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Sakanovic v. Utica Mut. Ins. Co.

Supreme Court of New York, Third Department
Aug 3, 2023
219 A.D.3d 998 (N.Y. App. Div. 2023)

Opinion

535539

08-03-2023

In the Matter of the Claim of Zemira SAKANOVIC, Appellant, v. UTICA MUTUAL INSURANCE CO. et al., Respondents. Workers’ Compensation Board, Respondent.

Zemira Sakanovic, Utica, appellant pro se. Habberfield Kaszycki LLP, Buffalo (Rebecca L. Kaszycki of counsel), for Utica Mututal Insurance Co. and another, respondents.


Zemira Sakanovic, Utica, appellant pro se.

Habberfield Kaszycki LLP, Buffalo (Rebecca L. Kaszycki of counsel), for Utica Mututal Insurance Co. and another, respondents.

Before: Egan Jr., J.P., Lynch, Aarons, Fisher and McShan, JJ.

MEMORANDUM AND ORDER

Lynch, J. Appeal from a decision of the Workers’ Compensation Board, filed November 12, 2021, which ruled, among other things, that claimant did not sustain a causally-related psychological injury and disallowed her claim for workers’ compensation benefits.

In February 2021, the employer and its workers’ compensation carrier filed a first report of injury form indicating that, on October 21, 2020, claimant, an auditor, suffered stress and/or anxiety while at work resulting in elevated blood pressure, which compounded her stress and/or anxiety. The claim was ultimately controverted by the employer on various grounds, including no medical evidence of an injury, no causal relationship and no evidence of stress greater than that experienced by other similarly situated workers. Following a hearing, a Workers’ Compensation Law Judge (hereinafter WCLJ) disallowed the claim. Upon administrative appeal, the Board affirmed, finding that no physical injury or symptoms resulted from the alleged increase in workplace stress and that, insofar as the claim was for a psychological injury, the work-related stress that claimant experienced was not greater than that experienced by a similarly situated worker and any alleged increase in stress resulted from a good-faith personnel decision. Claimant appeals.

We affirm. A psychological injury caused by psychic trauma "is compensable to the same extent as physical injury" ( Matter of Wolfe v. Sibley, Lindsay & Curr. Co., 36 N.Y.2d 505, 510, 369 N.Y.S.2d 637, 330 N.E.2d 603 [1975] ; see Matter of DePaoli v. Great A & P Tea Co., 94 N.Y.2d 377, 379–380, 704 N.Y.S.2d 527, 725 N.E.2d 1089 [2000] ; Matter of Wood v. Laidlaw Tr., Inc., 77 N.Y.2d 79, 82, 564 N.Y.S.2d 704, 565 N.E.2d 1255 [1990] ). "However, to get benefits, a claimant must demonstrate that the stress that caused the claimed mental injury was greater than that which other similarly situated workers experienced in the normal work environment" ( Matter of Karam v. Rensselaer County Sheriff's Dept., 167 A.D.3d 1108, 1109, 87 N.Y.S.3d 752 [3d Dept. 2018] [internal quotation marks and citations omitted], lv denied 33 N.Y.3d 901, 2019 WL 1460799 [2019] ; see Matter of Lanese v. Anthem Health Servs., 165 A.D.3d 1373, 1374, 85 N.Y.S.3d 262 [3d Dept. 2018] ; Matter of Burke v. New York City Tr. Auth., 148 A.D.3d 1498, 1499, 50 N.Y.S.3d 625 [3d Dept. 2017] ; Matter of Keane v. New York State Elec. & Gas Co., 272 A.D.2d 802, 803, 708 N.Y.S.2d 726 [3d Dept. 2000] ). "Whether the stress experienced by a claimant is more than that normally encountered is a factual question for the Board to resolve, and its finding will not be disturbed when supported by substantial evidence" ( Matter of Cook v. East Greenbush Police Dept., 114 A.D.3d 1005, 1006, 979 N.Y.S.2d 880 [3d Dept. 2014] [citations omitted], lv denied 23 N.Y.3d 904, 2014 WL 2579971 [2014] ; see Matter of Karam v. Rensselaer County Sheriff's Dept., 167 A.D.3d at 1109, 87 N.Y.S.3d 752 ; Matter of Keane v. New York State Elec. & Gas Co., 272 A.D.2d at 804, 708 N.Y.S.2d 726 ). Upon review, we defer to the Board's credibility assessments (see Matter of Elias–Gomez v. Balsam View Dairy Farm, 162 A.D.3d 1356, 1358, 78 N.Y.S.3d 515 [3d Dept. 2018] ; Matter of Quigley v. Concern for Ind. Living, 146 A.D.3d 1185, 1186, 45 N.Y.S.3d 658 [3d Dept. 2017] ). The record reflects that, while at work on October 21, 2020, claimant experienced symptoms consistent with an anxiety attack. Prior to her attack, she had been discussing her work in a text-based Skype conversation with her supervisor that, according to claimant, elevated her stress and made her feel angry and frustrated given the additional duties that she had been performing. During the conversation, claimant first began to feel certain physical symptoms including blurry vision and "excruciating" pain in her head, all of which she had not previously experienced prior to the work-related incident despite having active prescriptions for anxiety/depression and high blood pressure. Claimant left work for the day and upon being evaluated at an urgent care center was taken by ambulance to an emergency room, where she presented with a headache and elevated blood pressure and was ultimately admitted to the intensive care unit. Upon being discharged a day later, she was diagnosed with essential hypertension, migraine without aura and hypertension urgency.

