JASON PRENDEVILLE VS. BOARD OF TRUSTEES (POLICE AND FIREMEN'S RETIREMENT SYSTEM) ( 2020 )


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  •                                 NOT FOR PUBLICATION WITHOUT THE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-1357-18T3
    JASON PRENDEVILLE,
    Petitioner-Appellant,
    v.
    BOARD OF TRUSTEES,
    POLICE AND FIREMEN'S
    RETIREMENT SYSTEM,
    Respondent-Respondent.
    Argued January 22, 2020 – Decided February 11, 2020
    Before Judges Gilson and Rose.
    On appeal from the Board of Trustees of the Police and
    Firemen's Retirement System, Department of the
    Treasury, PFRS No. 3-85947.
    Arthur J. Murray argued the cause for appellant
    (Alterman & Associates, LLC, attorneys; Stuart J.
    Alterman, of counsel; Arthur J. Murray, on the brief).
    Laura Drahushak, Deputy Attorney General, argued the
    cause for respondent (Gurbir S. Grewal, Attorney
    General, attorney; Donna Arons, Assistant Attorney
    General, of counsel; Laura Drahushak, on the brief).
    PER CURIAM
    Jason Prendeville appeals a final decision of the Board of Trustees, Police
    and Firemen's Retirement System (PFRS).         The Board adopted the initial
    decision of the Administrative Law Judge (ALJ), denying Prendeville's
    application for accidental disability retirement benefits. The ALJ found, and the
    Board agreed, Prendeville was not permanently and totally disabled from
    performing his duties as a corrections officer, and his disability claim was not
    the direct result of a traumatic event. Because we conclude the Board's decision
    "is supported by sufficient credible evidence on the record as a whole," R. 2:11-
    3(e)(1)(D), we affirm.
    In July 2015, Prendeville applied for accidental disability retirement
    benefits, claiming he suffered from post-traumatic stress disorder (PTSD), post-
    concussion syndrome, and other cognitive and neurological deficits following
    an incident that occurred nearly two years prior. At the time of the incident,
    Prendeville was working as a senior corrections officer for the Juvenile Justice
    Commission. The facts pertaining to that event are essentially undisputed.
    Prendeville was injured when he attempted to quell a melee involving
    approximately thirty youthful-offender inmates. He was struck in the head by
    "something" that caused blood to "gush[] from [his] nose at a high rate."
    A-1357-18T3
    2
    Prendeville was treated in the emergency room for head, nose, and neck injuries;
    he did not lose consciousness; he neither sustained broken bones nor required
    stitches. Shortly thereafter, Prendeville claimed he experienced anxiety attacks
    and cognitive and neurological deficits. He did not return to work.
    The Board denied Prendeville's application.         Following denial of
    Prendeville's reconsideration application, the matter was transmitted to the
    Office of Administrative Law as a contested case.
    During the ensuing two-day testimonial hearing before the ALJ,
    Prendeville testified on his own behalf and presented the testimony of George
    A. Peters, Ph.D., an expert in neuropsychology, and Vasko K. Gulevski, M.D.
    an expert in neurology. At the time of the hearing, both experts were still
    treating Prendeville in connection with his worker's compensation claim. Drs.
    Peters and Gulevski agreed that Prendeville is permanently and totally disabled.
    The Board presented the competing testimony of its experts: Mark J. Chelder,
    Ph.D., a neuropsychology expert, and Steven M. Lomazow, M.D., a neurology
    expert. The Board's experts opined Prendeville is not disabled and can return to
    work. The ALJ also considered documentary evidence, including the experts'
    reports and Prendeville's medical records.
    A-1357-18T3
    3
    The ALJ discussed at length the testimony adduced at the hearing, which
    is part of the record. The evidence required the ALJ to assess Prendeville's
    credibility and to determine which party's medical experts were more credible.
    Although he noted Prendeville "appeared to be a credible witness," the
    ALJ ultimately determined Prendeville "embellish[ed] the facts of the incident
    and the credible expert testimony of Dr. Chelder established that [Prendeville]
    was magnifying his symptoms." Indeed, the ALJ observed Prendeville did not
    stutter or exhibit any memory issues while testifying during the hearing. Those
    observations were contrary to Prendeville's testimony that his "[s]tuttering . . .
    manifest[ed] under stress" and his "memory was horrible"; he "would be in the
    middle of a conversation and forget what [he] was saying . . . ."
