Employer’s rejection of an individual’s claim for GML §207-c disability benefits does not necessarily bar his or her becoming eligible for such benefits at a later date

Employer’s rejection of an individual’s claim for GML §207-c disability benefits does not necessarily bar his or her becoming eligible for such benefits at a later date

Zembiec v County of Monroe, 2013 NY Slip Op 01736, Appellate Division, Fourth Department

A Monroe County Sheriff's Department (MCSD) employee challenged the Department’s decision that he was not entitled to General Municipal Law §207-c benefits available to law enforcement personnel injured in the line of duty.

Supreme Court concluded that the MCSD’s determination was arbitrary and capricious and granted awarding the individual disability benefits retroactive to December 4, 2009, the date of the employee's request for those benefits. The Appellate Division affirmed the Supreme Court’s ruling.

The court took note of an earlier action involving the same parties [see Zembiec v County of Monroe [Appeal No. 2], 87 AD3d 1358] in which the employee sought disability benefits for the period August 12, 2008 through June 15, 2009 as well as his regular pay from June 15, 2009 through March 25, 2010. The Appellate Division denied that part of the employee’s petition seeking an award of regular pay from June 15, 2009 through March 25, 2010, explaining that the employee was required to report to a modified duty assignment on June 15, 2009, but did not do so

Among the arguments advanced by MCSD was that the employee’s claim in this proceeding was precluded by the doctrine of res judicata.* The Appellate Division rejected this claim, stating that the employees current claim for benefits was based on a December 2, 2009 status report prepared by an MCSD physician, in which the physician determined that he was not fit to return to work. The court explained that the employee’s introduction of this status report in the prior proceeding did not establish the claims being asserted in this proceeding and in the prior proceeding arose out of the same transaction or series of transactions.

Although the proceedings both involve claims concerning the employee's entitlement to disability benefits and are arguably related in time inasmuch as certain events relevant to this appeal, i.e., the issuance of the status report and petitioner's second request for disability benefits, occurred while the prior proceeding was pending, the proceedings are based upon two different transactions — MCSD’s June 15, 2009 decision denying the §207-c benefits and its July 19, 2010 decision denying the §207-c benefits being sought by the employee.

In the prior proceeding the court was concerned only with the issue whether MCSD’s June 15, 2009 determination was "arbitrary and capricious" and the court's "review of [the] administrative determination [in the prior proceeding was] limited to the facts and record adduced before the agency.'" Thus the court could not rely on post-determination submissions, such as the December 2, 2009 status report, in evaluating MCSD’s determination.

The Appellate also rejected MCSD’s alternative argument that the Doctrine of Collateral Estoppel** bared the employee’s instant claim, concluding that the issues concerning employee's ability to return to work and his eligibility for disability benefits in December 2009 had not been decided in the prior proceeding. The court explained that although it determined that Supreme Court erred in awarding the employee regular pay from June 15, 2009 through March 25, 2010, in the earlier proceeding, that determination had not foreclosed the possibility that employee might, at some point after June 15, 2009, again become eligible for disability benefits

* Res Judicata: Latin for a matter already decided or judged by a tribunal.

** The Doctrine of Collateral Estoppel bars issues that have been litigated from being litigated again by the same parties.

The instant decision is posted on the Internet at:

http://www.nycourts.gov/reporter/3dseries/2013/2013_01736.htm

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General Municipal Law§§ 207-a and 207-c- a 1098 page e-book focusing on administering General Municipal Law Sections 207-a/207-c and providing benefits thereunder and other disability retirement issues is available from the Public Employment Law Press. Click on http://section207.blogspot.com/ for additional information about this electronic reference manual.

Health Care Reform Webinar for Public Employers Now Available Online

Health Care Reform Webinar for Public Employers Now Available Online
 
The NYMUNIBLOG Editorial Team has posted the Harris Beach webinar, “Health Care Reform’s Impact on Public Entities: Don’t Get Caught Waiting for 2014 – What You Need to be Doing Now,” on the Internet. 

It is is now available for downloading and streaming for those unable to attend on March 14, 2013 presentation at http://nymuniblog.com/?p=3120

Selected reports and information published by New York State's Comptroller Thomas P. DiNapoli

Selected reports and information published by New York State's Comptroller Thomas P. DiNapoli

Issued during the week ending March 17, 2013 [Click on the caption to access the full report]

DiNapoli: General Electric Agrees to Examine Risks from New PCB Hotspots in Hudson

General Electric Corp. has agreed to prepare an analysis of the actions required to remove recently discovered polychlorinated biphenyl contamination contaminated sediments from the Hudson River and report its findings to shareholders, New York State Comptroller Thomas P. DiNapoli announced Monday. The analysis will be completed by the end of 2013. In response to the agreement, DiNapoli withdrew a shareholder resolution calling on the company to do such an evaluation.

DiNapoli and Saratoga DA Murphy: Former Fire District Treasurer Pleads Guilty to Stealing Taxpayer Funds

The former treasurer of the Charlton Fire District has admitted to embezzling $500,000 in public funds as the result of an audit and investigation by State Comptroller Thomas P. DiNapoli and further investigation by Saratoga County District Attorney James A. Murphy, III and the New York State Police.

