This document is a court ruling in an Article 78 proceeding brought by William Feng seeking to overturn the denial of his application for an accident disability retirement (ADR) pension by the New York City Police Pension Fund. The court summarizes Feng's medical history and injuries claimed to have occurred in the line of duty. While some doctors found his injuries were caused by these incidents, the Pension Fund's Medical Board determined his condition was due to a pre-existing congenital scoliosis. The court finds the Medical Board's determination was based on credible evidence and was not arbitrary or capricious, so the denial of an ADR pension is upheld.
Presentation for the NC Society of Health Care Attorneys 2014 Healh Law Case Update - Includes recent developments in Medical Malpractice, Certificate of Need, Licensing agencies and boards, Affordable Care Act (ObamaCare), and other cases of note
Presentation for the NC Society of Health Care Attorneys 2014 Healh Law Case Update - Includes recent developments in Medical Malpractice, Certificate of Need, Licensing agencies and boards, Affordable Care Act (ObamaCare), and other cases of note
Apollo Munich claim procedure is easy to understand with information provided in simple and uncomplicated wordings. Insure Health claim form is easily available on the website of the company. The form is to filled while filing the claim for insured illness.
The form seeks basic information like policy number, contact details, name of the insured and details regarding the illness for which the claim is to be filed. However, the insured need to be sure of the information provided. Details provided must be correct and complete to receive the listed benefits. In case of any dishonest information provided, the benefits will be forfeited making the policy void. With a ready link to Claim Form on the website, all customers can move ahead with the procedure.
Michael Lynn: Capacity and Consent Issues [presented at Mental Health Law Con...Darius Whelan
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http://www.imhla.ie
#mhlaw2015
Effective writing and verbal communication - Decision No. 2175/10R, 2011 ONW...Diane Hachem, LL.B., CAMS
This is a decision by an Appeals Tribunal (the WSIAT, in Ontario)
See p.3, 4 and 6, for examples of
-conciseness and thoroughness which promoted easier decision making
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by Tribunal Counsel
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Apollo Munich claim procedure is easy to understand with information provided in simple and uncomplicated wordings. Insure Health claim form is easily available on the website of the company. The form is to filled while filing the claim for insured illness.
The form seeks basic information like policy number, contact details, name of the insured and details regarding the illness for which the claim is to be filed. However, the insured need to be sure of the information provided. Details provided must be correct and complete to receive the listed benefits. In case of any dishonest information provided, the benefits will be forfeited making the policy void. With a ready link to Claim Form on the website, all customers can move ahead with the procedure.
Michael Lynn: Capacity and Consent Issues [presented at Mental Health Law Con...Darius Whelan
Capacity and Consent Issues - Mr Michael Lynn, Senior Counsel
Presented at Mental Health Law Conference 2015 - Centre for Criminal Justice & Human Rights, School of Law, University College Cork and Irish Mental Health Lawyers Association
25 April 2015
http://www.imhla.ie
#mhlaw2015
Effective writing and verbal communication - Decision No. 2175/10R, 2011 ONW...Diane Hachem, LL.B., CAMS
This is a decision by an Appeals Tribunal (the WSIAT, in Ontario)
See p.3, 4 and 6, for examples of
-conciseness and thoroughness which promoted easier decision making
-communication with clients
by Tribunal Counsel
Procedures in Deathcare Certification within Los Angeles CountyBoard of Rabbis
Powerpoint presentation by Michael Boyko, Hillside Memorial Park and Mortuary. Shown at the April 22, 2010 Funeral Practices Seminar presented by the Board of Rabbis of Southern California and the Jewish Federation of Greater Los Angeles.
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An armored truck driver who injured her right hand while unloading boxes of quarters was awarded temporary total disability and surgery by an arbitrator. Ankin Law attorney, Josh Rudolfi was able to show that the driver was a entitled to ttd as well as thumb release and carpal tunnel release surgeries. Her employer was also ordered to pay necessary medical services of $13,548.98.
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HA 4450 Legal Concepts in Health Care Raven Morgan
Case Analysis Group Project: Universal Health Services, Inc. v United States
The analysis includes the citation, relevant facts, the issue, rule of law, application, and the holding/conclusion.
