Judges: Weiss
Filed Date: 6/16/1988
Status: Precedential
Modified Date: 10/31/2024
Appeal from a decision of the Workers’ Compensation Board, filed December 30, 1986, which, inter alia, denied claimants’ applications to reopen their claims.
The pivotal question before us is whether the Board abused its discretion in refusing to reopen the claims presented (Workers’ Compensation Law § 123; see, Matter of Rusyniak v Syracuse Flying School, 37 NY2d 384, 390, 391; Matter of Sinacore v Dreier Structural Steel, 97 AD2d 659). Preliminarily, we observe, based on the language utilized in Werner, that the burden was on claimants to demonstrate an affirmative misrepresentation on the part of the State or its compensation carrier, the State Insurance Fund (hereinafter the Fund), designed to induce an election of compensation benefits (see, Werner v State of New York, supra, at 352, n 2, 355). Mere silence on the part of State officials, or even neutral acts,
Claimants essentially maintain that the State and its compensation carrier engaged in a deliberate course of conduct in the aftermath of the uprising designed to mislead them into accepting compensation benefits so as to foreclose any civil lawsuits against the State. With respect to the hostage claimants, the record establishes that compensation claims were actually initiated on their behalf, either by the filing of a medical report, a notice by the Fund or an employer report of accident. After the uprising was quelled, most of these claimants attended a meeting with Russell G. Oswald, then Commissioner of Correctional Services, and were advised to take up to six months off with pay, a leave variously described as free time or excused time. Neither claimants’ legal rights nor workers’ compensation benefits were discussed at this meeting. During the authorized leave period, claimants continued to receive a salary and certain medical expenses were paid (see, Cunningham v State of New York, supra, at 252). Many of the claimants testified that they did not realize they were receiving compensation benefits during this period.
From this scenario, claimants theorize that the State hastily initiated the compensation claims and provided benefits without explanation in order to effect an election of compensation benefits and shield the State from civil liability. Leonard Mann, a district claims manager of the Fund, refuted this thesis by testifying that the Fund’s initiation of files on behalf of the claimants, and the payment of wages and medical expenses, were standard procedure for State employees injured on the job. Additionally, Richard A. Fabian, a Board employee, testified that the compensation claims were indexed by the Board in accord with standard procedure. Significantly, none of the hostage claimants asserted that the State or its carrier actually misrepresented information concerning the acceptance of compensation and their right to sue the State. Notably, by October 1971, each claimant was notified that a compensation claim had been indexed. By December 1971, all the hostage claimants had consulted with their present attorney, and notices of intention to file a claim against the State were duly filed. In view of the foregoing, and the fact that no
We reach a similar conclusion with respect to the widow claimants. Initially, we observe that both Mann and Fabian confirmed that the procedures employed in processing the widows’ claims were standard. Additionally, Mann explained that, while the Fund generally paid death benefits only after a compensation hearing, advance payments were made here in order to assist the widow claimants, not to avoid a lawsuit. As to their individual claims, Taylor testified that in September and November 1971, she was advised by representatives of the Fund and Oswald that a lawsuit could not be commenced against the State. Another widow, Beverly Forrester Lewis, testified that Fund employees advised her she could sue the State even if she accepted compensation benefits. In contrast, Oswald testified that he did not remember discussing lawsuits with the widows and never attempted to dissuade anyone from suing the State. Mann, who met with the widows on behalf of the Fund, testified that no one inquired about suing the State or was told that workers’ compensation was the exclusive remedy. This divergence in testimony presented a sharp credibility dispute for Board resolution. The difficulty here, however, is that after summarizing the evidence presented, the Board abruptly concluded "[T]here is no evidence that Mrs. Werner [Taylor] had been misled” (emphasis supplied). As claimants maintain, the Board effectively failed to set forth the factual findings upon which the credibility dispute was resolved (see, Matter of Burns v Miller Constr., 62 AD2d 1114; Matter of Mennis v Amendes Co., 56 AD2d 679; Matter of Burnette v Schreve, 34 AD2d 186).
Under the circumstances presented, however, a remittal to the Board for further clarification is not necessary. In its decision, the Board emphasized that Taylor consulted an attorney shortly after her husband’s funeral and filed a notice of intention to file a claim against the State in December 1971. She was also aware that one widow had renounced workers’ compensation in favor of a lawsuit against the State. Following a hearing in January 1972, an award was rendered requiring the payment of funeral expenses and a weekly stipend. In 1976, Taylor received a remarriage award. The Board further noted that Taylor did not complain of being misled until October 1981, and had previously made no effort to renounce the benefits received. Since Taylor indisputably consulted an attorney and undertook efforts to sue the State
The same analysis attends Bookmiller’s application to reopen. Her assertion that Fund employees visited her after her husband’s death and advised her that she could not sue the State was expressly refuted by Mann. As with Taylor’s claim, the Board’s finding of "no evidence” to support Bookmiller’s argument failed to adequately resolve this credibility dispute. Nonetheless, Bookmiller continued to accept compensation benefits after consulting her attorney and filing a notice of claim against the State, and never complained about being misled until 1981. Thus, the Board could rationally refuse to reopen her claim.
Finally, Cunningham did not claim that any State or Fund employee affirmatively attempted to mislead her in any way. She also continued to accept workers’ compensation benefits after consulting her attorney and initiating a civil lawsuit. As such, the Board could readily reject her application.
Decision affirmed, without costs. Mahoney, P. J., Casey, Weiss, Levine and Mercure, JJ., concur.