X

Thank you for sharing!

Your article was successfully shared with the contacts you provided.

John F. Clennan, Ronkonkoma, for appellant.Davis & Venturini, Hicksville (Christine M. Morehouse of counsel), for Seaford U.F.S.D. and another, respondents.Appeals (1) from a decision of the Workers’ Compensation Board, filed June 6, 2017, which ruled, among other things, that claimant violated Workers’ Compensation Law § 114-a and disqualified him from receiving future wage replacement benefits, and (2) from a decision of said Board, filed August 25, 2017, which denied claimant’s request for reconsideration and/or full Board review.In 2007, claimant sustained a work-related injury to his back and right leg while lifting heavy timber. Following a 2009 lumbar fusion surgery, claimant continued to complain of chronic back pain radiating into his left hip and thigh and reported that he experienced numbness and weakness in his left leg, which necessitated that he walk with the use of a cane or knee brace. Ultimately, in November 2014, claimant was classified by the Workers’ Compensation Board with a permanent total disability.In June 2016, the employer’s workers’ compensation carrier reopened the case, raising the issue of whether claimant violated Workers’ Compensation Law § 114-a. After reviewing surveillance video and hearing testimony, a Workers’ Compensation Law Judge ruled, among other things, that claimant had violated Workers’ Compensation Law § 114-a and disqualified him from receiving future benefit payments. The Board, among other things, affirmed that decision and denied claimant’s subsequent request for full Board review and/or reconsideration. Claimant appeals from both decisions.[1]We affirm. Workers’ Compensation Law § 114-a (1) provides that a claimant who “knowingly makes a false statement or representation as to a material fact . . . shall be disqualified from receiving any compensation directly attributable to such false statement or representation.” A determination by the Board as to whether a claimant violated Workers’ Compensation Law § 114-a will not be disturbed if supported by substantial evidence (see Matter of Howard v. Facilities Maintenance Corp., 143 AD3d 1032, 1033 [2016]; Matter of Hershewsky v. Community Gen. Hosp., 125 AD3d 1068, 1068 [2015]).Claimant’s medical records note that he presented to his treating physician and the carrier’s medical expert that he was in constant pain, required use of a cane or knee brace on a daily basis and was severely impacted in his ability to stand and walk — at times grabbing the wall for stability. Reports prepared by an investigator, based upon surveillance videos of claimant between August 2015 and March 2016, reflect that claimant was observed walking without a limp, standing and driving for extended periods of time, bending over to do repair work under the hood of a vehicle, and lifting items, such as a car battery, a floor jack and an automobile tire, from the bed of his truck. The only time during the surveillance period that claimant was observed using a cane or knee brace was during a medical appointment; however, later that same day, claimant was observed walking normally without any assistive device. The carrier’s medical expert, who had twice examined claimant, testified that claimant’s unrestricted movements and activities depicted on the surveillance videos were inconsistent with the complaints of pain and reported limitations expressed by claimant during the examinations.In view of the foregoing, the Board’s decision finding that claimant made false representations regarding material facts is supported by substantial evidence and will not be disturbed (see Matter of Howard v. Facilities Maintenance Corp., 143 AD3d at 1033; Matter of Poupore v. Clinton County Hwy. Dept., 138 AD3d 1321, 1323 [2016]; Matter Hershewsky v. Community Gen. Hosp., 125 AD3d at 1068-1069). To the extent that claimant asserts that the Board’s decision is inconsistent with its 2009 decision addressing his request for back surgery, we note that the 2009 decision was superseded by a 2012 decision and, in any event, is irrelevant to the issue as to whether claimant subsequently violated Workers’ Compensation Law § 114-a. Finally, claimant raises no arguments in his appellate brief regarding the denial of his request for reconsideration and/or full Board review and, therefore, we deem his appeal from that decision to be abandoned (see Matter of Siennikov v. Professional Grade Constr., Inc., 137 AD3d 1440, 1441 n 1 [2016]).McCarthy, J.P., Lynch, Devine and Pritzker, JJ., concur.ORDERED that the decisions are affirmed, without costs.

 
Reprints & Licensing
Mentioned in a Law.com story?

License our industry-leading legal content to extend your thought leadership and build your brand.

More From ALM

With this subscription you will receive unlimited access to high quality, online, on-demand premium content from well-respected faculty in the legal industry. This is perfect for attorneys licensed in multiple jurisdictions or for attorneys that have fulfilled their CLE requirement but need to access resourceful information for their practice areas.
View Now
Our Team Account subscription service is for legal teams of four or more attorneys. Each attorney is granted unlimited access to high quality, on-demand premium content from well-respected faculty in the legal industry along with administrative access to easily manage CLE for the entire team.
View Now
Gain access to some of the most knowledgeable and experienced attorneys with our 2 bundle options! Our Compliance bundles are curated by CLE Counselors and include current legal topics and challenges within the industry. Our second option allows you to build your bundle and strategically select the content that pertains to your needs. Both options are priced the same.
View Now
September 05, 2024
New York, NY

The New York Law Journal honors attorneys and judges who have made a remarkable difference in the legal profession in New York.


Learn More
April 18, 2024
New York, NY

Join the industry's top owners, investors, developers, brokers & financiers at THE MULTIFAMILY EVENT OF THE YEAR!


Learn More
April 25, 2024
Dubai

Law firms & in-house legal departments with a presence in the middle east celebrate outstanding achievement within the profession.


Learn More

Atlanta s John Marshall Law School is seeking to hire one or more full-time, visiting Legal WritingInstructors to teach Legal Research, Anal...


Apply Now ›

Lower Manhattan firm seeks a premises liability litigator (i.e., depositions, SJ motions, and/or trials) with at least 3-6 years of experien...


Apply Now ›

Join the Mendocino County District Attorney s Office and work in Mendocino County home to redwoods, vineyards and picturesque coastline. ...


Apply Now ›
04/15/2024
Connecticut Law Tribune

MELICK & PORTER, LLP PROMOTES CONNECTICUT PARTNERS HOLLY ROGERS, STEVEN BANKS, and ALEXANDER AHRENS


View Announcement ›
04/11/2024
New Jersey Law Journal

Professional Announcement


View Announcement ›
04/08/2024
Daily Report

Daily Report 1/2 Page Professional Announcement 60 Days


View Announcement ›