Monday, January 6, 2014

1996 Omnibus Workers’ Compensation Reform Act

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Introduction

What is the 1996 Onmibus Workers’ Compensation Reform Act (WCRA)? What do I need to know about it?

In the typical construction accident case, the injured worker is barred from suing his/her employer in exchange for receipt of Workers’ Compensation (WC)  benefits. However, the injured employee IS allowed to sue other responsible parties, normally the property owner and/or the general contractor (GC) (assuming the injured party is not employed by the GC). As is often the case, the owner and/or GC will implead the injured party’s employer since they usually do not know what is happening at the job-site. As you can see, the injured party’s employer is not shielded from all liability by the provisions of the Workers’ Compensation Law Section 11 (WCL), which was designed to insulate them from direct lawsuits by their employees, not third parties.

1996 Onmibus Workers’ Compensation Reform Act

As a result of the foregoing situation, the legislature enacted the 1996 WCRA on July 12, 1996, which amended Section 11 to the WCA. The WCRA prohibits those being sued by the injured employee from bringing claims against the plaintiff’s employer, unless one of the following criteria is met:

1               The plaintiff sustains a statutorily defined “grave injury”, or:
2               The employer is contractually obligated to the owner and/or General Contractor for contribution or indemnification.

Clearly, this changes things significantly, because if these conditions are not met, the owner(s) and/or general contactor will, in effect, be held strictly liable even though they may not be at fault, or bear only a small portion of liability.

A, What is a  “Grave Injury”?

Workers’ Compensation Law Section 11 defines a “grave injury” as the following:
“death, permanent loss of use of or amputation of an arm, leg,  hand, foot, loss of multiple fingers (more than one), loss of multiple toes, paraplegia, or quadriplegia, total and permanent blindness, total and permanent deafness, loss of nose, loss of ear, permanent and severe facial disfigurement, loss of index finger or, an acquired injury to the brain caused by an external physical force resulting in permanent total disability”
[WCA Section 11].

The courts have held that this “list” of grave injuries is full and  complete;  not merely illustrative, [Castro v United Container Machinery Group Inc., 96 NY 2d 398, 402 (2001)].  Not surprisingly, the purpose of the amendment was to curb litigation by creating an exclusive and narrowly drawn list of qualifying injuries. 
Interestingly, those seeking to implead the plaintiff’s employer must now argue that the plaintiff has sustained a grave injury, as opposed to usually denying the plaintiff was injured, or was not badly injured.
  
B. Contractual Indemnification

  Absent a grave injury, the only other mechanism by which to implead the plaintiff’s employer is to show the employer was contractually obligated to do so which is defined as:

“For the purposes of this section, the terms indemnity and contribution
shall not include a claim or cause of action for contribution or indemnification based upon a provision in a written contract entered into prior to the accident or occurrence by which the employer had expressly agreed to contribution to or indemnification of the claimant or person asserting the cause of action for the type of loss suffered”
[WCA Section 11].

In order to determine if the contractual indemnification provision is enforceable, one must look at: a)  the facts underlying the accident, and, b) the four corners of the contract which will determine the parties’ intent. While the contract is usually executed prior to the commencement of work and the subject accident, sometimes the contract is executed afterwards but contains retroactive language. In addition to the contract, General Obligations Law Section 5-322 holds that contracts exempting owners and/or contractors from their own negligence  are void  (Check  for any changes). Such an agreement would make subcontractors the insures of the owners and/or GC’s.

C. How To Measure Damages When The Employer Fails To Obtain Insurance Required By The Construction Contract

Background: Prior to April 26, 2001, a subcontractor could be held liable for all damages, including the liability of the general contractor to the plaintiff, where the subcontractor failed to procure insurance for the benefit of the GC or owner as agreed to [Kinney v G.W. Lisk Company, Inc., 76 NY2d 215 ]1990)]. Check Cite  Subsequently,  the Court of Appeals has held (in a landlord/tenant case, witch was extended to Labor Law cases) that the landlord could recover his out of pocket costs (I.e., the cost of procuring his own liability policy) from the tenant who failed to name the landlord as an additional insured as agreed to by the parties [Inchaustegui v 666 5th Avenue Limited Partnership, 86 NY2d 111 (2001)]. CHECK SITE

D. The One and Two Family Homeowners Exemption

Sections 240 and 241(6) of the Labor Law exempt owners of one and two family homes who contract to have work done on their premises, but who do not “direct or control” the work, or where the work is being performed for commercial purposes. The terms “direct” or “control” have been interpreted very narrowly by the courts.  The protection of the exemption  will be lost where the homeowner supervises the “method and manner” of the work  being performed.

Determining whether the exemption applies becomes murkier when the “site and purpose” of the accident is being used for  both residential and commercial (mixed use) purposes, and not simply as a one or two family home, or for commercial purposes. Courts have held that the exemption will apply where the “site and purpose” test shows that the work being performed “directly relates to the residential use of the home” Bartoo v Buell, 87 NY2d 362, 368, The exemption was also applied  in a case where the work performed “wholly related” to the residential nature of the home, and where the effect on the commercial portion of the home was merely “incidental or negligible”, Muniz v Church of Our Lady of Mt. Carmel, 238 AD2d 101, lv. denied, 90 NY2d 804.  CHECK SITES

Clearly, each case is fact specific and will require a careful analysis of the
facts and circumstances including analysis of the prevailing case law.

If you, or anyone you know, has been injured on the job, you should seek legal counsel immediately, since not doing so could cost you significant  amounts of money, and/or result in you not being able to pursue a claim since the law limits the time in which you can bring a lawsuit. Call one of our award-winning attorneys at  (800) 893-9645.
Our award winning lawyers have over 30 years of legal experience fighting for individuals just like you.


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