BELINDA DODSON VS. BOARD OF TRUSTEES OF THE PUBLIC EMPLOYEES' RETIREMENT SYSTEM (PUBLIC EMPLOYEES' RETIREMENT SYSTEM) ( 2017 )


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  •                         NOT FOR PUBLICATION WITHOUT THE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-2336-15T2
    BELINDA DODSON,
    Petitioner-Appellant,
    v.
    BOARD OF TRUSTEES OF THE PUBLIC
    EMPLOYEES' RETIREMENT SYSTEM,
    Respondent-Respondent.
    _________________________________
    Argued May 23, 2017 - Decided          June 23, 2017
    Before Judges Koblitz and Mayer.
    On appeal from the Board of Trustees of the
    Public    Employees'    Retirement  System,
    Department of Treasury.
    Samuel M. Gaylord, argued the cause for
    appellant (Gaylord Popp, LLC, attorneys; Mr.
    Gaylord, of counsel and on the brief).
    Nonee Lee Wagner, Deputy Attorney General,
    argued the cause for respondent (Christopher
    S. Porrino, Attorney General, attorney;
    Melissa H. Raksa, Assistant Attorney General,
    of counsel; Ms. Wagner, on the brief).
    PER CURIAM
    Appellant Belinda Dodson appeals from a final agency decision
    of the Board of Trustees of the Public Employees' Retirement System
    (Board) denying her request for accidental disability retirement
    benefits.   We affirm.
    Dodson worked as a juvenile detention officer at the Camden
    County Youth Center (Center).    On May 24, 2010, Dodson was injured
    during a fight at the Center.     She went to a local hospital for
    treatment, but was not admitted.1
    In 2010, Dodson was treated for her injury by Dr. Brahman
    Levy.   Dodson also received orthopedic care from Drs. Steven
    Kirshner,   Steven   Valentino   and   Youssef   Josephson   and   pain
    management from Dr. Adam Sackstein.        Dodson went to physical
    therapy three times per week for two consecutive weeks.       She also
    received epidural injections in her lower back.
    Dodson applied for accidental disability retirement benefits
    alleging the 2010 incident caused a permanent and disabling injury
    to her back that left her unable to perform her job.         The Board
    sent Dodson for an independent medical evaluation (IME) with Dr.
    Bernard Weiss.   Dr. Weiss concluded that Dodson was totally and
    1
    In 2003, Dodson was injured during a fight at the Center resulting
    in a herniated disc in her lower back. Dodson received treatment
    for the 2003 injury, and returned to her job at the Center on a
    full-duty basis.
    2                            A-2336-15T2
    permanently disabled due to an aggravation of a pre-existing
    degenerative      condition   in   her       spine,    not   as   a   result    of   a
    traumatically induced event on May 24, 2010.
    The Board awarded ordinary disability retirement benefits to
    Dodson,     but   denied    her    request       for    accidental      disability
    retirement benefits.        Dodson requested a hearing, and the Board
    referred the matter to the Office of Administrative Law (OAL).
    Dr. Arnold Berman was appointed to serve as the Board's IME
    doctor prior to Dodson's OAL hearing, replacing Dr. Weiss.                           To
    prepare for the hearing, Dr. Berman re-examined Dodson.                   He found
    Dodson did not suffer a permanent injury.
    Based upon Dr. Berman's re-evaluation of Dodson, the Board
    revisited its original decision regarding disability retirement
    benefits.    The Board again denied Dodson's request for accidental
    disability retirement benefits.              The Board found Dodson's injury
    was not directly related to the 2010 incident, and Dodson was not
    permanently disabled from performance of her job function and
    assigned duties.      However, the Board allowed Dodson to continue
    receiving    ordinary      disability    retirement          benefits   until    the
    conclusion of her appeal or her return to work at the Center.
    3                                 A-2336-15T2
    A hearing was held before an administrative law judge (ALJ).
    The ALJ heard testimony from Dodson, Dr. Barry Fass2 for appellant
    and Dr. Berman for the Board.
