Covello v. Village of Schaumburg Firefighters' Pension Fund , 2018 IL App (1st) 172350 ( 2019 )


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    Appellate Court                             Date: 2019.02.06
    10:37:54 -06'00'
    Covello v. Village of Schaumburg Firefighters’ Pension Fund,
    
    2018 IL App (1st) 172350
    Appellate Court       STEVEN COVELLO, Plaintiff-Appellant, v. THE VILLAGE OF
    Caption               SCHAUMBURG FIREFIGHTERS’ PENSION FUND, THE
    BOARD OF TRUSTEES OF THE VILLAGE OF SCHAUMBURG
    FIREFIGHTERS’ PENSION FUND, and THE VILLAGE OF
    SCHAUMBURG, Defendants-Appellees.
    District & No.        First District, Second Division
    Docket No. 1-17-2350
    Filed                 September 25, 2018
    Decision Under        Appeal from the Circuit Court of Cook County, No. 2016-CH-06945;
    Review                the Hon. Anna Helen Demacopoulos, Judge, presiding.
    Judgment              Affirmed.
    Counsel on            Thomas Duda, of Palatine, for appellant.
    Appeal
    Collins & Radja, of Naperville (Thomas S. Radja Jr., of counsel), for
    appellee Village of Schaumburg Firefighters’ Pension Fund and Board
    of Trustees of the Village of Schaumburg Firefighters’ Pension Fund.
    Clark Baird Smith, LLP, of Rosemont (Yvette A. Heintzelman and
    Roxana M. Underwood, of counsel), for other appellee.
    Panel                    PRESIDING JUSTICE MASON delivered the judgment of the court,
    with opinion.
    Justices Pucinski and Walker concurred in the judgment and opinion.
    OPINION
    ¶1         In this administrative review action, plaintiff-appellant, Steven Covello, seeks review of a
    final decision denying line-of-duty disability pension benefits entered by defendants-
    appellees, the Village of Schaumburg Firefighters’ Pension Fund and the Board of Trustees of
    the Village of Schaumburg Firefighters’ Pension Fund (collectively referred to as Pension
    Board). Covello applied for line-of-duty or, in the alternative, nonduty disability pension
    benefits claiming that he could no longer work as a firefighter for defendant-appellee, the
    Village of Schaumburg (Village), because he suffered from post-traumatic stress disorder
    (PTSD) triggered by a specific duty-related incident. The Pension Board found Covello
    permanently disabled and entitled to a nonduty disability pension based on his preexisting
    physical and psychological conditions, which included anxiety and depression. But because
    Covello failed to establish a causal connection between his disability and an act of duty, the
    Pension Board denied line-of-duty disability pension benefits. Covello sought review of the
    Pension Board’s decision with the circuit court, and the circuit court affirmed.
    ¶2         Here, Covello claims the Pension Board applied the wrong standard in weighing the
    evidence because the standard is not whether an act of duty was the sole or primary cause of his
    disability but whether an act of duty was a contributing cause of his disability. Covello also
    claims that the Pension Board failed to rule on his motion requesting to modify the effective
    date of his disability pension before issuing its final written decision.
    ¶3         Finding no error, we affirm the Pension Board’s award of nonduty disability benefits with
    an effective date of December 5, 2014.
    ¶4                                             BACKGROUND
    ¶5          On February 3, 1995, the Village hired Covello as a firefighter/paramedic in the Village’s
    fire department. When Covello was hired, he passed a physical and psychological exam
    required by the Village. Before beginning his career as a firefighter with the Village, Covello
    had never received psychological or psychiatric treatment for any condition.
    ¶6          Beginning in October 2007 and throughout the remainder of Covello’s career as a
    firefighter, Dr. Thomas Dennison, a psychiatrist, treated Covello for anxiety, depression,
    irritable bowel syndrome (IBS), gastroesophageal reflux disease (GERD), hoarding, stuttering,
    and obsessive compulsive disorder. Dr. Dennison treated Covello’s IBS, GERD, and stuttering
    conditions with medicine and also prescribed an antidepressant. Each of Covello’s treatment
    sessions with Dr. Dennison lasted 15 minutes, which would include any necessary
    modifications to his medicine. Covello would generally see Dr. Dennison anywhere from once
    a month to once every three months depending on his level of stress and anxiety.
    ¶7          During the first five years of treatment, Covello did not discuss any issues involving work
    with Dr. Dennison, and he did not express any work-related anxiety. In fact, during a treatment
    session in 2009, Covello mentioned that his fellow firefighters were his major support system.
    -2-
    During these sessions, Covello instead talked about various personal issues, including his
    relationship with his son, his broken engagement, his mother’s death, as well as his hoarding
    tendencies, which grew worse over the years. Because of his numerous issues, Dr. Dennison
    had over the years recommended Covello see a counselor, but Covello failed to follow this
    advice.
