Preview
FILED: KINGS COUNTY CLERK 08/10/2022 03:11 PM INDEX NO. 506931/2022
NYSCEF DOC. NO. 24 RECEIVED NYSCEF: 08/10/2022
EXHIBIT O
FILED: KINGS CIVIL
COUNTY COURT
CLERK-08/10/2022
L&T 07/01/2022 03:1104:30 PM INDEX
PM NO.INDEX
LT-300961-22/KI
NO. 506931/2022
[HO]
NYSCEF DOC. NO. 15
24 RECEIVED NYSCEF: 07/01/2022
08/10/2022
26357672
STATE OF NEW YORK
Workers' WORKERS'
NEW COMPENSATION BOARD
YORK . PO BOX 5205
ATE CompenSat.n BINGHAMTON, NY 13902-5205
w-w anzzæv
Board
(877) 632-4996
State of New York - Workers' Compensation Board
In regard to Kalween Rodriguez, WCB Case #G310 1442
NOTICE OF DECISION
keep for
your records
Workers'
At the Compensation hearingheld on 06/14/2022 involving the claimof Kalween Rodriguez at the
Brooklyn hearing Judge
location, Howard Geasor made thefollowing decision,findingsand directions:
DECISION: The claimant Kalween Rodriguez had a work relatedinjuryamended toincludehead, face,TBI and
PCS. Medical treatment and care,
as necessary,forestablishedsitesofinjury and/orconditions,is authorized.
Treatment rendered toone of thebody parts coveredby the Medical Treatment Guidelines must be consistent
with
those Guidelines.
Partiesare directed
to submitdeposition of Dr.
transcript(s) Dr. McGee, Dr.Reuter and Dr.Slyker, pursuantto
Workers'
Sections121 and 142 ofthe New York State Compensation Law. Deposition should
transcript(s) be
submitted by 9/14/22 forfurtheradjudicationby a WC Law Judge. To insurethe timelysubmission of the
deposition the
transcript(s), party requestingthecross-examination shall,assoon aspossible and after
consulting
with thedeponent and other parties
to theextent arrange
possible, forand schedule the deposition(s),
givingnotice
tothe deponent and complying with the provisionsof 12 NYCRR 300.10. The carrieris directed
to providea copy
ofthe depositiontranscripttothe Board.Requests for extensionof timeto filea deposition if
transcript(s), any,
must be filedpriortothe date uponwhich are due and must
the transcripts be in the
form of an affirmationor
affidavitwithcopies forwarded tothe claimant,employer/carrier,andallrepresentatives.
Absent good cause shown
as to why was not
a deposition taken and the transcript(s)
filedas directed,
therecord may be closed and a decision
rendered.A medical witness is entitled
toa witnessfee pursuantto Part301 of Title12 ofthe Official
Compilation
of Codes,Rules and Regulations ofthe Stateof New York.Within ten daysof thecompletion of a witness's
Workers'
deposition,theparty responsibleforsuch witness's
fee, if
any, pursuantto the Compensation Law and
regulations,shallremitpayment of thefee tothe witness.
The fee is to be awarded
in likemanner as a witnessfee,
awarded forattendanceat a hearing,
irrespectiveofthe locationwhere thedeposition takesplace(including
telephone and videotestimony). Ifthe witnessbelievesthata fee in
excess ofthatset inPart301 is warranted,such
witness must submit a request
to the Board withinten daysof thedeposition.The Board willreview such request
and issuea subsequentdecision concerning whether an additional
fee is warranted.
Carrieris precludedfrom producing IME on additionalsites/conditions
forwhich prima faciemedical evidence was
*** Continued ***
on next page
Claimant - Kalween Rodriguez Employer - Inc
County Agency
Social No. - Carrier- Oriska InsuranceCo.
Security
WCB Case No. - G310 1442 Carrier ID No. - W166250
Date of Accident - 09/20/2019 Carrier Case No. -
District
Office - NYC Date of Filing Decision-
of this 06/17/2022
ATENCION:
Puede 11amara la oficina
de la Junta de Compensacion
Obrera, en su area correspondiente,
cuyo numerode telefono
aparece al
principio
de la pagina y pida informacion
acerca de su reclamacion(caso).
EC-23 (4/98) Page 1 of2
FILE COPY
FILED: KINGS CIVIL
COUNTY COURT
CLERK-08/10/2022
L&T 07/01/2022 03:1104:30 PM INDEX
PM NO.INDEX
LT-300961-22/KI
NO. 506931/2022
[HO]
NYSCEF DOC. NO. 15
24 RECEIVED NYSCEF: 07/01/2022
08/10/2022
26357672
found at 2/8/22hearing.
Issuefor depositionsis causally
relatedadditionalsitesand conditionsforwhich prima faciemedical evidence was
found at 2/8/22.
3rd partypending?
C-8.1B'sheld inabeyance pending decisionon additionalsitesofinjury. Case is continued.
Information about Next Hearing / Meeting
Case continued to 9/22/22at 3:30pm. Formal hearing noticetofollow.
Claimant - Kalween Rodriguez Employer - Inc
County Agency
Social No. - Carrier- Oriska InsuranceCo.
