Majority
Appeals from a decision and an amended decision of the Workers’ Compensation Board, filed November 19, 2013 and July 14, 2014, which ruled, among other things, that liability did not shift to the Special Fund for Reopened Cases pursuant to Workers’ Compensation Law § 25-a.
Claimant suffered a work-related injury in 1997. Her claim for workers’ compensation benefits was established, and she received compensation of $360 for just over a week of lost time. She also claimed that she suffered consequential psychiatric and emotional injuries as a result of the work-related incident. This claim was subjected to an extended and detailed review process and ultimately denied in 2010, at which time the Workers’ Compensation Board noted that no further action was planned. In 2012, the employer and its third-party administrator (hereinafter collectively referred to as the employer) formally requested a transfer of liability to the Special Fund for Reopened Cases pursuant to Workers’ Compensation Law § 25-a. At a hearing to address the employer’s request, a Workers’ Compensation Law Judge (hereinafter WCLJ) found that the case had been truly closed and transferred liability for the claim to the Special Fund. The Board then reversed the finding of true closure and found, among other things, that the merits of claimant’s continued claims of additional sites of injury and entitlement to further casually-related lost wages remained undetermined. Both the employer and claimant now appeal.
Even where, as here, the requisite time frames have elapsed, Workers’ Compensation Law § 25-a operates to shift liability for a claim to the Special Fund only if the case is truly closed (see Matter of Hosey v Central N.Y. DDSO, 91 AD3d 993 , 994 [2012]; Matter of Aposporos v NYNEX, 46 AD3d 1016 , 1016 [2007]; Matter of Bates v Finger Lakes Truck Rental, 41 AD3d 957 , 959 [2007]). Whether a case has been truly closed is a
In addition to the various psychological and emotional injuries for which claimant alleged she was entitled to compensation, the record reveals that, as early as 2003, a doctor had opined that claimant suffered from episodic migraines causally related to her work injury. Claimant also raised the issue of her frequent migraines during a 2009 hearing before the WCLJ. Despite this, in a 2010 reserved decision that denied her claims for consequential emotional and psychiatric injury, the WCLJ did not address whether claimant had established her migraines as an additional site of injury. Similarly, the Board’s 2010 decision affirming the WCLJ did not discuss claimant’s alleged migraines. At the Workers’ Compensation Law § 25-a hearing in 2012, claimant again noted that her migraines were consistently reflected in her medical evaluations and that she continued to suffer from them. Accordingly, we find the Board’s decision that the case was not truly closed to be supported by substantial evidence.
As for claimant’s appeal, the remaining arguments raised in her brief have been previously decided by the Board, and all avenues of appeal regarding them have been exhausted.
Peters, P.J., McCarthy and Garry, JJ., concur. Ordered that the decision and amended decision are affirmed, without costs.
Cases cited
- Claim of Hosey v. Central New York DDSO 91 AD3d 993 at 994 p. 931
- Claim of Aposporos v. NYNEX 46 AD3d 1016 at 1016 p. 931
- Claim of Bates v. Finger Lakes Truck Rental 41 AD3d 957 at 959 p. 931
- Claim of Hunter v. Tops Market, Inc. 125 AD3d 1092 at 1093 p. 932
- Claim of Pankiw v. Eastman Kodak Co. 123 AD3d 1388 at 1389 p. 932
- Claim of Nanni v. Source Corp. 98 AD3d 1225 at 1226-1227 p. 932
- Claim of Anticola v. Tops Markets 117 AD3d 1373 at 1374 p. 932
- Claim of Porter v. New York State Electric & Gas Corp. 113 AD3d 987 at 988 p. 932
- Claim of Hunt v. Price Chopper/Golub Corp. 85 AD3d 1522 at 1523 p. 932