N. Brown v. UCBR ( 2022 )


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  •              IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Niaja Brown,                                  :
    Petitioner            :
    :
    v.                                     : No. 1306 C.D. 2018
    : Submitted: February 22, 2019
    Unemployment Compensation                     :
    Board of Review,                              :
    Respondent                   :
    BEFORE:         HONORABLE MARY HANNAH LEAVITT, President Judge1
    HONORABLE PATRICIA A. McCULLOUGH, Judge
    HONORABLE ELLEN CEISLER, Judge2
    OPINION
    BY JUDGE CEISLER                                                    FILED: May 5, 2022
    Niaja Brown (Claimant) petitions for review, pro se, of the August 16, 2018
    Order of the Unemployment Compensation Board of Review (Board) affirming the
    decision of a Referee to deny Claimant unemployment compensation (UC) benefits.
    The Board concluded that Claimant is ineligible for UC benefits under Section
    402(e) of the Unemployment Compensation Law (Law)3 because she was discharged
    from work for willful misconduct. We affirm the Board’s Order.
    Background
    Claimant began working for The Children’s Hospital of Philadelphia
    (Employer) on April 29, 2002. Bd.’s Finding of Fact (F.F.) No. 1. At the time of
    1
    This matter was assigned to the panel before January 3, 2022, when President Judge
    Emerita Leavitt became a senior judge on the Court.
    2
    This matter was reassigned to the author on January 10, 2022.
    3
    Act of December 5, 1936, Second Ex. Sess., P.L. (1937) 2897, as amended, 43 P.S. §
    802(e). Section 402(e) of the Law provides that an employee shall be ineligible for UC for any
    week in which her unemployment is due to her discharge from work for willful misconduct. 43
    P.S. § 802(e).
    her discharge, she was a part-time Senior Nursing Assistant for Employer. Record
    (R.) Item No. 2.
    In 2012, Employer implemented a policy requiring all employees to receive
    an annual influenza vaccination (flu vaccine) unless they had a medical or religious
    exemption. Bd.’s F.F. No. 2. Claimant complied with Employer’s policy and
    received the flu vaccine through 2016. Id. No. 3.4 On November 7, 2017, Claimant
    notified Employer that she did not want the flu vaccine, but she did not provide a
    medical or religious exemption. Id. No. 4.5
    On November 8, 2017, Employer notified Claimant that if she did not receive
    the flu vaccine by November 15, 2017, she would be suspended for two weeks and
    then discharged. Id. No. 5; see R. Item No. 3 (wherein Employer notified Claimant:
    “A condition of continued employment is to get the flu shot. Following the
    4
    On her Internet Initial Claims form, Claimant stated that she initially complied with
    Employer’s vaccine policy because she “felt coerce[d] into doing so because [she] could not afford
    not to be working.” R. Item No. 2 (capitalization removed). She also stated:
    As a responsible adult who has never called out during a []sick season[] I could not
    understand why I was being force[d] to get something that went against my beliefs
    when I had already proven that my body has a great defense against the sickness
    for the [first] 10 years that I was working there.
    Id. (capitalization removed).
    5
    In her November 7, 2017 email to Employer, Claimant stated:
    I am emailing to say that I would not like to get the flu shot. I have been here . . .
    for the last 15[]years and [for] 10 of those years I did not receive the [flu] shot and
    I have never been sick. . . . I take my health very seriously and I can[]not
    compromise my health and get the [f]lu shot when I know for the [first] 10 years I
    did not receive it [and] came to work every scheduled day without calling out due
    to sickness. I do not understand why I am being forced to get a shot.
    R. Item No. 3.
    2
    November 15th deadline[,] any employee not in compliance will be placed on an
    unpaid leave and failure to get the vaccine at the end of this period will result in
    termination.”).
    Claimant did not receive the flu vaccine by November 15, 2017, so Employer
    suspended her for two weeks. Bd.’s F.F. No. 6. Employer gave Claimant until
    December 5, 2017, to either receive the flu vaccine or provide a medical or religious
    exemption with supporting documentation. Id.; see R. Item No. 3.
    Thereafter, Claimant submitted to Employer a one-page document titled
    “Advance Vaccine Directive” (AVD), which she had printed from the Natural
    Solutions Foundation website, proclaiming that she did not give her consent to be
    vaccinated. Bd.’s F.F. No. 7; see R. Item No. 6.6 Because the AVD was neither a
    medical nor a religious exemption, on December 6, 2017, Employer discharged
    Claimant for refusing to receive the mandatory flu vaccine. Bd.’s F.F. No. 8.
    Claimant filed a claim for UC benefits, which the local UC Service Center
    denied. The Service Center determined that by refusing the Employer-mandated flu
    6
    The AVD referenced the Nuremberg Trials, the Geneva Convention, “International Law
    Treaties,” Article 6 of the UNESCO Universal Bioethics Declaration, and Missouri v. McNeely,
    
