State ex rel. Seabolt v. State Hwy. Patrol Retirement Sys. (Slip Opinion) ( 2019 )


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  • [Until this opinion appears in the Ohio Official Reports advance sheets, it may be cited as State
    ex rel. Seabolt v. State Hwy. Patrol Retirement Sys., Slip Opinion No. 2019-Ohio-1594.]
    NOTICE
    This slip opinion is subject to formal revision before it is published in an
    advance sheet of the Ohio Official Reports. Readers are requested to
    promptly notify the Reporter of Decisions, Supreme Court of Ohio, 65
    South Front Street, Columbus, Ohio 43215, of any typographical or other
    formal errors in the opinion, in order that corrections may be made before
    the opinion is published.
    SLIP OPINION NO. 2019-OHIO-1594
    THE STATE EX REL. SEABOLT, APPELLANT, v. STATE HIGHWAY PATROL
    RETIREMENT SYSTEM, APPELLEE.
    [Until this opinion appears in the Ohio Official Reports advance sheets, it
    may be cited as State ex rel. Seabolt v. State Hwy. Patrol Retirement Sys., Slip
    Opinion No. 2019-Ohio-1594.]
    Mandamus—Writ sought to compel Ohio Highway Patrol Retirement System Board
    to vacate its finding that relator’s disability was not caused in the line of
    duty—Court of appeals did not abuse its discretion in denying writ of
    mandamus—Court of appeals’ judgment affirmed.
    (No. 2018-0695—Submitted January 29, 2019—Decided May 1, 2019.)
    APPEAL from the Court of Appeals for Franklin County, No. 17AP-52,
    2018-Ohio-1377.
    ________________
    Per Curiam.
    {¶ 1} Appellant, Benjamin R. Seabolt, appeals the judgment of the Tenth
    District Court of Appeals denying his request for a writ of mandamus against
    SUPREME COURT OF OHIO
    appellee, the State Highway Patrol Retirement System (“HPRS” or “the board”).
    We affirm.
    Factual and Procedural Background
    {¶ 2} Seabolt became a state trooper in 2007.         As a trooper, Seabolt
    regularly wore a service belt that weighed approximately 22 to 25 pounds.
    According to Seabolt, the service belt, also referred to as a “utility belt” or “gun
    belt,” included Seabolt’s firearm, ammunition, handcuffs, Taser, and flashlight.
    {¶ 3} Between January 2013 and April 2016, Seabolt was treated for lower-
    back pain by four medical professionals. Dr. Christian Gedeon, a chiropractor,
    recommended that Seabolt avoid wearing his service belt and concluded that
    Seabolt’s “pain [wa]s directly and casually related to his work.” Dr. Jed Bell, an
    osteopath, opined that the weight of Seabolt’s service belt “more likely than not”
    caused “a disc bulge at the L5-S1 level * * * and associated low back and radiating
    leg pain.” Dr. Ying Chen, a neurological spine surgeon, examined Seabolt and
    noted that his pain “began without any specific accident, injury, or fall, although he
    does wear a utility belt as a police officer and does frequent bending, lifting, and
    getting in and out of the car, which does seem to aggravate his symptoms.” Finally,
    Dr. Christian Bonasso, a neurosurgeon, diagnosed Seabolt with an “L5-S1 disk
    space collapse and right-sided disk bulge” and recommended spinal surgery. Dr.
    Bonasso concluded that the weight of Seabolt’s service belt and getting in and out
    of the cruiser “thousands of times over the course of his career” had caused
    Seabolt’s disc bulge and collapse.
    {¶ 4} In June 2016, Seabolt applied to HPRS for permanent and total
    disability-retirement benefits based on the diagnosis of the L5-S1 disc collapse and
    right-side disc bulge, as well as disintegration of L5-S1 vertebrae and arthritis.
    Seabolt claims an onset date of December 22, 2015.
    {¶ 5} In July 2016, Dr. Michael Griesser, an orthopedic surgeon, conducted
    an independent medical examination and diagnosed Seabolt with “L5-S1 disc
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    January Term, 2019
    protrusion and degenerative disc disease at L5-S1.” He agreed with Dr. Bonasso
    that Seabolt would likely need a surgical fusion and concluded that “Seabolt [wa]s
    totally and permanently disabled from working for the Ohio State Highway Patrol”
    and unable to perform his duties as a trooper. Dr. Griesser observed no significant
    change between Seabolt’s 2013 MRI and his 2016 MRI.
