Auqui v. Seven Thirty One Ltd.

Decision Date10 December 2013
Citation22 N.Y.3d 246,980 N.Y.S.2d 345,3 N.E.3d 682,2013 N.Y. Slip Op. 08192
PartiesMaria AUQUI, as Guardian of the Property of Jose Verdugo, et al., Respondents, v. SEVEN THIRTY ONE LIMITED PARTNERSHIP et al., Appellants.
CourtNew York Court of Appeals Court of Appeals

OPINION TEXT STARTS HERE

Mauro Lilling Naparty LLP, Woodbury (Richard J. Montes and Matthew W. Naparty of counsel), and Fabiani Cohen & Hall, LLP, New York City, for appellants.

Law Offices of Annette G. Hasapidis, South Salem (Annette G. Hasapidis of counsel), and Schwartz Goldstone & Campisi, LLP, New York City (Herbert Rodriguez, Jr., of counsel), for respondents.

New York State Trial Lawyers Association, New York City (Robert Danzi of counsel), for New York State Trial Lawyers Association, amicus curiae.

Colleran, O'Hara & Mills L.L.P., Garden City (Edward J. Groarke and Jennifer D. Weekley of counsel), for New York State AFL–CIO and others, amici curiae.

David M. Schraver, Albany, for New York State Bar Association, amicus curiae.

Pasternack, Tilker, Ziegler, Walsh, Stanton & Romano LLP, Brooklyn (Michael K. Gruber of counsel), for Workers' Injury Law & Advocacy Group, amicus curiae.

McGaw, Alventosa & Zajac, Jericho (Andrew Zajac, Dawn C. DeSimone, Brendan T. Fitzpatrick, Seamus G. Flaherty and Jonathan T. Uejio of counsel), and Brian Rayhill, Elmsford, for Defense Association of New York, Inc., amicus curiae.

Bevan, Mosca, Giuditta & Zarillo, P.C., New York City (Anthony J. Zarillo, Jr., of counsel), for Federation of Defense and Corporate Counsel, amicus curiae.

Dennis M. Brown, County Attorney, Hauppauge (Christopher A. Jeffreys of counsel), for County of Suffolk, amicus curiae.

McElroy, Deutsch, Mulvaney & Carpenter, LLP, New York City (Mark A. Rosen of counsel), for Real Estate Board of New York and others, amici curiae.

Andrew Friedman, Center for Popular Democracy, Brooklyn, amicus curiae.

Magdalena Barbosa, Jackson Heights, for Make the Road New York, amicus curiae.

Advocates for Justice, New York City (Arthur Z. Schwartz of counsel), for The Black Institute, amicus curiae.

Advocates for Justice, New York City (Arthur Z. Schwartz of counsel), for New York Communities for Change, amicus curiae.

OPINION OF THE COURT

LIPPMAN, Chief Judge.

The issue presented by this appeal is whether the determination of the Workers' Compensation Board, finding that plaintiff had no further causally-related disability and no further need for treatment, was entitled to collateral estoppel effect in plaintiffs personal injury action. We find that there is no identity of issue and that collateral estoppel therefore should not be applied.

On December 24, 2003, Jose Verdugo (hereinafter plaintiff) * was injured during the course of his employment as a food delivery person, when he was struck in the head by a sheet of plywood that fell to the sidewalk from a building under construction on Lexington Avenue, near 59th Street in Manhattan. Defendant Seven Thirty One Limited Partnership was the owner of the premises. Defendant Bovis Lend Lease LMB was the construction manager for the project and defendant North Side Structures, Inc. was the concrete superstructure subcontractor. Following the accident, plaintiff began receiving workers' compensation benefits for injuries to his head, neck and back, as well as for post-traumatic stress disorder and depression. He commenced this personal injury action in 2004.

In December 2005, the insurance carrier for plaintiff's employer moved to discontinue plaintiffs workers' compensation benefits and the parties proceeded to a hearing before an administrative law judge (ALJ). Each side was permitted to introduce expert medical testimony, which was subject to cross-examination. The ALJ ultimately found that plaintiff had “no further causally related disability since January 24, 2006.”

Plaintiff sought administrative review and, as relevant here, the Workers' Compensation Board Panel affirmed, finding record support for the ALJ's credibility determinations. The Panel agreed that plaintiff had no further causally-related disability and found that he had “no further need for treatment.”

