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Workers Compensation Primacy
Workers Compensation

Workers Compensation Primacy

By Jason Tenenbaum 8 min read

Key Takeaway

New York court clarifies that only a triable issue of fact regarding employment status is needed to refer workers compensation cases to the Workers Compensation Board.

This article is part of our ongoing workers compensation coverage, with 22 published articles analyzing workers compensation issues across New York State. Attorney Jason Tenenbaum brings 24+ years of hands-on experience to this analysis, drawing from his work on more than 1,000 appeals, over 100,000 no-fault cases, and recovery of over $100 million for clients throughout Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, and the Bronx. For personalized legal advice about how these principles apply to your specific situation, contact our Long Island office at (516) 750-0595 for a free consultation.

New York’s workers compensation system operates on the principle of exclusivity — when an injury occurs during the course of employment, workers compensation benefits typically become the sole remedy available to injured workers. This means that traditional personal injury lawsuits are generally barred in favor of the streamlined workers compensation process. However, determining whether an injury actually falls under workers compensation coverage can be complex, particularly when employment status or the circumstances of an accident are disputed.

The threshold for referring these disputed cases to the Workers Compensation Board has been a subject of ongoing litigation. Courts must balance the need for thorough investigation with the practical realities of case management. Workers compensation defense requires substantiation in many instances, but the question remains: how much evidence is needed to trigger the board’s jurisdiction?

This procedural question becomes particularly important in no-fault insurance cases, where insurance companies often raise workers compensation as a defense to avoid paying benefits. Understanding when cases must be referred to the Workers Compensation Board helps clarify the boundaries between different insurance systems.

Jason Tenenbaum’s Analysis:

Great Health Care Chiropractic, P.C. v Lancer Ins. Co., 2014 NY Slip Op 50340(U)

All that is required is: ” triable issue as to whether plaintiff’s assignor had been acting in the course of his employment at the time of the accident and that, therefore, workers’ compensation benefits might be available.”

A triable issue of fact is all that is needed to kick a WC case to the board.

Also, note that the opinion again places this Court more in line with the Appellate Division which has usually held that a certificate of conformity is well plainly not needed.

Key Takeaway

This decision establishes a relatively low threshold for workers compensation referrals — courts need only find that there’s a genuine factual dispute about whether someone was working when injured. The ruling also reinforces that formal certificates of conformity aren’t required, streamlining the referral process and aligning trial courts with appellate precedent. This impacts both workers compensation coverage disputes and cases where police reports trigger workers compensation inquiries.


Legal Update (February 2026): Since this 2014 post, the Workers Compensation Board has implemented several procedural reforms and regulation amendments that may affect the threshold standards and referral processes discussed. Practitioners should verify current Workers Compensation Law provisions, board regulations, and recent appellate decisions regarding jurisdictional determinations and the interplay between workers compensation and no-fault insurance coverage disputes.

Legal Context

Why This Matters for Your Case

New York's Workers' Compensation Law provides benefits to employees injured on the job, regardless of fault. The system covers medical treatment, lost wages (typically two-thirds of average weekly wages subject to a statutory maximum), and permanency awards for lasting disabilities. Claims are filed with the Workers' Compensation Board, where administrative law judges hear contested cases.

However, employers and their insurers frequently challenge claims through Independent Medical Examinations, surveillance investigations, and appeals to the Workers' Compensation Board panel. Attorney Jason Tenenbaum has represented injured workers throughout Long Island and New York City for over 24 years, handling everything from initial claim filings through Board hearings, Third Department appeals, and third-party personal injury lawsuits against property owners and contractors. This article provides the expert legal analysis that workers and practitioners need to navigate the complexities of New York workers' compensation law.

About This Topic

Workers Compensation Law in New York

New York's workers compensation system provides benefits for employees injured on the job, covering medical treatment, lost wages, and disability payments regardless of fault. But navigating the Workers Compensation Board process, understanding benefit calculations, and overcoming employer and insurer challenges requires experienced legal guidance. These articles analyze workers compensation case law, the intersection of workers comp with personal injury claims, and the procedural requirements that govern the system.

