| Matter of Simpson v Nassau Extended Care Ctr. |
| 2012 NY Slip Op 07259 [100 AD3d 1099] |
| November 1, 2012 |
| Appellate Division, Third Department |
| Published by New York State Law Reporting Bureau pursuant to Judiciary Law § 431. |
| In the Matter of the Claim of Marie Simpson,
Respondent, v Nassau Extended Care Center et al., Respondents, and Special Fund for Reopened Cases, Appellant. Workers' Compensation Board, Respondent. |
—[*1]
Davis & Venturini, Hicksville (Christine Morehouse of counsel), for Nassau Extended Care
Center and another, respondents.
Malone Jr., J. Appeal from a decision of the Workers' Compensation Board, filed August 10, 2011, which transferred liability to the Special Fund for Reopened Cases pursuant to Workers' Compensation Law § 25-a.
Claimant initially sustained a back injury in September 2002 in her capacity as a nurse's aide
for the employer and received lost time benefits for a period between September 2002 and
December 2002. Claimant sustained another work-related injury to her back in September 2005
for which she received wage replacement benefits for a period from September 2005 to October
2005. In January 2009, claimant suffered yet another causally-related back injury and was [*2]awarded compensation benefits for two periods between February
2009 and October 2010. In July 2009, the report from an independent medical examination by
orthopedist Arnold Illman—procured by the employer and Liberty Mutual Insurance
Company, the employer's workers' compensation carrier on the 2009 claim—opined that
claimant's injuries should be apportioned 33
Subsequently, Healthcare Industry Trust of New York, the employer's workers' compensation carrier at the time of claimant's 2002 injury, raised the issue of Workers' Compensation Law § 25-a with regard to that claim. Ultimately, the Workers' Compensation Board found that the 2002 claim was subject to Workers' Compensation Law § 25-a, transferred liability to the Special Fund for Reopened Cases and discharged Healthcare Industry Trust. The Special Fund now appeals.
We reverse. Pursuant to Workers' Compensation Law § 25-a (1), an award may only
be made against the Special Fund when an application for compensation is made after a lapse of
seven years from the date of an injury and three years from the date of the last payment of
compensation (see Matter of Canfora v
Goldman Sachs Group, Inc, 93 AD3d 988, 988-989 [2012]; Matter of Sauers v K-Mart Corp., 90
AD3d 1101, 1102 [2011]). Significantly, this Court has consistently held, as has the Board,
that the filing of a medical claim that apportions liability to a prior claim constitutes an
application to reopen the prior claim (see Matter of Dumont v Nestle Co., 286 AD2d 804,
804-805 [2001]; Matter of Klouse v City of Albany, 194 AD2d 941, 942-943 [1993];
Employer: Farmington Disposal Serv., 2012 WL 1454197, *2, 2012 NY Wrk Comp
LEXIS 3002, *5 [WCB 7010 7662, Apr. 18, 2012]; Employer: Kaleida/Millard Fillmore,
2010 WL 3317045, *3, 2010 NY Wrk Comp LEXIS 7132, *9 [WCB 8020 0270, 8070 5673,
Aug. 18, 2010]). Here, Illman's report, which was based on a review of claimant's medical
records and physical examination, unequivocally states that claimant's current injuries should be
apportioned 33
Rose, J.P., Spain, Garry and Egan Jr., JJ., concur. Ordered that the decision is reversed, without costs, and matter remitted to the Workers' Compensation Board for further proceedings not inconsistent with this Court's decision.