212 Conn.App. 274
Conn. App. Ct.2022Background
- Desmond, a Yale-New Haven Hospital employee, suffered a compensable work injury in 2004 and the hospital accepted her workers’ compensation claim.
- She alleges the hospital delayed/denied medically necessary treatment, fabricated allegations, conducted surveillance, and otherwise interfered with her access to treatment, worsening her condition and reducing benefits.
- Desmond filed multiple suits (federal and state). Earlier state actions were dismissed under Connecticut’s workers’ compensation exclusivity doctrine; she repeatedly attempted to replead and add claims under Conn. Gen. Stat. § 31-290a (retaliation/discrimination).
- The trial court consolidated three later actions (2013, 2015, 2016), and Desmond filed functionally identical substitute complaints alleging § 31-290a claims but also expressly stating the alleged harm did not arise out of or in the course of employment.
- The hospital moved to strike, arguing the complaints merely alleged bad-faith processing of the workers’ compensation claim and thus were barred by Conn. Gen. Stat. § 31-284(a); the trial court struck all complaints for that reason and for failure to allege any adverse employment action.
- The Appellate Court affirmed: the complaints pleaded bad-faith claims within the exclusive remedial scheme and, in any event, failed to allege the adverse employment action required for a § 31-290a claim.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the substitute complaints are barred by the exclusivity provision (§ 31-284) because they allege bad-faith processing of a workers’ compensation claim | Desmond: complaints state claims under § 31-290a (discrimination/retaliation), not barred by exclusivity | Yale-New Haven: complaints actually allege bad-faith claims intrinsic to the workers’ compensation process and are therefore barred by § 31-284 | Held: Complaints allege bad-faith processing tied to the compensation process and are barred by exclusivity (DeOliveira controls) |
| Whether the complaints adequately plead a § 31-290a claim by alleging an adverse employment action | Desmond: argues § 31-290a claims can encompass discrimination against workers’ compensation claimants and that targeting claimants affects employment-related wages/benefits | Yale-New Haven: no allegations of any materially adverse change in employment status or terms; conduct concerns claim administration, not employment | Held: Plaintiff failed to allege any adverse employment action; § 31-290a claim was legally insufficient |
Key Cases Cited
- DeOliveira v. Liberty Mut. Ins. Co., 273 Conn. 487 (Conn. 2005) (holds exclusivity bars tort actions alleging bad-faith processing of workers’ compensation claims)
- Karagozian v. USV Optical, Inc., 335 Conn. 426 (Conn. 2020) (motion to strike standard and plenary review of pleading sufficiency)
- Ganim v. Smith & Wesson Corp., 258 Conn. 313 (Conn. 2001) (labels in pleadings do not control; courts look to substance of allegations)
- Callender v. Reflexite Corp., 143 Conn. App. 351 (Conn. App. 2013) (elements required to establish a prima facie § 31-290a retaliation/discrimination claim)
- Heyward v. Judicial Dept., 178 Conn. App. 757 (Conn. App. 2017) (definition of adverse employment action: materially adverse change in terms or conditions of employment)
