Learn About the Law
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
IN RE: the Claim of Florence J. JACOB, Respondent-Appellant, v. NEW YORK CITY TRANSIT AUTHORITY, Appellant-Respondent. Workers' Compensation Board, Respondent.
Cross appeals from a decision of the Workers' Compensation Board, filed October 27, 2004, which ruled, inter alia, that claimant violated Workers' Compensation Law § 114-a and disqualified her from receiving wage replacement benefits.
Claimant sustained injuries in a work-related accident in January 2000. In 2003, claimant sought workers' compensation benefits alleging a recurrence of these injuries. An issue arose as to the veracity of the medical history provided by claimant to the employer's independent medical examiners regarding prior similar injuries. Following a hearing, a Workers' Compensation Law Judge found that claimant had violated Workers' Compensation Law § 114-a and declined to authorize further medical treatment. Upon review, the Workers' Compensation Board agreed that claimant had violated Workers' Compensation Law § 114-a and disqualified her from receiving wage replacement benefits, but authorized medical treatment for injuries sustained in the January 2000 work-related accident. The employer now appeals and claimant cross-appeals.
The Board's determination that claimant violated Workers' Compensation Law § 114-a will be upheld so long as it is supported by substantial evidence (see Matter of Lopresti v. Washington Mills, 23 A.D.3d 725, 726, 803 N.Y.S.2d 317 [2005]; Matter of Michaels v. Towne Ford, 9 A.D.3d 733, 734, 780 N.Y.S.2d 234 [2004] ). The C-4 forms filed by claimant's treating physicians and the reports filed by the independent medical examiners indicate that claimant represented to them that she did not sustain any prior similar injuries. The record reveals, however, that she did indeed sustain prior similar injuries, including those incurred in a fall and in a motor vehicle accident, and that she received medical treatment for those injuries. The Board was free to reject claimant's explanations for her misrepresentations as incredible (see id.). Furthermore, the Board provided sufficient explanation for its determination that denial of medical treatment coverage was inappropriate and that the discretionary penalty of disqualifying claimant from receiving wage replacement benefits was warranted (see Matter of Rodriguez v. Burn-Brite Metals Co., 1 N.Y.3d 553, 555-556, 772 N.Y.S.2d 236, 804 N.E.2d 400 [2003]; 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] ). We have considered the other arguments raised by claimant and find them to be without merit.
ORDERED that the decision is affirmed, without costs.
MERCURE, J.P.
CREW III, PETERS, MUGGLIN and KANE, JJ., concur.
Thank you for your feedback!
A free source of state and federal court opinions, state laws, and the United States Code. For more information about the legal concepts addressed by these cases and statutes visit FindLaw's Learn About the Law.
Decided: February 09, 2006
Court: Supreme Court, Appellate Division, Third Department, New York.
Search our directory by legal issue
Enter information in one or both fields (Required)
Harness the power of our directory with your own profile. Select the button below to sign up.
Learn more about FindLaw’s newsletters, including our terms of use and privacy policy.
Get help with your legal needs
FindLaw’s Learn About the Law features thousands of informational articles to help you understand your options. And if you’re ready to hire an attorney, find one in your area who can help.
Search our directory by legal issue
Enter information in one or both fields (Required)