The Workers’ Compensation Law also excludes claims for "solely mental" injuries based upon "work[-]related stress" that were "a direct consequence of a lawful personnel decision involving a disciplinary action, work evaluation, job transfer, demotion, or termination taken in good faith by the employer" (Workers’ Compensation Law § 2[7] ; see Matter of Bottieri v. Travelers Ins., 309 A.D.2d 1100, 1101, 766 N.Y.S.2d 405 [3d Dept. 2003] ).

A review of the record before us reflects that the evidence fails to establish that the pressures encountered by claimant were any greater than those experienced by her peers during the time in question. To that end, the hearing testimony reflects that claimant's peers were subject to the same daily and hourly quotas for completion of audits, and, to the extent that claimant undertook additional mail audits, claimant's supervisor offered help with her workload if necessary. Accordingly, the Board's denial of that portion of her claim alleging a psychological injury and/or physical symptoms resulting from an increase in work-related stress will not be disturbed (see Matter of Bottieri v. Travelers Ins., 309 A.D.2d 1100, 1102, 766 N.Y.S.2d 405 [3d Dept. 2003] ; Matter of Spencer v. Time Warner Cable, 278 A.D.2d 622, 623, 717 N.Y.S.2d 711 [3d Dept. 2000], lv denied 96 N.Y.2d 706, 725 N.Y.S.2d 278, 748 N.E.2d 1074 [2001] ; Matter of Grace v. Bronx Mun. Hosp. Ctr., City of N.Y. Health & Hosps. Corp., 272 A.D.2d 799, 800, 708 N.Y.S.2d 728 [3d Dept. 2000] ; Matter of Leggio v. Suffolk County Police Dept., 245 A.D.2d 897, 899, 666 N.Y.S.2d 815 [3d Dept. 1997] [Mercure, J., dissenting], revd on dissenting mem below 96 N.Y.2d 846, 729 N.Y.S.2d 664, 754 N.E.2d 766 [2001] ). Finally, we agree with the Board that claimant's hypertension and other related physical symptoms that manifested from her work-related stress do not constitute a physical injury that would "obviate[ ] the need to demonstrate that the stress that produced such symptoms was greater than normal" ( Matter of Bottieri v. Travelers Ins., 309 A.D.2d at 1102, 766 N.Y.S.2d 405 ; see Matter of Bordonaro v. Genesee County Sheriff's Office , 148 A.D.3d 1507, 1509 & n 2, 50 N.Y.S.3d 628 [3d Dept. 2017] ; Matter of Ford v. Unity House of Troy, 292 A.D.2d 717, 717–719, 739 N.Y.S.2d 482 [3d Dept. 2002], lv denied 98 N.Y.2d 610, 749 N.Y.S.2d 2, 778 N.E.2d 553 [2002] ; Matter of Loftus v. New York News, 279 A.D.2d 657, 658–659, 719 N.Y.S.2d 314 [3d Dept. 2001] ; Matter of Kinney v. Prudential Ins. Co., 270 A.D.2d 781, 783, 705 N.Y.S.2d 137 [3d Dept. 2000] ; Matter of Dockum v. Syroco, Inc., 260 A.D.2d 688, 690, 687 N.Y.S.2d 759 [3d Dept. 1999], lv denied 93 N.Y.2d 811, 695 N.Y.S.2d 540, 717 N.E.2d 699 [1999] ; cf. Matter of Nizich v. Robert F. Barreca, Inc., 86 A.D.2d 917, 917–918, 448 N.Y.S.2d 529 [3d Dept. 1982] ). To the extent that claimant's remaining contentions are properly before us, they have been considered and found to be without merit.

Egan Jr., J.P., Aarons, Fisher and McShan, JJ., concur. ORDERED that the decision is affirmed, without costs.


Summaries of

Sakanovic v. Utica Mut. Ins. Co.

Supreme Court of New York, Third Department
Aug 3, 2023
219 A.D.3d 998 (N.Y. App. Div. 2023)
Case details for

Sakanovic v. Utica Mut. Ins. Co.

Case Details

Full title:In the Matter of the Claim of Zemira Sakanovic, Appellant, v. Utica Mutual…

Court:Supreme Court of New York, Third Department

Date published: Aug 3, 2023

Citations

219 A.D.3d 998 (N.Y. App. Div. 2023)
193 N.Y.S.3d 742
2023 N.Y. Slip Op. 4165

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