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Simon v. Prime

Appellate Division of the Supreme Court of the State of New York
Jun 4, 2020
184 A.D.3d 927 (N.Y. App. Div. 2020)

Opinion

529384

06-04-2020

In The Matter of the Claim of Jose Luis SIMON, Claimant, v. Mehadrin PRIME et al., Appellants. Workers' Compensation Board, Respondent.

Stewart, Greenblatt, Manning & Baez, Syosset (Thomas A. Lumpkin of counsel), for appellants. Letitia James, Attorney General, New York City (Steven Segall of counsel), for respondent.


Stewart, Greenblatt, Manning & Baez, Syosset (Thomas A. Lumpkin of counsel), for appellants.

Letitia James, Attorney General, New York City (Steven Segall of counsel), for respondent.

Before: Garry, P.J., Lynch, Clark, Devine and Reynolds Fitzgerald, JJ.

MEMORANDUM AND ORDER

Reynolds Fitzgerald, J. Appeal from a decision of the Workers' Compensation Board, filed December 10, 2018, which ruled that the employer and its workers' compensation carrier failed to comply with 12 NYCRR 300.13(b) and denied review of a decision by the Workers' Compensation Law Judge.

In July 2015, claimant, a bicycle delivery worker, filed a claim for workers' compensation benefits alleging that he sustained work-related injuries when he was struck by a motor vehicle while on his bicycle. His claim was subsequently established for injuries to his neck, back and knees. In August 2018, following a hearing, a Workers' Compensation Law Judge (hereinafter WCLJ), among other things, found that claimant demonstrated attachment to the labor market as of July 10, 2018 and directed continuing awards at the temporary partial disability rate. The employer and its workers' compensation carrier (hereinafter collectively referred to as the carrier) subsequently filed an application for review by the Workers' Compensation Board (form RB–89) challenging the WCLJ's decision. In a December 2018 decision, the Board denied the carrier's application for Board review, finding that the application was not filled out completely as required by 12 NYCRR 300.13(b). The carrier appeals.

We affirm. "[T]he Board may adopt reasonable rules consistent with and supplemental to the provisions of the Workers' Compensation Law, and the Chair of the Board may make reasonable regulations consistent with the provisions thereof" ( Matter of Charfauros v. PTM Mgt., 180 A.D.3d 1132, 1133, 118 N.Y.S.3d 305 [2020] [internal quotation marks, brackets and citation omitted]; see Matter of Cotter v. Town of W. Seneca , 180 A.D.3d 1122, 1123, 118 N.Y.S.3d 314 [2020] ). To that end, the Board's regulations provide that an "application to the Board for administrative review of a decision by a [WCLJ] shall be in the format as prescribed by the Chair [and] ... must be filled out completely" ( 12 NYCRR 300.13 [b][1]; see Matter of Jones v. Chedeville, Inc., 179 A.D.3d 1272, 1273, 117 N.Y.S.3d 336 [2020] ; Matter of McCorry v BOCES of Clinton, Essex, Warren & Washington Counties, 175 A.D.3d 1754, 1755, 110 N.Y.S.3d 90 [2019] ; Matter of Perry v. Main Bros Oil Co., 174 A.D.3d 1257, 1258, 106 N.Y.S.3d 228 [2019] ). "Where, as here, ‘a party who is represented by counsel fails to comply with the formatting, completion and service submission requirements set forth by the Board, the Board may, in its discretion, deny an application for review’ " ( Matter of Charfauros v. PTM Mgt., 180 A.D.3d at 1133, 118 N.Y.S.3d 305, quoting Matter of Johnson v All Town Cent. Transp. Corp., 165 A.D.3d 1574, 1574–1575, 85 N.Y.S.3d 625 [2018] ; see 12 NYCRR 300.13 [b][4]; Matter of Waufle v. Chittenden, 167 A.D.3d 1135, 1136, 87 N.Y.S.3d 748 [2018] ).

At the time that the instant application for Board review was filed, both the regulation itself, and the former instructions in effect at that time, unambiguously required the employer to "specify the objection or exception that was interposed to the ruling [of the WCLJ], and when the objection or exception was interposed" ( 12 NYCRR 300.13 [b][2][ii] [emphasis added]; Workers' Comp Bd RB–89 Instructions [Jan.2018]; see Matter of Sherry v. Moncon, Inc., 178 A.D.3d 1248, 1249, 115 N.Y.S.3d 545 [2019] ). In response to question number 15, the carrier identified its objections to the "finding of attachment as well as all awards entered subsequent to 07/01/2018," thus satisfying the first prong of the regulation (see 12 NYCRR 300.13 [b][2][ii] ). The carrier's response to question number 15, however, did not state "when [its] objection or exception was interposed" ( 12 NYCRR 300.13 [b][2][ii] ), despite, as noted by the Board, the fact that multiple hearings had occurred in this matter. Under these circumstances, we cannot say that the Board abused its discretion in deeming the carrier's response to question number 15 to be incomplete based upon its failure to state when the objections or exceptions were interposed (see Matter of Charfauros v. PTM Mgt., 180 A.D.3d at 1134, 118 N.Y.S.3d 305 ; Matter of Cotter v. Town of W. Seneca, 180 A.D.3d at 1123–1124, 118 N.Y.S.3d 314 ; Matter of Jones v. Chedeville, Inc., 179 A.D.3d at 1274, 117 N.Y.S.3d 336 ). The carrier's remaining contentions, to the extent not specifically addressed or rendered academic by our decision, have been considered and found to be lacking in merit.

ORDERED that the decision is affirmed, without costs.

Garry, P.J., Lynch, Clark and Devine, JJ., concur.


Summaries of

Simon v. Prime

Appellate Division of the Supreme Court of the State of New York
Jun 4, 2020
184 A.D.3d 927 (N.Y. App. Div. 2020)
Case details for

Simon v. Prime

Case Details

Full title:In the Matter of the Claim of Jose Luis Simon, Claimant, v. Mehadrin Prime…

Court:Appellate Division of the Supreme Court of the State of New York

Date published: Jun 4, 2020

Citations

184 A.D.3d 927 (N.Y. App. Div. 2020)
184 A.D.3d 927
2020 N.Y. Slip Op. 3161

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