Opinion
2014-05-29
DeSantis & DeSantis, Utica (Michael V. DeSantis of counsel), for appellant. William O'Brien, State Insurance Fund, Liverpool (Susan B. Marris of counsel), for TTSI, Inc. and another, respondents.
DeSantis & DeSantis, Utica (Michael V. DeSantis of counsel), for appellant. William O'Brien, State Insurance Fund, Liverpool (Susan B. Marris of counsel), for TTSI, Inc. and another, respondents.
Before: LAHTINEN, J.P., McCARTHY, ROSE, EGAN JR. and LYNCH, JJ.
EGAN, JR., J.
Appeal from a decision of the Workers' Compensation Board, filed March 7, 2013, which ruled that claimant violated Workers' Compensation Law § 114–a and imposed a penalty.
In 2005, claimant injured his lower back while working and successfully applied for workers' compensation benefits. The employer and its workers' compensation carrier disclosed that claimant had been placed under surveillance and thereafter raised the issue of whether he had violated Workers' Compensation Law § 114–a. The Workers' Compensation Board ruled that claimant knowingly misrepresented his medical condition for the purpose of receiving benefits and, accordingly, found him to be in violation of Workers' Compensation Law § 114–a. The Board further assessed a discretionary penalty and permanently disqualified claimant from receiving wage replacement benefits beginning September 23, 2010. Claimant now appeals.
Substantial evidence supports the Board's decision and, thus, we affirm. Workers' Compensation Law § 114–a (1) disqualifies a claimant who “knowingly makes a false statement or representation as to a material fact ... from receiving any compensation directly attributable to such false statement or representation.” Notably, “in making such a finding, the Board is vested with the discretion to evaluate witness credibility and to weigh conflicting evidence” (Matter of Hadzaj v. Harvard Cleaning Serv., 77 A.D.3d 1000, 1001, 908 N.Y.S.2d 278 [2010],lv. denied16 N.Y.3d 702, 2011 WL 135255 [2011];see Matter of Denman v. Cobbler's Rest., 106 A.D.3d 1289, 1290, 966 N.Y.S.2d 244 [2013] ).
Here, claimant testified that he experienced pain after walking or standing for long periods of time, did not lift items weighing more than 10 pounds, and avoided engaging in housework, yard work or exercise. His claims were belied, however, by evidence that he rode his bicycle and took long walks without any apparent discomfort, and he was observed carrying or dragging items such as a beverage cooler, barbecue gas grill, folding table, lawn chairs and heavy groceries. Moreover, despite claimant's assertion that he used a walker or cane “[m]ost of the time,” he was only observed using a walker immediately before and after medical and legal appointments. In light of the evidence that claimant had knowingly misrepresented his condition in an effort to influence the award of benefits, the Board appropriately found not only that he had violated Workers' Compensation Law § 114–a, but that the discretionary penalty of permanently disqualifying him from receiving wage replacement benefits was warranted ( see Matter of Losurdo v. Asbestos Free, 1 N.Y.3d 258, 265–266, 771 N.Y.S.2d 58, 803 N.E.2d 379 [2003];Matter of Denman v. Cobbler's Rest., 106 A.D.3d at 1290–1291, 966 N.Y.S.2d 244;Matter of Robbins v. Mesivtha Tifereth Jerusalem, 60 A.D.3d 1166, 1167–1168, 874 N.Y.S.2d 638 [2009] ). We have examined and are unpersuaded by claimant's remaining argument.
ORDERED that the decision is affirmed, without costs. LAHTINEN, J.P., McCARTHY, ROSE and LYNCH, JJ., concur.