    {¶ 6} HPRS’s medical advisor, Dr. David Tanner, reviewed Seabolt’s
    medical records and HRPS’s file and agreed with Dr. Griesser’s medical opinion
    that Seabolt was totally and permanently incapacitated and could no longer perform
    his job duties as a trooper. However, Dr. Tanner maintained that “Seabolt’s
    conditions did not occur in the line of duty” and that they were “congenital and
    degenerative in nature and were pre-existing prior to the 12/22/15 date.” Dr. Tanner
    also stated that he did not believe there was “any substantial aggravation of this
    pre-existing condition as the Lumbar MRI’s from 2/1/16 and 10/3/13 indicate[d]
    no significant change in comparison.”
    {¶ 7} The HPRS Health, Wellness, and Disability Committee (“the
    committee”) approved Seabolt’s disability but concluded that his condition did not
    occur “in the line of duty.” Had the committee concluded that Seabolt was disabled
    “in the line of duty,” he would have received a higher monthly payment. R.C.
    5505.18(B).
    {¶ 8} Seabolt requested reconsideration and presented supplemental
    medical evidence, including reports and progress notes from Drs. Gedeon, Bonasso,
    and Bell. Dr. Chen’s progress notes were also attached to Seabolt’s reconsideration
    request.
    {¶ 9} Dr. Tanner reviewed Seabolt’s supplemental evidence and concluded
    that it was unpersuasive. He noted Dr. Chen’s conclusion that Seabolt’s pain
    “ ‘began without any specific accident, injury or fall, although he does wear a utility
    belt as a police officer and does frequent bending, lifting and getting in and out of
    the car.’ ” Dr. Tanner again concluded:
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    SUPREME COURT OF OHIO
    Given the review of the recent medical records submitted,
    diagnostic evaluation to indicate congenital structural conditions of
    Trooper Seabolt’s spine, diagnostic evaluation to indicated [sic]
    degenerative endplate disease, foraminal stenosis, degenerative disc
    disease, lack of diagnostic MRI changes to indicate “substantial
    aggravation” of a pre-existing condition (Lumbar MRI’s 2013 to
    2016) and the medical opinion that the probability of an essentially
    healthy 31 year old male having a service belt cause these
    degenerative changes within a 9 year window is medically
    improbable and thus not in the line of duty.
    {¶ 10} The committee voted to deny Seabolt’s motion for reconsideration
    and to confirm the original recommendation that Seabolt’s injury did not occur in
    the line of duty.     The board agreed and voted “[t]o confirm the original
    recommendation by the [c]ommittee of an off-duty disability.”
    {¶ 11} On January 20, 2017, Seabolt filed a complaint for a writ of
    mandamus in the Tenth District Court of Appeals, seeking an order compelling
    HPRS to vacate its finding that his disability was “not in the line of duty” and to
    grant disability retirement “in the line of duty.”
    {¶ 12} The Tenth District referred the matter to a magistrate, who
    recommended denying the writ because Dr. Tanner’s reports “provide[d] the HPRS
    board with ‘sufficient evidence’ (or ‘some evidence’) to support its determination
    that relator is disabled but not in the line of duty.” 2018-Ohio-1377, ¶ 55. The
    court of appeals adopted the magistrate’s findings of fact and conclusions of law
    and denied Seabolt’s request for a writ of mandamus. Seabolt appealed.
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    January Term, 2019
    Legal Analysis
    {¶ 13} The administration of HPRS is vested in the board.                 R.C.
    5505.04(A)(1). A member of the highway patrol “who becomes totally and
    permanently incapacitated for duty in the employ of the state highway patrol may
    be retired on disability by the board.” R.C. 5505.18(A). The disability may be
    either in the line of duty or not. Ohio Adm.Code 5505-3-02(A)(4) through (5).
    When making the determination regarding retirement eligibility on the basis of a
    disability, the board “shall consider the written medical or psychological report,
    opinions, statements, and other competent evidence in making its determination.”
    R.C. 5505.18(A).
    {¶ 14} Mandamus is the appropriate remedy to correct an abuse of
    discretion by HPRS because the General Assembly did not provide a statutory right
    of appeal from the board’s determinations of disability benefits, see R.C.
