DON JOHNSON VS. BOARD OF TRUSTEES (PUBLIC EMPLOYEES' RETIREMENT SYSTEM) ( 2019 )


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  •                                  NOT FOR PUBLICATION WITHOUT THE
    APPROVAL OF THE APPELLATE DIVISION
    This opinion shall not "constitute precedent or be binding upon any court ." Although it is posted on the
    internet, this opinion is binding only on the parties in the case and its use in other cases is limited . R. 1:36-3.
    SUPERIOR COURT OF NEW JERSEY
    APPELLATE DIVISION
    DOCKET NO. A-1541-17T1
    DON JOHNSON,
    Petitioner-Appellant,
    v.
    BOARD OF TRUSTEES,
    PUBLIC EMPLOYEES'
    RETIREMENT SYSTEM,
    Respondent-Respondent.
    _____________________________________
    Argued telephonically February 6, 2019 – Decided August 8, 2019
    Before Judges Sabatino and Sumners.
    On appeal from the Board of Trustees of the Public
    Employees' Retirement System, Department of the
    Treasury, PERS No. 2-1150929.
    Herbert J. Stayton, Jr., argued the cause for appellant
    (Ridgway & Stayton, LLC, attorneys; Herbert J.
    Stayton, Jr., on the brief).
    Stephanie Kozic, Deputy Attorney General, argued the
    cause for respondent (Gurbir S. Grewal, Attorney
    General, attorney; Melissa H. Raksa, Assistant
    Attorney General, of counsel; Stephanie Kozic, on the
    brief).
    PER CURIAM
    Don Johnson appeals from the October 18, 2017 final agency decision of
    the Board of Trustees of the Public Employees' Retirement System ("the Board")
    denying his claim for accidental disability retirement benefits under N.J.S.A.
    43:16A-7, and instead granting him ordinary disability. The Board determined
    that Johnson's injury from a work-related motor vehicle accident was not the
    direct result of his total and permanent disability but was due to a pre-existing
    degenerative condition. Considering the substantial deference that must be
    accorded to the Board in such administrative matters when it applies the
    pertinent statutes within its area of expertise, we affirm.
    Johnson was employed by the State of New Jersey as a Motor Vehicle
    Operator I, driving trucks for the Woodbine Developmental Center. On July 29,
    2014, while working, he was driving a minivan that was involved in a head-on
    collision with another vehicle that entered his lane of traffic. Johnson was
    transported to the hospital via ambulance.        He was released that day and
    prescribed medication after x-rays and a CT scan were negative or unremarkable
    for any injury to his head, neck, lower back and left wrist. Under the direction
    of Dr. Steven B. Kirshner, M.D., he thereafter received physical therapy for
    A-1541-17T1
    2
    sprains to his cervical spine and lumbar spine until March 2015. He also
    received a cortisone shot to his left wrist during that time.
    In March 2015, Dr. Kirshner placed Johnson on permanent light duty for
    work due to a twenty-pound lift restriction based upon the results of a Functional
    Capacity Evaluation and Work Ability Assessment. He opined that Johnson's
    restriction was related to the July 2014 motor vehicle accident.         Because
    Johnson's position did not allow for light duty, he did not return to work.
    On June 29, 2015, Johnson, who was fifty-nine years old at the time,
    applied for accidental retirement disability arising from the motor vehicle
    accident.
    On March 16, 2016, the Board denied Johnson's application but granted
    him deferred retirement, which provides lesser compensation, based upon his
    fourteen years of service. The Board determined the motor vehicle accident was
    undesigned and unexpected, but that he was not totally and permanently disabled
    from performing his job.         Johnson disagreed with the Board's initial
    determination, so the matter was transmitted to the Office of Administrative Law
    for a fact-finding hearing.
    In January 2017, two-and-a-half years after the accident and prior to the
    February 14 hearing, MRIs of Johnson's lumbar and cervical spine were
    A-1541-17T1
    3
    performed. As to the former, it revealed disc protrusions at L3-4 and L5-S1,
    degenerative disc disease at L3-4, L4-5 and L5-S1, and an enlargement of the
    facet joints at multiple levels. As to the latter, it revealed: herniated discs at C3-
    4, C4-5, C5-6, and C6-7; unconverted hypertrophy at C3-4; bilateral foraminal
    narrowing at C4-5; and central canal stenosis as well as bilateral uncontroverted
    hypertrophy at C5-6.