    ¶8         Once under Dr. Dennison’s care and as early as 2007, Covello took intermittent time off
    under the Family and Medical Leave Act of 1993 (FMLA) (
    29 U.S.C. § 2601
     et seq. (2000))
    due to his anxiety issues. In 2008, Covello took FMLA days on January 1, January 29,
    February 7, March 20, August 2, and December 27.
    ¶9         Over his 18-year career as a firefighter, Covello responded to numerous calls involving
    gruesome injuries, and some of the victims that he attempted to save died. Generally, Covello
    did not know the victims personally. But on November 1, 2008, Covello responded to an
    “officer down” call that came in at around 11 p.m. involving Officer Frank Russo of the
    Village’s police department. Because both Covello and Officer Russo worked for the Village,
    they got to know each other when they responded to the same calls, but they did not socialize
    outside of work. On November 1, when Covello arrived at the scene in the ambulance, he saw
    the other police officers standing around and not attempting to perform CPR on Officer Russo,
    which Covello found distressing. Covello was also upset that the fire department’s engine did
    not arrive at the scene at the same time the ambulance crew did to assist with the call. Covello
    learned that Officer Russo suffered a heart attack while pursuing a fleeing suspect. As the
    paramedic-in-charge, Covello performed CPR on Officer Russo, but treating him was difficult
    because Officer Russo was a very large man, weighing about 300 pounds. Covello transported
    Officer Russo in the ambulance to the hospital where he was later pronounced dead. Covello
    completed the rest of his shift that day.
    ¶ 10       Four years later on January 13, 2013, while responding to what Covello mistakenly
    believed was an emergency call early in the morning, he rushed to put his boots on and strained
    himself pulling up his partially zipped boot. Covello heard a pop in his abdomen and knew
    something was wrong, but he could still function. Covello saw a doctor within a few days, who
    diagnosed him with a hernia in the umbilical region that required surgery. Covello’s hernia was
    a preexisting condition that had bothered him off and on for many years, but that he had left
    untreated.
    ¶ 11       After receiving the hernia diagnosis, Covello called the deputy chief to inform him of his
    condition. Covello also informed the deputy chief of his other medical conditions (GERD,
    IBS, esophageal spasms) but did not mention any work-related anxiety. The Village placed
    Covello on medical leave as of February 1, 2013. Covello did not return to work in any
    capacity after aggravating his hernia on January 13, 2013. Covello’s doctors refused to
    perform hernia surgery until he completed an antibiotic treatment to clear up an infected skin
    condition and addressed his existing psychological issues. On May 3, 2013, the Village
    informed Covello that he had exhausted all 12 weeks of his available FMLA time and provided
    him with the following options: (1) resign due to his inability to return to work, (2) request a
    non-FMLA leave of absence, or (3) apply for a disability pension with the Pension Board. The
    Village also informed Covello that if he did not communicate his decision by May 29, 2013,
    the Village would assume he was resigning his position and his employment would be
    terminated. Because he had exhausted all of his paid leave by early April 2013, Covello
    stopped receiving a salary from the Village at that time.
    -3-
    ¶ 12        By June 2013, Covello’s stuttering became more significant. A woman Covello dated
    briefly (from January 2013 to June 2013) noticed that his stuttering bothered him and she
    suggested to Covello that he should seek treatment from Dr. Donna Ripley, a clinical
    psychologist, who had treated her in the past. In June 2013, Covello began treatment with Dr.
    Ripley, who helped him work though his anxiety issues. Dr. Ripley diagnosed Covello with
    PTSD triggered by the incident involving Officer Russo.
    ¶ 13        Covello was eventually cleared for surgery and had his hernia repaired on October 30,
    2013. On October 25, 2013, days before Covello’s hernia surgery, he filed an application for
    line-of-duty disability pension benefits under the Firefighters’ Pension Fund of the Illinois
    Pension Code (40 ILCS 5/4-110 (West 2012)). He alternatively applied for nonduty disability
    pension benefits (40 ILCS 5/4-111 (West 2012)). On his disability application, Covello listed
    November 1, 2008, the date he responded to the call involving Officer Russo as his date of
    injury. Covello listed PTSD as the reason for his disability. The Village was allowed to
    intervene in the proceedings based on its status as Covello’s employer and a fiduciary charged
    with the proper expenditure of pension funds.
    ¶ 14        Under the Pension Code, a firefighter is entitled to line-of-duty disability pension benefits
    if, “as the result of sickness, accident or injury incurred in or resulting from the performance of
    an act of duty or from the cumulative effects of acts of duty,” the firefighter is found physically
    or mentally permanently disabled for service in the fire department. (Emphasis added.) 40
    ILCS 5/4-110 (West 2012). A line-of-duty disability pension entitles a firefighter
    “to a disability pension equal to the greater of (1) 65% of the monthly salary attached to
    the rank held by him or her in the fire department at the date he or she is removed from
    the municipality’s fire department payroll or (2) the retirement pension that the
    firefighter would be eligible to receive if he or she retired (but not including any
    automatic annual increase in that retirement pension).” 40 ILCS 5/4-110 (West 2012).
