Dominguez v. New York Sports Club
Case Details
- Judge(s)
- Alvord; Elgo; Eveleigh
- Status — whether other courts must follow this ruling
- Published
- Procedural Posture — the stage the case had reached
- appeal
Related Laws
No specific laws identified for this ruling.
Claim Types
Outcome
The Connecticut Appellate Court affirmed the Compensation Review Board's decision precluding the employer from contesting the employee's workers' compensation claim due to failure to timely respond within 28 days as required by statute.
Excerpt
The defendant employer and its workers' compensation insurer appealed to this court from the decision of the Compensation Review Board, which reversed in part the decision of the Workers' Compensation Com- missioner granting in part the plaintiff employee's motion to preclude the defendants from contesting the compensability of his injuries pursuant to statute (§ 31-294c (b)). The defendants did not file a form 43 to contest liability for the plaintiff's injuries within the twenty-eight day time period mandated by § 31-294c (b) but, rather, filed that form seventy-five days after they received the plaintiff's form 30C notice of claim. The defen- dants' form 43 stated that no medical records supporting the plaintiff's claim and no request for medical or indemnity benefits had been pre- sented to them. The commissioner determined that, because the defen- dants had not timely filed a form 43, they were precluded from contesting the compensability of the plaintiff's claim but that, under the limited exception to the preclusion provision of § 31-294c (b) articulated in Dubrosky v. Boehringer Ingelheim Corp. (145 Conn. App. 261), the defendants could contest the extent of the plaintiff's injuries due to their inability to pay indemnity benefits or medical payments within the twenty-eight day time period mandated by § 31-294c (b). The board reversed the commissioner's decision in part, concluding that the com- missioner improperly applied the Dubrosky exception to the preclusion provision of § 31-294c (b) and directed that the defendants were to be precluded from presenting a defense to the plaintiff's claim for benefits. On appeal, the defendants claimed that it had been impossible to comply with the mandate of § 31-294c (b) that they commence payment to the plaintiff on or before the twenty-eighth day after receiving written notice of his claim because he failed to furnish them with medical bills or a separate request for payment within that twenty-eight day period. Held
What This Ruling Means
This summary was generated to explain the ruling in plain English and is not legal advice.
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