    In addition, x-rays of Johnson's left wrist taken on February 1, revealed a
    radial scaphoid joint deformity in conjunction with cartilage loss, positive ulnar
    variance, and stable osteoarthritis to the distal lateral radius and scaphoid. There
    was also evidence of a prior left elbow/arm surgery from 1987.
    At the hearing, Johnson testified, as did Dr. David O. Weiss, D.O., his
    medical expert. The Board presented the testimony of its medical expert , Dr.
    Arnold T. Berman, M.D. Both doctors examined Johnson and reviewed his
    medical records, and were determined by the Administrative Law Judge (ALJ)
    to be experts in orthopedics.1
    On September 11, 2017, applying the standard set forth in Richardson v.
    Board of Trustees, Police and Firemen's Retirement System, 
    192 N.J. 189
    , 212-
    13 (2007), the ALJ denied Johnson's application for accidental disability
    1
    Dr. Berman was also qualified as an expert in orthopedic surgery.
    A-1541-17T1
    4
    retirement benefits. The ALJ determined that the July 2014 motor vehicle
    accident was undesigned and unexpected, and that Johnson was totally and
    permanently disabled from performing his job, but that the accident was not the
    direct result of his disability.     The ALJ found that Johnson gave credible
    testimony as did the two competing expert witness.
    Dr. Weiss opined that Johnson was totally and permanently disabled from
    performing his job as a truck driver because of the motor vehicle accident. In
    support, he referenced his examination of Johnson, Dr. Kirshner's records, and
    the recent MRI and x-ray results.
    Dr. Berman disagreed, opining that Johnson was not totally and
    permanently disabled from performing his job, and that his injury was the result
    of a pre-existing degenerative condition. He believed the MRIs showed a false
    positive and were consistent with a person of Johnson's age. He further pointed
    out that given that the MRIs were taken over two years after the accident and
    not used to treat Johnson, there was no clinical correlation to the accident in
    question.
    The ALJ's decision accepted some of both of the doctors' opinions. In
    reaching his ruling, he explained:
    I FIND that Dr. Weiss was particularly
    CREDIBLE and BELIEVABLE.   In addition to
    A-1541-17T1
    5
    reviewing all of the medical reports as well as
    comparing them to one another, he performed his own
    independent examination[,] which was consistent with
    the findings of the treating physicians. Also, Dr. Weiss
    examined [Johnson] about two and a half years after the
    incident, and determined that many of [Johnson's]
    complaints were still unresolved.         Also, various
    objective tests supported his findings.
    Matters of safety are implicated, given the nature
    of [Johnson's] job duties. If [Johnson] were called upon
    to perform the duties as presented in [his job
    description], his safety and/or that of others could be
    compromised. Accordingly, I FIND that [Johnson's]
    injuries do render him totally and permanently disabled
    from the performance of his job duties and that he is
    physically incapacitated from performing his usual or
    any other duty, given the parameters imposed by his
    employer.
    As to the cause of [Johnson's] injuries, however,
    I give more weight to Dr. Berman's testimony. While
    acknowledging that he and Dr. Weiss made similar
    findings subsequent to their respective examinations of
    [Johnson], he underscored that they came to different
    conclusions. His analysis and explanations regarding
    the nature of [Johnson's] injuries and conditions were
    more persuasive; specifically that [Johnson's]
    multilevel herniated discs were more likely caused by a
    chronic degenerative condition and repetitive motion
    rather than trauma.        The degenerative changes,
    observed also by Dr. Weiss in the MRI films, were
    consistent with findings in a similarly aged individual.
    His conclusion drew on his experience and knowledge
    of the condition but was also tailored to findings in
    [Johnson's] medical history and findings of his treating
    physician. Dr. Weiss, while ably offering his opinion
    to the contrary, was simply successfully rebutted in this
    A-1541-17T1
    6
    regard. Accordingly, I FIND that [Johnson's] condition
    responsible for his disability was not traumatically
    induced but rather is the result of pre[-]existing
    degenerative conditions and repetitive motion.
    Johnson filed exceptions with the Board to the ALJ's decision.           On
    October 18, 2017, the Board adopted the ALJ's initial decision as its final agency
    decision and denied Johnson's application for accidental disability retirement,
    and approved him for deferred retirement. This appeal ensued.