    A firefighter is considered “on duty” while on any assignment approved by the chief of the fire
    department and the assignment relates to the fire protection service of the municipality. 40
    ILCS 5/4-110 (West 2012).
    ¶ 15        A firefighter is entitled to nonduty disability pension benefits under the Pension Code if he
    or she is found to be physically or mentally permanently disabled “as a result of any cause
    other than an act of duty.” (Emphasis added.) 40 ILCS 5/4-111 (West 2012). A firefighter
    awarded a nonduty disability pension receives “50% of the monthly salary attached to the rank
    held by the firefighter in the fire service at the date he or she is removed from the
    municipality’s fire department payroll.” 40 ILCS 5/4-111 (West 2012).
    ¶ 16        In anticipation of a hearing on Covello’s disability application and as provided under the
    Pension Code (40 ILCS 5/4-112 (West 2012)), the Pension Board selected the following three
    doctors to evaluate Covello and make an independent determination of disability based on their
    expert psychiatric opinion: (1) Robert Reff, M.D.; (2) Richard P. Harris, M.D.; and (3) Steven
    Weine, M.D. The Pension Board also requested a forensic psychological evaluation by Eric
    Ostrov, J.D., Ph.D.; Dr. Ripley and Dr. Dennison, who had been treating Covello for various
    psychological issues, also provided their opinions regarding Covello’s disability. As discussed
    below, in their expert medical opinion, every treating and evaluating doctor concluded that
    Covello was permanently disabled and unable to perform the assigned duties of a firefighter.
    But there was disagreement among the doctors as to whether Covello suffered from PTSD due
    to an act of duty. Each doctor submitted a written report and elaborated on their opinions
    -4-
    during their respective evidence depositions, which we summarize.
    ¶ 17                                          Dr. Ripley
    ¶ 18       Dr. Ripley began treating Covello in June 2013. From June 2013 to December 2013,
    Covello saw Dr. Ripley generally once to twice a week for an hour or two. Covello chose to see
    Dr. Ripley because she was a PTSD specialist. Covello told Dr. Ripley about reoccurring
    nightmares that he had about being on the scene of different calls. Dr. Ripley found that
    Covello suffered from avoidance tendencies and he initially had trouble talking about the
    incident involving Officer Russo. Dr. Ripley diagnosed Covello with PTSD. In reaching her
    PTSD diagnosis, Dr. Ripley did not administer any formal tests or assessments; rather, she
    based her opinion on her observations and what Covello told her during the treatment sessions.
    Dr. Ripley opined that Covello’s traumatic disorder and disability were caused by the call
    involving Officer Russo.
    ¶ 19                                          Dr. Dennison
    ¶ 20       Even though Dr. Dennison had been treating Covello since October 2007, it was not until
    June 2013 that Covello mentioned any issues involving his work duties or the workplace. In
    fact, Dr. Dennison only learned of the 2008 call involving Officer Russo in June 2013, after
    Covello reported post-traumatic type symptoms relating to that call. Dr. Dennison treated
    Covello for a variety of anxiety and depression issues, but he did not treat Covello for PTSD.
    Dr. Dennison noticed that Covello’s condition worsened when his hernia surgery was delayed.
    Because Covello lost his support system through his fellow firefighters, and he began
    obsessing over the Officer Russo call, Dr. Dennison noted that Covello’s time off following his
    hernia and his ongoing depression contributed to his PTSD-type symptoms. Dr. Dennison also
    noted that from May 2013 to October 2013, Covello’s stutter became more pronounced, he
    could not focus, he was an emotional wreck, and he could not concentrate. In Dr. Dennison’s
    opinion, the Officer Russo call was not necessarily a cause of Covello’s disability, but it
    aggravated his condition after he could no longer work while waiting for hernia surgery.
    ¶ 21                                            Dr. Ostrov
    ¶ 22       Dr. Ostrov, a clinical psychologist, evaluated Covello on February 17, 2014. Based on his
    evaluation, Dr. Ostrov diagnosed Covello with (1) hoarding disorder, (2) generalized anxiety
    disorder with panic attacks, (3) dysthymia, and (4) PTSD. Dr. Ostrov performed assessment
    tests on Covello, which demonstrated that he experienced symptoms of posttraumatic stress,
    somatization (which occurs when physical symptoms, i.e., pain or nausea, manifest from
    psychological issues), a high degree of anxiety, depression, traumatic intrusive experiences,
    and suicidal ideation. Dr. Ostrov opined that Covello’s work experiences may have
    contributed to his emotional difficulties but that his work experiences could not be the sole or
    primary reason for his health condition. Dr. Ostrov also opined that Covello’s medical records
    did not support a claim that the call involving Officer Russo was a prime cause of his current
    psychological problems.
