Furman v. Rich

CourtDistrict Court, E.D. New York
DecidedJuly 14, 2020
Docket1:19-cv-02748
StatusUnknown

This text of Furman v. Rich (Furman v. Rich) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Furman v. Rich, (E.D.N.Y. 2020).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF NEW YORK -------------------------------------------x

JOHN FURMAN,

Plaintiff,

-against- MEMORANDUM AND ORDER 19-cv-2748(EK)(JO) SANFORD RICH, et al.,

Defendants.

-------------------------------------------x ERIC KOMITEE, United States District Judge: Plaintiff John Furman brings this action against the City of New York, the Board of Education Retirement System of the City of New York (BERS), the Board of Trustees (a/k/a the Retirement Board) of BERS (BOT), each member of the BOT individually, and the Executive Director of BERS, Mr. Sanford Rich (collectively, the Defendants). Plaintiff’s Second Amended Complaint (SAC) alleges 42 U.S.C. § 1983 and state-law claims arising from Defendants’ rejection of Plaintiff’s application for accidental disability retirement benefits. Defendants now move to dismiss the SAC under Rule 12(b)(6). The Court grants the motion to dismiss Plaintiff’s federal claims but denies the motion with respect to two of Plaintiff’s state-law claims. In light of Plaintiff’s pending Article 78 action, the Court will stay proceedings on the remaining state-law claims until the Article 78 court issues its decision. I. Factual Background

Plaintiff worked as a custodian engineer at the New York City Department of Education (DOE) from July 25, 2001 until approximately July 29, 2010. See SAC at ¶ 30, ECF No. 44; Plaintiff’s Memorandum of Law in Opposition to Defendants’ Motion to Dismiss the Second Amended Complaint at 2, ECF No. 61 (Opp.). Through his employment, Plaintiff became a member of the New York City Employees’ Retirement System. See N.Y.C. Admin. Code § 13-104. Members of this system were eligible for two types of disability benefits: occupational disability retirement benefits (ODR) and accidental disability retirement benefits (ADR). See id. at § 13-167 (ODR); id. at § 13-168 (ADR). ADR benefits are more generous. Compare id. at § 13-174 (ODR) with id. at § 13-175 (ADR). Qualifying for them, however, is harder to do. While ODR benefits are available to any

employee who becomes disabled after spending ten years in the retirement system, see N.Y. Retire. & Soc. Sec. Law § 605(b)(1) & (c), ADR benefits are reserved only for applicants whose disability was “the natural and proximate result of an accident . . . sustained in the performance of his duties,” regardless of the employee’s tenure in the system, see id. at § 605(b)(3). The ADR-application process involves several steps. First, an applicant submits an application to BERS’ “medical board” (the “Medical Board”). See N.Y.C. Admin. Code § 13-168(a). After conducting a “[m]edical examination” and “investigation,” the Medical Board issues a certification to the BOT as to whether the applicant qualifies for ADR benefits. Id.

The Medical Board’s findings are conclusive with respect to whether the applicant is “physically or mentally incapacitated,” but the BOT has final say as to whether the applicant’s incapacitation was caused by an “accident” in the course of employment. Id. The BOT then renders a decision approving or rejecting the ADR application. Id. The applicant may appeal an adverse determination. This litigation arises from Defendants’ denial of Plaintiff’s ADR application. Plaintiff claims he is entitled to ADR benefits because his disability was caused by an on-the-job accident that he sustained in 2003 when he fell down a set of

stairs at work. Defendants, however, have consistently found that Plaintiff’s disability was caused by another injury. This disagreement has inspired years of litigation. Plaintiff filed for ADR benefits in August 2009. SAC at ¶ 41. BERS rejected Plaintiff’s application. Id. at ¶ 47. It then denied his appeal without explanation. Id. at ¶¶ 48, 51; Ex. A at ¶ 45, ECF No. 44-1 (2012 Article 78 Petition). At BERS’ invitation, Plaintiff filed a second administrative appeal, which BERS again denied. SAC at ¶¶ 51-52, 57. Having exhausted his administrative remedies, Plaintiff brought an Article 78 proceeding in Kings County Supreme Court seeking judicial review of BERS’ decision,

