Summary
In Misquitta, the Third Department cited to Zechmann 's rule that "a claim for death benefits... is a separate and distinct legal proceeding... and is not equated with the beneficiary's original disability claim" (Misquitta, 150 A.D.3d at 1365, quoting Zechmann, 85 N.Y.2d at 751).
Summary of this case from Verneau v. Edison Co. of N.Y., Inc.Opinion
05-04-2017
In the Matter of the Claim of Maria MISQUITTA, Claimant, v. GETTY PETROLEUM et al., Respondents, and Special Fund for Reopened Cases, Appellant. Workers' Compensation Board, Respondent.
Steven M. Licht, Special Funds Conservation Committee, Albany (Jill B. Singer of counsel), for appellant. Vecchione & Vecchione, LLP, Garden City Park (Brian Anson of counsel), for Getty Petroleum and another, respondents.
Steven M. Licht, Special Funds Conservation Committee, Albany (Jill B. Singer of counsel), for appellant.
Vecchione & Vecchione, LLP, Garden City Park (Brian Anson of counsel), for Getty Petroleum and another, respondents.
Before: PETERS, P.J., GARRY, DEVINE, MULVEY and AARONS, JJ.
GARRY, J.
Appeal from a decision of the Workers' Compensation Board, filed March 2, 2016, which ruled, among other things, that liability had shifted to the Special Fund for Reopened Cases.
In 1985, Reginald Misquitta (hereinafter decedent) sustained a work-related myocardial infarction and was ultimately classified as permanently totally disabled. By a decision of a Workers' Compensation Law Judge (hereinafter WCLJ) filed August 11, 2000, the Special Fund for Reopened Cases assumed liability pursuant to Workers' Compensation Law § 25–a. After decedent's death on May 2, 2014 due to coronary artery disease, claimant, decedent's wife, filed a claim for death benefits. The Special Fund submitted a medical report concluding that there was no causal relationship. Hearings were held and the employer and its workers' compensation carrier argued that liability for this claim had shifted to the Special Fund in 2000. The Special Fund contended that no new claims to transfer liability to it can be submitted after January 1, 2014 under the 2013 amendments to Workers' Compensation Law § 25–a (1–a) (see L 2013, ch 57, pt GG, § 13). A WCLJ found that decedent's death was causally related, that the Special Fund had assumed liability on the underlying case and remains liable for the death claim, and directed the Special Fund to pay awards and funeral expenses to claimant. The Workers' Compensation Board upheld the determination that liability for this claim had been transferred pursuant to Workers' Compensation Law § 25–a to the Special Fund, which continues to be liable for decedent's consequential death. The Board modified to the extent that it concluded that the WCLJ should not have determined the issue of causal relationship, as the Special Fund had reserved on that issue, and directed that the case be reopened for further proceedings on that issue. The Special Fund now appeals.
We affirm. "Liability for payment of a compensation award under [Workers' Compensation Law § ] 25–a shifts from the insurance carrier to the Special Fund simply by virtue of the passage of the requisite period of time" and, "once section 25–a (1) has been triggered, the insurance carrier has no further interest in payment of the claim" (Matter of De Mayo v. Rensselaer Polytech Inst., 74 N.Y.2d 459, 462, 548 N.Y.S.2d 630, 547 N.E.2d 1157 [1989] ; accord Matter of Fitzgerald v. Berkshire Farm Ctr. & Servs. for Youth, 87 A.D.3d 353, 355, 927 N.Y.S.2d 176 [2011] ). Thus, upon a transfer of liability, the Special Fund "step[s] into the shoes of the insurance carrier and succeed[s] to its rights and responsibilities" (Matter of De Mayo v. Rensselaer Polytech Inst., 74 N.Y.2d at 462–463, 548 N.Y.S.2d 630, 547 N.E.2d 1157 ). Here, it is undisputed that liability shifted to the Special Fund in 2000, long before decedent's 2014 death.
The Special Fund argues that it is not liable because the consequential death claim is a new claim and, since it was filed after the January 1, 2014 cutoff for newly reopened claims against the Special Fund, liability against it is precluded (see Workers' Compensation Law § 25–a [1–a ] ). The Special Fund is correct that "a claim for death benefits ... is a separate and distinct legal proceeding brought by the beneficiary's dependents and is not equated with the beneficiary's original disability claim" (Matter of Zechmann v. Canisteo Volunteer Fire Dept., 85 N.Y.2d 747, 751, 628 N.Y.S.2d 249, 651 N.E.2d 1268 [1995] ; see Commissioners of State Ins. Fund v. Hallmark Operating, Inc., 61 A.D.3d 1212, 1213, 877 N.Y.S.2d 734 [2009] ; Matter of Mace v. Owl Wire & Cable Co., 284 A.D.2d 672, 675, 727 N.Y.S.2d 487 [2001] ). Indeed, there are separate statutory provisions for disability and death benefits (compare Workers' Compensation Law § 15, with Workers' Compensation Law § 16 ). However, where, as here, liability for a claim has already been transferred from the carrier to the Special Fund and the employee thereafter dies for reasons causally related to the original claim, the Special Fund remains liable for the claim for death benefits (see Matter of Fitzgerald v. Berkshire Farm Ctr. & Servs. for Youth, 87 A.D.3d at 354–355, 927 N.Y.S.2d 176 ; cf. Matter of Connolly v. Consolidated Edison, 124 A.D.3d 1167, 1168–1169, 3 N.Y.S.3d 164 [2015] ). Thus, under these circumstances, claimant need not obtain another transfer of liability to the Special Fund upon decedent's death, as liability had already been transferred. In that regard, Workers' Compensation Law § 25–a (1–a), which closed the Special Fund to newly reopened cases as of January 1, 2014, has no bearing on the Special Fund's liability for a claim for which liability was transferred to it in 2000. This result is consistent with the purpose of Workers' Compensation Law § 25–a, which "is to shift the liability for paying stale claims to the [Special] Fund" (Matter of Goutremout
In American Economy Ins. Co. v. State of New York, 139 A.D.3d 138, 31 N.Y.S.3d 456 (2016), the First Department held that the 2013 amendment to Workers' Compensation Law § 25–a (1–a), which closed the Special Fund to newly reopened cases as of January 1, 2014 retroactively leaving liability for such reopened claims with the workers' compensation carriers, was unconstitutional. An appeal is pending in the Court of Appeals. We need not address the constitutionality of the amendment closing the Special Fund, as we have concluded that the Special Fund remained liable for the death benefit claim based upon the 2000 transfer of liability under Workers' Compensation Law § 25–a.
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v. Advance Auto Parts, 134 A.D.3d 1194, 1195, 20 N.Y.S.3d 724 [2015] [internal quotation marks and citation omitted] ).
ORDERED that the decision is affirmed, without costs.
PETERS, P.J., DEVINE, MULVEY and AARONS, JJ., concur.