    -5-
    ¶ 23                                             Dr. Harris
    ¶ 24       Dr. Harris conducted a psychiatric evaluation of Covello on April 22, 2014. Dr. Harris did
    not believe that the call involving Officer Russo was the primary cause of Covello’s disability.
    Dr. Harris based his opinion on Covello’s lengthy history of mental health problems,
    consisting of anxiety, depression, hoarding, and interpersonal problems. Dr. Harris noted that
    Covello worked without issue for a number of years after the Officer Russo call, and there was
    no record that the call caused obvious problems in Covello’s functioning or thinking. Dr.
    Harris opined that Covello suffered from significant psychological problems, but he did not
    believe that the whole picture was consistent with PTSD as the cause. Dr. Harris also believed
    that Covello’s on-duty acts may have contributed to his emotional difficulties, but they were
    not the primary reason for his problems. Ultimately, Dr. Harris opined that Covello’s disability
    was nonduty.
    ¶ 25                                               Dr. Reff
    ¶ 26       Dr. Reff conducted a psychiatric evaluation of Covello on May 6, 2014. Dr. Reff believed
    Covello suffered from severe and debilitating major depression and panic disorder, which
    limited his ability to focus or attend to critical or time sensitive situations. Covello admitted to
    Dr. Reff that he had multiple non-work related issues that created anxiety for him. Covello also
    told Dr. Reff that he began seeing Dr. Dennison after the incident involving Officer Russo. Dr.
    Reff did not believe that Covello was suffering from PTSD. Regarding the impact of Officer
    Russo’s death on Covello, Dr. Reff stated that it was not possible to state with any reasonable
    degree of medical psychiatric certainty whether the call involving Officer Russo, or any
    specific event or events, actually caused his psychiatric conditions because Covello continued
    to work at his job for more than four years after Officer Russo’s death. Dr. Reff opined that
    Covello’s psychiatric conditions were more likely than not a consequence of a constellation of
    factors and their cumulative effect. Dr. Reff could not identify a specific incident at work as the
    primary cause of Covello’s disability but believed his work experiences were a causative factor
    and aggravated his underlying preexisting psychiatric conditions. With a reasonable degree of
    medical certainty, Dr. Reff opined that, considering all the issues Covello faced, Covello’s
    condition would have or could have occurred had he not been a firefighter.
    ¶ 27                                           Dr. Weine
    ¶ 28       Dr. Weine conducted a psychiatric evaluation of Covello on May 7, 2014. Covello denied
    receiving treatment for his mental health issues before the incident involving Officer Russo,
    although, in fact, Covello began seeing Dr. Dennison in 2007. Dr. Weine diagnosed Covello
    with (1) major depressive disorder (in partial remission), (2) partial PTSD, (3) generalized
    anxiety disorder, (4) compulsive disorder, and (5) stuttering. According to Dr. Weine, Covello
    had suffered from anxiety since at least 2006 and depression since at least 2010. Dr. Weine
    believed that Covello’s conditions were likely caused by the high stress and the cumulative
    trauma exposure of his work as a firefighter. In particular, Dr. Weine opined that general
    workplace stress and his exposure to traumatic events were a significant causative factor in the
    worsening of his conditions over time. Dr. Weine thought Dr. Ripley overemphasized PTSD
    and found Dr. Dennison’s opinion more persuasive that Covello exhibited posttraumatic stress
    symptoms but not the full criteria of PTSD.
    -6-
    ¶ 29                              Proceedings Before the Pension Board
    ¶ 30        The Pension Board held Covello’s disability hearing on November 20, 2015, and January
    22, 2016. During the hearing, Covello recounted several on-duty calls involving motorcycle
    and automobile accidents that he found traumatic. In one accident, a woman in an automobile
    was crushed by a semi-truck, and he had to put her scalp back together. Covello blamed
    himself and felt responsible when a patient did not survive.
    ¶ 31        Regarding the Officer Russo call, Covello stated that the specifics of the call were a blur
    because it happened so long ago and he had tried to forget about it. According to Covello, it
    took him five years to talk about the anxiety he experienced from that incident, which he
    attributed to finally getting treatment to deal with his issues. But Covello indicated that he
    blamed himself about how he handled the call. He blamed himself for (1) not ensuring that the
    ambulance and engine left the firehouse together to respond to the call and (2) not having the
    police officers at the scene start CPR so he could get the cot and get Officer Russo in the
    ambulance instead of working on him on the ground. Covello developed a lot of anger from
    that incident, which manifested as animosity towards people. He was angry at himself, at his
    coworkers, and at the way everything happened during that call. Covello did not speak to his
    supervisors about any issues he had involving that incident, though he did talk to a fellow
    firefighter frequently expressing his work-related anxiety, and, in particular, anxiety relating to
    that call. Regardless of any anxiety he was experiencing, Covello stated that he always
    completed his work shifts, including the shift when he responded to the incident involving
    Officer Russo. Likewise, Covello did not take an extended period of time off after the Officer
    Russo call. In fact, Covello never took time off due to his experiences responding to a call.
