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 Frederick W. KELLER, Appellant, v. CUMBERLAND FARMS et al., Respondents. Workers' Compensation Board, Respondent.
MEMORANDUM AND ORDER
Appeals (1) from a decision of the Workers' Compensation Board, filed August 29, 2018, which ruled, among other things, that claimant did not sustain an occupational disease and denied his claim for workers' compensation benefits, and (2) from a decision of said Board, filed October 24, 2018, which denied claimant's request for reconsideration and/or full Board review.
Claimant applied for workers' compensation benefits alleging that he contracted bladder and kidney cancer as the result of years of exposure to carcinogens while working as a diesel mechanic for the employer. The Workers' Compensation Board precluded the report of claimant's independent medical examiner, Lester Ploss, due to a lack of compliance with Workers' Compensation Law § 137 and 12 NYCRR 300.2. The Board further found that the record lacked sufficient credible medical evidence demonstrating an occupational disease and disallowed the claim. Claimant sought reconsideration and/or full Board review, and the Board denied the application. Claimant appeals from both decisions.
We affirm. Workers' Compensation Law § 13–a (6) proscribes “the improper influencing or attempt by any person improperly to influence the medical opinion of any physician who has treated or examined an injured employee.” Pursuant to Workers' Compensation Law § 137(1)(b), “[i]f a practitioner who has performed or will be performing an independent medical examination of a claimant receives a request for information regarding the claimant, ․ the practitioner shall submit a copy of the request for information to the [B]oard within [10] days of receipt of the request.” A request for information “means any substantive communication with an independent medical examiner, or his or her office, regarding the claimant from any person or entity, ․ that takes place or is initiated outside of the independent medical examination, including ․ the provision of information to the examiner for review in connection with a request for the examiner's professional opinion with regard to the claimant or the examination” (12 NYCRR 300.2[b][11] ).
Ploss testified that he received a letter from claimant's counsel which “describe[ed] the maladies, the problems, that [claimant] had” and constituted a “request for information” pursuant to Workers' Compensation Law § 137(1) and 12 NYCRR 300.2(b)(11). Inasmuch as Ploss admittedly did not submit a copy of the letter to the Board, we agree with the Board that Ploss did not comply with Workers' Compensation Law § 137 and 12 NYCRR 300.2(b)(11) (see 12 NYCRR 300.2[d][5] ). Although we agree with claimant that neither the statute nor the regulation abrogates the attorney-client privilege (see Workers' Compensation Law § 137[1][b], [c]; 12 NYCRR 300.2[b][11] ), claimant has not argued, let alone demonstrated, that the privilege would have been violated by the submission of the letter to the Board.
The independent medical examiner must also “provide copies of the report of an independent medical examination as required by Workers' Compensation Law § 137(1)(a) together with any questionnaires or intake sheets completed by the claimant at the request of the independent medical examiner by filing such report and questionnaire with the form prescribed by the Chair for such purpose with the Board” (12 NYCRR 300.2[d][4][iii] ). Ploss testified that he had claimant fill out an intake sheet, but he did not file the sheet with the Board. The Board was free to find that there was not substantial compliance with the requirements of Workers' Compensation Law § 137 and 12 NYCRR 300.2 in light of Ploss' failure to submit the letter from claimant's counsel and claimant's intake sheet to the Board. Thus, the Board properly precluded Ploss' report and testimony (see Matter of Esposito v. Tutor Perini Corp., 158 A.D.3d 912, 913, 71 N.Y.S.3d 652 [2018], lv denied 31 N.Y.3d 906, 2018 WL 2055735 [2018]; Matter of Perez v. SN Gold Corp., 155 A.D.3d 1298, 1299–1300, 64 N.Y.S.3d 411 [2017] ). Claimant's remaining contentions, to the extent not specifically discussed herein, have been reviewed and found to be without merit.
ORDERED that the decisions are affirmed, without costs.
Devine, J.
Clark, J.P., Mulvey and Pritzker, 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.
Docket No: 528627
Decided: December 19, 2019
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)