claiming the procedures BERS employed were unlawful and that the BOT and Medical Board failed to meaningfully review the record. 2012 Article 78 Petition at ¶¶ 55-72. As defendants, Plaintiff named BERS, the BOT, and BERS’ then-current Executive Director and members of the BOT. Id. at 1-2. The Supreme Court denied the Article 78 claim in January 2015. SAC at ¶ 63. Plaintiff then appealed that decision to the Appellate Division – Second Department. Id. at ¶¶ 64-65. While that appeal was ongoing, the parties to the 2012 Article 78 proceeding agreed on a temporary cessation of hostilities. On June 1, 2016, they entered into a stipulation whereby Plaintiff agreed to withdraw his appeal in exchange for BERS submitting his application to de novo review by the Medical Board and the BOT (the “Stipulation”). Id. at ¶¶ 67-68. This

time the only two questions would be whether the 2003 incident (1) was an “accident” that (2) “caused” Plaintiff’s disability. Id. at ¶ 68. The Stipulation allowed Plaintiff to submit additional evidence, which he completed on September 16, 2016. Id. at ¶¶ 75, 80. On August 1, 2017, approximately eleven months later, BERS informed Plaintiff that his application was denied. Id. at ¶ 83. BERS’ rejection letter attached a Medical Board report finding that Plaintiff’s 2003 injury did not cause his disability because he remained fit to work until 2009 (the “2017

Report”). Trotter Declaration, Ex. C at 3, 6, ECF No. 58-3. Portions of the 2017 Report claimed to be based on evidence Plaintiff submitted, see id. at 3, but the report did not explicitly address that evidence. In response, Plaintiff threatened to bring yet another Article 78 proceeding unless BERS submitted his application to additional review. SAC at ¶¶ 84-85, 89. Plaintiff argued that the “conclusory nature” of the 2017 Report “[gave] rise to a legitimate doubt as to whether” BERS “simply had the [BOT] formally adopt the same findings” as before. Id. at ¶ 88. On October 3, 2017, BERS rescinded its decision and returned Plaintiff’s application to the Medical Board for further review. Id. at ¶ 91.

Plaintiff submitted another round of evidence, concluding on January 31, 2018. Id. at ¶ 96. On May 10, 2018, the Medical Board issued a new report and recommendation (the “2018 Report”). Trotter Declaration, Ex. I, ECF No. 58-6. The 2018 Report reached the question of whether the 2003 fall constituted an accident, finding that it did; but the report reached the same conclusion on causation as the 2017 Report — namely, that the 2003 incident was not the cause of the Plaintiff’s ultimate inability to continue working. Id. The BOT, however, remanded the recommendation back to the Medical Board as “inconsistent with the terms of the [Stipulation],” see

Defendants’ Memorandum of Law in Support of Its Motion to Dismiss the Second Amended Complaint at 6, ECF No. 59, perhaps because the 2018 Report was ten sentences long and devoid of any medical analysis or reference to Plaintiff’s evidence. Neither the BOT nor the Medical Board took further action on Plaintiff’s application for over a year. It was not until the initial conference in this action (on August 20, 2019) that Defendants confirmed Plaintiff’s application had been denied. SAC at ¶ 103. Shortly thereafter, Plaintiff received a denial letter attaching a Medical Board report dated July 10, 2019 (the “2019 Report”). Trotter Declaration, Ex. J, ECF No. 58-10. Citing the same reasons as before, the 2019 Report

found that Plaintiff’s 2003 incident was not the “cause” of his injuries but reversed — without explanation — the Medical Board’s prior finding that the 2003 fall was an accident. Id. at 6.

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Furman v. Rich, Counsel Stack Legal Research, https://law.counselstack.com/opinion/furman-v-rich-nyed-2020.