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

New Jersey Superior Court Appellate Division·Decided September 28, 2021·No. A-2658-18·Unpublished

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NOT FOR PUBLICATION WITHOUT THE APPROVAL OF THE APPELLATE DIVISION This opinion shall not "constitute precedent or be binding upon any court ."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

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

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

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

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 the accident. While she had difficulty sleeping prior to the accident, her insomnia became more severe. Appellant stated she was unable to perform her duties as a teacher or hold any other job. She claimed she felt pressure in her head and that she could not stop crying.

Appellant saw her other psychiatrist, Dr. Morales, and her clinical neuropsychologist, Sandra L. Hunt, Ph.D., once or twice a year, either in person,

A-2658-18

by Skype, or telephone. She stopped taking all medication with the approval of her doctors.

Appellant continued to work for approximately eighteen months after the accident. She claimed she had not driven a car since the accident but is able to run errands, cook, and clean.

Free access — add to your briefcase to read the full text and ask questions with AI

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

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)) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Hemsey v. Board of Trustees, Police & Firemen's Retirement System
966 A.2d 1020 (Supreme Court of New Jersey, 2009)
Matter of Yaccarino
564 A.2d 1184 (Supreme Court of New Jersey, 1989)
Johnson v. Salem Corp.
477 A.2d 1246 (Supreme Court of New Jersey, 1984)
In Re Application of Howard Savings Bk.
362 A.2d 592 (New Jersey Superior Court App Division, 1976)
In Re Snellbaker
997 A.2d 288 (New Jersey Superior Court App Division, 2010)
In Re Herrmann
926 A.2d 350 (Supreme Court of New Jersey, 2007)
Bialko v. H. Baker Milk Co.
118 A.2d 412 (New Jersey Superior Court App Division, 1955)
In Re Arenas
897 A.2d 442 (New Jersey Superior Court App Division, 2006)
In Re Carter
924 A.2d 525 (Supreme Court of New Jersey, 2007)
Clowes v. Terminix International, Inc.
538 A.2d 794 (Supreme Court of New Jersey, 1988)
Bonnco Petrol, Inc. v. Epstein
560 A.2d 655 (Supreme Court of New Jersey, 1989)
Torres v. Schripps, Inc.
776 A.2d 915 (New Jersey Superior Court App Division, 2001)
Kasper v. TEACHERS'PEN. & ANN. FUND
754 A.2d 525 (Supreme Court of New Jersey, 2000)
State v. Jenewicz
940 A.2d 269 (Supreme Court of New Jersey, 2008)
In Re the Suspension or Revocation of the License Issued Zahl
895 A.2d 437 (Supreme Court of New Jersey, 2006)
In Re the Tenure Hearing of Young
995 A.2d 826 (Supreme Court of New Jersey, 2010)
LaBRACIO FAM. PARTNERSHIP v. 1239 Roosevelt Ave., Inc.
773 A.2d 1209 (New Jersey Superior Court App Division, 2001)
State v. Carpenter
633 A.2d 1005 (New Jersey Superior Court App Division, 1993)
Todd v. Sheridan
633 A.2d 1009 (New Jersey Superior Court App Division, 1993)
In Re the Guardianship of DMH
736 A.2d 1261 (Supreme Court of New Jersey, 1999)