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November 17, 2023

Individual injured in a "slip and fall" while engaged in a personal activity during her work shift found ineligible for accidental disability retirement benefits

An applicant for accidental disability retirement benefits injured while engaged in a personal activity determined not to have been engaged in performing the duties of the position. The police officer [Petitioner], had applied for accidental disability retirement benefits following her staining multiple injuries as the result of her "slip and fall" accident while exiting her patrol car "when she stopped for coffee". 

Petitioner's applications were denied by the retirement system and, following a hearing, a Hearing Officer upheld the denial of both her applications for benefits, finding that the injuries she suffered were not sustained while Petitioner was engaged in performing the duties of her employment. The State Comptroller adopted the Hearing Officer's findings and conclusions. Petitioner then initiated a CPLR Article 78 proceeding challenging the Comptroller's determination with respect to her applications for accidental disability retirement benefits.

The Appellate Division sustained the Comptroller's decision, holding:

1. The burden is on the applicant for accidental disability retirement benefits to demonstrate that his or her incapacitation was the natural and proximate result of an accident within the meaning of the Retirement and Social Security Law and sustained while in service;

2. The threshold issue of whether [a] petitioner was in service at the time that his [or her] injury occurred turns on whether he [or she] was performing job duties at the time of the injury*; and

3. The Comptroller "is vested with exclusive authority to determine all applications for retirement benefits, including the question of whether an accidental injury was sustained while in service," and, if supported by substantial evidence, the Comptroller's determination must be upheld.

The Appellate Division, noting that Petitioner testified that police officers routinely stopped for coffee and food during their shifts, said the record supports the finding that she was not directed or asked to do so by her supervisor or was a part of her job duties. As substantial evidence supported the Comptroller's determination that Petitioner was not injured while in service in that she was engaged in a personal activity at the time she suffered injury, the Comptroller's decision must be upheld.

Further, said the Court, "Petitioner's reliance on precedent under the Workers' Compensation Law is misplaced, as decisions decided thereunder are not binding on [State Comptroller]".

* See Matter of Verille v Gardner, 177 AD3d 1068

Click HERE to access the decision of the Appellate Division posted on the Internet.


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NYPPL Blogger Harvey Randall served as Principal Attorney, New York State Department of Civil Service; Director of Personnel, SUNY Central Administration; Director of Research, Governor’s Office of Employee Relations; and Staff Judge Advocate General, New York Guard. Consistent with the Declaration of Principles jointly adopted by a Committee of the American Bar Association and a Committee of Publishers and Associations, the material posted to this blog is presented with the understanding that neither the publisher nor NYPPL and, or, its staff and contributors are providing legal advice to the reader and in the event legal or other expert assistance is needed, the reader is urged to seek such advice from a knowledgeable professional.
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