    Turning to his assessment of the experts, the ALJ recognized all four
    "medical experts proved to be credible, competent witnesses."          Citing the
    general rule we espoused long ago in a workers' compensation case, the ALJ
    aptly observed a treating physician's testimony should be accorded more weight
    than an evaluating physician when the medical evidence is in conflict. See
    Bialko v. Baker Milk, Co., 
    38 N.J. Super. 169
    , 171-72 (App. Div. 1955). The
    ALJ recognized, however, that "this guidepost [was] not unwaivable" and noted
    that other factors to consider in exposing "weaknesses" in expert testimony
    A-1357-18T3
    4
    included whether the expert's "conclusions [were] based largely on the
    subjective complaints of the patient or on a cursory examination," or were
    "support[ed] in the records from other physicians . . . ." See Angel v. Rand
    Express Lines, Inc., 
    66 N.J. Super. 77
    , 86 (App. Div. 1961). With those legal
    principles in view, the ALJ ultimately determined the Board's experts "presented
    a more logical and persuasive opinion as to the issue of permanent and total
    disability and [Prendeville]'s ability to perform the functions and duties of his
    job."
    Assessing Prendeville's experts, the ALJ afforded both witnesses the
    consideration to which they were entitled as his treating physicians, finding
    "they presented credible and sincere testimony" and "their opinions were
    influenced by [Prendeville]'s subjective complaints that were strengthened by
    the objective findings." But, the ALJ concluded "their findings were conclusory
    in nature and ill supported by any concrete evidence."
    For example, the ALJ cited various concerns with Dr. Peters' testimony,
    particularly during cross-examination:
    Dr. Peters noted that although Prendeville complained
    of many issues with intellectual function, his actual
    scores on the test were high-normal.            Also,
    [Prendeville's] complaints about speech were not
    supported by [Dr. Peters'] findings when he noted that
    Prendeville was "fluent and engaged in conversation."
    A-1357-18T3
    5
    . . . [Dr. Peters also] indicate[d] that he was relying on
    Prendeville's history as reported to him. In fact, Dr.
    Peters noted that he was "not a detective" and "I don't
    ask for corroboration" of any information provided.
    Conversely, the ALJ cited examples of Dr. Chelder's testimony,
    describing the results of the personality assessment test that a neuropsychologist
    had administered to Prendeville. Those results "revealed a tendency toward mild
    symptom exaggeration. As such, test findings would need to be interpreted with
    caution as they may have overestimated levels of psychological dysfunction."
    Dr. Chelder "did not believe that there were ongoing issues related to post -
    concussive syndrome as the evidence for concussion was limited." Accordingly,
    the ALJ accepted Dr. Chelder's "objective findings" underscoring the expert's
    conclusion that: "Prendeville was . . . not permanently and totally disabled from
    performing his job as a corrections officer with respect to his psychological
    functioning.     There was insufficient evidence of a disabling psychological
    disorder due to the findings of symptom exaggeration on personality testing."
    Considering the testimony of the opposing neurological experts, the ALJ
    noted both doctors found no objective evidence that Prendeville suffered a
    concussion.     Regarding Prendeville's expert, the ALJ observed, "On cross -
    examination, Dr. Gulevski conceded that [Prendeville]'s motor exam was normal
    along with the sensory examination. In fact, no records confirm the fact that
    A-1357-18T3
    6
    Prendeville suffered a concussion[;] only the self-reporting by Prendeville
    himself." Similarly, on behalf of the Board, Dr. Lomazow cited "[t]wo MRIs of
    the brain demonstrat[ing] very mild nonspecific white matter changes" to
    support his conclusion that "[t]here is absolutely no objective evidence with
    respect to a concussion." Instead, Dr. Lomazow opined Prendeville exaggerated
    his symptoms.
    After Prendeville filed exceptions and the agency replied, the Board
    adopted the ALJ's decision "with modification." 1 This appeal followed.
    On appeal, Prendeville raises the following points for our consideration:
    POINT I
    THE . . . BOARD'S FAILURE TO GIVE GREATER
    WEIGHT TO THE TESTIMONY OF [DRS.] PETERS
    AND GULEVSKI GIVEN THE FACT THEY WERE
    TREATING EXPERTS AS OPPOSED TO [DRS.]
    CHELDER AND LOMAZOW, WHO WERE
    EXAMINING EXPERTS, LED TO A CLEARLY
    ERRONEOUS DETERMINATION.
    POINT II
    THE . . . BOARD'S FAILURE TO ACKNOWLEDGE
    THAT ITS EXPERT'S CONCURRENCE WITH
    1
    The Board's modification "reject[ed] statements" on one page of the ALJ's
    nineteen-page decision regarding an unrelated incident from another decision by
    the ALJ. Prendeville has not raised any concerns about those unrelated
    references. Having considered the entire record before the ALJ, our review is
    not hampered by those references.