    ¶ 32        During the hearing, Covello’s fellow firefighter, Nicholas Rieger, stated that he began
    working as a firefighter for the Village about two weeks after Covello and that they worked the
    same shift and on the same truck for about 10 years. Covello discussed the call involving
    Officer Russo often with Rieger during the month following the incident. After that incident,
    Rieger noticed that Covello became angry, frustrated, and more irritable when responding to
    calls.
    ¶ 33        Frederick Scholpp, deputy chief of the Village’s fire department, and William Spencer,
    deputy chief of operations for the Village’s fire department, both confirmed to the Pension
    Board that they were not aware of a situation where Covello was unable to complete a
    particular work shift or perform certain work duties. Both Scholpp and Spencer also stated that
    Covello never spoke to them about any friendship he had with Officer Russo nor did Covello
    talk to them about any thoughts, concerns, or problems that he had regarding Officer Russo’s
    death. In fact, Covello never mentioned to either Scholpp or Spencer that he was suffering
    from stress or anxiety because of any work-related call. Likewise, Covello never requested
    time off because of or following a call. And Covello continued to receive favorable annual
    performance evaluations from 2008 through 2012.
    ¶ 34        At the end of the hearing, the Pension Board deliberated in a brief executive session.
    Following the executive session, the Pension Board granted Covello a nonduty disability
    pension, with the salary and effective date to be determined and included in its final written
    decision. Regarding the effective date, the Pension Board noted that Covello tendered a check
    to pay for creditable service for the time period that he was on sick leave and not receiving a
    -7-
    disability pension, which was through December 5, 2014.1 Covello’s lawyer initially argued to
    the Pension Board that an earlier effective date would entitle Covello to a lump sum payment
    for past due pension payments. But when Pension Board members explained that the
    December 2014 effective date would ultimately result in a higher pension benefit due to
    interim pay increases and after consulting with his client, Covello’s lawyer told the Pension
    Board that Covello preferred the pension’s effective date to be in December 2014.
    ¶ 35       On March 3, 2016, after the hearing, but before the Pension Board issued its written
    decision, Covello filed a motion to modify the disability pension’s effective date from
    December 5, 2014 (total creditable service date), to February 13, 2015, or, in the alternative,
    April 2, 2015, based on an e-mail from the Village indicating he could purchase creditable
    service through that date. Covello offered to purchase an additional 10 weeks of service credit
    to reach 20 years of service, which would make the pension’s effective date February 13, 2015.
    Covello’s pension would be fully vested with 20 years of service.
    ¶ 36       On April 20, 2016, the Pension Board issued its written decision and awarded Covello a
    nonduty disability pension of 50% of his salary and rank effective December 5, 2014, based on
    his total creditable service. The Pension Board explained that it did not find a link between
    Covello’s disability and an act of duty but did find that he was permanently disabled from
    service as a result of conditions that were not caused by any act of duty. In its written decision,
    the Pension Board did not expressly rule on Covello’s motion to modify the disability
    pension’s effective date.
    ¶ 37       On May 19, 2016, Covello filed a complaint for administrative review under the Illinois
    Administrative Review Law (735 ILCS 5/3-101 et seq. (West 2012)), requesting the circuit
    court to find that he was entitled to line-of-duty disability pension benefits and to grant his
    motion that was not expressly ruled on by the Pension Board to modify the pension’s effective
    date from December 5, 2014, to February 13, 2015. The circuit court affirmed the Pension
    Board’s finding that Covello was not entitled to a duty disability pension because he failed to
    demonstrate that an on-duty act contributed to his permanent disability. The circuit court also
    found that there was no basis in the law requiring the Pension Board to accept his offer to
    purchase an additional 10 weeks of creditable service to change the pension’s effective date to
    February 13, 2015. Covello now seeks review of the Pension Board’s denial of line-of-duty
    disability pension benefits and the effective date of his pension.
    ¶ 38                                          ANALYSIS
    ¶ 39       Under the Pension Code, the provisions of the Administrative Review Law (735 ILCS
    5/3-101 et seq. (West 2012)) govern judicial review of final administrative decisions of the
    Pension Board. 40 ILCS 5/4-139 (West 2012).