1. SCANNED ON 1012912007
_ ,..__.._-.U” I - b u were reau on this motion to/for< - .
Notice of Motion/ Order to Show Cause - Affidavits - Exhibits _..
Answering Affidavits - Exhibits
Replying Affidavits
Cross-Motion: Yes n No
Upon the foregoing papers, it is ordered that this motion
R
PAPERS NUMBERED
2. In the Matter of the Application of
WILLIAM FENG,
Petitioner,
for a Judgment Pursuant to Article 78 of the Civil Practice :
Law and Rules
- against - Index No. 112359/06
RAYMOND KELLY, as the Police Commissioner
of the City of New York, and as Chairman of the
Board of Trustees of the Police Pension Fund,
Article TI, NEW YORK CITY POLICE
DEPARTMENT and THE CITY OF NEW YORK,
Herman Cnhn, J.
Petitioner, William Feng, commenced this Article 78 proceeding to: (1) annul the
respondents’ determination, denying him a line of duty accident disability retirement (“ADR”)
allowance, as arbitrary and capricious, and direct respondents to grant him rn ADR pension; or,
in the alternative, (2) direct the Board of Trustees of the Police Department Article I1Pension
Fund (the “Board of Trustees”) to conduct a hearing to enable petitioner to present evidence of
his entitlement to an ADR pension.
Petitioner also seeks production of all reports, medical records and other documents
relating to his condition in the custody of the Board of Trustees and the New York Police
Department (“NYPD”).
3. BACKGROUND
Petitioner was appointed to the NYPD on July 18, 1996. He served continuously until his
retirement in March 2004.
This proceeding is based on petitioner’s request for, and denial of, an ADR allowance due
to injuries he allegedly suffered in the line of duty.
To be eligible for an ADR pension, a police officer must show that he is “a member in
city-service” who is “physically or mentally incapacitated for the performance of city-service as a
natural and proximate result” of an accidental injury suffered during such service. NYC Admin.
Code 0 13-252.
Petitioner alleges that, during the course of his duties, he sustained the following line of
duty injuries: (1) On March 5,2002, he injured his back and suffered a laceration and bruise to
his finger while attempting to disrupt a physical altercation among 50 people; and (2) On
November 11,2003, he injured his back and chest when he fell off a chair while attempting to
retrieve a file from an upper shelf.
Due to these injuries, petitioner received authorizations from the NYPD to undergo
chiropractic treatments, physical therapy, MRIs, neurological evaluations, acupuncture and
orthopedic follow-up exams from November 12,2001 to April 15,2003.
Petitioner was also examined by various physicians throughout 2002 and early 2003.
Surendranath K. Reddy, M.D., an orthopedic surgeon, examined petitioner from November 21,
2001 to October 17, 2002 and diagnosed him with bulging discs and a herniated disc. Jean Chen,
M.D.,a psychiatrist, and Lei Ding, M.D.,a neurologist, both diagnosed petitioner as having
bulging and herniatcd discs, various spine sprains and strains, and congenital scoliosis. They
2
4. maintained that petitioner’s condition, irrespective of the scoliosis, was causally connected to the
line of duty injuries he suffered. To the contrary, petitioner’s own treating physician, Michael G.
Neuwirth, M.D., an orthopedic surgeon, opined petitioner’s condition was related to his
congenital, idiopathic scoliosis, which had been diagnosed in high school. The report also
pointed out that from 2002 to 2003 petitioner’s condition had worsened, indicating a multilevel
cervical disc degeneration, which was a result of his scoliosis.
On May 13,2003, the NYPD District Surgeon sent a memo to the Supervising Chief
Surgeon recommending that petitioner be examined by the Medical Board of the Police Pension
Fund, Article II (the “Medical Board”) to determine if he was able to perform full duties. On
September 24,2003, petitioner was examined by the Medical Board. It approved petitioner’s
application for an Ordinary Disability Retirement (“ODR”) allowance, but denied his application
for an ADR allowance, concluding that his disabilities were a result of congenital scoliosis and
not line of duty injuries.
Petitioner’s attorney wrote to the Medical Board three months later, requesting that
petitioner’s disability status be upgraded to ADR. The letter stated that even if there was a pre-
existing condition, an accident that aggravates or develops the injury is cause for awarding a
disability pension under the Administrative Code, citing Tobin v Steisel, 64 NY2d 254,257
(1985).