    Based upon the evidence adduced at the hearing, the ALJ
    concluded,     in   a   written   decision,   that   Dodson   "failed     to
    demonstrate by a preponderance of the credible evidence that she
    is permanently and totally disabled from the performance of her
    regular and assigned duties."
    The ALJ considered Dodson's subjective complaints of pain in
    her lower back, especially when she walked up or down stairs, and
    pain radiating down her leg causing numbness in her heel and two
    of her toes.    The ALJ also reviewed the magnetic resonance imaging
    (MRI) film taken four days after the 2010 incident.            Based upon
    the testimony, the ALJ determined that the 2010 MRI showed long-
    standing degenerative disc disease at the L4-L5 and the L5-S1
    levels, the same area injured in the 2003 incident.           The 2010 MRI
    film showed no disc herniation in Dodson's spine, and no new injury
    to the L4-L5 level.
    The ALJ also considered the doctors' testimony related to
    Dodson's discogram taken on December 15, 2010.         Dr. Fass and Dr.
    2
    Dr. Fass was not Dodson's treating doctor. Dr. Fass examined
    Dodson for the limited purpose of testifying on her behalf at the
    hearing. Dodson had an opportunity to call her treating doctors
    to testify at the hearing but elected not to do so.
    4                             A-2336-15T2
    Berman disputed the findings on Dodson's discogram.                 According to
    Dr. Fass, Dodson's discogram showed a grade three annular tear at
    the L4-L5 level and opined that the 2010 incident aggravated her
    2003 back injury at the same level.             Dr. Fass also testified that
    Dodson had a new lumbar bulge in her spine, in addition to a lumbar
    sprain and lumbar nerve damage.                Conversely, Dr. Berman opined
    that Dodson had no new injuries according to the 2010 imaging
    studies and no aggravation of her injury from the 2003 incident.
    The ALJ found Dr. Berman's reliance on the 2010 MRI film
    rather than the 2010 discogram appropriate given the accuracy and
    reliability    of    an    MRI    film    as    compared   to     the   medically
    controversial discogram test.            Additionally, the ALJ accepted Dr.
    Berman's explanation that annular tears, as seen in the discogram,
    are often age-related rather that the result of a traumatic injury.
    The ALJ further credited Dr. Berman's testimony that if a tear
    occurred on May 24, 2010, as claimed by Dr. Fass, one would expect
    to see such a finding on the MRI film taken four days later.                   The
    ALJ also accepted Dr. Berman's testimony that Dodson's reflex and
    muscle tests were normal upon objective testing and physical
    examination.       According to Dr. Berman, her complaints of pain on
    range of motion and other touch tests reflected Dodson's subjective
    statements    as    to    pain,   and    were    nothing   more    than   symptom
    magnification. The ALJ concurred with Dr. Berman's medical opinion
    5                               A-2336-15T2
    that any injury to Dodson's spine from the 2003 incident had
    resolved based upon Dodson's return to work full-time and her
    active lifestyle after the 2003 incident.
    After considering the evidence, the ALJ concluded that Dodson
    "has not established by a preponderance of the evidence that she
    is entitled to accident disability retirement pursuant to N.J.S.A.
    43:15A-43 due to the fact that her injury is the result of a pre-
    existing condition which has clinically resolved."    Thus, the ALJ
    concluded that Dodson's back injuries in 2003 and 2010 resolved
    and that Dodson was not totally and permanently disabled.    The ALJ
    determined Dodson was not eligible for either ordinary disability
    retirement benefits or accidental disability retirement benefits.
    The Board adopted the ALJ's decision and denied Dodson's
    application for accidental disability retirement benefits.
    On appeal, Dodson claims the ALJ applied the wrong legal
    standard because she was required to prove only that the 2010
    incident was a "substantial contributing cause," and not the direct
    cause of her "permanent disability," and thus disqualification on
    the basis of a "pre-existing condition" was error. She also claims
    there was not sufficient credible evidence in the record to deny
    Dodson's    application   for   accidental   disability   retirement
    benefits.
