The Matter of the Claim of Thomas Lazalee v. Wegman's Food Markets
Date Filed2023-12-12
Docket87
Cited0 times
StatusPublished
Full Opinion (html_with_citations)
State of New York OPINION
Court of Appeals This opinion is uncorrected and subject to revision
before publication in the New York Reports.
No. 87
In the Matter of the Claim of
Thomas Lazalee,
Respondent,
v.
Wegman's Food Markets, Inc.,
Appellant.
Workers' Compensation Board,
Respondent.
Melissa A. Day, for appellant.
Gregory R. Connors, for respondent Lazalee.
Sean P. Mix, for respondent New York State Workers Compensation Board.
TROUTMAN, J.:
Under the rules of the Workersâ Compensation Board (Board), if an employer
âdesires to produce for cross-examination an attending physician whose report is on file,
the referee shall grant an adjournment for such purposeâ (12 NYCRR 300.10 [c]). At issue
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here is whether a workersâ compensation law judge (WCLJ) has the discretion to deny a
request for cross-examination made at a hearing, before the WCLJ has rendered a decision
on the merits. Because 12 NYCRR 300.10 (c) affords no such discretion, we reverse the
order of the Appellate Division.
Claimant filed a claim for benefits in 2018 while out of work with a right thumb
injury and carpal tunnel syndrome, for which he underwent surgery. The employer did not
controvert any aspect of the claim and paid claimant at the temporary total disability rate.
The Board later awarded claimant 36.4 weeksâ compensation for an established right thumb
injury. After claimant returned to work in 2019, his physician diagnosed him with similar
injuries to his left hand. Claimant filed for benefits and, again, the employer paid him at
the temporary total disability rate. Claimant returned to work from the left-hand injuries
in January 2020 and requested a hearing to amend the prior award by including the
additional injuries. The employer accepted liability at the April 2020 hearing but sought to
cross-examine the physician as to the degree of impairment during claimantâs most recent
period out of work. A WCLJ denied the request on the ground that claimantâs 11.2-week
absence was not âexcessiveâ and awarded claimant compensation over that period at the
temporary total disability rate.
The Board affirmed, finding the request to cross-examine claimantâs physician was
untimely because that request was made after the employer paid claimant at the total
disability rate until his return to work, waited three months after that to raise the issue and
seek to âretroactively argue that the claimant was not totally disabled,â and made that
argument based only on counselâs interpretation of the reports âwithout any contrary
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credible medical evidence.â The Appellate Division affirmed, holding there was no basis
to disturb the Boardâs conclusion that claimantâs âbelatedâ request to cross examine the
physician was â âdisingenuousâ â because claimant ârequired the use of his hands to
perform his jobâ and the physicianâs âuncontroverted medical reportsâ supported the
finding of total temporary disability (201 AD3d 1110, 1112[3d Dept 2022]). We granted the employer leave to appeal (see39 NY3d 905
[2022]).
The Board has the power to âadopt reasonable rules consistent with and
supplemental to the provisions ofâ the Workersâ Compensation Law (Workersâ
Compensation Law § 117 [1]; see Matter of Kigin v State of N.Y. Workersâ Compensation
Bd., 24 NY3d 459, 467[2014]). Rules duly promulgated pursuant to Workersâ Compensation Law § 117 are binding upon the Board (see Matter of Vukel v New York Water & Sewer Mains,94 NY2d 494, 497
[2000]; Matter of Frick v Bahou,56 NY2d 777, 778
[1982]).
The rule at issue here provides that, if âthe employer or its carrier or special fund
desires to produce for cross-examination an attending physician whose report is on file, the
referee shall grant an adjournment for such purposeâ (12 NYCRR 300.10 [c] [emphasis
added]). The mandatory nature of this language contrasts with the language used in the
Boardâs other rules governing adjournment of hearings, which afford referees discretion
and create exceptions to otherwise mandatory rules. For example, if the employer fails to
present evidence as directed by the Board, the referee âmay adjourn the hearingâ and, if the
employer fails to present evidence on the adjourned date, the referee âshall proceed to make
a decision unlessâ the referee finds âextraordinary circumstancesâ warranting âa further
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adjournmentâ (12 NYCRR 300.10 [b] [emphasis added]). Under the plain language of the
rule, the employer properly exercised its rights by making its request at a hearing on the
claim prior to the WCLJâs ruling on the merits (cf. Matter of Ferguson v Eallonardo
Constr., Inc., 173 AD3d 1592, 1595 [3d Dept 2019]; Employer: DeLeon Constr., Inc.,2017 WL 2981609
, *2, 2017 N.Y. Wrk. Comp. LEXIS 8923, *5 [WCB No. G166 0081, June
29, 2017]).
Cases relied upon by the Board involving belated section 300.10 (c) requests are
inapposite. Those cases hold that such a request is âwaive[d]â if made for the first time
before the Board or the Appellate Division (Matter of Brown v Clifton Recycling, 1 AD3d
735, 736 [3d Dept 2003]; Matter of Floyd v Millard Fillmore Hosp.,299 AD2d 610, 611
[3d Dept 2002]) and are consistent with our holding here concerning a request made before
the WCLJ at a hearing. Upon such a request, the WCLJ must adjourn the hearing and afford
the employer the opportunity to produce the claimantâs physician for cross-examination
(see 12 NYCRR 300.10 [c]). If the Board concludes that the WCLJ should have discretion
under those circumstances, it is within the Boardâs power to amend its rules as it sees fit
(see Workersâ Compensation Law § 117 [2]).
Accordingly, the order of the Appellate Division should be reversed, with costs, and
the matter remitted to the Appellate Division with directions to remand to the New York
State Workersâ Compensation Board for further proceedings in accordance with this
opinion.
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Order reversed, with costs, and matter remitted to the Appellate Division, Third
Department, with directions to remand to the New York State Workers' Compensation
Board for further proceedings in accordance with the opinion herein. Opinion by Judge
Troutman. Chief Judge Wilson and Judges Rivera, Garcia, Singas, Cannataro and Halligan
concur.
Decided December 12, 2023
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