Claim of Sacco v. Mast Advertising/Publishing

71 A.D.3d 1304, 896 N.Y.S.2d 524
CourtAppellate Division of the Supreme Court of the State of New York
DecidedMarch 18, 2010
StatusPublished
Cited by11 cases

This text of 71 A.D.3d 1304 (Claim of Sacco v. Mast Advertising/Publishing) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Claim of Sacco v. Mast Advertising/Publishing, 71 A.D.3d 1304, 896 N.Y.S.2d 524 (N.Y. Ct. App. 2010).

Opinion

Peters, J.P.

Appeal from a decision of the Workers’ Compensation Board, filed August 28, 2008, which ruled that claimant was totally industrially disabled and amended his average weekly wage.

[1305]*1305Claimant worked as a salesperson for the employer from June 1991 to March 3, 1992, when he injured his back after slipping and falling on ice during the course of his employment. In July 1993, his claim for workers’ compensation benefits was established and, based upon a C-240 form filed by the employer, his average weekly wage was set at $447.36. Claimant was initially found in March 1996 to have a permanent partial disability and was reclassified in October 2003 with a marked permanent partial disability.

In 2007, claimant sought a finding that he was totally industrially disabled and requested that his average weekly wage be recalculated pursuant to Workers’ Compensation Law § 14, arguing that it should have been based on the wages of a similar worker at the time of his injury, rather than his actual wages. The Workers’ Compensation Law Judge (hereinafter WCLJ) agreed and directed the employer to submit a C-240 form for a similar worker. In response, the employer indicated that, since it maintained payroll records for only seven years, no such records were available for an employee at the time of claimant’s injury. Following a hearing, the WCLJ found claimant to have a total industrial disability and reserved decision on the issue of claimant’s average weekly wage. In a decision filed in May 2008, a WCLJ found that the C-240 form filed by the employer in 1992 was “improper on its face,” interpreted it in favor of claimant due to the employer’s failure to submit a C-240 form reflecting the wages of a similar worker, and modified claimant’s average weekly wage to $624 pursuant to Workers’ Compensation Law § 14 (3). Upon the employer’s appeal, the Workers’ Compensation Board upheld both the March 2008 and May 2008 decisions. The employer and its workers’ compensation carrier now appeal.

Substantial evidence supports the Board’s determination that claimant suffers a total industrial disability. “A claimant who has a permanent partial disability may nonetheless be classified as totally industrially disabled where the limitations imposed by the work-related disability, coupled with other factors, such as limited educational background and work history, render the claimant incapable of gainful employment” (Matter of Barsuk v Joseph Barsuk, Inc., 24 AD3d 1118, 1118 [2005] [citations omitted], lv dismissed 6 NY3d 891 [2006], lv denied 7 NY3d 708 [2006]; see Matter of Guan v CPC Home Attendant Program, Inc., 50 AD3d 1218, 1219-1220 [2008]). Whether a claimant has such a total industrial disability presents a question of fact for the Board to resolve and its determination will not be disturbed if supported by substantial evidence (see Matter of Guan v CPC [1306]*1306Home Attendant Program, Inc., 50 AD3d at 1220; Matter of Newman v Xerox Corp., 48 AD3d 843, 843 [2008]).

Here, claimant testified that he had not worked since 1992, cannot sit, stand or walk for more than 15 minutes at a time, takes pain relief and antianxiety medications that make him drowsy, and has to lie down 16 to 18 hours a day in order to manage his pain. According to the rehabilitation counselor who evaluated claimant on behalf of the Board, these physical limitations, when considered in connection with claimant’s employment history, rendered claimant incapable of sustaining gainful employment. Although the employer’s vocational rehabilitation counselor expressed a contrary view in her report, her testimony at the hearing was inconclusive as to whether claimant was employable, and the Board was entitled to reject her opinion in favor of that of the Board’s vocational rehabilitation counselor (see Matter of Utley v General Motors Corp., 285 AD2d 843, 844 [2001]). Since substantial evidence supports the Board’s determination that claimant was totally industrially disabled as a result of his back injury, it will not be disturbed. The employer and carrier’s contentions to the contrary mainly involve conflicts in the medical evidence and questions of credibility that were for the Board to resolve (see Matter of Newman v Xerox Corp., 48 AD3d at 844; Matter of Yanarella v IBM Corp., 195 AD2d 620, 621-622 [1993]).

Next addressing the Board’s action in modifying claimant’s average weekly wage, we reject the employer and carrier’s contention that the Board could not modify the 1993 decision establishing claimant’s average weekly wage absent an appeal from that decision or an application to reopen. It is clear that the Board maintains continuing jurisdiction over workers’ compensation claims and is empowered to “make such modification or change with respect to former findings, awards, decisions or orders relating thereto, as in its opinion may be just” (Workers’ Compensation Law § 123; see Matter of Bey v Aramark Healthcare Support Servs., Inc., 26 AD3d 607, 607 [2006], lv denied 7 NY3d 702 [2006]; Matter of Farcasin v PDG, Inc., 286 AD2d 840, 840-841 [2001]).

Nor do we conclude that the Board erred in finding that modification of claimant’s average weekly wage is not barred by the doctrine of laches. Laches may be applied in the context of a workers’ compensation case where there is a “[fjailure to assert a right for an ‘unreasonable and unexplained length of time, accompanied by other circumstances causing prejudice to an adverse party’ ” (Matter of Holloway v West St. Trucking, 14 AD3d 816, 817 [2005], quoting Matter of Taylor v Vassar Coll., [1307]*1307138 AD2d 70, 73 [1988]; see Matter of McGuinness v John P. Picone, Inc., 36 AD3d 1032, 1032 [2007]). Whether the doctrine applies is a question of fact for the Board to resolve and its decision must be upheld if supported by substantial evidence (see Matter of Hopkins v Alcas Corp., Cutco Cutlery, 63 AD3d 1342, 1343 [2009]; Matter of Manticoff v American Bldg. Maintenance, 63 AD3d 1308, 1309-1310 [2009]).

Here, the 1993 decision setting claimant’s average weekly wage was based upon the C-240 form submitted to the Board by the employer, which improperly set forth claimant’s wages for the 39 weeks he worked for the employer, rather than the average wage of a similar worker, as was required. A claimant’s average daily wage is used in determining his or her annual average wage only when such claimant has worked in the same job for substantially all of the year preceding his or her injury (see Workers’ Compensation Law § 14 [1]). Where, as here, a claimant did not work in the same job for substantially all of the year preceding his or her injury, such claimant’s average annual wage is determined by applying a statutory multiplier to the average daily wage of “an employee of the same class working substantially the whole of such immediately preceding year in the same or in a similar employment in the same or a neighboring place” (Workers’ Compensation Law § 14 [2]).

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Bluebook (online)
71 A.D.3d 1304, 896 N.Y.S.2d 524, Counsel Stack Legal Research, https://law.counselstack.com/opinion/claim-of-sacco-v-mast-advertisingpublishing-nyappdiv-2010.