O'Donnell v. Univ. of Rochester

• Decision Date: 23 June 2022
• Docket Number: 532612
• Citation: 206 A.D.3d 1394,172 N.Y.S.3d 136
• Parties: In the Matter of the Claim of Anne O'DONNELL, Claimant, v. UNIVERSITY OF ROCHESTER et al., Appellants, and Special Disability Fund, Respondent. Workers’ Compensation Board, Respondent.
• Court: New York Supreme Court — Appellate Division

206 A.D.3d 1394

172 N.Y.S.3d 136

In the Matter of the Claim of Anne O'DONNELL, Claimant,

v. UNIVERSITY OF ROCHESTER et al., Appellants,andSpecial Disability Fund, Respondent.Workers’ Compensation Board, Respondent.

532612

Supreme Court, Appellate Division, Third Department, New York.

Calendar Date: May 31, 2022

Decided and Entered: June 23, 2022

Hamberger & Weiss LLP, Buffalo (Susan R. Duffy of counsel), for appellants.

Special Funds Group, Schenectady (Kevin J. Rumsey of counsel), for Special Disability Fund, respondent.

Before: Garry, P.J., Egan Jr., Clark, Aarons and McShan, JJ.

MEMORANDUM AND ORDER

Aarons, J. Appeals (1) from a decision of the Workers’ Compensation Board, filed June 11, 2020, which discharged the Special Disability Fund from liability under Workers’ Compensation Law § 15(8)(d), and (2) from a decision of said Board, filed August 18, 2020, which denied the University of Rochester's application for reconsideration and/or full Board review.

In June 2007, claimant, a nurse, sustained work-related injuries to her left leg and both knees when she slipped on a wet floor and landed on the ground. The claim was established against the employer for these injuries and was later amended to include other injuries. In 2008, the employer and its third-party administrator (hereinafter collectively referred to as the employer) filed three different C–250 forms seeking reimbursement from the Special Disability Fund based upon preexisting conditions (see Workers’ Compensation Law § 15[8][d] ), including impairments that resulted from three prior established workers’ compensation claims. Following, among other things, claimant's classification with a permanent partial disability in 2017, a hearing ensued on the question of the applicability of Workers’ Compensation Law § 15(8)(d), after which a Workers’ Compensation Law Judge (hereinafter WCLJ) found that the employer was entitled to reimbursement based upon a pretrial conference sheet signed by representatives of the employer and the Special Funds Conservation Committee that purportedly reflected an agreement as to the employer's entitlement to reimbursement.¹ The Special Funds Group sought administrative review by the Workers’ Compensation Board, which, in a June 2020 decision, reversed the decision of the WCLJ, finding that Workers’ Compensation Law § 15(8)(d) does not apply, and discharged and removed the Special Funds Group from notice. In so doing, the Board reasoned, among other things, that the pretrial conference statement was not legally binding because it was not reduced to writing and approved by the Board. The employer's subsequent application for reconsideration and/or full Board review was denied in an August 2020 decision. The employer appeals from both decisions.

The employer contends that the subject pretrial conference statement was entitled to preclusive effect and/or that the Special Disability Fund should be estopped from opposing the applicability of Workers’ Compensation Law § 15(8)(d) because the employer relied, to its detriment, on representations made by the Fund in its pretrial conference statement indicating that Workers’ Compensation Law § 15(8)(d) applied. We disagree. Initially, although the pretrial conference statement, dated February 2, 2009, was prepared prior to the deadline set forth in Workers’ Compensation Law § 15(8)(h)(2)(A) (compare Matter of Durham v. Wal–Mart Stores, Inc., 174 A.D.3d 1273, 1275, 106 N.Y.S.3d 221 [2019] ), the pretrial conference statement did not meet the requirements of either a stipulation (see 12 NYCRR 300.5 [b]) or a settlement between the parties (see Workers’ Compensation Law § 32 ). There is also no indication that it was reviewed and approved by the Board (see Matter of Mayers v. Frito Lay, 185 A.D.3d 1332, 1333, 128 N.Y.S.3d 326 [2020] ; Matter of Pratt v. Gowanda Nursing Home, 185 A.D.3d 1133, 1134–1135, 127 N.Y.S.3d 603 [2020] ; Matter of Schiffer v. Charming Shoppes of Del., 182 A.D.3d 890, 892–893, 122 N.Y.S.3d 187 [2020] ; Matter of Durham v. Wal–Mart Stores, Inc., 174 A.D.3d at 1274, 106 N.Y.S.3d 221 ). "Absent proof of such approval/review here, the pretrial conference sheet was not binding, and the issue of whether the employer demonstrated its entitlement to reimbursement under Workers’ Compensation Law § 15(8)(d) remained within the exclusive province of the Board" ( Matter of Durham v. Wal–Mart Stores, Inc., 174 A.D.3d at 1274–1275, 106 N.Y.S.3d 221 [internal quotation marks and citation omitted]).

Even assuming that the record before us demonstrates that the employer relied upon the pretrial conference statement to its detriment, the employer's laches and promissory estoppel arguments must fail because the subject pretrial conference sheet was not binding under the circumstances here (see Matter of Mayers v. Frito...