LAURA LETTIS-YILMAZ v. BOARD OF TRUSTEES, ETC. (TEACHERS' PENSION AND ANNUITY FUND) ( 2022 )


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  •                                 NOT FOR PUBLICATION WITHOUT THE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-1992-20
    LAURA LETTIS-YILMAZ,
    Petitioner-Appellant,
    v.
    BOARD OF TRUSTEES,
    TEACHERS' PENSION AND
    ANNUITY FUND,
    Respondent-Respondent.
    _________________________
    Argued March 22, 2022 – Decided August 23, 2022
    Before Judges Currier, DeAlmeida and Smith.
    On appeal from the Board of Trustees of the Teachers'
    Pension and Annuity Fund, Department of the
    Treasury.
    James J. Uliano argued the cause for appellant
    (Chamlin Uliano & Walsh, attorneys; James J. Uliano,
    of counsel; Andrew T. Walsh, on the brief).
    Matthew Melton, Deputy Attorney General, argued the
    cause for respondent (Matthew J. Platkin, Acting
    Attorney General, attorney; Jane C. Schuster, Assistant
    Attorney General, of counsel; Matthew Melton, on the
    brief).
    PER CURIAM
    Petitioner Laura Lettis-Yilmaz appeals from the February 9, 2021 final
    agency decision of the Board of Trustees (Board) of the Teachers' Pension and
    Annuity Fund (TPAF) denying her application for ordinary disability retirement
    benefits. We affirm.
    I.
    Lettis-Yilmaz was employed as a teacher at Lakewood High School for
    twenty-two years. She was injured at work five times. On January 17, 2006,
    Lettis-Yilmaz slipped and fell in the school parking lot, injuring her back and
    right knee. After spinal fusion surgery, she returned to work full-time. On
    August 30, 2010, Lettis-Yilmaz injured her back while moving boxes to a
    classroom. After treatment by a physician, she returned to work full time. On
    May 3, 2011, Lettis-Yilmaz tripped over a student's book bag and fell, injuring
    her neck. She subsequently returned to work full-time. On April 4, 2013, Lettis-
    Yilmaz slipped and fell on water a student spilled near a trash can, injuring her
    left knee. After treatment, she returned to work full-time.
    After these incidents, Lettis-Yilmaz's employer accommodated her
    reported pain and inability to sit or stand for long periods. She was taken off
    A-1992-20
    2
    hall monitoring and cafeteria duty, both of which required extended standing,
    and placed on office duty, which she could perform while alternating between
    sitting and standing. Her employer also complied with a doctor's note allowing
    Lettis-Yilmaz to sit or stand as needed while teaching. She was provided a
    podium and stool to allow her to sit and stand with support as she desired in the
    classroom.    Lettis-Yilmaz's job description did not include any physical
    requirements and did not require her to stand or sit for any specified periods of
    time. There are no stairs to get into the school and Lettis-Yilmaz's classroom
    and the department to which she was assigned are on the first floor.
    Finally, on February 28, 2014, Lettis-Yilmaz tripped on a sidewalk and
    injured her right knee. Following this incident, Lettis-Yilmaz had total right
    knee replacement surgery. Although she recovered from the procedure, she
    never returned to work. Lettis-Yilmaz resigned effective January 1, 2015,
    because her attendance was problematic and she had exhausted her leave time.
    On December 1, 2014, Lettis-Yilmaz began receiving social security
    disability benefits. On July 31, 2018, a judge of compensation awarded Lettis-
    Yilmaz workers' compensation benefits, with her employer liable for fifty
    percent of her total and permanent disability. An order described her disability
    as being due to the combined effects of her previous disabilities and the last
    A-1992-20
    3
    compensable accident and lists pre-existing non-compensable disabilities,
    including post-concussive syndrome in 1980, a concussion and broken nose in
    1976, torn tendon left shoulder in 1976, concussion with stitches in 1995, and
    anxiety and depression beginning in 2002.
    In 2016, Lettis-Yilmaz applied to the Board for accidental disability
    retirement benefits. She alleged she was totally and permanently disabled from
    the performance of her regular and assigned duties as the result of back, neck,
    and knee injuries from the January 17, 2006, April 4, 2013, and February 28,
    2014 incidents.
    The Board denied the application, finding Lettis-Yilmaz is not totally and
    permanently disabled from the performance of her regular and assigned duties.
    The Board determined, however, that she was entitled to a deferred retirement
    based on her age and years of service and was eligible to collect monthly
    retirement benefits on the first of the month after her sixtieth birthday.
    Lettis-Yilmaz appealed the Board's decision. The Board transferred the
    appeal to the Office of Administrative Law for a hearing, after which Lettis-
    Yilmaz amended her application to seek ordinary disability retirement benefits.