    6                          A-2336-15T2
    Our review of an administrative agency decision is limited.
    In re Herrmann, 
    192 N.J. 19
    , 27 (2007).       We will sustain a Board's
    decision "unless there is a clear showing that it is arbitrary,
    capricious, or unreasonable, or that it lacks fair support in the
    record."   Russo v. Bd. of Trustees, Police & Firemen's Ret. Sys.,
    
    206 N.J. 14
    , 27 (2011) (quoting In re 
    Herrmann, supra
    , 192 N.J.
    at   27-28).    We   are   not   bound   by    an   agency's   statutory
    interpretation or other legal determinations.        
    Ibid. N.J.S.A. 43:15A-43 governs
    accidental disability retirement
    benefits to a public employee who is a member of the Public
    Employees' Retirement System.      The statute provides:
    A member who has not attained age 65 shall,
    upon the application of the head of the
    department in which he is employed or upon his
    own application or the application of one
    acting in his behalf, be retired by the board
    of trustees, if said employee is permanently
    and totally disabled as a direct result of a
    traumatic event occurring during and as a
    result of the performance of his regular or
    assigned duties, on an accidental disability
    allowance.
    [N.J.S.A. 43:15A-43.]
    As the Supreme Court held in Gerba v. Board of Trustees of
    the Public Employees' Retirement System, 
    83 N.J. 174
    , 186 (1980),
    "what is now required by N.J.S.A. 43:15A-43 is a traumatic event
    that constitutes the essential significant or the substantial
    contributing cause of the resultant disability."             Importantly,
    7                              A-2336-15T2
    nothing in Gerba altered an applicant's burden to demonstrate a
    total and permanent disability in order to receive accidental
    disability retirement benefits.
    Dodson argues that she met the five part test for accidental
    disability retirement benefits established by the Supreme Court
    in Richardson v. Board of Trustees, Police and Firemen's Retirement
    System, 
    192 N.J. 189
    , 212-13 (2007).        However, the first prong of
    the Richardson test requires an applicant to show that he or she
    is totally and permanently disabled.        
    Ibid. If an applicant
    fails
    to meet his or her burden under the first prong of the analysis,
    there    is   no   entitlement   to   accidental    disability   retirement
    benefits.
    Here, the ALJ made credibility determinations after listening
    to the competing and contradicting medical evidence provided by
    Drs. Fass and Berman on the issue of Dodson's permanent and total
    disability.        We find no error in the Board's deference to the
    ALJ's credibility determinations regarding the experts' testimony.
    The significance accorded to an expert's opinion is weighed in the
    context of the expert's explanation of the foundation for his or
    her opinion, and the facts upon which he or she relies to form
    that opinion.      See State v. Townsend, 
    186 N.J. 473
    , 494-95 (2006);
    Ocean County v. Landolfo, 
    132 N.J. Super. 523
    , 528 (App. Div.
    1975).    The ALJ determined that Dr. Berman was better trained and
    8                             A-2336-15T2
    qualified in his field than Dr. Fass.           Moreover, the ALJ concluded
    that    Dr.   Berman's   testimony     was    consistent    with   the   medical
    evidence in the record.3       Thus, the ALJ rendered his determination
    based upon his finding Dr. Berman to be more credible than Dr.
    Fass.
    Because the ALJ determined Dodson was not disabled, the
    "direct result" or the proximate cause prong of the Richardson
    analysis was unnecessary.            The record in this case contains
    sufficient credible evidence to support the Board's conclusion
    that Dodson was not disabled.                Because we affirm the Board's
    decision      that   Dodson   failed    to    prove   she   was    totally    and
    permanently disabled, we need not address the issue of causation.
    Affirmed.
    3
    Drs. Kirshner, Valentino and Weiss did not testify during the
    hearing. The reports and opinions of non-testifying doctors are
    hearsay. See Clowes v. Terminix Int'l, Inc., 
    109 N.J. 575
    , 599
    (1988) (while hearsay is admissible in administrative proceedings,
    courts require legal and competent evidence in the record to
    support diagnoses).
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