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IN RE: the Claim of Argenis OSORIO (2021)

Supreme Court, Appellate Division, Third Department, New York.2021-04-08No. 531355

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Opinion

MEMORANDUM AND ORDER

Appeals (1) from a decision of the Workers Compensation Board, filed October 31, 2019, which ruled that claimant sustained a causally-related occupational disease and set a date of disablement, and (2) from a decision of said Board, filed January 7, 2020, which denied a request by the employer and its workers compensation carrier for reconsideration and/or full Board review.

Claimant, a pricing clerk for a retail store, filed a claim for workers compensation benefits in April 2015 alleging that she had sustained injuries to her neck, back and both arms as the result of years of pricing, lifting, sorting and pushing clothes on racks for the employer.  The C–3 form completed by claimant indicated that the date of the onset of her symptoms was to be established.  In May 2015, an orthopedic surgeon diagnosed claimant with cervical derangement, bilateral shoulder impingement and tendonitis and indicated that her onset of symptoms occurred on May 21, 2015 (the date of the examination).  A Workers Compensation Law Judge found prima facie evidence for repetitive injuries to claimants neck and shoulders, and the employer and its workers compensation carrier (hereinafter collectively referred to as the carrier) asserted various defenses, including that, based upon claimants representations that she first experienced pain in her neck in 2012, the underlying claim was time-barred and claimant failed to give the employer timely notice of her occupational disease.

Following claimants testimony and the depositions of certain medical providers/evaluators, as well as various interim rulings and additional proceedings, a Workers Compensation Law Judge found that claimant had sustained an occupational disease involving her cervical spine and both shoulders and set the date of disablement as May 21, 2015.  Upon administrative review, the Workers Compensation Board affirmed.  The carriers application for reconsideration and/or full Board review was denied, prompting these appeals.

We affirm.  “A claim for workers compensation benefits due to a disability caused by an occupational disease must be filed within two years after disablement and after the claimant knew or should have known that the disease is or was due to the nature of the employment” (Matter of Walczak v. Asplundh Tree Expert Co., 188 A.D.3d 1524, 1524, 135 N.Y.S.3d 677 [2020] [internal quotation marks and citation omitted];  see Workers Compensation Law § 28;  Matter of Czachurski v. PAL Envtl., 189 A.D.3d 1866, 1867, 138 N.Y.S.3d 236 [2020]).

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“[T]he Board is afforded great latitude” in setting the date of disablement, and its resulting determination, if supported by substantial evidence, will not be disturbed (Matter of Bunn v. Wegmans Food Mkts., Inc., 130 A.D.3d 1133, 1134, 12 N.Y.S.3d 655 [2015];  see Matter of Storm v. Phillips Light. Co., 117 A.D.3d 1312, 1313, 986 N.Y.S.2d 654 [2014]).  As this Court recently observed, the date of disablement “may acceptably reflect ‘the first date of causally[-]related treatment, the date on which the claimant first received a diagnosis indicating that the condition was work related, the date on which the claimant began to lose time from work due to the work-related disability, the date on which the claimant was advised by a physician to stop working due to the work-related disability, and the date on which the claimant actually stopped working because of that disability’ ” (Matter of Lewandowski v. Safeway Envtl. Corp., 190 A.D.3d 1072, 1077, 139 N.Y.S.3d 705 [2021], quoting Employer:  Pumping Sols. Inc., 2015 WL 5026401, *3–5, 2015 N.Y. Wrk Comp LEXIS 8695, *9–13 [WCB No. G076 9490, Aug. 13, 2015]).  Notably, “the Board is not bound to select the earliest possible date of disablement nor is it required to give preference to certain events over others” (Matter of Leary v. NYC Bd. of Educ., 42 A.D.3d 712, 714, 839 N.Y.S.2d 616 [2007] [internal quotation marks and citation omitted];  see Matter of Hastings v. Fairport Cent. School Dist., 274 A.D.2d 660, 661, 710 N.Y.S.2d 455 [2000], lv dismissed 95 N.Y.2d 926, 721 N.Y.S.2d 602, 744 N.E.2d 137 [2000]).

Here, the record reflects that claimant complained of intermittent pain in her neck, back and/or shoulders in 2012 and 2014 and underwent a course of physical therapy, and claimant testified that she was told by her treating physician in 2012 that her neck pain could possibly be related to her work.  That said, it does not appear that claimant lost time from work as a result of such pain, and it was not until May 21, 2015 that a physician first opined that claimants condition was causally related to her employment.  Accordingly, although claimant was symptomatic prior to that date and may have suspected that her condition was related to her employment, the record does not establish that claimant actually knew or should have known that her occupational disease was due to the nature of her employment prior to such diagnosis and her physicians opinion as to causal relationship in 2015.  Under these circumstances, and given the Boards wide latitude in setting the date of disablement, its decision in this regard – as well as its corresponding determination as to the timeliness of both claimants notice to the employer and the underlying claim (see Workers Compensation Law §§ 28, 45;  Matter of Garcia v. MCI Interiors, Inc., 158 A.D.3d 907, 909, 71 N.Y.S.3d 654 [2018]) – is supported by substantial evidence and will not be disturbed (see Matter of Mickelson v. Value Constr., 150 A.D.3d 1608, 1609, 55 N.Y.S.3d 524 [2017];  Matter of Bunn v. Wegmans Food Mkts., Inc., 130 A.D.3d at 1134, 12 N.Y.S.3d 655;  Matter of Aminzadeh v. Hyosung USA, 67 A.D.3d 1245, 1245, 888 N.Y.S.2d 683 [2009];  Matter of Hastings v. Fairport Cent. School Dist., 274 A.D.2d at 661–662, 710 N.Y.S.2d 455).

Nor are we persuaded that the Board erred in denying the carriers application for reconsideration and/or full Board review.  “To succeed on an application for reconsideration and/or full Board review, [the applicant] must demonstrate that newly discovered evidence exists, that there has been a material change in condition, or that the Board improperly failed to consider the issues raised in the application for review in making its initial determination” (Matter of McCormick v. Terryville Fire Dist., 189 A.D.3d 1868, 1869, 138 N.Y.S.3d 233 [2020] [internal quotation marks and citations omitted];  see Matter of Downer v. New York City Dept. of Corr., 189 A.D.3d 1855, 1857, 138 N.Y.S.3d 246 [2020]).  The carrier does not allege either a material change in condition or the existence of newly discovered evidence.  Further, and as noted previously, the Board acknowledged and rejected the assertion that claimant failed to provide timely notice of her occupational disease as required by Workers Compensation Law § 45, and our review of the record confirms that the Board otherwise fully considered the carriers arguments relative to the appropriate date of disablement.  Accordingly, the application for reconsideration and/or full Board review was properly denied.

ORDERED that the decisions are affirmed, without costs.

FOOTNOTES

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.   The carrier argues that the Board failed to address the applicability of Workers Compensation Law § 45, which similarly requires that notice of an occupational disease be provided to the employer “within two years after the disablement or after the claimant knew or should have known that the disease is due to the nature of the employment, whichever is the later date.”  However, the record reflects that the Board did consider the impact of this provision in reaching its decision.

Garry, P.J.

Lynch, Clark, Pritzker and Colangelo, JJ., concur.