundingAutism Spectrum
References
7
Case No. MISSING
Regular Panel Decision

Claim of Scarpelli v. Bevco Trucking Corp.

Claimant, aged 62, sustained a work-related back injury in February 1999, prompting his retirement the following day and the commencement of social security retirement benefits. Although he had planned to work part-time until age 65, he did not seek any employment post-injury. The Workers’ Compensation Board reversed a WCLJ decision, ruling that the claimant's failure to seek alternative work constituted a voluntary withdrawal from the labor market, despite being deemed permanently partially disabled. The employer and carrier's contention regarding the untimeliness of the appeal was rejected. Ultimately, the Appellate Division affirmed the Board's finding, concluding that substantial evidence supported the determination of voluntary withdrawal.

Voluntary withdrawalLabor marketPermanent partial disabilityWorkers' CompensationAppeal timelinessMedical evidenceConflicting evidenceSocial security benefitsRetirementBack injury
References
8
Case No. MISSING
Regular Panel Decision
Aug 26, 2009

Claim of Hester v. Homemakers Upstate Group

In 2006, the claimant sustained compensable right hip and back injuries as a home health aide, resulting in a permanent partial disability. Initially, a Workers’ Compensation Law Judge found the claimant attached to the labor market, but the Workers’ Compensation Board subsequently reversed this determination, ruling that the claimant had voluntarily withdrawn. The court affirmed the Board's decision on appeal, emphasizing the claimant's obligation to demonstrate attachment to the labor market by actively seeking employment within medical restrictions after a permanent partial disability finding. The claimant admitted to not having searched for work since the injury and had no future plans to do so. The court concluded that substantial evidence supported the Board's finding of voluntary withdrawal from the labor market.

Workers' CompensationLabor Market AttachmentPermanent Partial DisabilityVoluntary WithdrawalMedical RestrictionsAppellate ReviewSubstantial EvidenceClaimant ObligationsEmployment SearchHome Health Aide
References
4
Case No. MISSING
Regular Panel Decision

Claim of Jiminez v. Waldbaums

The Workers' Compensation Board affirmed a judge's finding of claimant's permanent partial disability but rescinded post-retirement compensation awards, attributing loss of earnings to the claimant's failure to seek employment. The Board allowed reopening if proof of a job search was provided. The claimant appealed this decision. The appellate court reversed, holding that when retirement is caused or contributed to by disability, it does not constitute a voluntary withdrawal from the labor market, thus entitling the claimant to continued compensation. The court found the Board's ruling internally inconsistent and clarified that terminating compensation for involuntarily retired, partially disabled workers due to disability lacks legal authority, distinguishing the Board's cited precedents as involving voluntary withdrawal or wage loss from non-disability factors.

Workers' CompensationPermanent Partial DisabilityRetirementLoss of EarningsVoluntary Removal from Labor MarketJob SearchReduced EarningsAppellate ReviewInconsistent RulingBurden of Proof
References
7
Case No. MISSING
Regular Panel Decision

Price v. Hudson Correctional Facility

Claimant, a correction counselor, ceased working in August 1992 at age 52 due to various health issues, including established work-related stress, anxiety, and panic disorder, eventually retiring in July 1995. A WCLJ initially found permanent total disability and a moderate causally related permanent partial disability, deeming the voluntary withdrawal issue moot. The Workers’ Compensation Board modified this, finding a moderate partial causally related disability until 1995 but ruling claimant voluntarily withdrew from the labor market upon retirement, denying further benefits. The appellate court reversed, clarifying that a work-related disability only needs to contribute to, not be the sole cause of, retirement to avoid voluntary withdrawal, and found the medical evidence established total disability at the time of retirement, partially due to work-related conditions.

Workers' CompensationVoluntary WithdrawalLabor MarketPermanent Total DisabilityPermanent Partial DisabilityCausally Related DisabilityStressAnxietyPanic DisorderMedical Evidence
References
3
Case No. MISSING
Regular Panel Decision

Bullard v. St. Mary's Hospital

Claimant, a secretary at St. Mary's Hospital, developed rheumatoid arthritis, resulting in a permanent partial disability. The Workers' Compensation Board ruled it an occupational disease and awarded compensation. Liability was apportioned among three employers: Rochester Savings Bank, Woodward Health Center, and St. Mary's Hospital. The Special Disability Fund (SDF) was deemed liable for benefits after the initial 104-week disability period. SDF appealed, contending its reimbursement should be limited to St. Mary's Hospital's one-third share. The court affirmed the Board's decision, holding that Workers' Compensation Law § 44 makes the last employer (St. Mary's) responsible for total compensation, and Workers' Compensation Law § 15 (8) (d) requires SDF to fully reimburse the employer's carrier, Sedgwick James, for benefits paid after 104 weeks.

Occupational DiseaseRheumatoid ArthritisPermanent Partial DisabilityApportionmentSpecial Disability FundReimbursementWorkers' Compensation LawLast Employer LiabilityInsurance CarrierWorkers' Compensation Board
References
0
Case No. MISSING
Regular Panel Decision

Claim of Leeber v. LILCO

The case involves an appeal from a Workers' Compensation Board decision regarding a claimant exposed to asbestos during employment with LILCO and its successor, resulting in occupational asbestosis and pleural disease. The Workers’ Compensation Law Judge found the claimant permanently partially disabled and that his retirement, though incentivized, was partly due to his disability, thus not a voluntary withdrawal from the labor market. The Board affirmed the disability finding but denied continued compensation after the claimant testified he had not sought post-retirement work. The appellate court reversed, holding that the Board erred by discontinuing awards solely based on the claimant's failure to seek employment post-retirement, as proof that a claimant has not sought work does not, by itself, defeat the inference that reduced earning capacity is due to disability. The matter was remitted for further proceedings consistent with the court's three-step analysis for evaluating voluntary withdrawal from the labor market.

Occupational AsbestosisPermanent Partial DisabilityVoluntary Withdrawal from Labor MarketReduced Earning CapacityWorkers' Compensation AppealAppellate ReversalRemittalBurden of ProofDisability RetirementPost-Retirement Employment
References
4
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