Vigil v. Pub. Emp. Ret. Bd.

New Mexico Court of Appeals·Decided May 4, 2015·No. 33,599·Published

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

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.

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