X

Thank you for sharing!

Your article was successfully shared with the contacts you provided.

Appeal from a decision of the Workers’ Compensation Board, filed August 21, 2020, which ruled that claimant’s right hip claim was not barred by Workers’ Compensation Law §28 and granted claimant’s request to amend her workers’ compensation claim. MOLLY REYNOLDS FITZGERALD, JUSTICE Claimant, a resident assistant, was injured at work on September 13, 2015 while making beds and filed a workers’ compensation claim in October 2015 for work-related injuries to her lower back, which was later established. In 2018, a Workers’ Compensation Law Judge (hereinafter WCLJ) found that claimant had raised the issue of a causally-related right hip injury and, later, ruled that she had submitted prima facie medical evidence of such an injury through the submission of reports from her treating orthopedist, Matthew Stein. Stein submitted reports and later testified that, following initial treatments for her lower back injury for which she saw only 50 percent improvement and experienced continued pain, it was determined in part from an MRI that she had also sustained a right hip labral tear that was causally-related to her work injury. The employer and its workers’ compensation carrier (hereinafter collectively referred to as the carrier) procured an independent medical examination from a consulting orthopedist who concluded that her hip pain was not the result of a labral tear but, rather, was the product of a preexisting condition and was not causally-related to her 2015 work injury. The carrier objected to claimant’s request to amend her claim as untimely under Workers’ Compensation Law §28. Following a hearing at which Stein and the carrier’s consultant orthopedist testified consistent with their prior medical reports, the WCLJ credited Stein’s testimony and amended the claim to include a causally-related right hip injury. On the carrier’s appeal, the Workers’ Compensation Board affirmed. The carrier appeals. We affirm. Workers’ Compensation Law §28 provides, in relevant part, that “[t]he right to claim compensation…shall be barred…unless within two years after the accident…a claim for compensation shall be filed” with the Board (see Matter of Jones v. Servisair LLC, 180 AD3d 1313, 1314 [3d Dept 2020]). However, the failure to file a C-3 employee claim form is not dispositive, as other documents filed within the two-year window, including medical reports and the employer’s report of injury, have been considered in determining whether a claim is timely filed and found to mark the filing of a claim, where the documents “were sufficient to provide [the Board] with the facts of the injury from which it might be reasonably inferred that a claim for compensation was being made” (id. at 1315 [internal quotation marks, ellipsis and citation omitted]; see Matter of Hernandez v. Guardian Purch. Corp., 50 AD3d 1258, 1259 [3d Dept 2008]; Matter of Schley v. North State Supply, 309 AD2d 1092, 1092-1093 [3d Dept 2003]; Matter of McCutcheon v. Public Serv. Dept., 290 AD2d 679, 680 [3d Dept 2002]; Matter of Boone v. Rigaud, 176 AD2d 378, 379 [3d Dept 1991]). Accordingly, “‘any notice which conveys to the Board that the claimant is claiming the compensation and benefits of the Workers’ Compensation Law is sufficient’” (Matter of McCutcheon v. Public Serv. Dept., 290 AD2d at 680 [brackets and emphasis omitted], quoting Matter of Kaplan v. Kaplan Knitting Mills, Inc., 248 NY 10, 13 [1928]). Ultimately, “whether a claim has been filed in a timely manner presents a factual issue for the Board to resolve, and such determination, if supported by substantial evidence in the record as a whole, will not be disturbed” (Matter of Searchfield v. Lowe’s Home Ctrs., Inc., 92 AD3d 1038, 1039 [3d Dept 2012] [internal quotation marks, brackets and citation omitted]; accord Matter of Jones v. Servisair LLC, 180 AD3d at 1315). The record reflects that numerous medical reports filed shortly after her work-related accident and through the next two years, including an MRI report in October 2015, establish that claimant had bilateral hip pain or back pain radiating into her hips. Claimant testified that she complained of hip pain throughout that period and her treating physician diagnosed her with causally-related right hip injury in June 2017. Stein, who the Board credited, testified that, although claimant was initially treated for low back pain, after some improvement but persistent pain, the right hip labral tear was diagnosed and he performed surgery on her in June 2018, which resolved much of her pain. Stein explained that both the low back injury and the right hip labral tear contributed to claimant’s pain, both were causally-related and it is not uncommon for labral tear symptoms to be confused with low back symptoms (see Matter of Searchfield v. Lowe’s Home Ctrs., Inc., 92 AD3d at 1039). Since claimant could not have filed a claim for causally-related hip injuries until this condition was properly identified and diagnosed, we are persuaded that this matter is not time-barred. Given that substantial record evidence supports the Board’s determination that the amendment to the claim is not time-barred, it will not be disturbed. The carrier’s remaining contentions similarly lack merit. Clark, J.P., Aarons, Pritzker and Ceresia, JJ., concur. ORDERED that the decision is affirmed, with costs to claimant. Dated: October 6, 2022

 
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 29, 2024 - May 01, 2024
Aurora, CO

The premier educational and networking event for employee benefits brokers and agents.


Learn More
May 15, 2024
Philadelphia, PA

The Legal Intelligencer honors lawyers leaving a mark on the legal community in Pennsylvania and Delaware.


Learn More

Truly exceptional Bergen County New Jersey Law Firm is growing and seeks strong plaintiff's personal injury Attorney with 5-7 years plaintif...


Apply Now ›

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 ›

Shipman is seeking an associate to join our Labor & Employment practice in our Hartford, New Haven, or Stamford office. Candidates shou...


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 ›