On December 21,2005, the Medical Board reviewed petitioner’s case, but again denied
the application for ADR. On May 10,2006,the Board of Trustees concurred with the Medical
Board and retired petitioner on an ODR pension.
Consequently, petitioner commenced this Article 78 proceeding on August 3I, 2006 to
3
5. reverse the Medical Board’s determination that he should not be awarded an ADR allowance.
DISCUSSION
Administrative agencies are given broad discretion in making decisions on matters within
their purview. As a result, judicial review of an agency’s determination under CPLR 7803 is
very limited. C‘unforu v Bd. of Trustees,60 NY2d 347, 352 (1983). In this instance, petitioner
seeks review pursuant to CPLR 7803(3), that the Board of Trustees’ determination was arbitrary
and capricious. In deciding that a determination is subject tojudicial review, a reviewing court
must find that there was no rational basis for the agency’s decision. PeZZ v Bd. of Educ., 24
NY2d 222,230-3 1 (1974).
The question of whether an applicant seeking an ADR pension is incapacitated due to a
line of duty injury is solely for the Medical Board to decide and its determination on this issue is
binding on the Board of Trustees. Demarco v New YorkCityEmployees’ Re[.LYys.,211 AD2d
594, 595 (1st Dep’t 1995). A Medical Board’s determination with regard to disability benefits
will not be disturbed if it is based on “some credible evidence.” Borenstein v New York Cify
EmpZoyees ’Ret. Sys.,88 NY2d 756,760 (1996). The Court of Appeals has defined credible
evidence as “evidence that proceeds from a credible source and reasonably tends to support the
proposition for which it is offered.’’ Meyer v Bd. of Trustees ofthe New York City Fire Dep ’t,90
NY2d 139, 147 (1997).
Respondents argue that their determination to retire petitioner on an ODR pcnsion was
not arbitrary and capricious and, therefore, cannot be overturned. The Board of Trustees
contends that since the Medical Board’s determination was based on “some credible evidence,”
including a physician’s report, and as well as its own findings, its decision is binding. As such,
4
6. respondents argue that this court may not substitute itsjudgment for that of the Medical Board.
Id. at 761,
Respondents also point out that even though there was a difference of medical opinion
concerning the cause of petitioner’s condition, such as the various spine sprains and herniated
discs, the Medical Board fulfilled its duties by resolving these discrepancies. It did so by
examining petitioner and all of the treating physicians’ reports, before it determined that his
condition was a result of his congenital scoliosis.
In response, petitioner contends that the Medical Board’s determination was not rational
since it did not explain why it disregarded those medical reports that stated his condition was a
result of the injuries he suffered in the line of duty. Petitioner argues that the Board of Trustees
breached its duty by following the Medical Board’s decision, despite the known conflict of
medical opinion concerning his condition.
The Medical Board was given reports from various physicians, and also conducted its
own examination of petitioner, which indicated to it that petitioner’s pre-existing condition made
him ineligible for an ADR pension. The Medical Board was presented with the diagnosis of
petitioner’s own treating physician, who came to the same conclusion as the Medical Board -
that the cause of his condition was a result of petitioner’s preexisting congenital scoliosis.
Diagnostic tests, including an x-ray report and MRI reports, which corroborated the progressive
nature of petitioner’s congenital condition, were reviewed. Based on all of this, respondents
determined that the standard for retiring petitioner on an ADR allowance was not met.
When there are conflicting medical opinions, the Medical Board %lone ha[s] the
authority to resolve such conflicts.” Id. Therefore, it was not irrational for the Medical Board to
5
7. view the facts in the way it did - concluding that while there was conflicting evidence of the
cause of petitioner’s condition, there was credible evidence to support a finding that the primary
cause of his disabilities was a pre-existing condition.
As a result, the Court does not find respondents’ determination to be arbitrary and
capricious, and the petition is dismissed.
Accordingly, it is
ORDERED that the petition is dismissed in its entirety; and it is further
ORDERED that the Clerk enterjudgment accordingly.
Dated: October 24, 2007
E N T E R :
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J.S.C.
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