Security
WCB Case No. - G310 1442 Carrier ID No. - W166250
Date of Accident - 09/20/2019 Carrier Case No. -
District
Office - NYC Date of Filingofthis Decision- 06/17/2022
ATENCION:
Puede 11amara la oficina
de la Junta de Compensacion
Obrera, en su area correspondiente,
cuyo numerode telefono
aparece al
principio
de la pagina y pida informacion
acerca de su reclamacion(caso).
EC-23 (4/98) Page 2 of2
FILE COPY
FILED: KINGS CIVIL
COUNTY COURT
CLERK-08/10/2022
L&T 07/01/2022 03:1104:30 PM INDEX
PM NO.INDEX
LT-300961-22/KI
NO. 506931/2022
[HO]
NYSCEF DOC. NO. 15
24 RECEIVED NYSCEF: 07/01/2022
08/10/2022
Copies To: Case #G310 1442
Claimant: Kalween Rodriguez
Carrier: Oriska InsuranceCo.
Employer: County Agency Inc
Other: SchotterMillican,LLP
Law Office MelissaA Day PLLC
James M. Kernan, Esq.
Please see below for Recipients.
Anne Reuter
PMGT Med & SurgicalAssoc
Yellowstone Medical Reh PC
Phoenix Med Sves.
Pasternack,Tilker,Ziegler
MedRecovery Management
Kalween Rodriguez County Agency Inc Oriska Insurance Co.
233 Jamaica Avenue 129 South 8th Street 1310 Utica Street
Apt IB Brooklyn, NY 11211 PO Box 855
Brooklyn, NY 11207 Oriskany, NY 13424
SchotterMillican,LLP Law Office MelissaA Day PLLC James M. Kernan, Esq.
300 Cadman Plaza West 636 North French Road, Ste 3 1310 Utica Street
12th Floor Amherst, NY 14228-1900 Oriskany, NY 13424
Brooklyn, NY 11201
MCGEE JOHN J Anne Reuter PMGT Med & SurgicalAssoc
18 GREENLAWN RD 91-31 Queens Blvd 116 Sanford Street
HUNTINGTON, NY 11743 Elmhurst,NY 11373 Brooklyn, NY 11205
Yellowstone Medical Reh PC Phoenix Med Sves. Pasternack,Tilker,Ziegler
P.O. Box 230159 94-11 Jamaica Ave F1 1 Walsh, Stanton & Romano, LLP
Brooklyn,,NY 11223 Woodhaven, NY 11421 180 Livingston St,2nd Floor
Brooklyn, NY 11201
MedRecovery Management
HMS Workers Comp
PO Box 167807
Irving,TX 75016
EC-23 (4/98) OVER
FILE COPY
Preview
FILED: KINGS COUNTY CLERK 08/10/2022 03:11 PM INDEX NO. 506931/2022 NYSCEF DOC. NO. 24 RECEIVED NYSCEF: 08/10/2022 EXHIBIT O FILED: KINGS CIVIL COUNTY COURT CLERK-08/10/2022 L&T 07/01/2022 03:1104:30 PM INDEX PM NO.INDEX LT-300961-22/KI NO. 506931/2022 [HO] NYSCEF DOC. NO. 15 24 RECEIVED NYSCEF: 07/01/2022 08/10/2022 26357672 STATE OF NEW YORK Workers' WORKERS' NEW COMPENSATION BOARD YORK . PO BOX 5205 ATE CompenSat.n BINGHAMTON, NY 13902-5205 w-w anzzæv Board (877) 632-4996 State of New York - Workers' Compensation Board In regard to Kalween Rodriguez, WCB Case #G310 1442 NOTICE OF DECISION keep for your records Workers' At the Compensation hearingheld on 06/14/2022 involving the claimof Kalween Rodriguez at the Brooklyn hearing Judge location, Howard Geasor made thefollowing decision,findingsand directions: DECISION: The claimant Kalween Rodriguez had a work relatedinjuryamended toincludehead, face,TBI and PCS. Medical treatment and care, as necessary,forestablishedsitesofinjury and/orconditions,is authorized. Treatment rendered toone of thebody parts coveredby the Medical Treatment Guidelines must be consistent with those Guidelines. Partiesare directed to submitdeposition of Dr. transcript(s) Dr. McGee, Dr.Reuter and Dr.Slyker, pursuantto Workers' Sections121 and 142 ofthe New York State Compensation Law. Deposition should transcript(s) be submitted by 9/14/22 forfurtheradjudicationby a WC Law Judge. To insurethe timelysubmission of the deposition the transcript(s), party requestingthecross-examination shall,assoon aspossible and after consulting with thedeponent and other parties to theextent arrange possible, forand schedule the deposition(s), givingnotice tothe deponent and complying with the provisionsof 12 NYCRR 300.10. The carrieris directed to providea copy ofthe depositiontranscripttothe Board.Requests for extensionof timeto filea deposition if transcript(s), any, must be filedpriortothe date uponwhich are due and must the transcripts be in the form of an affirmationor affidavitwithcopies forwarded tothe claimant,employer/carrier,andallrepresentatives. Absent good cause shown as to why was not a deposition taken and the transcript(s) filedas