Wage Earning Capacity Case Study

Superior Essays
THE LAW JUDGE ERRED IN AWARDING THE
CLAIMANT A 45% LOSS OF WAGE-EARNING CAPACITY. The record does not support more then a 37.5% loss of wage-earning capacity.

In cases of permanent partial disability, the loss of wage-earning capacity is evidentiary determination that must be based on the claimant’s medical impairment and functional abilities as well as vocational and other non medical factors. See Van Rensselaer Manor (2017 WL 1825079).

The Judge’s finding of a 3-B impairment rating pf the Board Permanency Guidelines is not in dispute. Given the fact the attending physician did not examine the claimant at the time of his permanency evaluation and he was not familiar with the Guidelines or refer to any portion of the Guidelines in defending his conclusions. Coupled with the clear knowledge and application of the Guidelines evinced by the self-insured employers consultant, Dr. Belmonte, the Judge properly adopted Dr. Belmonte’s findings of a
…show more content…
See Matter of Wormley v Rochester City School District ( 126 ad 3d 1257 (2015).

While the Judge in his remarks at the hearing on 04/27/2017, discussed some of the claimants non vocational factors, his discussion was incomplete and his conclusions as to aggravating and mitigating factors does not support a finding of a 45% loss of wage-earning capacity.

In the instant case, the claimant is 54 years of age. This Board has found age was neither a ?????? or mitigating factor for claimants in their fifties. See Grayhound Lines, Inc WL2155299053 (claimant was 51 years of age) and Cives Corporation 2015 WL5299212 (claimant was 57 years of age).

The claimant has a high school diploma and in addition he has three (3) years of service in the military. This should have been considered a mitigating

Related Documents

  • Improved Essays

    Ronald Vaden V

    • 904 Words
    • 4 Pages

    The court referred to previous cases and one in particular, Tonkovic vs. State Farm Mutual. The insured again had requested a disability policy that would pay home mortgage if he became disabled. The insurance agent who was aware of what was being requested, did not make an attempt to inform Tonkovic that this policy would not coincide with the coverage that was being…

    • 904 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Hsc300 Unit 2 Assignment

    • 626 Words
    • 3 Pages

    The claim was billed with the diagnosis codes 724.2, 722.52, 724.4, and 724.02, which were not one of the recognized diagnoses prescribed in the LCD 30155. The beneficiary was a 65 year old man who complained of lower back pain for one year that was getting progressively worse. He received injections for pain control 10 years before the date of service; he received physical therapy recently that caused him severe pain. He underwent lower back surgery (posterior lumbar interbody fusion [PLIF]) on 03/07/2014. He was taking medications for pain and reported weakness on the left leg; he ambulated with a cane.…

    • 626 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Nt1310 Unit 3 Assignment 3

    • 1039 Words
    • 5 Pages

    Group I, Category 19 Incorrect RFC Decision ISSUE DDS proposed a denial determination. The evidence in file supports a more restrictive RFC, as a result, additional vocational documentation is required. CASE DISCUSSION & POLICY ANALYSIS (INCLUDING SPECIFIC REFERENCES) This 57-year old is filing a DIB claim alleging disability due to loss of right eye, COPD, high blood pressure, edema of both legs and feet, back surgery, weight gain, depression, and neuropathy, as of 10/22/2014.…

    • 1039 Words
    • 5 Pages
    Improved Essays
  • Decent Essays

    Jon M. Espinoza's Case

    • 408 Words
    • 2 Pages

    Ms. Espinoza stated that throughout the claimant’s probationary period from 8-3-2015 through his LDW on 11-25-2015, the claimant never reported any injuries or illnesses either to her or to Supervisor Mr. Gerardo Navarrete. Ms. Espinoza checked her personnel records and the claimant’s personnel file and did not find any injuries leading up to the claimant’s current claim of injuries that allegedly occurred on 11-20-2015. Ms. Espinoza stated that after the claimant’s termination on 11-25-2015, when the claimant was terminated for cause, approximately two weeks after she was served with legal documentation via the mail from the claimant’s attorney at the Law Offices of Jon M. Woods. The service was conducted on 12-14-2015. The claimant and…

    • 408 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    In the past decade, there were numerous cases pertaining the age discrimination with some still in the courts as they are unsettled while others were settled in either against the employee or the employer. One of the popular cases was the Kimel v. Florida board of regents Facts on Kimel v. Florida board of regents In the year 1994, two different associates’ professors initiated a suit against their state employer. In the month of December, the professors lately filed the suit in a federal district court claiming an abuse of the Age Discrimination in the Employment Act (ADEA) of the year 1967. The professors who were aged 58 and 57 years claimed that the university discriminated them according to their ages and retaliated…