    ¶ 40       It is well-established that in administrative review cases, we review the administrative
    agency’s decision, not the determination of the circuit court. Exelon Corp. v. Department of
    Revenue, 
    234 Ill. 2d 266
    , 272 (2009); Shakari v. Department of Financial & Professional
    Regulation, 
    2018 IL App (1st) 170285
    , ¶ 36. The standard of review depends on whether the
    1
    Under the Pension Code, leaves of absence for illness and periods of disability for which a
    firefighter did not receive a disability pension count as creditable service. 40 ILCS 5/4-108(a) (West
    2012). The Village permitted Covello to purchase creditable service while he was on FMLA leave and
    still on the Village’s payroll, which was through December 5, 2014.
    -8-
    question presented is one of fact, one of law, or a mixed question of law and fact. Beggs v.
    Board of Education of Murphysboro Community Unit School District No. 186, 
    2016 IL 120236
    , ¶ 50. Regardless of the applicable standard of review, the plaintiff bears the burden to
    demonstrate error in the agency’s determination. Carrillo v. Park Ridge Firefighters’ Pension
    Fund, 
    2014 IL App (1st) 130656
    , ¶ 21.
    ¶ 41        The parties disagree on the standard of review applicable to the Pension Board’s decision
    denying Covello line-of-duty disability pension benefits. Covello advocates for a clearly
    erroneous standard, arguing that the issue decided by the Pension Board involved a mixed
    question of law and fact. The Pension Board and Village contend that the more deferential
    manifest weight of the evidence standard is the proper standard because the Pension Board’s
    decision involved only a question of fact.
    ¶ 42        Here, the relevant question is whether an act of duty caused or contributed to Covello’s
    disability, which has been routinely found to be a question of fact subject to the manifest
    weight of the evidence standard of review. Wade v. City of North Chicago Police Pension
    Board, 
    226 Ill. 2d 485
    , 504-05 (2007); Marconi v. Chicago Heights Police Pension Board, 
    225 Ill. 2d 497
    , 534 (2006); Carrillo, 
    2014 IL App (1st) 130656
    , ¶ 22; Scepurek v. Board of
    Trustees of the Northbrook Firefighters’ Pension Fund, 
    2014 IL App (1st) 131066
    , ¶ 24; Rose
    v. Board of Trustees of the Mount Prospect Police Pension Fund, 
    2011 IL App (1st) 102157
    ,
    ¶ 94; Village of Oak Park v. Village of Oak Park Firefighters Pension Board, 
    362 Ill. App. 3d 357
    , 371 (2005). Applying the manifest weight of the evidence standard, we will not disturb
    the Pension Board’s factual findings unless the opposite conclusion is clearly evident. People
    v. Peterson, 
    2017 IL 120331
    , ¶ 39. More specifically, if the record contains evidence
    supporting the Pension Board’s factual conclusions, the Pension Board’s conclusions must be
    affirmed, even if an opposite conclusion is reasonable or we might have reached a different
    conclusion. Marconi, 225 Ill. 2d at 534; Abrahamson v. Illinois Department of Professional
    Regulation, 
    153 Ill. 2d 76
    , 88 (1992); Carrillo, 
    2014 IL App (1st) 130656
    , ¶ 21. In
    administrative review cases, it is not our function to reweigh the evidence or make an
    independent determination of the facts. Abrahamson, 
    153 Ill. 2d at 88
    .
    ¶ 43        To be entitled to a line-of-duty disability pension, Covello carried the burden of proving
    that (1) he is a firefighter; (2) he incurred a sickness, accident, or injury; (3) such sickness,
    accident, or injury was incurred in or resulted from the performance of an act of duty or
    cumulative effects of acts of duty; (4) he is mentally or physically disabled; and (5) his
    disability requires that he be placed on disability pension. 40 ILCS 5/4-110 (West 2012);
    Thigpen v. Retirement Board of Firemen’s Annuity & Benefit Fund, 
    317 Ill. App. 3d 1010
    ,
    1017 (2000). The only element at issue here is causation, which required Covello to establish a
    causal connection between his disability and an act of duty. Wade, 
    226 Ill. 2d at 505
    . Covello
    was not required to prove that a duty-related accident or illness was the primary or originating
    cause of his disability; rather, he only needed to prove that a duty-related accident or illness
    aggravated, contributed, or exacerbated his disability. Carrillo, 
    2014 IL App (1st) 130656
    ,
    ¶ 32; Rose, 
    2011 IL App (1st) 102157
    , ¶ 92; Village of Oak Park, 362 Ill. App. 3d at 371. And
    a line-of-duty disability pension may be awarded when a firefighter establishes that an act of
    duty aggravated a preexisting condition. Wade, 
    226 Ill. 2d at 505
    ; Scepurek, 
    2014 IL App (1st) 131066
    , ¶ 27; Thigpen, 317 Ill. App. 3d at 1020.
