Compagnone v. DiNapoli

182 N.Y.S.3d 352

In the Matter of Franco COMPAGNONE, Petitioner,

v.Thomas P. DINAPOLI, as State Comptroller, Respondent.

533530

Supreme Court, Appellate Division, Third Department, New York.

Calendar Date: November 17, 2022

Decided and Entered: January 26, 2023

Schwab & Gasparini, PLLC, White Plains (Warren J. Roth of counsel), for petitioner.

Letitia James, Attorney General, New York City (Dustin J. Brockner of counsel), for respondent.

Before: Garry, P.J., Lynch, Reynolds Fitzgerald, Ceresia and McShan, JJ.

OPINION AND JUDGMENT

Garry, P.J.

Proceeding pursuant to CPLR article 78 (transferred to this Court by order of the Supreme Court, entered in Albany County) to review a determination of respondent denying petitioner's application for accidental disability retirement benefits.

Petitioner, a police officer, filed an application for accidental disability retirement benefits based upon two incidents, one that occurred on October 27, 2013 and a second that occurred on June 6, 2016. Petitioner's application was denied on the basis that neither of the two incidents constituted an accident within the meaning of Retirement and Social Security Law § 363. Following a hearing, the Hearing Officer upheld the denial for the same reason, and respondent subsequently adopted the Hearing Officer's decision. This CPLR article 78 proceeding ensued.

We confirm. An applicant for accidental disability retirement benefits bears the burden of demonstrating that his or her disability arose out of an accident, and the determination will be upheld if supported by substantial evidence (see Matter of Valente v. New York State Comptroller, 205 A.D.3d 1295, 1295, 169 N.Y.S.3d 705 [3d Dept. 2022] ; Matter of Stancarone v. DiNapoli, 161 A.D.3d 144, 146, 76 N.Y.S.3d 238 [3d Dept. 2018] ). "[A]n injury-causing event is accidental when it is sudden, unexpected and not a risk of the work performed" ( Matter of Kelly v. DiNapoli, 30 N.Y.3d 674, 682, 70 N.Y.S.3d 881, 94 N.E.3d 444 [2018] ; accord Matter of Zanchelli v. DiNapoli, 198 A.D.3d 1058, 1059, 156 N.Y.S.3d 439 [3d Dept. 2021] ). "[A]n injury which occurs without an unexpected event as the result of activity undertaken in the performance of ordinary employment duties, considered in view of the particular employment in question, is not an accidental injury" ( Matter of Kelly v. DiNapoli, 30 N.Y.3d at 681, 70 N.Y.S.3d 881, 94 N.E.3d 444 [internal quotation marks and citation omitted]; accord Matter of Parry v. New York State Comptroller, 187 A.D.3d 1303, 1304, 133 N.Y.S.3d 100 [2020] ; see Matter of Creegan v. Dinapoli, 172 A.D.3d 1856, 1857, 101 N.Y.S.3d 510 [2019], lv denied 34 N.Y.3d 902, 2019 WL 5445933 [2019] ).

Preliminarily, the lack of clarity in application of the legal standards set forth above merits some discussion. Pursuant to Retirement and Social Security Law § 363(a)(1), a police officer qualifies for accidental disability retirement when physically or mentally incapacitated "as the natural and proximate result of an accident not caused by [the member's] own willful negligence." The statute does not define the term "accident," and it has been noted that the courts have struggled to find a test that will result in consistent results that justly and fairly compensate the law enforcement officers and firefighters who encounter unexpected or unseen hazards in the course of their work (see Matter of Rizzo v. DiNapoli, 39 N.Y.3d 991, 992–94, 182 N.Y.S.3d 1, 202 N.E.3d 559 [2022] [Wilson, J., dissenting] ; Matter of Kelly v. DiNapoli, 30 N.Y.3d at 686, 70 N.Y.S.3d 881, 94 N.E.3d 444 [Wilson, J., concurring in part and dissenting in part]). The difficulty encountered in this struggle for consistency is, in large part, attributable to the deferential "substantial evidence" standard of review, which constrains judicial review of the determinations of administrative agencies (see Matter of Haug v. State Univ. of N.Y. at Potsdam, 32 N.Y.3d 1044, 1046, 87 N.Y.S.3d 146, 112 N.E.3d 323 [2018] ; Matter of Shanahan v. Justice Ctr. for the Protection of People with Special Needs, 198 A.D.3d 1157, 1158, 157 N.Y.S.3d 121 [3d Dept. 2021] ). Nonetheless, the courts have a duty to annul the denial of benefits where an injury is accidental as a matter of law; in this limited arena, the legal authority is conflicted.

