X

Thank you for sharing!

Your article was successfully shared with the contacts you provided.

MEMORANDUM AND ORDER Appeal from a decision of the Workers’ Compensation Board, filed March 27, 2020, which ruled, among other things, that American Zurich Insurance Company was responsible for the payment of claimant’s workers’ compensation benefits. JUSTICE PRESIDING MICHAEL LYNCH In 2018, claimant was part of a construction crew lifting a home off of its foundation and was injured when it collapsed. After claimant filed a workers’ compensation claim, a dispute arose as to whether he was an employee of DRG Construction LLC, the subcontractor handling the house lifting work. Claimant’s relationship with DRG was further relevant as to whether he was also an employee of Avitus Inc., a professional employer organization (hereinafter PEO) to which DRG had “outsource[d] its payroll and human resources responsibilities,” including those related to workers’ compensation, for certain employees (Tri-State Empl. Servs. v. Mountbatten Sur. Co., 99 NY2d 476, 481 [2003]). Following development of the record, a Workers’ Compensation Law Judge established the claim and determined both that Avitus was a proper employer and that American Zurich Insurance Company, the issuer of the workers’ compensation insurance policy obtained by Avitus, was the responsible carrier. The Workers’ Compensation Board affirmed upon administrative review, and Avitus and American Zurich appeal. Substantial evidence supports the Board’s determination that an analysis of the pertinent factors — including the right to control a putative employee’s work and set his or her work schedule, the manner in which wages are paid, the right to discharge, the provision of equipment and the nature of the work — reveals an employer-employee relationship between DRG and claimant (see Matter of Hernandez v. KNS Bldg. Restoration, Inc., 180 AD3d 1129, 1130 [2020]; Matter of Colamaio-Kohl v. Task Essential Corp., 157 AD3d 1103, 1104-1105 [2018]). The Board acknowledged that an examination of those factors did not support a similar finding for Avitus, and therefore considered whether Avitus was an employer under the provisions of the New York Professional Employer Act (see Labor Law art 31), which sets forth circumstances under which a PEO and its business client co-employ an individual for workers’ compensation purposes. In particular, when a PEO enters into a professional employment agreement with a client, it assumes the responsibility to “secure and provide required workers’ compensation coverage for…worksite employees” (Labor Law §922 [3] [c]) who “hav[e] an employment relationship with both the [PEO] and the client” (Labor Law §916 [6]). The PEO is then, with its client, “considered [the] employer for the purpose of coverage under the [W]orkers’ [C]ompensation [L]aw” (Labor Law §922 [4]; see Labor Law §916 [3] [d]). The dispute here involves whether Avitus owed those responsibilities to claimant despite its claim that he was not a covered employee under its agreement with DRG. A state-specific addendum modifying the agreement between Avitus and DRG specified that the former was “co-employ[ing] all or a majority of [the latter's] employees” as required by the New York Professional Employer Act (see Labor Law §916 [3] [a]). Although a list of the purportedly covered employees was provided that did not include claimant’s name, there was no affidavit or testimony establishing that the list was comprehensive or that it limited the scope of the workers’ compensation insurance policy secured from American Zurich.1 Indeed, the policy itself named DRG in the schedule of insureds, listed “BUILDING RAISING OR MOVING — ALL EMPLOYEES — ALL OPERATIONS TO COMPLETION & DRIVERS” under the classification of operations, and provided no detail as to who was co-employed by Avitus and DRG and thereby entitled to coverage. Thus, Avitus and American Zurich “failed to clearly establish that claimant was not a leased employee covered by the policy and, accordingly, did not ‘satisfy the burden which [they bore] of establishing that the exclusions or exemptions apply in the particular case’ so as to avoid coverage of claimant” (Matter of Gaylord v. Buffalo Transp., Inc., ___ AD3d ___, ___, 2021 NY Slip Op 03644, *3 [2021], quoting Seaboard Sur. Co. v. Gillette Co., 64 NY2d at 311; see Workers’ Compensation Law §54 [4]; Matter of Cerbasi v. County Metal & Glass, Inc., 115 AD3d 1084, 1085 [2014]). Egan Jr., J.P., Clark, Pritzker and Colangelo, JJ., concur. ORDERED that the decision is affirmed, without costs

 
Reprints & Licensing
Mentioned in a Law.com story?

License our industry-leading legal content to extend your thought leadership and build your brand.

More From ALM

With this subscription you will receive unlimited access to high quality, online, on-demand premium content from well-respected faculty in the legal industry. This is perfect for attorneys licensed in multiple jurisdictions or for attorneys that have fulfilled their CLE requirement but need to access resourceful information for their practice areas.
View Now
Our Team Account subscription service is for legal teams of four or more attorneys. Each attorney is granted unlimited access to high quality, on-demand premium content from well-respected faculty in the legal industry along with administrative access to easily manage CLE for the entire team.
View Now
Gain access to some of the most knowledgeable and experienced attorneys with our 2 bundle options! Our Compliance bundles are curated by CLE Counselors and include current legal topics and challenges within the industry. Our second option allows you to build your bundle and strategically select the content that pertains to your needs. Both options are priced the same.
View Now
November 27, 2024
London

Celebrating achievement, excellence, and innovation in the legal profession in the UK.


Learn More
December 02, 2024 - December 03, 2024
Scottsdale, AZ

Join the industry's top owners, investors, developers, brokers and financiers for the real estate healthcare event of the year!


Learn More
December 11, 2024
Las Vegas, NV

This event shines a spotlight on how individuals and firms are changing the investment advisory industry where it matters most.


Learn More

INTELLECTUAL PROPERTY PROSECUTION PARALEGAL - NEW JERSEY OR NEW YORK OFFICESProminent mid-Atlantic law firm with multiple regional office lo...


Apply Now ›

Experienced Insurance Defense Attorney.No in office requirement.Send resume to:


Apply Now ›

The Republic of Palau Judiciary is seeking applicants for one Associate Justice position who will be assigned to the Appellate Division of ...


Apply Now ›