    A-1357-18T3
    7
    BOTH [DRS.] PETERS AND GULEVSKI THAT
    PRENDEVILLE WAS     NOT    FIT  TO   BE
    DESIGNATED    AS  [MAXIMUM     MEDICAL
    IMPROVEMENT (MMI)] AS OF THE DATE HE
    TESTIFIED, WHICH WAS MORE THAN [FOUR-
    AND-A-HALF] YEARS POST INCIDENT, LED TO
    A CLEARLY ERRONEOUS DETERMINATION.
    POINT III
    THE . . . BOARD'S FAILURE TO RECOGNIZE
    THAT PRENDEVILLE HAD ESTABLISHED ALL
    CRITERIA UNDER THE DSM-V FOR A
    DIAGNOSIS OF PTSD LED TO A CLEARLY
    ERRONEOUS RESULT.
    A. [to E].[2] [DR.] CHELDER, THE BOARD'S HIRED
    EXAMINING EXPERT, CONCURRED WITH [DR.]
    PETERS          THAT     PRENDEVILLE       HAD
    ESTABLISHED CRITERIA A[, C, D, E, AND F]
    UNDER DSM-V FOR A DIAGNOSIS OF PTSD.
    F. ALTHOUGH [DRS.] CHELDER AND PETERS
    DISAGREED OVER WHETHER OR NOT
    PRENDEVILLE HAD ESTABLISHED CRITER[ION]
    B UNDER THE DSM-V FOR A DIAGNOSIS OF
    PTSD, THE MEDICAL RECORDS MOVED INTO
    EVIDENCE COUPLED WITH [DR.] PETERS'
    TESTIMONY SUBSTAN[T]IATE CRITERI[ON] B
    OF PTSD.
    POINT IV
    THE . . . BOARD SUBMITTED NO EVIDENCE TO
    REFUTE THE TESTIMONY THAT THE JUVENILE
    JUSTICE COMMISSION OFFERS NO RESTRICTED
    2
    We have condensed the related subpoint headings for the sake of brevity.
    A-1357-18T3
    8
    DUTY OR LIGHT DUTY TO CORRECTIONS
    OFFICERS.
    "Our review of administrative agency action is limited." Russo v. Bd. of
    Trs., Police & Firemen's Ret. Sys., 
    206 N.J. 14
    , 27 (2011). Reviewing courts
    presume the validity of the "administrative agency's exercise of its statutorily
    delegated responsibilities." Lavezzi v. State, 
    219 N.J. 163
    , 171 (2014). For
    those reasons, "an appellate court ordinarily should not disturb an administrative
    agency's determinations or findings unless there is a clear showing that (1) the
    agency did not follow the law; (2) the decision was arbitrary, capricious, or
    unreasonable; or (3) the decision was not supported by substantial evidence." In
    re Virtua-West Jersey Hosp. Voorhees for a Certificate of Need, 
    194 N.J. 413
    ,
    422 (2008).    "The burden of demonstrating that the agency's action was
    arbitrary, capricious or unreasonable rests upon the [party] challenging the
    administrative action." In re Arenas, 
    385 N.J. Super. 440
    , 443-44 (App. Div.
    2006).
    "[T]he test is not whether an appellate court would come to the same
    conclusion if the original determination was its to make, but rather whether the
    factfinder could reasonably so conclude upon the proofs." Brady v. Bd. of
    Review, 
    152 N.J. 197
    , 210 (1997) (quoting Charatan v. Bd. of Review, 200 N.J.
    Super. 74, 79 (App. Div. 1985)). "Where . . . the determination is founded upon
    A-1357-18T3
    9
    sufficient credible evidence seen from the totality of the record and on that
    record findings have been made and conclusions reached involving agency
    expertise, the agency decision should be sustained." Gerba v. Bd. of Trs., Pub.
    Emps.' Ret. Sys., 
    83 N.J. 174
    , 189 (1980), overruled on other grounds by
    Maynard v. Bd. of Trs., Teachers' Pension & Annuity Fund, 
    113 N.J. 169
    (1988).
    That said, appellate courts review de novo an agency's interpretation of a statute
    or case law. 
    Russo, 206 N.J. at 27
    .