    The sole issue before us is whether the record supports the Board's
    findings, as adopted from the ALJ's decision, that Johnson's total and permanent
    disability is not a direct result of the July 2014 motor vehicle accident but the
    result of a pre-existing condition.
    In Richardson, the Court held that a public employee who seeks accidental
    disability retirement benefits must prove:
    1. that he is permanently and totally disabled;
    2. as a direct result of a traumatic event that is
    a. identifiable as to time and place,
    b. undesigned and unexpected, and
    c. caused by a circumstance external to the
    member (not the result of pre-existing disease
    that is aggravated or accelerated by the work);
    A-1541-17T1
    7
    3. that the traumatic event occurred during and as a
    result of the member's regular or assigned duties;
    4. that the disability was not the result of the member's
    willful negligence; and
    5. that the member is mentally or physically
    incapacitated from performing his usual or any other
    duty.
    [192 N.J. at 212-13 (emphasis added).]
    Before us, Johnson challenges the Board's factual findings. He argues the
    Board's ruling that his physical inability to perform his job was not the direct
    result of the 2014 motor vehicle accident but the result of a pre-existing
    degenerative condition, was not supported by the credible evidence in the
    record. He specifically contends that the testimony of Dr. Berman should have
    been disregarded. We are unpersuaded.
    Absent arbitrary, unreasonable, or capricious action, or a lack of support
    in the record, "[a]n administrative agency's final quasi-judicial decision will be
    sustained . . . ." In re Herrmann, 
    192 N.J. 19
    , 27-28 (2007) (citing Campbell v.
    Dep't of Civil Serv., 
    39 N.J. 556
    , 562 (1963)). The court "may not vacate an
    agency determination because of doubts as to its wisdom or because the record
    may support more than one result," but is "obliged to give due deference to the
    view of those charged with the responsibility of implementing legislative
    A-1541-17T1
    8
    programs." In re N.J. Pinelands Comm'n Resolution, 
    356 N.J. Super. 363
    , 372
    (App. Div. 2003).
    A "strong presumption of reasonableness attaches" to the agency's
    decision. In re Carroll, 
    339 N.J. Super. 429
    , 437 (App. Div. 2001) (quoting In
    re Vey, 
    272 N.J. Super. 199
    , 205 (App. Div. 1993)). The burden is upon the
    appellant to demonstrate grounds for reversal by showing "the agency's action
    was arbitrary, unreasonable[,] or capricious . . . ." Bowden v. Bayside State
    Prison, 
    268 N.J. Super. 301
    , 304 (App. Div. 1993).
    In reviewing administrative adjudications, an appellate court must
    undertake a "careful and principled consideration of the agency record and
    findings." Riverside Gen. Hosp. v. N.J. Hosp. Rate Setting Comm'n., 
    98 N.J. 458
    , 468 (1985) (citing Mayflower Sec. Co. v. Bureau of Sec. in Div. of
    Consumer Affairs of Dep't of Law & Pub. Safety, 
    64 N.J. 85
    , 93 (1973)). If our
    review of the record leads us to conclude that the agency's finding is clearly
    erroneous, the decision is not entitled to judicial deference and must be set aside.
    L.M. v. Div. of Med. Assistance & Health Servs., 
    140 N.J. 480
    , 490 (1995). We
    may not simply rubber stamp an agency's decision. In re Taylor, 
    158 N.J. 644
    ,
    657 (1999).
    A-1541-17T1
    9
    According deference to the Board's fact-finding, Circus Liquors, Inc. v.
    Governing Body of Middletown Twp., 
    199 N.J. 1
    , 9-10 (2009), we conclude its
    decision is neither "arbitrary, capricious, or unreasonable, or . . . lacks fair
    support in the record." Russo v. Bd. of Trustees, Police & Firemen's Ret. Sys.,
    
    206 N.J. 14
    , 27 (2011) (quoting 
    Herrmann, 192 N.J. at 27-28
    ). From our review
    of the record, the ALJ thoroughly evaluated Johnson's testimony, the medical
    records, and most importantly, the competing opinions of the parties' medical
    experts – neither of whom treated Johnson – as to whether his total and
    permanent disability from performing his job disability was the direct result of
    the 2014 motor vehicle accident. We are convinced there is substantial evidence
    in the record supporting the Board's final agency decision adopting the ALJ's
    ruling.
    Affirmed.
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    10