    After hearing testimony from Lettis-Yilmaz and two experts, an
    Administrative Law Judge (ALJ) issued an initial decision recommending that
    A-1992-20
    4
    the Board's denial of Lettis-Yilmaz's application be affirmed. The ALJ set forth
    a detailed description of the testimony of the two experts, each a physician
    board-certified in orthopedic medicine whose qualifications were not
    challenged. The expert presented by Lettis-Yilmaz offered the opinion that she
    is totally and permanently disabled from performing her duties based on her
    complaints that she is unable to sit or stand for more than ten minutes at a time
    because of pain in her back, neck, and knees. The Board's expert offered the
    opinion that Lettis-Yilmaz is not totally and permanently disabled from
    performing her duties because her complaints of pain are subjective and not
    corroborated by objective medical findings or her medical records.
    The ALJ found the opinion of the Board's expert to be more credible for
    several reasons: (1) unlike Lettis-Yilmaz's expert, the Board's expert reviewed
    her job description before formulating his opinion; (2) Lettis-Yilmaz's expert
    relied on her subjective estimate of how long she could sit or stand, which did
    not appear as a limitation in her medical records; (3) Lettis-Yilmaz's expert gave
    no consideration to the accommodations made by her employer; (4) the Board's
    expert fully explained the methodology and results of his physical examination
    of Lettis-Yilmaz, while her expert did not describe his physical examination of
    A-1992-20
    5
    her; and (5) the Board's expert's opinion is supported by the records of Lettis-
    Yilmaz's treating physicians, who approved her to return to work.
    Having determined that Lettis-Yilmaz is not totally and permanently
    disabled from the performance of her regular and assigned duties, the ALJ
    concluded the Board should affirm its decision denying her application for
    ordinary disability retirement benefits.
    Lettis-Yilmaz thereafter filed exceptions from the ALJ's initial decision.
    On February 9, 2021, the Board issued a final agency decision adopting the
    ALJ's initial decision and affirming its denial of Lettis-Yilmaz's application for
    ordinary disability retirement benefits.
    This appeal follows. Lettis-Yilmaz argues: (1) the Board's decision is
    contrary to the weight of the evidence; (2) the determinations of the Social
    Security Administration (SSA) and the judge of compensation that she is
    disabled are binding on the Board by virtue of the doctrine of stare decisis; and
    (3) the Board is collaterally estopped from opposing Lettis-Yilmaz's application.
    II.
    Our review of decisions by administrative agencies is limited, with
    petitioners carrying a substantial burden of persuasion. In re Stallworth, 
    208 N.J. 182
    , 194 (2011). An agency's determination must be sustained "unless there
    A-1992-20
    6
    is a clear showing that it is arbitrary, capricious, or unreasonable, or that it lacks
    fair support in the record." Russo v. Bd. of Trs., Police & Firemen's Ret. Sys.,
    
    206 N.J. 14
    , 27 (2011) (quoting In re Herrmann, 
    192 N.J. 19
    , 27-28 (2007)).
    "[I]f substantial evidence supports the agency's decision, 'a court may not
    substitute its own judgment for the agency's even though the court might have
    reached a different result . . . .'" In re Carter, 
    191 N.J. 474
    , 483 (2007) (quoting
    Greenwood v. State Police Training Ctr., 
    127 N.J. 500
    , 513 (1992)).
    While we are not bound by an agency's interpretation of legal issues,
    which we review de novo, Russo, 
    206 N.J. at 27
    , "[w]e must give great deference
    to an agency's interpretation and implementation of its rules enforcing the
    statutes for which it is responsible." Piatt v. Bd. of Trs., Police & Firemen's Ret.
    Sys., 
    443 N.J. Super. 80
    , 99 (App. Div. 2015) (quoting Saint Peter's Univ. Hosp.
    v. Lacy, 
    185 N.J. 1
    , 13 (2005)). "Such deference has been specifically extended
    to state agencies that administer pension statutes." 
    Id. at 99
    .
    We have carefully reviewed the record in light of the relevant legal
    precedents and find ample support for the Board's denial of Lettis-Yilmaz's
    application for ordinary disability retirement benefits. A member of TPAF is
    entitled to ordinary disability retirement benefits when the member "is
    physically or mentally incapacitated for the performance of duty and should be
    A-1992-20
    7
    retired."   N.J.S.A. 18A:66-39(b).      "The applicant for ordinary disability
    retirement benefits has the burden to prove that he or she has a disabling
    condition and must produce expert evidence to sustain this burden." Bueno v.
    Bd. of Trs., Tchrs.' Pension & Annuity Fund, 
    404 N.J. Super. 119
    , 126 (App.
    Div. 2008); see also Patterson v. Bd. of Trs., State Police Ret. Sys., 
    194 N.J. 29
    ,
    50-51 (2008).
    The applicant must show that the disabling condition is total and
    permanent. Bueno, 
    404 N.J. Super. at 122, 124
    . In addition, the applicant "must
    establish incapacity to perform duties in the general area of his ordinary
    employment rather than merely showing inability to perform the specific job for
    which he was hired." Skulski v. Nolan, 
    68 N.J. 179
    , 205-06 (1975).
    We see no basis in the record on which to reject the Board's decision
    adopting the ALJ's determination that Lettis-Yilmaz did not prove that she is
    totally and permanently disabled from the performance of her regular and
    assigned duties. The ALJ's determination was based primarily on her finding
    that the opinion of the Board's expert was credible. The trier of fact determines
    an expert's credibility and the weight to be accorded to their testimony. Angel
    v. Rand Express Lines, Inc., 
    66 N.J. Super. 77
    , 85-86 (App. Div. 1961).