    Pursuant to N.J.S.A. 43:16A-7(a)(1), a PFRS member may apply for
    accidental disability retirement benefits. In Richardson v. Board of Trustees,
    Police & Firemen's Retirement Systems, 
    192 N.J. 189
    , 212-13 (2007), the Court
    held that a claimant for accidental disability retirement benefits must prove:
    1. that he is permanently and totally disabled;
    2. as a direct result of a traumatic event that is
    a. identifiable as to time and place,
    b. undesigned and unexpected, and
    c. caused by a circumstance external to the
    member (not the result of pre-existing disease
    that is aggravated or accelerated by the work);
    3. that the traumatic event occurred during and as a
    result of the member's regular or assigned duties;
    A-1357-18T3
    10
    4. that the disability was not the result of the member's
    willful negligence; and
    5. that the member is mentally or physically
    incapacitated from performing his usual or any other
    duty.
    Relevant here, the Court observed a "permanent and total disability"
    precludes an employee, due to mental or physical impairment, "from performing
    his own or any other available job." 
    Id. at 195.
    An individual seeking accidental
    disability retirement benefits must prove a disabling permanent injury, and must
    produce "such expert evidence as is required to sustain that burden." Patterson
    v. Bd. of Trs., State Police Ret. Sys., 
    194 N.J. 29
    , 51 (2008).
    Applying these principles, we are satisfied the medical testimony and
    records support the ALJ's decision and the Board's adoption of that decision.
    We reject Prendeville's argument raised in point I of his brief that the Board
    erred by failing "to give greater weight" to the testimony of his treating
    physicians than the Board's non-treating experts. As stated above, the ALJ
    carefully examined the legal precedent, but found the Board's experts were more
    persuasive. Giving "due regard" to the ALJ's opportunity to hear the witnesses
    and judge their credibility, as we must, In re Taylor, 
    158 N.J. 644
    , 656 (1999),
    we defer to his credibility findings, which "are often influenced by matters such
    as observations of the character and demeanor of witnesses and common human
    A-1357-18T3
    11
    experience that are not transmitted by the record." State v. Locurto, 
    157 N.J. 463
    , 474 (1999).
    We further note, the ALJ as the factfinder here, was not obligated to accept
    any expert's opinion, even if the expert was "impressive," State v. Carpenter,
    
    268 N.J. Super. 378
    , 383 (App. Div. 1993), and may accept some of the expert's
    testimony and reject the rest, Todd v. Sheridan, 
    268 N.J. Super. 387
    , 401 (App.
    Div. 1993), even if that testimony is unrebutted by any other evidence, Johnson
    v. Am. Homestead Mortg. Corp., 
    306 N.J. Super. 429
    , 438 (App. Div. 1997),
    particularly "when, as here, the factfinder is confronted with directly divergent
    opinions expressed by the experts," State v. M.J.K., 
    369 N.J. Super. 532
    , 549
    (App. Div. 2004).     Importantly, "the choice of accepting or rejecting the
    testimony of witnesses rests with the administrative agency, and where such
    choice is reasonably made, it is conclusive on appeal." Renan Realty Corp. v.
    State, Dep't of Cmty. Affairs, Bureau of Hous. Inspection, 182 N.J. Super 415,
    421 (App. Div. 1981).
    According     the   appropriate   deference   to   the   ALJ's   credibility
    determinations, we conclude there is substantial evidence in the record to
    support the ALJ's factual findings and legal conclusions, which the Board
    adopted. "We rely upon the expertise of the [Board] to separate legitimate from
    A-1357-18T3
    12
    illegitimate claims," 
    Patterson, 194 N.J. at 51
    , and we are satisfied that the
    Board's "determination [here] is founded upon sufficient credible evidence seen
    from the totality of the record . . . ." 
    Gerba, 83 N.J. at 189
    ; R. 2:11-3(e)(1)(D).
    We have considered Prendeville's remaining contentions in light of the
    record and applicable legal principles, and conclude they are without sufficient
    merit to warrant discussion in our written opinion. R. 2:11-3(e)(1)(E). We add
    only the following brief comments regarding point II of his brief.
    Prendeville contends the Board erred in finding he was not totally and
    permanently disabled because both of his experts and the Board's
    neuropsychologist opined Prendeville would not achieve MMI and he continues
    to receive workers' compensation benefits.            Prendeville's argument is
    unavailing. Although a work-related injury may satisfy workers' compensation
    requirements, it does not necessarily constitute an "accidental disability" for
    pension retirement purposes where, as here, the credible medical evidence in the
    record indicates the injury was not the direct result of a traumatic event. 
    Gerba, 83 N.J. at 184
    .
    Affirmed.
    A-1357-18T3
    13