22 published articles in Workers Compensation

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Common Questions

Frequently Asked Questions

How does workers' compensation work in New York?

New York Workers' Compensation Law requires most employers to carry insurance that covers employees injured on the job, regardless of fault. Benefits include medical treatment, wage replacement (typically two-thirds of average weekly wages, subject to a statutory maximum), and permanency awards for lasting disabilities. Claims are filed with the Workers' Compensation Board, and disputes are heard by administrative law judges. Employers and their insurers frequently contest claims through IMEs and surveillance.

Can I sue my employer for a workplace injury?

Generally, no. Workers' compensation is the exclusive remedy for workplace injuries in New York — you cannot sue your employer for negligence. However, there are exceptions: you can file a third-party lawsuit against someone other than your employer who contributed to your injury (such as a property owner, contractor, or product manufacturer). You may also have a claim if your employer intentionally caused the injury or if the employer lacks workers' compensation coverage.

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Attorney Jason Tenenbaum

About the Author

Jason Tenenbaum, Esq.

Jason Tenenbaum is the founding attorney of the Law Office of Jason Tenenbaum, P.C., headquartered at 326 Walt Whitman Road, Suite C, Huntington Station, New York 11746. With over 24 years of experience since founding the firm in 2002, Jason has written more than 1,000 appeals, handled over 100,000 no-fault insurance cases, and recovered over $100 million for clients across Long Island, Nassau County, Suffolk County, Queens, Brooklyn, Manhattan, the Bronx, and Staten Island. He is one of the few attorneys in the state who both writes his own appellate briefs and tries his own cases.

Jason is admitted to practice in New York, New Jersey, Florida, Texas, Georgia, and Michigan state courts, as well as multiple federal courts. His 2,353+ published legal articles analyzing New York case law, procedural developments, and litigation strategy make him one of the most prolific legal commentators in the state. He earned his Juris Doctor from Syracuse University College of Law.

24+ years in practice 1,000+ appeals written 100K+ no-fault cases $100M+ recovered

Disclaimer: This article is published by the Law Office of Jason Tenenbaum, P.C. for informational and educational purposes only. It does not constitute legal advice, and no attorney-client relationship is formed by reading this content. The legal principles discussed may not apply to your specific situation, and the law may have changed since this article was last updated.

New York law varies by jurisdiction — court decisions in one Appellate Division department may not be followed in another, and local court rules in Nassau County Supreme Court differ from those in Suffolk County Supreme Court, Kings County Civil Court, or Queens County Supreme Court. The Appellate Division, Second Department (which covers Long Island, Brooklyn, Queens, and Staten Island) and the Appellate Term (which hears appeals from lower courts) each have distinct procedural requirements and precedents that affect litigation strategy.

If you need legal help with a workers compensation matter, contact our office at (516) 750-0595 for a free consultation. We serve clients throughout Long Island (Huntington, Babylon, Islip, Brookhaven, Smithtown, Riverhead, Southampton, East Hampton), Nassau County (Hempstead, Garden City, Mineola, Great Neck, Manhasset, Freeport, Long Beach, Rockville Centre, Valley Stream, Westbury, Hicksville, Massapequa), Suffolk County (Hauppauge, Deer Park, Bay Shore, Central Islip, Patchogue, Brentwood), Queens, Brooklyn, Manhattan, the Bronx, Staten Island, and Westchester County. Prior results do not guarantee a similar outcome.

Jason Tenenbaum, Personal Injury Attorney serving Long Island, Nassau County and Suffolk County

About the Author

Jason Tenenbaum

Jason Tenenbaum is a personal injury attorney serving Long Island, Nassau & Suffolk Counties, and New York City. Admitted to practice in NY, NJ, FL, TX, GA, MI, and Federal courts, Jason is one of the few attorneys who writes his own appeals and tries his own cases. Since 2002, he has authored over 2,353 articles on no-fault insurance law, personal injury, and employment law — a resource other attorneys rely on to stay current on New York appellate decisions.