directed, therecord may be closed and a decision rendered.A medical witness is entitled toa witnessfee pursuantto Part301 of Title12 ofthe Official Compilation of Codes,Rules and Regulations ofthe Stateof New York.Within ten daysof thecompletion of a witness's Workers' deposition,theparty responsibleforsuch witness's fee, if any, pursuantto the Compensation Law and regulations,shallremitpayment of thefee tothe witness. The fee is to be awarded in likemanner as a witnessfee, awarded forattendanceat a hearing, irrespectiveofthe locationwhere thedeposition takesplace(including telephone and videotestimony). Ifthe witnessbelievesthata fee in excess ofthatset inPart301 is warranted,such witness must submit a request to the Board withinten daysof thedeposition.The Board willreview such request and issuea subsequentdecision concerning whether an additional fee is warranted. Carrieris precludedfrom producing IME on additionalsites/conditions forwhich prima faciemedical evidence was *** Continued *** on next page Claimant - Kalween Rodriguez Employer - Inc County Agency Social No. - Carrier- Oriska InsuranceCo. Security WCB Case No. - G310 1442 Carrier ID No. - W166250 Date of Accident - 09/20/2019 Carrier Case No. - District Office - NYC Date of Filing Decision- of this 06/17/2022 ATENCION: Puede 11amara la oficina de la Junta de Compensacion Obrera, en su area correspondiente, cuyo numerode telefono aparece al principio de la pagina y pida informacion acerca de su reclamacion(caso). EC-23 (4/98) Page 1 of2 FILE COPY FILED: KINGS CIVIL COUNTY COURT CLERK-08/10/2022 L&T 07/01/2022 03:1104:30 PM INDEX PM NO.INDEX LT-300961-22/KI NO. 506931/2022 [HO] NYSCEF DOC. NO. 15 24 RECEIVED NYSCEF: 07/01/2022 08/10/2022 26357672 found at 2/8/22hearing. Issuefor depositionsis causally relatedadditionalsitesand conditionsforwhich prima faciemedical evidence was found at 2/8/22. 3rd partypending? C-8.1B'sheld inabeyance pending decisionon additionalsitesofinjury. Case is continued. Information about Next Hearing / Meeting Case continued to 9/22/22at 3:30pm. Formal hearing noticetofollow. Claimant - Kalween Rodriguez Employer - Inc County Agency Social No. - Carrier- Oriska InsuranceCo. Security WCB Case No. - G310 1442 Carrier ID No. - W166250 Date of Accident - 09/20/2019 Carrier Case No. - District Office - NYC Date of Filingofthis Decision- 06/17/2022 ATENCION: Puede 11amara la oficina de la Junta de Compensacion Obrera, en su area correspondiente, cuyo numerode telefono aparece al principio de la pagina y pida informacion acerca de su reclamacion(caso). EC-23 (4/98) Page 2 of2 FILE COPY FILED: KINGS CIVIL COUNTY COURT CLERK-08/10/2022 L&T 07/01/2022 03:1104:30 PM INDEX PM NO.INDEX LT-300961-22/KI NO. 506931/2022 [HO] NYSCEF DOC. NO. 15 24 RECEIVED NYSCEF: 07/01/2022 08/10/2022 Copies To: Case #G310 1442 Claimant: Kalween Rodriguez Carrier: Oriska InsuranceCo. Employer: County Agency Inc Other: SchotterMillican,LLP Law Office MelissaA Day PLLC James M. Kernan, Esq. Please see below for Recipients. Anne Reuter PMGT Med & SurgicalAssoc Yellowstone Medical Reh PC Phoenix Med Sves. Pasternack,Tilker,Ziegler MedRecovery Management Kalween Rodriguez County Agency Inc Oriska Insurance Co. 233 Jamaica Avenue 129 South 8th Street 1310 Utica Street Apt IB Brooklyn, NY 11211 PO Box 855 Brooklyn, NY 11207 Oriskany, NY 13424 SchotterMillican,LLP Law Office MelissaA Day PLLC James M. Kernan, Esq. 300 Cadman Plaza West 636 North French Road, Ste 3 1310 Utica Street 12th Floor Amherst, NY 14228-1900 Oriskany, NY 13424 Brooklyn, NY 11201 MCGEE JOHN J Anne Reuter PMGT Med & SurgicalAssoc 18 GREENLAWN RD 91-31 Queens Blvd 116 Sanford Street HUNTINGTON, NY 11743 Elmhurst,NY 11373 Brooklyn, NY 11205 Yellowstone Medical Reh PC Phoenix Med Sves. Pasternack,Tilker,Ziegler P.O. Box 230159 94-11 Jamaica Ave F1 1 Walsh, Stanton & Romano, LLP Brooklyn,,NY 11223 Woodhaven, NY 11421 180 Livingston St,2nd Floor Brooklyn, NY 11201 MedRecovery Management HMS Workers Comp PO Box 167807 Irving,TX 75016 EC-23 (4/98) OVER FILE COPY