    • 398 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Ssa 300 Week 4

    • 697 Words
    • 3 Pages

    ISSUE The file contains conflicting dates regarding the claimant’s date last worked at the SGA level. The conflict needs to be resolved to determine the correct onset date. This 60- year old claimant is filing a DI only claim alleging disability due to a fractured back, sharp numbing pain, limited mobility, restricted range of motion, daily headaches, chest pain, high blood pressure, high cholesterol, dizziness, difficulty balancing, anxiety, and sleep apnea.…

    • 697 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Identification: Legal Services Corporation v. Velazquez 531 U.S. 533 (2001) Facts: Carmen Velazquez, a 56-year-old grandmother, claimed her public assistance benefits were wrongfully terminated. Her benefits were terminated for failure to participate in a job search program without a pre-termination hearing. Without the pre-termination hearing, she was not allowed to present her physical impairment as cause for her inability to work.…

    • 636 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Rozelle Rule Case Summary

    • 588 Words
    • 3 Pages

    After reading about the case, I felt the ruling was a correct one because looking at the ruling, it says that the non-statutory labor exemption…

    • 588 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    Regardless of the settlement offer reached by the codefendants with the plaintiff’s attorney, it was the position of HAPI (CRC Panel), their defense counsel and the insured to defend this claim. Moreover, and taking into account favorable testimony from defendants (Sandusky & Pearce) on behalf of their insured, it was defense counsel’s position the insured had a 75% chance of a successful outcome at trial. However, even with defendants (Sandusky & Pearce) testifying on the insured’s behalf, the jury awarded the claimant’s spouse $2.7 million, noting all defendants failed in the standard of care provided to the claimant. HAPI is now reviewing their options to consider filing an appeal on the potential of reversible errors (defense counsel…

    • 145 Words
    • 1 Pages
    Decent Essays
  • Decent Essays

    Robert versus Boston- Robert v. Boston challenged the separation of schools based on the color of their skin (nps.com). In 1848, a year old girl named Sarah Roberts was stopped from going to that school because she was black. Her dad Benjamin pressed charges against the city. The lawsuit was a effort by the black community to end segregated schools.…

    • 358 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    also Hooker v. Dallas Indep. Sch. Dist. , No. 3:09–CV–0676–G–BH, 2011 WL 1592300, at *5 (N.D.Tex. March 31, 2011).…

    • 1215 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    In 1993 there was a court case was brought into the light in reference to whether or not schools should be allowed to send students outside of the district to fulfill their educational needs. The case was called Oberti v. Board of Education and the plaintiff was Rafael Oberti who was an eight year old boy with down syndrome who was being told he needed to go to a school forty-five minutes away instead of the local school. The defendant was the Clementon, NJ Board of Education, who were the people telling the Obertis that Rafael needed to go to another school. The Obertis believed that Rafael could be included in his local classroom and that all of his needs could, and should, be met without having to attend a completely different school. Their…

    • 1115 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The Supreme Court case that I have decided to research was Hazelwood v. Kuhlmeier. Hazelwood v. Kuhlmeier was a Supreme Court case that asked the question, “Do schools have the right to revise or change the contents of a student article for privacy or other reasons? And does it infringe their 1st Amendment right?”…

    • 637 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Issue: Beth was 13 years old at the time of the case. Beth had been diagnosed with Rett’s syndrome which is a progressive disorder. In Beth’s case the Rett’s caused Beth to have little motor control such that she was confined to a wheelchair.…

    • 692 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Enumerated Exceptions

    • 842 Words
    • 4 Pages

    The two enumerated exceptions to the statute of limitations are further confined to require that any specific misrepresentation or withholding of information must also prevent the parents from filing a due process complaint. Petitioners’ Motion asserts three alleged misrepresentations under the under exception (i) and one alleged withholding of information under exception (ii) as the basis for their position that the statute of limitations period should not apply. Petitioners’ proposed exceptions are: (i) The District misrepresented to the Parent that simply passing J.P. on to kindergarten after a failed pre-K experience would resolve his educational issues; (ii) The District represented to the Parent that simply passing J.P. on the first…

    • 842 Words
    • 4 Pages
    Improved Essays