J.M.F. VS. DEPARTMENT OF TREASURY, DIVISION OF PENSIONS AND BENEFITS (TEACHERS' PENSION AND ANNUITY FUND)

CourtNew Jersey Superior Court Appellate Division
DecidedSeptember 28, 2021
DocketA-2658-18
StatusUnpublished

This text of J.M.F. VS. DEPARTMENT OF TREASURY, DIVISION OF PENSIONS AND BENEFITS (TEACHERS' PENSION AND ANNUITY FUND) (J.M.F. VS. DEPARTMENT OF TREASURY, DIVISION OF PENSIONS AND BENEFITS (TEACHERS' PENSION AND ANNUITY FUND)) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
J.M.F. VS. DEPARTMENT OF TREASURY, DIVISION OF PENSIONS AND BENEFITS (TEACHERS' PENSION AND ANNUITY FUND), (N.J. Ct. App. 2021).

Opinion

NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ."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-2658-18

J.M.F.,

Petitioner-Appellant,

v.

DEPARTMENT OF TREASURY, DIVISION OF PENSIONS AND BENEFITS,

Respondent-Respondent. _____________________________

Submitted September 15, 2021 – Decided September 28, 2021

Before Judges Geiger and Susswein.

On appeal from the Board of Trustees of the Teachers' Pension and Annuity Fund, Department of the Treasury.

J.M.F., appellant pro se.

Andrew J. Buck, Acting Attorney General, attorney for respondent (Melissa H. Raksa, Assistant Attorney General, of counsel; Connor V. Martin, Deputy Attorney General, on the brief).

PER CURIAM Appellant J.M.F.,1 a former teacher, appeals from an October 17, 2018

final decision of respondent Board of Trustees (the Board) of the Teachers'

Pension and Annuity Fund (TPAF), within the Department of the Treasury,

Division of Pensions and Benefits, denying her application for accidental

disability retirement benefits pursuant to N.J.S.A. 18A:66-39(c). She also

appeals from a January 24, 2019 TPAF final decision denying her request to

unseal the administrative record. We affirm both decisions.

We glean the following pertinent facts from the record, some of which are

not in dispute.2 On November 24, 2012, appellant applied for an accidental

disability retirement effective December 1, 2012. Her last day of work was

March 26, 2012. In her application, appellant claimed that on September 8,

2010, as she was looking at books in a crate on the floor in her classroom , a

custodian, who was behind her, lifted a bucket causing a metal mop handle to

fall out of the bucket and strike the top right side of her head. Appellant claimed

she experienced "a host of post-concussive symptoms . . . on a daily basis with

1 As the court affirms the sealing of the administrative record, we use initials for the appellant. We conclude that, under the under the particular set of facts and circumstances in this matter, appellant's privacy constitutes a compelling interest that outweighs the Judiciary's commitment to transparency. 2 A Joint Stipulation of Facts is not part of the record on appeal. A-2658-18 2 enough frequency and intensity" to prevent her from performing her job as a

teacher. She alleged that she needed to stay at home to minimize both her

suffering and the possibility of being hit again in the head.

On April 4, 2013, the Board denied appellant's application for accidental

disability retirement benefits. The Board found that the event that caused

appellant's reported disability: (a) was "identifiable as to time and place"; (b)

"undesigned and unexpected"; (c) "occurred during and as a result of

[appellant's] regular or assigned duties"; and (d) was "not the result of

[appellant's] willful negligence." The Board concluded appellant was "not

totally and permanently disabled from the performance of [her] regular and

assigned job duties" and "not physically or mentally incapacitated from the

performance of [her] usual or other duties that [her] employer [was] willing to

offer." The Board further determined that "there is no evidence in the record of

direct causation of a total and permanent disability." Appellant remained

eligible to begin collecting monthly ordinary retirement benefits after she

reached normal retirement age as designated in the pension system. Appellant

was advised that she could appeal the Board's decision within forty-five days,

or the decision would be final.

A-2658-18 3 By letter dated June 18, 2013, and email dated June 26, 2013, appellant

submitted additional medical documentation in support of her application. On

July 12, 2013, the Board directed that its independent medical examiner (IME),

neuropsychologist Richard A. Filippone, Ph.D., be provided with the additional

documentation and requested that he provide an addendum to his January 30,

2013 report "to determine if the new information alters his opinion." Appellant

was informed that upon receipt of the addendum and the recommendation of the

Medical Review Board (MRB), the Board would issue its final determination.

On October 4, 2013, the Board reconsidered appellant's application after

considering the new medical documentation she provided, the previous reports,

the IME report addendum, and the recommendations of the MRB. The Board

reaffirmed its prior decision denying the application.

On November 13, 2013, appellant appealed the Board's decision, and the

matter was transferred to the Office of Administrative Law (OAL) for

determination as a contested case and assigned to an Administrative Law Judge

(ALJ). The ALJ conducted hearings on August 8, 2017 and December 22, 2017,

and closed the record on March 29, 2018, following the submission of briefs.

Appellant was represented by counsel before the ALJ. Three witnesses testified:

appellant, Dr. Hugo M. Morales, and Dr. Filippone.

A-2658-18 4 The ALJ issued a comprehensive twenty-three-page initial decision,

which summarized the testimony of each witness, set forth his factual and

credibility findings, and applied the applicable law. Because the decision rested

on whether appellant met her burden of proof given the conflicting testimony,

we recount the pertinent testimony and the ALJ's findings in some detail.

Appellant's Testimony

Appellant began teaching in 2001. On September 8, 2010, while at work,

she was struck on the top right side of the head by a mop handle. She did not

lose consciousness. About thirty minutes later, appellant started to get a

headache. Following a faculty meeting, she went to see the school nurse, who

referred her to the workers' compensation clinic. Although appellant wanted to

have testing done, the doctor declined and advised her to go the emergency room

if the symptoms got worse. The doctor prescribed ibuprofen.

About ten days later, appellant went to Concentra Medical Center

complaining her symptoms had worsened. The doctor told her she could not

have a headache from a blow to the head that long after the accident and said he

would refer her to a neurologist. When the referral did not materialize, appellant

saw Dr. Jose Soto Perillo, a psychiatrist, twice in 2011.

A-2658-18 5 Appellant had pre-existing conditions. Beginning in 2007, appellant

began to have problems with allergies that caused sinus headaches, anxiety, and

a choking sensation. She also experienced depression and anxiety due to a

disagreement with her supervisor.

After the accident, appellant continued to work with difficulty but reacted

to noise at school. She stated she knew something was wrong with her brain

and that her brain felt "broken." Her own physician sent her for a CT scan and

MRI, which were both normal. Appellant stated she had crying spells, difficulty

concentrating, and felt pressure on the top right side of her head that was

triggered by noise.

While still working, appellant took leaves as long as three months.

Appellant frequently experienced nightmares about getting hit in the head after

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J.M.F. VS. DEPARTMENT OF TREASURY, DIVISION OF PENSIONS AND BENEFITS (TEACHERS' PENSION AND ANNUITY FUND), Counsel Stack Legal Research, https://law.counselstack.com/opinion/jmf-vs-department-of-treasury-division-of-pensions-and-benefits-njsuperctappdiv-2021.