    ¶ 44        Covello claims that the Pension Board erred because it based its decision on whether an act
    of duty was the sole or primary cause of his disability and not whether an act of duty was a
    -9-
    contributing factor to his disability. Contrary to Covello’s claim, the Pension Board applied the
    correct standard when it concluded that there was no link between his asserted act of duty
    (responding to the call involving Officer Russo) and his disability. And the record amply
    supports the Pension Board’s factual finding that an act of duty was not a causative factor
    contributing to Covello’s permanent disability. Moreover, the Pension Board correctly
    evaluated Covello’s eligibility for line-of-duty disability pension benefits based on the
    November 1, 2008, date of injury and his asserted disability (PTSD) that Covello specified on
    his application.
    ¶ 45       Although every doctor who treated or examined Covello agreed that he was disabled and
    could not return to his firefighting duties, the doctors disagreed as to whether he suffered from
    PTSD due to an act of duty. Covello’s line-of-duty claim finds the most support in the opinion
    of Dr. Ripley, who diagnosed him with PTSD and opined that Covello’s traumatic disorder and
    disability were caused by the call involving Officer Russo. At first glance, Covello’s claim also
    finds support in Dr. Dennison’s opinion that the line-of-duty incident was not necessarily a
    cause of his disability but aggravated his condition while he was waiting for his hernia surgery
    nearly five years after the fact. But Dr. Dennison explained that he observed a decline in
    Covello’s condition while on medical leave waiting for his hernia surgery that was partly
    caused from the loss of Covello’s support system that he had through his fellow firefighters
    and he was eager to return to work, which the delay in surgery prevented him from doing.
    Because Covello did not have his support system that he found at work, he began obsessing
    about the Officer Russo call and his psychological issues deepened. This explanation for
    Covello’s decline, which the Pension Board was entitled to credit, demonstrates that his
    preexisting conditions of anxiety and depression were aggravated by nonduty stressors (the
    loss of his firefighter support system) and not by the line-of-duty incident that happened more
    than four years earlier.
    ¶ 46       In direct contrast to Dr. Ripley’s opinion, Dr. Ostrov opined that Covello’s medical records
    did not support his claim that the work-related incident in 2008 was the cause of his
    psychological problems. Likewise, Dr. Reff and Dr. Harris did not believe Covello suffered
    from PTSD, and they similarly conceded that Covello’s disability was not likely caused by the
    2008 incident. Moreover, Dr. Weine believed that Dr. Ripley overemphasized PTSD,
    observing that although Covello had some symptoms of posttraumatic stress, he did not meet
    the full criteria of PTSD, and an exact triggering event for his symptoms could not be
    identified.
    ¶ 47       Along with the multiple medical opinions, the Pension Board was also entitled to consider
    the facts surrounding the call involving Officer Russo and Covello’s actions following that
    call. Although Covello and Officer Russo were friendly with each other before the incident,
    there is no evidence in the record that their relationship extended beyond on-the-job
    communications. The record also establishes that after responding to the call, Covello
    (1) completed the rest of his shift, (2) worked his next assigned shift, (3) did not immediately
    take time off, (4) did not report any anxiety or other issues associated with that call to his
    supervisors, (5) continued to perform his job at an acceptable level after that call, (6) was never
    relieved of his duties during a shift, and (7) did not seek any work based counseling. Although
    Covello spoke to a fellow firefighter about the incident several times during the following
    month—expressing anger about the way it was handled—he did not speak again about it in the
    ensuing years, all the while receiving positive performance evaluations. Moreover, Dr.
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    Dennison had been treating Covello since 2007, and Covello had spoken to him about the
    many non-work related causes of his depression and anxiety. It is significant that Dr. Dennison
    only learned about the 2008 call involving Officer Russo from Covello years later in 2013,
    after the Village advised Covello that he would need to apply for a disability pension due to his
    prolonged absence from work or risk losing his job. So while witnessing a fellow public
    servant’s death could be a troubling experience, the circumstances surrounding this incident
    did not appear to have a profound effect on Covello.
    ¶ 48       The record demonstrates that Covello had a history of anxiety, depression, and physical
    problems dating back to at least 2007, and he actively sought treatment for those
    conditions,—all related to non-work issues—before the 2008 incident. A firefighter’s
    preexisting condition does not preclude a finding of line-of-duty disability pension benefits,
    but the firefighter still bears the burden of establishing that an on-duty act contributed to or
    aggravated his condition. Wade, 
    226 Ill. 2d at 505
    ; Scepurek, 
    2014 IL App (1st) 131066
    , ¶ 27;
    Thigpen, 317 Ill. App. 3d at 1020. The Pension Board’s finding that Covello did not meet his
    burden of establishing a causal connection between his preexisting conditions and a specific
    act of duty was supported by the record and not against the manifest weight of the evidence. In
    reaching our finding that the Pension Board’s decision was not against the manifest weight of
    the evidence, we are reminded of the well-established principle that we may not reweigh the
    evidence, make credibility determinations, or substitute our judgment for that of the Pension
    Board. City of Belvidere v. Illinois State Labor Relations Board, 
    181 Ill. 2d 191
    , 204 (1998);
    Village of Oak Park, 362 Ill. App. 3d at 372. And we must affirm the Pension Board’s decision
    when there is competent evidence in the record supporting the decision. Marconi, 225 Ill. 2d at
    534. The opinions of the independent evaluating doctors coupled with Covello’s actions
    following Officer Russo’s death, which demonstrated no impact on either his physical or
    mental well-being, collectively support the Pension Board’s decision awarding a nonduty
    disability pension. Moreover, the Pension Board was entitled to consider Covello’s misleading
    statements to certain evaluators that he sought treatment with Dr. Dennison only after the
    incident involving Officer Russo.