DiNapoli: Challenges Remain For New York City Budget

New York City’s budget is balanced in the current fiscal year and Mayor Bloomberg has presented a balanced preliminary budget for fiscal year 2014, but a number of issues pose significant budget risks in the years ahead, according to a report released Tuesday by New York State Comptroller Thomas P. DiNapoli.

DiNapoli: Nassau County Needs to Improve Contract Process

While Nassau County is following established guidelines for approving contracts, the authorization process often misses approval deadlines, according to an audit issued Thursday by State Comptroller Thomas P. DiNapoli. Auditors found that because of the lengthy review process vendors began working on half the contracts an average of seven weeks prior to the contract being signed by the county.

Comptroller DiNapoli Releases Municipal Audits

New York State Comptroller Thomas P. DiNapoli Tuesday announced his office completed audits of

the Town of Columbus;

the Town of Hamlin;

the Village of Lyndonville;

the Town of Mansfield;

the Town of Otselic; and,

the Town of Pittstown.

Comptroller DiNapoli Releases School Audits

New York State Comptroller Thomas P. DiNapoli Tuesday announced his office completed audits of:

the Niskayuna Central School District;

the Patchogue–Medford Union Free School District;

the Pine Bush Central School District; and,

the South Glens Falls Central School District.

New York State Comptroller Thomas P. DiNapoli’s audit of Mill Neck Manor reports the facility overcharged the State more than $280,000

New York State Comptroller Thomas P. DiNapoli’s audit of Mill Neck Manor reports the facility overcharged the State more than $280,000

An audit report released by New York State Comptroller Thomas P. DiNapoli on March 14, 2013 reports that the Mill Neck Manor School for the Deaf, a Nassau County provider of special education services for children with hearing disabilities, overcharged the State Department of Education* [SDE] more than $280,000, including charges for extra salary and benefits for the school’s Executive Director.

Mill Neck, part of the larger Mill Neck Family of Organizations, claimed $64,817 from the State for salary paid to its Executive Director, Mark Prowatzke, that should have come from elsewhere in the organization.  Auditors also identified $7,688 in vacation costs that were claimed for reimbursement, but were not paid by the school to its employees.

DiNapoli recommendations included that:

 
1. SDE review the inappropriate and unsupported expenses and take action to recover such reimbursed expenses; and

2. Mill Neck School should not charge costs to the program that are not in compliance with the State Education Department’s Reimbursable Cost Manual (Manual).

3. Explain Manual requirements to staff involved in preparing the Consolidated Fiscal Reports and the cost reimbursement processes.

A copy of the audit report is posted on the Internet at:
http://www.osc.state.ny.us/audits/allaudits/093013/11s40.pdf

DiNapoli has identified other fraud and improper use of funds in a recent series of audits of special education providers. There have been several criminal referrals, felony arrests, criminal convictions and hundreds of thousands of dollars in restitution made as a result of the audits. In total, 30 special education contractors have been or are being audited.

The Comptroller's recent audit of SED’s fiscal and program oversight of special education providers found that the agency has not conducted any on-site provider audits since 2007. A summary of key findings in this audit report, which was issued on December 18, 2012, is posted on the Internet at:http://osc.state.ny.us/audits/allaudits/093013/12s103.htm. The link to the full text of the December 2012 audit report, which is posted on the Internet, is: Link to full audit report (2012-S-103)

* SDE oversees special education programs for students with disabilities between the ages of 3 and 21. In addition to services provided by local school districts, these programs include services delivered to about 75,000 students by more than 300 for-profit and not-for-profit entities at an annual state cost of $1.3 billion.

Additional duties to incumbents of certain positions may serve as a rational basis for their allocation to different salary grades despite some overlap of duties

Additional duties to incumbents of certain positions may serve as a rational basis for their allocation to different salary grades despite some overlap of duties

Cribbin v New York State Unified Ct. Sys., 2013 NY Slip Op 01548, Appellate Division, Second Department

Patrick Cribbin file an Article 78 petition seeking an order compelling the Chief Administrative Judge of the Courts of the State of New York to reclassify an certain New York State Court Officer-Major I (Judicial Grade-26) employees to the title of New York State Court Officer-Major II (Judicial Grade-28).

The Appellate Division reversed a Supreme Court ruling that granted the petition [as amended] and remitted the matter to the Chief Administrative Judge of the Courts of the State of New York for further proceedings.

The court said that when a position classification decision is made "[t]he courts have the power to reverse or modify a particular classification . . . [only] if it is wholly arbitrary or without any rational basis," citing Association of Secretaries to Justices of Supreme and Surrogate's Courts in the City of New York. v Office of Court Administration of the State of New York., 75 NY2d 460 and other decisions.

The Appellate Division explained that “So long as the classification determination has a rational basis, a court may not disturb it even if there are legitimate grounds for a difference of opinion.” 

As the record established a rational basis for the distinction between the positions of  Major I and Major II, even though there was some overlap in duties, the court concluded  that the additional managerial duties assigned incumbents of Major II positions provided a rational basis for distinguishing between the two positions.

The decision is posted on the Internet at:

http://www.nycourts.gov/reporter/3dseries/2013/2013_01548.htm