The Matter of the Claim of Estate of Norman Youngjohn v. Berry Plastics Corporation

New York Court of Appeals·Decided April 1, 2021·No. 12·Published

Opinion

State of New York OPINION Court of Appeals This opinion is uncorrected and subject to revision before publication in the New York Reports.

No. 12 In the Matter of the Claim of Estate of Norman Youngjohn, Appellant,

v.

Berry Plastics Corporation et al., Respondents.

Workers' Compensation Board, Respondent.

Stephen A. Segar, for appellant. Cory A. DeCresenza, for respondents Berry Plastics Corporation et al.

STEIN, J.:

Workers’ Compensation Law § 15 (4) (d) limits recovery by a claimant’s estate to “an amount not exceeding reasonable funeral expenses” when a claimant found entitled to permanent partial disability benefits dies of causes unrelated to the work injuries without a surviving spouse, child under the age of 18, or qualifying dependent. The question before us on this appeal is whether, in light of the legislature’s 2009 amendments to the Workers’

-2- No. 12 Compensation Law permitting payment of schedule loss of use benefits through lump sum awards, a claimant’s estate is entitled to recover the full value of a posthumous schedule loss of use award for a permanent partial disability despite the limitation set forth in section 15 (4) (d). We conclude that section 15 (4) (d) can be given full effect in harmony with the 2009 amendments. We, therefore, affirm the Appellate Division order holding that, here, recovery of the claimant’s schedule loss of use award by his estate is limited to that portion of the award that “would have been due” to the claimant for the period prior to the claimant’s death (Workers’ Compensation Law § 33), plus “reasonable funeral expenses” (Workers’ Compensation Law § 15 [4] [d]).

I.

In December 2014, decedent claimant Norman Youngjohn sustained injuries when he slipped on ice and fell in a parking lot at work while employed by Berry Plastics Corporation. After decedent sought workers’ compensation benefits, a claim was established for injuries to his right shoulder and left elbow, and he was awarded temporary benefits. In September 2016, decedent notified the Workers’ Compensation Board that his injuries had become permanent, and the workers’ compensation insurance carrier (the Carrier) subsequently notified the Board that decedent’s injuries were amenable to a schedule loss of use (SLU) award (see generally Workers’ Compensation Law § 15 [3]). However, in March 2017, before resolution of his claim for permanent partial disability benefits, decedent suffered a fatal heart attack unassociated with his work-related injuries. At the time of his death, decedent had no surviving spouse, minor children, or other

-3- No. 12 qualifying dependents as defined by the applicable statutes (see Workers’ Compensation Law §§ 15 [a]–[d]; 16).

Following decedent’s death, the workers’ compensation proceedings were continued through decedent’s estate (the Estate). The Estate and the Carrier stipulated to a 55% schedule loss of use of decedent’s left arm, a 45% SLU of his right arm, and 23 weeks of protracted healing. However, a dispute arose regarding whether the Estate was entitled to the full value of the SLU award or only the portion of the award up to the date of decedent’s death, with the remainder of the award capped in accordance with Workers’ Compensation Law § 15 (4) (d). The Estate argued that, in light of the legislature’s 2009 amendments to the Workers’ Compensation Law authorizing lump sum SLU awards (see L 2009, ch 351, §§ 1, 2; Workers’ Compensation Law §§ 15 [3] [u], 25 [1] [b]), the entirety of decedent’s award accrued at the time of decedent’s accident or death. According to the Estate, the 2009 amendments effectively rendered Workers’ Compensation Law § 15 (4) (d) inapplicable to SLU awards, and the full value of the award was therefore payable to the Estate.

A Workers’ Compensation Law Judge determined, based upon the parties’

stipulated SLU percentages, that decedent was entitled to 312 weeks of benefits, plus an additional 23.8 weeks due to a protracted healing period. The Workers’ Compensation Law Judge directed that the total SLU award of $206,352.46, less payments already made, be paid to the Estate in a lump sum because “liability for the schedule loss of use accrued prior to the date of death.” On its administrative appeal, the Carrier did not object to the lump sum method of payment but disputed the amount due, contending the Estate’s

-4- No. 12 recovery was limited pursuant to Workers’ Compensation Law § 15 (4) (d). The Workers’ Compensation Board modified the Workers’ Compensation Law Judge’s decision, determining that the SLU award payable to the Estate was limited solely to the amount of the award capped at reasonable funeral expenses.

The Estate appealed. The Appellate Division modified by reversing so much of the Board’s decision as limited the SLU award to reasonable funeral expenses, held that the Estate was also entitled to payment of that portion of the SLU award that was due up to the date of decedent’s death, remitted the matter to the Board for calculation of the award, and otherwise affirmed (169 AD3d 1237, 1239-1240 [3d Dept 2019]). The Appellate Division concluded that, while Workers’ Compensation Law § 15 (4) (d) “restricted payment of . . . the unaccrued portion of the SLU award” to reasonable funeral expenses, the Estate was also owed—pursuant to Workers’ Compensation Law § 33 and Matter of Healey v Carroll (282 App Div 969 [1953])—that portion of the SLU award that would have been periodically due between the date of the injury and the date of decedent’s death (169 AD3d at 1238-1239). The Appellate Division rejected the Estate’s argument that it was entitled to the full value of the SLU award, reasoning that “the 2009 statutory amendments did not alter the long-standing rule that, where an injured employee dies without leaving a . . . [qualifying survivor], only that portion of the employee’s SLU award that had accrued at the time of the death is payable to the estate, along with reasonable funeral expenses” (id. at 1239). The Appellate Division also observed that the amendments did not otherwise “alter the rate at which an SLU award accrues to an injured employee who is posthumously awarded SLU benefits” (id.).

-5- No. 12 We granted the Estate leave to appeal (34 NY3d 903 [2019]), and now affirm.

II.

The Workers’ Compensation Law “provides compensation for four different types of injury: permanent total disability, temporary total disability, permanent partial disability and temporary partial disability” (Matter of LaCroix v Syracuse Exec. Air Serv., Inc., 8 NY3d 348, 353 [2007]; see Workers’ Compensation Law § 15 [1]-[3], [5]). In the case of permanent total disability, temporary total disability, or temporary partial disability, an employee is awarded compensation “during the continuance of the disability” based on a percentage of the employee’s wages (Matter of LaCroix, 8 NY3d at 353; see Workers’ Compensation Law § 15 [1], [2], [5]). With respect to permanent partial disabilities, SLU awards are issued for such disabilities that involve a body part specifically enumerated in Workers’ Compensation Law § 15 (a) through (t) (see Matter of Mancini v Office of Children & Family Servs., 32 NY3d 521, 526 n [2018]). SLU awards are based on a percentage of the employee’s weekly wages but, unlike other types of compensation awards, the duration of the SLU award is determined by a statutory schedule assigning a fixed number of weeks of compensation specific to the particular body part that is injured (see Workers’ Compensation Law § 15 [3]).1 An SLU award is intended to “compensate

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