Subsequently, in this negligence action, defendants moved for an order estopping plaintiff from “relitigating” the issue of causally-related disability beyond January 24, 2006, arguing that the matter had been finally determined by the Workers' Compensation Board. Supreme Court granted the motion, finding that plaintiff had a full and fair opportunity to address the issue before the Board and precluded him from further litigating that issue.

The Appellate Division reversed, finding that the determination of the Workers' Compensation Board was one of ultimate fact and thus did not preclude plaintiff from litigating the issue of his ongoing disability ( 83 A.D.3d 407, 920 N.Y.S.2d 79 [1st Dept.2011] ). Two Justices dissented and would have affirmed. The dissent agreed with Supreme Court that the issue of the duration of plaintiff's disability was the same in both proceedings and that plaintiff had a full and fair opportunity to litigate the issue before the Board. The Appellate Division granted defendants' motion for leave to appeal to this Court, certifying the following question for our review: [w]as the order of this Court, which reversed the order of the Supreme Court, properly made?” (2011 N.Y. Slip Op. 89173[U], 2011 WL 5424212 [2011].) We affirm and answer the certified question in the affirmative.

The quasi-judicial determinations of administrative agencies are entitled to collateral estoppel effect where the issue a party seeks to preclude in a subsequent civil action is identical to a material issue that was necessarily decided by the administrative tribunal and where there was a full and fair opportunity to litigate before that tribunal ( Jeffreys v. Griffin, 1 N.Y.3d 34, 39, 769 N.Y.S.2d 184, 801 N.E.2d 404 [2003] ). Whether collateral estoppel should be applied in a particular case turns on ‘general notions of fairness involving a practical inquiry into the realities of the litigation’ ( Jeffreys, 1 N.Y.3d at 41, 769 N.Y.S.2d 184, 801 N.E.2d 404, quoting Matter of Halyalkar v. Board of Regents of State of N.Y., 72 N.Y.2d 261, 268, 532 N.Y.S.2d 85, 527 N.E.2d 1222 [1988] ). We have also recognized that collateral estoppel, a flexible doctrine, ‘is applied more flexibly’ in the context of the determinations of administrative agencies ( Jeffreys, 1 N.Y.3d at 40, 769 N.Y.S.2d 184, 801 N.E.2d 404, quoting Allied Chem. v. Niagara Mohawk Power Corp., 72 N.Y.2d 271, 276, 532 N.Y.S.2d 230, 528 N.E.2d 153 [1988] ). To that end, “among the factors bearing on whether an administrative decision is ‘quasi-judicial’ are ‘whether the procedures used in the administrative proceeding ... were sufficient both quantitatively and qualitatively, so as to permit confidence that the facts asserted were adequately tested, and that the issue was fully aired’ ( Jeffreys, 1 N.Y.3d at 40–41, 769 N.Y.S.2d 184, 801 N.E.2d 404, quoting Allied Chem., 72 N.Y.2d at 276–277, 532 N.Y.S.2d 230, 528 N.E.2d 153). It is the party seeking to invoke collateral estoppel who bears the burden of establishing identity of issue ( see Jeffreys, 1 N.Y.3d at 39, 769 N.Y.S.2d 184, 801 N.E.2d 404).

Here, defendants have failed to meet their burden of establishing that the issue decided in the workers' compensation proceeding was identical to that presented in this negligence action. We have observed that the Workers' Compensation Law “is the State's most general and comprehensive social program, enacted to provide all injured employees with some scheduled compensation and medical expenses, regardless of fault for ordinary and unqualified employment duties” (Matter of Balcerak v. County of Nassau, 94 N.Y.2d 253, 259, 701 N.Y.S.2d 700, 723 N.E.2d 555 [1999] ). The purpose of awarding such benefits is to provide funds on an expedited basis that will function as a substitute for an injured employee's wages ( see Surace v. Danna, 248 N.Y. 18, 20–21, 161 N.E. 315 [1928, Cardozo, Ch. J.] [the Workers' Compensation Law was enacted to save the injured worker “from becoming one of the derelicts of society, a fragment of human wreckage”] ). We have observed that the term “disability,” as used in the Workers' Compensation Law, “generally refers to inability to work” ( Rubeis v. Aqua Club, Inc., 3 N.Y.3d 408, 417, 788 N.Y.S.2d 292, 821 N.E.2d 530 [2004] ). In addition, the Board uses the term “disability” in order to make classifications according...

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