    ¶ 49       Although Covello during the hearing recounted various calls that were indisputably
    traumatic, he identified the incident involving Officer Russo as the cause of his PTSD on his
    disability application. Importantly, Covello did not identify any other incidents on his
    application, either individually or cumulatively, as contributing to his PTSD. Even if we were
    to consider the numerous traumatic calls that Covello undoubtedly responded to throughout his
    career, there is no evidence that they triggered PTSD or aggravated Covello’s preexisting
    mental health issues. Specifically, Covello (1) never mentioned any anxiety or stress triggered
    by an on-duty call to either his supervisors or Dr. Dennison, (2) always completed his shifts,
    (3) never missed a shift following a call, and (4) continued to receive favorable performance
    evaluations. Further, once Covello sought psychological counseling from Dr. Ripley, the only
    triggering incident she focused on was the one involving Officer Russo. Consequently, nothing
    in the record demonstrates that the Pension Board should have found in Covello’s favor by
    awarding a line-of-duty disability pension. See Cinkus v. Village of Stickney Municipal
    Officers Electoral Board, 
    228 Ill. 2d 200
    , 210 (2008) (we will disturb an administrative
    agency’s factual findings only when the opposite conclusion is clearly evident).
    ¶ 50       It is beyond argument that firefighters and other first responders are repeatedly exposed to
    stressful and gruesome events. But it is not enough to qualify for a duty disability pension to
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    point to the stress inherent in the job. And the evidence relating to the only specific incident
    identified by Covello is such that the Pension Board could properly conclude that Covello had
    not sustained his burden to show a causal relationship between that incident and his disability.
    ¶ 51       Covello also claims that the Pension Board abused its discretion in refusing to allow him to
    purchase additional service credits or modify the effective date of his disability benefits to
    February 13, 2015, at the earliest. Covello wanted to purchase an additional 10 weeks of
    service credits outright to increase his service credit to 20 years to fully vest in his pension.
    Covello assumes that his petition requesting to purchase additional service credit was denied
    because the Pension Board’s final written order awarding nonduty pension disability benefits
    reflected an effective date of December 5, 2014, and not his posthearing requested date of
    February 13, 2015. Covello claims that the Open Meetings Act (5 ILCS 120/2(c)(4) (West
    2012)) required the Pension Board to issue a written decision explaining its determination of
    the disability pension’s effective date that was reached during a closed session. The Open
    Meetings Act permits closed meetings to consider evidence or testimony presented in an open
    hearing provided that a written decision setting forth the reasoning for its decision is made
    available to the public. 5 ILCS 120/2(c)(4) (West 2012).
    ¶ 52       Covello asserts that the proper course of action would be for us to remand the cause,
    directing the Pension Board to enter a formal determination on his petition to modify his
    pension’s effective date. But Covello’s requested course of action demonstrates that he has
    forfeited review of this issue. Covello acknowledges that the Pension Board implicitly denied
    his motion when it deemed December 5, 2014, as the pension’s effective date, but asserts that
    the Pension Board was required to expressly adjudicate his motion. Given that Covello did not
    seek an express ruling from the Pension Board on his motion or raise at the administrative level
    the arguments he raises on appeal, his arguments are forfeited. Cinkus, 
    228 Ill. 2d at 212
    ;
    Keeling v. Board of Trustees of the Forest Park Police Pension Fund, 
    2017 IL App (1st) 170804
    , ¶ 45. Furthermore, Covello cites no authority—and we have located
    none—supporting his entitlement to purchase additional creditable service so as to fully vest
    his pension. Absent relevant authority, the Pension Board could not have abused its discretion
    in refusing to award him such relief.
    ¶ 53                                          CONCLUSION
    ¶ 54       Because Covello failed to demonstrate a causal connection between any act of duty,
    individually or collectively, and his permanent disability, we cannot find the Pension Board’s
    decision denying line-of-duty disability pension benefits and awarding nonduty disability
    pension benefits was against the manifest weight of the evidence. Covello forfeited review of
    his claim that the Pension Board should have expressly ruled on his motion to extend the
    effective date of his disability pension by not raising this issue before the Pension Board.
    ¶ 55      Affirmed.
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