At the outset, the Court of Appeals set forth an apparently clear and compelling standard that is still oft cited; in ( Matter of Lichtenstein v. Board of Trustees of Police Pension Fund of Police Dept. of City of N.Y., Art. II , 57 N.Y.2d 1010, 457 N.Y.S.2d 472, 443 N.E.2d 946 [1982] ), the Court defined accident by "adopt[ing] the commonsense definition of a sudden, fortuitous mischance, unexpected, out of the ordinary, and injurious in impact" ( id. at 1012, 457 N.Y.S.2d 472, 443 N.E.2d 946 [internal quotation marks and citation omitted]). There, the officer injured his back leaning over the hood of a vehicle to place a ticket on the windshield, and this was deemed an ordinary activity within the course of his duties that did not qualify as an accident, leading to a confirmation of the initial denial of benefits (see id. ). Thereafter, the Court applied this definition in a series of cases reversing the denial of awards of accidental disability benefits, despite the deferential standard of appellate review; in the seminal ( Matter of McCambridge v. McGuire, 62 N.Y.2d 563, 479 N.Y.S.2d 171, 468 N.E.2d 9 [1984] ), the Court reversed denials of awards for falls occurring when a fellow officer moved away as his coworker arose from a desk chair, causing the coworker to lose balance and fall, and in the companion case, when an officer encountered wet pavement while entering a vehicle during a rainstorm and fell to the ground ( id. at 568–569, 479 N.Y.S.2d 171, 468 N.E.2d 9 ). In( Matter of Pratt v. Regan, 68 N.Y.2d 746, 506 N.Y.S.2d 328, 497 N.E.2d 695 [1986] ), a firefighter fell while exiting his fire truck as he stepped into a pothole in the pavement with one foot; the denial of his award was also reversed ( id. at 747–748, 506 N.Y.S.2d 328, 497 N.E.2d 695 ). The reason guiding the decision to reverse in all three instances was "that there was a precipitating accidental event ... which was not a risk of the work performed," bringing the injuries within the Court's definition of a sudden, unexpected event ( Matter of McCambridge v. McGuire, 62 N.Y.2d at 568, 479 N.Y.S.2d 171, 468 N.E.2d 9 ; see Matter of Pratt v. Regan, 68 N.Y.2d at 747–748, 506 N.Y.S.2d 328, 497 N.E.2d 695 ). Although it would therefore appear necessary to determine whether a given precipitating cause of injury is a risk of the work performed, Matter of McCambridge further warns that it is error to focus on the petitioner's job assignment, and ( Matter of Kelly v. DiNapoli, 30 N.Y.3d 674, 70 N.Y.S.3d 881, 94 N.E.3d 444 ) recently confirmed this limitation ( id. at 681–682, 70 N.Y.S.3d 881, 94 N.E.3d 444 ; see Matter of McCambridge, 62 N.Y.2d at 567, 479 N.Y.S.2d 171, 468 N.E.2d 9 ). That said, Matter of Kelly went on to base the decision on the inherent risk of the assignment ( 30 N.Y.3d at 686, 70 N.Y.S.3d 881, 94 N.E.3d 444 ).

The manner and degree to which a petitioner's knowledge affects the analysis is also in question. Although Matter of McCambridge held that an officer entering a car during a rainstorm and slipping on water had encountered a precipitating event outside the risks of the work performed as a matter of law, such that the denial of benefits must be reversed, the denial of benefits was later affirmed in ( Matter of Kenny v. Di–Napoli, 11 N.Y.3d 873, 874 N.Y.S.2d 399, 902 N.E.2d 952 [2008] ), where a police detective slipped on a wet ramp while exiting a restaurant ( id. at 874–875, 874 N.Y.S.2d 399, 902 N.E.2d 952 ). There, the Court reasoned that the detective "knew that the ramp was wet and therefore knew of the hazard that led to his injury before the incident occurred" ( id. at 875, 874 N.Y.S.2d 399, 902 N.E.2d 952 ), and therefore the denial of benefits had been properly confirmed. However, this is also necessarily true of the officer in Matter of McCambridge ;¹ nonetheless, Matter of McCambridge was not overruled, despite the apparent narrowing of the definition of "accident," and still stands as good law. Likewise, many cases from the Third Department have confirmed the denial of benefits to police officers who slip and fall while carrying out their duties (see e.g. Matter of Quartucio v. DiNapoli, 110 A.D.3d 1336, 973 N.Y.S.2d 841 [3d Dept. 2013] ; Matter of Randolph v. DiNapoli, 85 A.D.3d 1288, 924 N.Y.S.2d 206 [3d Dept. 2011] ; Matter of Fischer v. New York State Comptroller, 46 A.D.3d 1006, 846 N.Y.S.2d 482 [3d Dept. 2007] ; Matter of Penkalski v. McCall, 292 A.D.2d 735, 738 N.Y.S.2d 763 [3d Dept. 2002] ; Matter of McLaughlin v. McCall, 253 A.D.2d 940, 677 N.Y.S.2d 406 [3d Dept. 1998] ; Matter of Minchak v. McCall, 246 A.D.2d 952, 667 N.Y.S.2d 863 [3d Dept. 1998] ).

In some cases within this category, the Third Department has endeavored to define the "unexpected" nature of the precipitating cause of injury, using the terms "readily observable" or "reasonably anticipated" to exclude certain causes that may be expected; notably, the Court of Appeals has expressly admonished the use of reasoning based on a condition being "readily observable" (see Matter of Kelly v. DiNapoli, 30 N.Y.3d at 685 n. 3, 70 N.Y.S.3d 881, 94 N.E.3d 444 ; see also Matter of Rizzo v. DiNapoli, 39 N.Y.3d 991, 995–1001, 182 N.Y.S.3d 1, 202 N.E.3d 559 [Wilson, J., dissenting]). Thus, while the Court reasoned that the detective in Matter of Kenny knew that the ramp was slippery, an objective standard for this knowledge has been rejected. Nor has a subjective test, focused on what an individual did know, been enunciated. In any event, whether the "unexpected" caveat refers to a petitioner's subjective, actual knowledge or objective, imputable knowledge, each interpretation appears to run afoul of the holding in Matter...