    5505.18(A) (“The board shall determine whether the member qualifies for
    disability retirement and its decision shall be final”); State ex rel. Grein v. Ohio
    State Hwy. Patrol Retirement Sys., 
    116 Ohio St. 3d 344
    , 2007-Ohio-6667, 
    879 N.E.2d 195
    , ¶ 6 (mandamus is an appropriate remedy when no statutory right of
    appeal exists). To obtain a writ of mandamus, Seabolt must establish, by clear and
    convincing evidence, that he has a clear legal right to the requested relief, that the
    board has a clear legal duty to provide it, and that Seabolt lacks an adequate remedy
    in the ordinary course of the law. State ex rel. Waters v. Spaeth, 
    131 Ohio St. 3d 55
    , 2012-Ohio-69, 
    960 N.E.2d 452
    , ¶ 6.
    {¶ 15} To establish a clear legal right to the requested disability-retirement
    benefits and a clear legal duty on the part of HPRS to provide them, Seabolt must
    prove that the board abused its discretion when it decided that his disability did not
    occur in the line of duty. Grein at ¶ 7. An abuse of discretion exists when a decision
    is unreasonable, arbitrary, or unconscionable. State ex rel. Shisler v. Ohio Pub.
    Emps. Retirement Sys., 
    122 Ohio St. 3d 148
    , 2009-Ohio-2522, 
    909 N.E.2d 610
    ,
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    SUPREME COURT OF OHIO
    ¶ 11. Under this deferential standard, Seabolt cannot prevail so long as “some
    evidence” exists to support the board’s decision. State ex rel. Nese v. State
    Teachers Retirement Bd. of Ohio, 
    136 Ohio St. 3d 103
    , 2013-Ohio-1777, 
    991 N.E.2d 218
    , ¶ 26-27. Only when the board’s “decision is not supported by any
    evidence will mandamus lie.” (Emphasis sic.) State ex rel. Woodman v. Ohio Pub.
    Emps. Retirement Sys., 
    144 Ohio St. 3d 367
    , 2015-Ohio-3807, 
    43 N.E.3d 426
    , ¶ 17.
    And “the presence of contrary evidence is immaterial, so long as the ‘some
    evidence’ standard has been met.” State ex rel. Am. Std., Inc. v. Boehler, 99 Ohio
    St.3d 39, 2003-Ohio-2457, 
    788 N.E.2d 1053
    , ¶ 29.
    {¶ 16} Ohio Adm.Code 5505-3-02(A)(4) defines “in the line of duty” to
    mean “an illness or injury that occurred during or resulted from the performance of
    official duties under the direct supervision of the state highway patrol.”
    Conversely, “not in the line of duty” means “an illness or injury that did not occur
    during or result from the performance of official duties under the direct supervision
    of the state highway patrol.” Ohio Adm.Code 5505-3-02(A)(5). Ohio Adm.Code
    5505-3-02(A)(5) establishes a rebuttable presumption that a disability did not occur
    “in the line of duty”:
    Unless the illness or injury meets the presumption criteria outlined
    in division (A) of section of section [sic] 5505.18 of the Revised
    Code [relating to chronic heart disease] or competent and credible
    evidence is submitted to HPRS, a disability condition is presumed
    to be not in the line of duty.
    {¶ 17} While the presumption may be rebutted with “competent, credible
    evidence,” Evans v. Natl. Life and Acc. Ins. Co., 
    22 Ohio St. 3d 87
    , 92, 
    488 N.E.2d 1247
    (1986), the board “is solely responsible for assessing evidentiary weight and
    credibility, and a reviewing court should not independently reweigh the medical
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    January Term, 2019
    evidence,” State ex rel. Woodman v. Ohio Pub. Emps. Retirement Sys., 144 Ohio
    St.3d 367, 2015-Ohio-3807, 
    43 N.E.3d 426
    at ¶ 17.
    {¶ 18} Seabolt argues that he presented competent and credible evidence
    that his disability occurred in the line of duty and thus that he did rebut the
    presumption but that the board abused its discretion by disregarding the credible
    medical evidence and by arbitrarily concluding that his back pain did not occur in
    the line of duty. As Seabolt notes, three medical professionals concluded that his
    condition occurred in the line of duty: Dr. Gedeon (chiropractor), Dr. Bell
    (osteopath), and Dr. Bonasso (neurosurgeon). But Dr. Chen, a neurological spine
    surgeon, noted that Seabolt’s back pain began without any specific accident, injury,
    or fall. Although Dr. Chen acknowledged that Seabolt’s service belt seemed to
    aggravate his symptoms, aggravating a condition is different from causing the
    condition in the first instance.
