Esposito v. Stamford

350 Conn. 209
Supreme Court of Connecticut·Decided August 2, 2024·No. SC20928·Published

Opinion

ROBERT ESPOSITO v. CITY OF STAMFORD ET AL.

(SC 20928) Robinson, C. J., and McDonald, D’Auria, Mullins, Ecker, Alexander and Dannehy, Js.

Syllabus

The plaintiff, the decedent’s surviving spouse, appealed from the decision of the Compensation Review Board. The board had upheld the administrative law judge’s denial of an award of statutory (§ 31-308 (b)) permanent partial disability benefits in connection with injuries that the decedent had sustained while working for the Stamford Police Department. The plaintiff claimed, inter alia, that the board had incorrectly concluded that the decedent’s entitlement to permanent partial disability benefits did not vest before his death because, prior to his death, the decedent had reached maximum medical improvement as a matter of law, insofar as the decedent previously had been found to have a permanent incapacity qualifying him for statutory (§ 31-307 (c)) total incapacity benefits. Held:

A finding of a permanent injury under § 31-307 (c) does not entitle a workers’ compensation claimant to permanency benefits under § 31-308 (b) as a matter of law, in the absence of a permanent partial disability rating or an agreement sufficient for a binding meeting of the minds that would furnish a basis for the requisite finding of maximum medical improvement.

The decedent’s entitlement to permanency benefits under § 31-308 (b) did not vest before his death because the record did not establish that he had reached maximum medical improvement during his lifetime, even though he had been found to have a permanent injury under § 31-307 (c).

(Three justices dissenting in one opinion)

Argued April 22—officially released August 2, 2024*

* August 2, 2024, the date that this decision was released as a slip opinion, is the operative date for all substantive and procedural purposes.

Page 94 CONNECTICUT LAW JOURNAL October 22, 2024

210 OCTOBER, 2024 350 Conn. 209 Esposito v. Stamford

Procedural History

Appeal from the decision of the administrative law judge for the Seventh District of the Workers’ Compensation Commission, where Roseann Esposito was added as a plaintiff, denying the claim for permanent partial disability benefits, brought to the Compensation Review Board, which affirmed the decision of the administrative law judge, and the plaintiff Roseann Esposito appealed. Affirmed.

Steven G. Howe, for the appellant (plaintiff Roseann Esposito).

Scott W. Williams, for the appellees (defendants).

Opinion

ROBINSON, C. J. In this appeal, we consider whether a finding of a ‘‘permanent’’ injury entitling a workers’ compensation claimant to total incapacity benefits under General Statutes § 31-307 (c) means that the claimant has reached maximum medical improvement as a matter of law, thus also entitling the claimant to permanent partial disability benefits (permanency benefits ) under General Statutes § 31-308 (b). The plaintiff Roseann Esposito, who is the surviving spouse of the decedent and original plaintiff, Robert Esposito,1 appeals2 from the decision of the Compensation Review Board (board) affirming the decision of the administrative law judge for the Seventh District of the Workers’

1

The decedent was the original plaintiff in this matter before the Workers’

Compensation Commission. After his death, Roseann Esposito, his surviving spouse, was added as a plaintiff. For the sake of simplicity, we refer to Roseann Esposito as the plaintiff and Robert Esposito as the decedent.

2

The plaintiff appealed from the decision of the Compensation Review Board to the Appellate Court; see General Statutes § 31-301b; and we transferred the appeal to this court pursuant to General Statutes § 51-199 (c) and Practice Book § 65-1.

