Matter of Masullo v. City of Mount Vernon

141 A.D.3d 95, 31 N.Y.S.3d 607
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJune 1, 2016
Docket2013-07247
StatusPublished
Cited by5 cases

This text of 141 A.D.3d 95 (Matter of Masullo v. City of Mount Vernon) 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
Matter of Masullo v. City of Mount Vernon, 141 A.D.3d 95, 31 N.Y.S.3d 607 (N.Y. Ct. App. 2016).

Opinion

OPINION OF THE COURT

LaSalle, J.

General Municipal Law § 207-a (2) guarantees the payment of benefits to a firefighter who is permanently disabled in the line of duty, including the continued payment of the firefighter’s regular salary until the mandatory retirement age, less certain amounts received from other sources (hereinafter section 207-a [2] benefits). This proceeding presents an issue of first impression for this Court: whether the provisions of General Municipal Law § 207-a (2) authorize a municipality to terminate permanent disability retirement benefits previously awarded to a firefighter pursuant to that subdivision, and require the firefighter to submit a formal application for those benefits pursuant to an application procedure that was adopted by the municipality subsequent to the firefighter’s retirement. We hold that a municipality is not authorized to terminate such previously awarded section 207-a (2) benefits or require the submission of a formal application for such benefits after the firefighter has retired, as this essentially amounts to an improper reconsideration of an award of benefits based on improved medical condition, a procedure which is not authorized by General Municipal Law § 207-a (2) (see Matter of McGowan v Fairview Fire Dist., 51 AD3d 796 [2008]).

I. Facts

The petitioner was employed as a firefighter for the City of Mount Vernon Fire Department (hereinafter the fire department) beginning in January 1990. On November 16, 1991, the petitioner was on top of an aerial ladder attached to a ladder truck when the truck flipped on its side, and he fell from a height of about 60 feet. After a hospital stay of about one month, and approximately one year of working light duty, he returned to full duty as a firefighter. The City of Mount Vernon designated the petitioner as eligible to receive benefits pursuant to General Municipal Law § 207-a (1) (hereinafter section 207-a [1] benefits) for his temporary disability, and paid his full salary until he returned to full duty, as well as all of his medical bills in connection with the injuries he sustained in that accident. After another accident in 1996, the City again designated the petitioner as eligible to receive section 207-a (1) benefits, and paid all of his medical bills in connection with the *98 injuries he sustained in that accident. On August 19, 2000, the petitioner was again injured when a ceiling collapsed onto him while he was fighting a fire. That was his last day of work, as a firefighter or otherwise. Shortly thereafter, the petitioner again began receiving section 207-a (1) benefits, including payment of medical bills in connection with the injuries that he sustained in connection with that incident.

In April 2004, the New York State Comptroller awarded the petitioner both an accidental disability retirement allowance pursuant to Retirement and Social Security Law § 363, and a performance-of-duty disability retirement allowance pursuant to Retirement and Social Security Law § 363-c. The petitioner simultaneously retired from the fire department and, in accordance with General Municipal Law § 207-a (2), the City commenced paying the petitioner section 207-a (2) benefits, consisting of the difference between his regular salary and those allowances, despite the fact that, as of April 2004, the City had not adopted an application procedure for firefighters to request and receive section 207-a (2) benefits.

An application procedure was adopted and implemented sometime after the petitioner’s retirement. The petitioner nonetheless continued to receive section 207-a (2) benefits from the City through 2008. On February 21, 2008, Deputy Fire Commissioner Deborah Norman advised the petitioner by letter that the City had recently reviewed his eligibility to receive section 207-a (2) benefits and determined that there was no record that he had ever requested or applied for those benefits. Norman further advised the petitioner that, “in the absence of a request or application for [section] 207-a (2) benefits,” she had determined that the petitioner had been erroneously paid these benefits up to that date. She directed the City to immediately cease paying the petitioner section 207-a (2) benefits, and included an application form with the letter should the petitioner wish to apply for those benefits.

On February 29, 2008, the petitioner’s attorney wrote to the City and fire department and expressed his view that the petitioner was entitled to continue receiving section 207-a (2) benefits. Counsel maintained that by paying the petitioner these benefits for more than four years, the City had made a de facto determination that the petitioner was entitled to receive section 207-a (2) benefits and, in effect, had concluded that the petitioner became permanently disabled as a consequence of his several on-duty accidents. Thereafter, on March *99 12, 2008, the City agreed to resume paying section 207-a (2) benefits to the petitioner, but only on the condition that he submit an application in full compliance with the recently implemented application process. The petitioner completed an application and, on July 14, 2008, he submitted to an independent medical examination. The doctor who conducted the examination did not find any pathology that would represent a causally related disability, and determined that there was nothing which would prevent the petitioner from returning to full-duty status.

On October 2, 2008, the fire department notified the petitioner that his application for section 207-a (2) benefits had been denied based on the doctor’s report and the City’s determination that any current injury or disability that the petitioner may have had was not incurred during the performance of his duties, and that he was not permanently disabled from carrying out his full duties as a result of a causally related injury or disability. The petitioner requested a hearing and a redetermination of the fire department’s determination. On February 13, 2009, the City terminated payments of the petitioner’s section 207-a (2) benefits. After a hearing that concluded in October 2011, a hearing officer appointed by the City issued a decision dated August 16, 2012, recommending that the denial of the petitioner’s application for section 207-a (2) benefits be upheld. Thereafter, Fire Commissioner James D. Gleason (hereinafter the Commissioner) issued a final determination dated September 17, 2012, accepting the hearing officer’s recommendation. The petitioner then commenced this CPLR article 78 proceeding against the City and the Fire Department (hereinafter together the City), seeking to review the determinations of the hearing officer and the Commissioner. The petitioner alleged, inter alia, that the City lacked authority to terminate his previously awarded section 207-a (2) benefits and that, in any event, the determinations were not supported by substantial evidence.

In an order dated May 13, 2013, the Supreme Court concluded that the City had the authority to terminate the petitioner’s benefits because it was engaged in an initial eligibility determination, and not a redetermination of eligibility based on the petitioner’s allegedly improved medical condition. In support of this conclusion, the court reasoned that the City had never made a conscious initial decision to make benefit payments to the petitioner, as it had made no finding of *100

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Bluebook (online)
141 A.D.3d 95, 31 N.Y.S.3d 607, Counsel Stack Legal Research, https://law.counselstack.com/opinion/matter-of-masullo-v-city-of-mount-vernon-nyappdiv-2016.