Vigil v. Pub. Emp. Ret. Bd.

CourtNew Mexico Court of Appeals
DecidedMay 4, 2015
Docket33,599
StatusPublished

This text of Vigil v. Pub. Emp. Ret. Bd. (Vigil v. Pub. Emp. Ret. Bd.) is published on Counsel Stack Legal Research, covering New Mexico Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Vigil v. Pub. Emp. Ret. Bd., (N.M. Ct. App. 2015).

Opinion

1 IN THE COURT OF APPEALS OF THE STATE OF NEW MEXICO

2 Opinion Number:

3 Filing Date: May 4, 2015

4 NO. 33,599

5 PATRICIA VIGIL,

6 Petitioner-Appellant,

7 v.

8 THE PUBLIC EMPLOYEES 9 RETIREMENT BOARD,

10 Respondent-Appellee.

11 APPEAL FROM THE DISTRICT COURT OF SANTA FE COUNTY 12 Raymond Z. Ortiz, District Judge

13 The Hemphill Firm, P.C. 14 Linda G. Hemphill 15 Santa Fe, NM

16 for Appellant

17 Robles, Rael & Anaya, P.C. 18 Charles Rennick 19 Santa Fe, NM

20 for Appellee 1 OPINION

2 FRY, Judge.

3 {1} In this case we review a decision of the Public Employees Retirement Board

4 (the Board) denying duty-related disability retirement benefits to Petitioner-Appellant

5 Patricia Vigil. The parties do not dispute that Ms. Vigil is disabled and that her

6 disability was “solely and exclusively” a result of her work. The dispute concerns

7 whether a pre-existing condition was “a significant contributing factor material to the

8 disability.” 2.80.1000.7(E) NMAC (9/30/2010). While a hearing officer

9 recommended finding that Ms. Vigil had established by a preponderance of evidence

10 that no pre-existing condition significantly contributed to her disability, the Board did

11 not accept that recommended finding. Instead, without reviewing the transcript of the

12 evidentiary hearing, the Board entered additional, contrary findings, concluded that

13 Ms. Vigil had failed to satisfy her burden, and denied her application for benefits. On

14 appeal, the district court affirmed. We granted Ms. Vigil’s petition for a writ of

15 certiorari and hold that the Board’s decision was arbitrary and capricious. We

16 therefore reverse.

17 BACKGROUND

18 First Application for Disability Retirement Benefits 1 {2} Ms. Vigil, who was employed as a recreational therapist with the New Mexico

2 Behavioral Health Institute in Las Vegas, New Mexico, submitted an application to

3 the Public Employees Retirement Association (PERA) for disability retirement

4 benefits in April 2011. In the application, she alleged that she was being treated badly

5 at work as a result of a grievance she had filed and that she was experiencing

6 depression and other symptoms as a consequence. She also submitted an examining

7 physician’s form statement in support of her application, which was completed by

8 psychiatrist Jasmin Breitung, M.D. In this statement, Dr. Breitung diagnosed Ms.

9 Vigil as having major depressive disorder, recurrent. Dr. Breitung checked “Yes” on

10 the form in response to the question, “Do you consider this disability to have occurred

11 as the result of causes arising, solely and exclusively out of and in the course of the

12 claimant’s employment?” Dr. Breitung then wrote, “The claimant’s employment is

13 largely responsible but not solely, since we cannot discount genetic factors. This may

14 not have occurred if the stress at work had not.”

15 {3} PERA’s consulting psychiatrist, Dr. Douglas Puryear, reviewed Ms. Vigil’s

16 application and Dr. Brietung’s statement and recommended that Ms. Vigil be awarded

17 one year of non-duty disability. He recommended non-duty benefits because “this is

18 a recurrent condition” and the stressors at work “[were] not the sole and exclusive

19 cause and[,] therefore[,] this cannot be a duty-related disability.” PERA’s disability

2 1 review committee met and agreed with Dr. Puryear’s recommendation, whereupon

2 the committee notified Ms. Vigil that it was recommending non-duty disability

3 benefits “because [she] did not establish to the satisfaction of the [c]ommittee that

4 [her] disability [was] the ‘natural and proximate result of causes arising solely and

5 exclusively out of and in the course of’ [her] performance of [her] job duties.”

6 Because Ms. Vigil did not terminate her employment within forty-five days of the

7 date of the committee’s letter, her application file was closed.

8 Second Application for Disability Retirement Benefits

9 {4} Ms. Vigil again submitted an application for disability retirement benefits in

10 September 2011, which was virtually the same as her prior application. Dr. Breitung

11 filled out another examining physician’s form statement, in which she again indicated

12 that Ms. Vigil’s disability was the result of her employment. Dr. Breitung further

13 stated, “The stress at work triggered her depression and anxiety though it is not the

14 sole cause.” Ms. Vigil also submitted a letter from her therapist, Lela M. McNicol,

15 LISW, which stated that Ms. Vigil had been treated for PTSD and depression. Once

16 again, Dr. Puryear reviewed the application on behalf of PERA and recommended

17 non-duty disability benefits because of Dr. Breitung’s statement “that the work is not

18 the sole cause of her psychiatric problems[.]” The disability review committee again

19 recommended non-duty benefits, and Ms. Vigil appealed.

3 1 {5} PERA apparently allowed Ms. Vigil to supplement her application, and she

2 submitted a letter from Dr. Breitung, which stated, “Even though [Ms. Vigil] has had

3 a pre[-]existing prior depressive episode in 2006[,] that episode had completely

4 resolved. This recurrent episode of [2011] is a direct result of stressors from her job.

5 . . . As a matter of fact[,] her prior depression was also triggered by work[,] but that

6 is not under discussion here.” Dr. Breitung’s letter concluded, “Any pre[-]existing

7 condition was not a significant factor in causing her disability.” Dr. Puryear reviewed

8 this letter and changed his recommendation to duty-related disability benefits. He

9 stated, “Since the statute requires that pre-existing conditions were not a substantial

10 contributor and that the problems would not have occurred without the stresses of the

11 job, and that the job is the sole and exclusive cause of the current problems, based on

12 the updated information from the psychiatrist[,] it appears that [Ms. Vigil] would at

13 this time meet the requirements for a duty-related disability.” Despite Dr. Puryear’s

14 change of mind, the disability review committee met again and recommended non-

15 duty benefits.

16 Administrative Appeal

17 {6} Ms. Vigil’s appeal proceeded to an evidentiary hearing before a hearing officer.

18 Dr. Breitung testified and explained her written notations on the two examining

19 physician forms that had been submitted with Ms. Vigil’s two applications for

4 1 retirement disability benefits. With respect to the first form, on which Dr. Breitung

2 had stated that Ms. Vigil’s employment “[was] largely responsible [for her disability]

3 but not solely,” Dr. Breitung explained that she meant this to be a “generic statement”

4 because “as a psychiatrist, we generally believe that there are some genetic factors

5 even if we can’t prove it.” As for her written comment that Ms. Vigil’s “[p]rior

6 history of a depressive episode put her more at risk for further depressive episodes,”

7 Dr. Breitung testified that this related to the depressive episode Ms. Vigil experienced

8 in 2006 or 2007 and that the prior episode was also the result of work stressors. She

9 went on to testify that the prior episode had “resolved completely” by the time Ms.

10 Vigil came to see her in 2011.

11 {7} With respect to the second form prepared by Dr. Breitung and submitted with

12 Ms.

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