Education
Syracuse University College of Law
Experience
24+ Years
Articles
2,353+ Published
Licensed In
7 States + Federal

Legal Resources

Understanding New York Workers Compensation Law

New York has a unique legal landscape that affects how workers compensation cases are litigated and resolved. The state's court system includes the Civil Court (for claims up to $25,000), the Supreme Court (the primary trial court for unlimited jurisdiction), the Appellate Term (which hears appeals from lower courts), the Appellate Division (divided into four Departments, with the Second Department covering Long Island, Brooklyn, Queens, Staten Island, and several upstate counties), and the Court of Appeals (the state's highest court). Each court has its own procedural requirements, local rules, and case-assignment practices that can significantly impact the outcome of your case.

For workers compensation matters on Long Island, cases are typically filed in Nassau County Supreme Court (at the courthouse in Mineola) or Suffolk County Supreme Court (in Riverhead). No-fault arbitrations are heard through the American Arbitration Association, which assigns arbitrators throughout the metropolitan area. Workers' compensation claims go to the Workers' Compensation Board, with hearings at district offices across the state. Understanding which forum is appropriate for your case — and the specific procedural rules that apply — is essential for a successful outcome.

The procedural landscape in New York also includes important timing requirements that can affect your case. Most civil actions are subject to statutes of limitations ranging from one year (for intentional torts and claims against municipalities) to six years (for contract actions). Personal injury cases generally have a three-year deadline under CPLR 214(5), while medical malpractice claims must be filed within two and a half years under CPLR 214-a. No-fault insurance claims have their own regulatory deadlines, including 30-day filing requirements for applications and 45-day deadlines for provider claims. Understanding and complying with these deadlines is critical — missing a filing deadline can permanently bar your claim, regardless of how strong your case may be on the merits.

Attorney Jason Tenenbaum regularly practices in all of these venues. His office at 326 Walt Whitman Road, Suite C, Huntington Station, NY 11746, is centrally located on Long Island, providing convenient access to courts and offices throughout Nassau County, Suffolk County, and New York City. Whether you need representation in a no-fault arbitration, a personal injury trial, an employment discrimination hearing, or an appeal to the Appellate Division, the Law Office of Jason Tenenbaum, P.C. brings $24+ years of real courtroom experience to your case. If you have questions about the legal issues discussed in this article, call (516) 750-0595 for a free, no-obligation consultation.

New York's substantive law also presents distinct challenges. In motor vehicle cases, the no-fault system under Insurance Law Article 51 provides first-party benefits regardless of fault, but limits the right to sue for non-economic damages unless the plaintiff establishes a "serious injury" under one of nine statutory categories. This threshold — codified at Insurance Law Section 5102(d) — requires medical evidence showing more than a minor or subjective injury, and courts have developed detailed standards for each category. Fractures must be documented through imaging studies. Claims of permanent consequential limitation or significant limitation of use require quantified range-of-motion testing with comparison to norms. The 90/180-day category demands proof that the plaintiff was unable to perform substantially all of their usual daily activities for at least 90 of the 180 days following the accident.

In employment discrimination cases, the legal standards vary depending on whether the claim arises under state or local law. The New York State Human Rights Law employs a burden-shifting framework: the plaintiff must first establish a prima facie case by showing membership in a protected class, qualification for the position, an adverse employment action, and circumstances giving rise to an inference of discrimination. The burden then shifts to the employer to articulate a legitimate, non-discriminatory reason for its decision. If the employer meets this burden, the plaintiff must demonstrate that the stated reason is pretextual. The New York City Human Rights Law, by contrast, applies a broader standard, asking whether the plaintiff was treated less well than other employees because of a protected characteristic.

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