    {¶ 19} After reviewing this evidence, the board’s medical advisor, Dr.
    Tanner, concluded that Seabolt’s conditions did not occur in the line of duty
    because the conditions were congenital and degenerative and they had existed prior
    to the date of onset that Seabolt had stated in his disability application. And after
    reviewing the new materials that Seabolt submitted with his application for
    reconsideration, Dr. Tanner concluded that it was “medically improbable” for the
    weight of a service belt to cause such changes to the spine of an “essentially
    healthy” young man within the span of nine years.
    {¶ 20} Despite this evidence, Seabolt challenges the board’s determination
    by arguing that Dr. Griesser, the orthopedic surgeon who conducted an independent
    medical examination, failed to comply with R.C. 5505.18(A)(3), which requires “a
    competent health-care professional * * * appointed by the board” to submit a
    written report that includes “[t]he cause of the member’s incapacity.” Seabolt
    argues here—as he did in the court of appeals—that Dr. Griesser’s failure to
    determine whether Seabolt’s incapacity occurred in the line of duty was a failure to
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    SUPREME COURT OF OHIO
    determine the cause of his incapacity. The magistrate and the court of appeals
    disagreed with this argument, noting that Dr. Griesser identified the cause of
    Seabolt’s incapacity—L5-S1 disc protrusion and degenerative disc disease—and
    that Dr. Griesser was not required by R.C. 5508.18(A) or Ohio Adm.Code 5505-3-
    02(D) to determine the “mechanism of the injury.” 2018-Ohio-1377 at ¶ 16, 74.
    {¶ 21} Regardless of whether Dr. Griesser was required to state that
    Seabolt’s injury happened in the line of duty or not in the line of duty, some
    evidence exists that Seabolt’s incapacity did not happen in the line of duty. Dr.
    Tanner noted that because Seabolt’s MRIs showed little change between 2013 and
    2016, a “substantial aggravation of [Seabolt’s] pre-existing condition” had not
    occurred. In addition, Dr. Chen concluded that Seabolt’s back pain began without
    any specific injury. Because this evidence is sufficient to support the board’s
    decision that Seabolt’s injury was not in the line of duty, the board did not abuse its
    discretion. See Grein, 
    116 Ohio St. 3d 344
    , 2007-Ohio-6667, 
    879 N.E.2d 195
    , at
    ¶ 11 (finding HPRS did not abuse its discretion because sufficient evidence existed
    to support its decision denying former state trooper disability-retirement benefits).
    {¶ 22} Seabolt also argues that the court of appeals erred when it adopted
    the magistrate’s analysis, which relied on a recently adopted provision in the
    Administrative Code, Ohio Adm.Code 5505-3-02(E), to find that Seabolt’s
    arguments did not have merit. That provision requires that the board’s medical
    advisor (Dr. Tanner) review the medical evidence and make a report that includes
    whether the disability occurred in the line of duty. The medical advisor’s report
    “shall be considered an independent medical opinion.” Ohio Adm.Code 5505-3-
    02(E)(3). Seabolt argues that the magistrate’s reliance on Ohio Adm.Code 5505-
    3-02(E) was misplaced because that provision, which became effective in May
    2017, was not in effect at the time of Seabolt’s medical examinations. Indeed,
    regardless of the applicability of the new rule, Seabolt has failed to show that the
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    January Term, 2019
    board abused its discretion when it found that his injury did not occur in the line of
    duty.
    Judgment affirmed.
    O’CONNOR, C.J., and KENNEDY, FRENCH, FISCHER, DEWINE, DONNELLY,
    and STEWART, JJ., concur.
    _________________
    Haynes, Kessler, Myers & Postalakis, Inc., Marc E. Myers and Eric V.
    Hershberger, for appellant.
    Dave Yost, Attorney General, and John J. Danish and Mary Therese J.
    Bridge, Assistant Attorneys General, for appellee.
    _________________
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Document Info

Docket Number: 2018-0695

Judges: Per Cuiram

Filed Date: 5/1/2019

Precedential Status: Precedential

Modified Date: 10/19/2024