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Claim of Johnson v. Feinberg-Smith Assoc

Appellate Division of the Supreme Court of New York, Third Department
May 15, 2003
305 A.D.2d 826 (N.Y. App. Div. 2003)

Opinion

92300

Decided and Entered: May 15, 2003.

Appeal from a decision of the Workers' Compensation Board, filed October 17, 2001, which ruled that apportionment did not apply to claimant's workers' compensation award.

Levene, Gouldin Thompson L.L.P., Binghamton (Jason M. Carlton of counsel), for appellants.

Steven Licht, Special Funds Conservation Committee, Cheektowaga (Melissa A. Day of counsel), for Special Funds Conservation Committee, respondent.

Coughlin Gerhart L.L.P., Binghamton (Jeffrey A. Brown of counsel), for Broome Self-Insurance Plan, respondent.

Eliot Spitzer, Attorney General, New York City (Iris A. Steel of counsel), for Workers' Compensation Board, respondent.

Before: Mercure, J.P., Spain, Carpinello, Rose and Kane, JJ.


MEMORANDUM AND ORDER


In 1983 and again in 1995, claimant sustained compensable work-related injuries to his back while employed by the Broome County Highway Department. In 1999, claimant sustained another back injury while lifting a bag into a truck at work for the current employer, which forms the basis of the present claim. The Workers' Compensation Law Judge established the case for a work-related injury, set an average weekly wage and ruled, based upon the medical testimony, that apportionment was inapplicable as a matter of law. The Workers' Compensation Board affirmed. The employer and the workers' compensation carrier appeal, and we affirm.

Apportionment of a workers' compensation award presents a factual issue for the Board to resolve, and its decision will be upheld where supported by substantial evidence (see Matter of August v. Chromalloy R T, 240 A.D.2d 966, 967, lv dismissed 90 N.Y.2d 1007). On the issue of apportionment, both claimant's treating physician and the carrier's medical consultant agreed that claimant's current back condition should be apportioned almost equally between his 1999 injury and a preexisting, noncompensable degenerative condition that he developed over the years, with claimant's physician apportioning them equally and the carrier's physician attributing 40% to the 1999 injury and 60% to the degenerative condition. Significantly, neither apportioned any of claimant's current disability to either of his previous compensable injuries, in 1983 and 1995. Regarding his job performance, the record reflects that — at the time of the 1999 accident — claimant was effectively and fully performing his job duties despite the degenerative condition, had no restrictions placed on his work, had not missed any work due to that preexisting condition and had not received treatment for his back in recent years. Also, while not a contributing factor to his present condition, it is noteworthy that the prior compensable injury in 1983 resulted in 25 weeks of missed work; the 1995 injury caused just eight weeks lost time and, upon the conclusion of treatment, claimant received no further medical care for his back until the 1999 accident.

In our view, this claim falls squarely under the well-established standard, to which we have repeatedly and recently adhered, that apportionment is inapplicable as a matter of law "[w]here the prior condition was not the result of a compensable injury and the claimant is able to effectively perform his or her job despite the preexisting condition" (Matter of Krebs v. Town of Ithaca, 293 A.D.2d 883, 883-884; see Matter of Hogan v. Hilltop Manor of Niskayuna, 303 A.D.2d 822, 823, 756 N.Y.S.2d 344, 345;Matter of Montana v. Orion Bus Indus., 303 A.D.2d 820, 821, 756 N.Y.S.2d 346, 347; Matter of Woods v. Marriott Corp., 285 A.D.2d 906, 907; Matter of Di Fabio v. Albany County Dept. of Social Servs., 162 A.D.2d 775, 776-777;Matter of Carbonaro v. Chinatown Sea Food, 55 A.D.2d 756, 757). As explained long ago, this is so because "[a]pportionment applies only in cases where the prior condition constitutes `a disability in a compensation sense'" (Matter of Krebs v. Town of Ithaca, supra at 884, quoting Matter of Carbonaro v. Chinatown Sea Food, supra at 757; see Workers' Compensation Law § 15).

Contrary to the employer and carrier's central contentions, our decision in Matter of Miller v. Congel-Palenscar, Inc. ( 236 A.D.2d 645) neither establishes a countervailing rule to Matter of Carbonaro v. Chinatown Sea Food (supra) and its progeny nor represents the development of irreconcilable lines of apportionment cases. Unlike this case, in Miller, both medical experts apportioned some of the claimant's current (i.e., 1989) disability in part to a prior compensable 1980 work-related injury, as well as to a prior noncompensable 1972 sledding accident (Matter of Miller v. Congel-Palenscar, Inc., supra at 646). Consequently, since part of that claimant's disability resulted from a prior compensable accident, the rule recognized in Carbonaro and progeny — that apportionment is inapplicable as a matter of law if the prior condition resulted only from a noncompensable injury — did not govern the Miller claimant. Inasmuch as the Board's finding in Miller that the claimant's disability was solely due to his 1989 accident was contrary to all of the medical testimony, we reversed the Board's nonapportionment finding and remitted for the purpose of developing the record and properly assigning an apportionment percentage to the current accident, the 1980 compensable injury and the 1972 noncompensable injury (id.). Miller, thus, is consistent with the principle that apportionment is a question of fact and may be appropriate where, in accordance with the medical proof, a claimant's disability is in full or in part attributable to a prior compensable injury (see Matter of McCloskey v. Marriott Corp., 290 A.D.2d 671, 671-672; Matter of Howell v. Langie Fuel Serv., 241 A.D.2d 568, 569-570; Matter of Cook v. Sabatino Trucking, 58 A.D.2d 926; Matter of Murillo v. Ogden Corp., 51 A.D.2d 1085, 1086; see also 110 N.Y. Jur 2d, Workers' Compensation § 320, at 46-48; cf. Matter of August v. Chromalloy R T, 240 A.D.2d 966, 967, supra), i.e., "where the prior condition constitutes `a disability in a compensation sense'" (Matter of Krebs v. Town of Ithaca, supra at 884, quoting Matter of Carbonaro v. Chinatown Sea Food, supra at 757).

Since substantial evidence exists to support the Board's finding that apportionment is inapplicable as a matter of law and no error of law was made, the Board' s decision will be upheld (see Matter of August v. Chomalloy R T, supra).

Mercure, J.P., Carpinello, Rose and Kane, JJ., concur.

ORDERED that the decision is affirmed, without costs.


Summaries of

Claim of Johnson v. Feinberg-Smith Assoc

Appellate Division of the Supreme Court of New York, Third Department
May 15, 2003
305 A.D.2d 826 (N.Y. App. Div. 2003)
Case details for

Claim of Johnson v. Feinberg-Smith Assoc

Case Details

Full title:In the Matter of the Claim of DAVID H. JOHNSON, Claimant, v…

Court:Appellate Division of the Supreme Court of New York, Third Department

Date published: May 15, 2003

Citations

305 A.D.2d 826 (N.Y. App. Div. 2003)
759 N.Y.S.2d 592

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