    "Deference to a trial court's fact-findings is especially appropriate when the
    A-1992-20
    8
    evidence is largely testimonial and involves questions of credibility." In re
    Return of Weapons to J.W.D., 
    149 N.J. 108
    , 117 (1997). Since the hearing
    tribunal court "'hears the case, sees and observes the witnesses, [and] hears them
    testify,' it has a better perspective than a reviewing court in evaluating the
    veracity of witnesses." Pascale v. Pascale, 
    113 N.J. 20
    , 33 (1988) (alteration in
    original) (quoting Gallo v. Gallo, 
    66 N.J. Super. 1
    , 5 (App. Div. 1961)).
    Nor are we persuaded by Lettis-Yilmaz's arguments regarding stare
    decisis and collateral estoppel. "The doctrine of stare decisis – the principle that
    a court is bound to adhere to settled precedent – serves a number of important
    ends." Luchejko v. City of Hoboken, 
    207 N.J. 191
    , 208 (2011). Specifically,
    stare   decisis   "promotes   the   evenhanded,     predictable,   and   consistent
    development of legal principles, fosters reliance on judicial decisions, and
    contributes to the actual and perceived integrity of the judicial process." 
    Id. at 208
     (quoting Payne v. Tennessee, 
    501 U.S. 808
    , 827 (1991)).
    The decisions of the SSA and judge of compensation are not binding legal
    precedents the Board is required to apply to Lettis-Yilmaz's retirement
    application. The question before the Board was whether Lettis-Yilmaz satisfied
    the requirements set forth in N.J.S.A. 18A:66-39(b) for the award of ordinary
    disability retirement benefits. However, the SSA applied the federal social
    A-1992-20
    9
    security disability statutes, and the judge of compensation applied the Workers'
    Compensation Act (WCA), N.J.S.A. 34:15-1 to -146, to determine if she was
    entitled to benefits under those laws.
    While the SSA statutes and the WCA may use terms similar to those found
    in N.J.S.A. 18A:66-39(b), the statutory schemes are distinct. For example,
    federal law does not require that a disability be permanent for the award of
    benefits. See 
    42 U.S.C.A. § 423
    (d)(1)(A) (defining disability as an "inability to
    engage in any substantial gainful activity by reason of any medically
    determinable physical or mental impairment which can be expected . . . to last
    for a continuous period of not less than 12 months."). Under the WCA, "[t]otal
    and permanent disability exists where a worker is 'rendered unemployable in a
    reasonably stable job market' after a work-related accident, 'notwithstanding that
    factors personal to the individual play a contributory part in such
    unemployability.'" Zabita v. Chatham Shop Rite, Inc., 
    208 N.J. Super. 215
    , 220
    (App. Div. 1986) (quoting Katz v. Twp. of Howell, 
    67 N.J. 51
    , 62 (1975)).
    These standards differ from those set forth in N.J.S.A. 18A:66-39(b).
    In addition, Lettis-Yilmaz was awarded workers' compensation benefits
    based on a host of medical conditions other than the neck, back, and knee
    injuries she listed in her application for ordinary disability retirement benefits.
    A-1992-20
    10
    The Board, however, was limited in its analysis under N.J.S.A. 18A:66-39(b) to
    "the medical conditions described on the . . . application submitted" by Lettis -
    Yilmaz. See N.J.A.C. 17:1-7.10(h).
    Collateral estoppel is a doctrine "designed to afford 'efficient justice by
    avoiding the relitigation of matters that have been fully and fairly litigated and
    fully and fairly disposed of.'" Hennessey v. Winslow Twp., 
    368 N.J. Super. 443
    ,
    452 (App. Div. 2004) (quoting Kortenhaus v. Eli Lilly & Co., 
    228 N.J. Super. 162
    , 166 (App. Div. 1988)). Agency determinations may be accorded collateral
    estoppel effect in subsequent proceedings under certain circumstances. Id. at
    452. Collateral estoppel is applicable if the asserting party can demonstrate,
    (1) the issue to be precluded is identical to the issue
    decided in the first proceeding; (2) the issue was
    actually litigated in the prior action, that is, there was a
    full and fair opportunity to litigate the issue in the prior
    proceeding; (3) a final judgment on the merits was
    issued in the prior proceeding; (4) determination of the
    issue was essential to the prior judgment; and (5) the
    party against whom issue preclusion is asserted was a
    party to or in privity with a party to the prior
    proceeding. Even where these requirements are met,
    the doctrine, which has its roots in equity, will not be
    applied when it is unfair to do so.
    [Id. at 453 (quoting Pace v. Kuchinsky, 
    347 N.J. Super. 202
    , 215 (App. Div. 2002))].
    A-1992-20
    11
    As noted above with respect to stare decisis, the issues before the SSA
    and the judge of compensation are not identical to those before the Board.
    Collateral estoppel, therefore, does not apply.
    Affirmed.
    A-1992-20
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