October 22, 2024 CONNECTICUT LAW JOURNAL Page 95

350 Conn. 209 OCTOBER, 2024 211 Esposito v. Stamford

Compensation Commission (commission),3 who denied an award of permanency benefits. The board based its affirmance on its determination that the decedent had not reached maximum medical improvement during his lifetime. On appeal, the plaintiff claims, among other things, that the decedent, who had been employed as a police officer for the named defendant, the city of Stamford (city),4 had reached maximum medical improvement prior to his death as a matter of law, insofar as he had been found to have a permanent incapacity qualifying him for benefits under § 31-307 (c). Guided by this court’s recent decision in Brennan v. Waterbury, 331 Conn. 672, 697, 207 A.3d 1 (2019), we disagree with the plaintiff and, accordingly, affirm the decision of the board.

The record reveals the following relevant facts and procedural history. The decedent began working for the city’s police department in 1976, at which time his physical examination indicated that his vision was 20/ 20 in both eyes. In 1982, in the course of his employment, the decedent fell and struck the back of his head on a concrete floor, losing consciousness. When he awoke, he experienced blurred vision in both eyes. James E. Pulkin, an ophthalmologist at Yale University, treated the decedent immediately for ‘‘a profound visual loss in both eyes,’’ finding that ‘‘the best level of corrected

3

As a result of General Statutes § 31-275d (a) (1), the administrative adjudicators for the commission became known as ‘‘administrative law judges,’’ rather than their former title of ‘‘workers’ compensation commissioners .’’ Because this appeal includes decisions rendered both before and after October 1, 2021, which was the effective date of § 31-275d (a) (1), consistent with recent workers’ compensation appeals, we refer to the commission ’s administrative adjudicators by their title at the time of the applicable decision. See, e.g., Ajdini v. Frank Lill & Son, Inc., 349 Conn. 1, 3 n.1, 4–5, 312 A.3d 579 (2024); Clark v. Waterford, Cohanzie Fire Dept., 346 Conn. 711, 716 n.4, 295 A.3d 889 (2023).

4

PMA Management Corporation of New England, the third-party administrator for the city, also is a defendant.

Page 96 CONNECTICUT LAW JOURNAL October 22, 2024

212 OCTOBER, 2024 350 Conn. 209 Esposito v. Stamford

vision in the right eye was 20/400 and finger counting at four inches in the left eye.’’ (Internal quotation marks omitted.)

The decedent filed a claim for benefits with the commission . In 1984, at an informal hearing before the commission , the defendants agreed to provide total incapacity benefits to the decedent pursuant to General Statutes (Rev. to 1983) § 31-307 and, thereafter, began paying benefits of $531.03 per week. Subsequently, in 1985, the commissioner awarded the decedent total incapacity benefits pursuant to General Statutes (Rev. to 1985) § 31-307 ‘‘due to total and permanent loss of sight in both eyes.’’ (Internal quotation marks omitted.) The decedent moved to Ohio in 1985 and began treatment with Bruce R. Jacobson, an ophthalmologist. Jacobson diagnosed the decedent with ‘‘a macular hole (cystic lesion) of the left eye with a visual acuity of 20/ 200 (uncorrected) and a visual acuity of the right eye of 20/200 (uncorrected).’’ One decade later, in 1995, Roland D. Carlson, an ophthalmologist, examined the decedent and reviewed medical reports provided by Jacobson, Abbas Sadeghian, a clinical psychologist, and Cyril Waynik, a psychiatrist. Carlson found that the decedent had ‘‘a macular hole in his left eye and vision of 20/200,’’ which is equivalent to ‘‘one tenth or less of normal uncorrected vision.’’ The decedent was then given a ‘‘bioptic telescope,’’ which corrected his vision in his right eye to an acuity level of 20/40. Carlson, however, additionally found that the decedent suffered from a ‘‘hysterical component’’ that contributed to his inability to see, which is a condition known as ‘‘psychogenic blindness.’’ Jacobson ‘‘agree[d] that [the decedent ’s] vision may [have been] complicated by the contribution of this psychogenic overlay’’ but opined that his ultimate ‘‘visual disability [was] equal to [one] having a purely organic cause.’’

October 22, 2024 CONNECTICUT LAW JOURNAL Page 97

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