    569 U.S. 141
     (2013). R. Item No. 6. The AVD stated in pertinent part:
    Advanced Health Care Directives are honored under U[nited ]S[tates] and
    International Law. Your AVD Card gives you a legal “Advance Health Care
    Directive” or “Living Will” informing all health care providers that YOU DO NOT
    CONSENT TO VACCINATION and that you are exercising your legally protected
    Right to Informed Consent. It warns them that if you are vaccinated against your
    consent they will be committing an assault, battery, malpractice and other crimes.
    International Law is clear: you have the Right of Informed Consent. But you
    MUST definitively assert it to use it. The AVD [C]ard provide[s] that definitive
    assertion for you even if you cannot speak.
    
    Id.
     (bold and capitalization in original). Although the AVD references an “AVD Card,” there is
    no such card in the record.
    3
    vaccine without good reason, Claimant committed an act of insubordination. R. Item
    No. 5. Thus, the Service Center concluded that Claimant was ineligible for UC
    benefits under Section 402(e) of the Law. 
    Id.
    Claimant appealed to the Referee, who held an evidentiary hearing on April
    11, 2018. Claimant appeared pro se and testified on her own behalf. Employer did
    not appear at the hearing.7
    Claimant testified that she worked as a Senior Nursing Assistant for Employer
    until the date of her discharge. Notes of Testimony (N.T.), 4/11/18, at 2. Claimant
    testified that, in 2017, she “used her right of informed consent to say that [she does]
    not want the flu shot” and submitted the AVD to Employer, but Employer did not
    accept it. Id. at 3. According to Claimant:
    I submitted [the AVD], and [Employer] said it did not fit the protocol
    because the protocol was . . . you had to have either a medical
    exemption or a religious exemption. And . . . the [AVD] didn’t fit any
    of those, because that’s a new thing that they . . . haven’t even
    approached yet.
    Id. Claimant testified that she believed that because Employer allowed vaccine
    exemptions for medical or religious reasons, it should have accepted her AVD. Id.
    at 4.
    Claimant further testified that when Employer first implemented the vaccine
    policy in 2012, she completed a questionnaire about the policy. Claimant testified:
    I said on the questionnaire that I am against getting [the flu vaccine].
    But yet I felt compelled and forced to get it because it was [for] the
    safety of my job. But upon coming into this knowledge [about the
    7
    See Hubbard v. Unemployment Comp. Bd. of Rev., 
    252 A.3d 1181
    , 1188 (Pa. Cmwlth.
    2021) (“It is well[]settled that even where an employer fails to appear at the [referee’s] hearing,
    [UC] benefits still ‘may be denied if the employee seeking benefits proves the employer’s case.’”)
    (citation omitted).
    4
    AVD], and saying that I have a right to object to it, that’s when I
    decided to say no, enough is enough.
    Id. at 5.
    Following the hearing, the Referee determined that Employer’s flu vaccine
    policy was reasonable because “[t]he patients at [Employer’s hospital] often have
    immune systems that are at risk.” Ref.’s Order, 4/16/18, at 2. The Referee also
    determined that because Claimant had a common law right to refuse the flu vaccine,
    her refusal alone was not willful misconduct. Id. at 3. However, the Referee
    concluded that, under the circumstances of this case, Claimant’s refusal to get the
    vaccine was “a refusal to meet a reasonable condition of future employment.” Id.
    The Referee explained that “Claimant [was] well aware of what it means to work in
    a hospital,” yet “[s]he affirmatively refused to work under those reasonable
    circumstances.” Id. Therefore, the Referee concluded that Claimant was ineligible
    for UC benefits under Section 402(e) of the Law. Id.
    Claimant appealed to the Board, which affirmed the Referee’s decision. The
    Board first addressed Claimant’s contention on appeal that the Referee denied her
    request to subpoena her health records in advance of the hearing. The Board found
    that Claimant failed to raise this issue before the Referee at the hearing, so the issue
    was waived. Bd.’s Order, 8/16/18, at 2.8
    Next, the Board found that, given the nature of Claimant’s job position,
    Employer’s vaccine policy was reasonable. Id. The Board concluded, however, that
    Claimant failed to establish good cause for refusing the flu vaccine under the
    circumstances. The Board explained its reasoning as follows:
    8
    See Schaal v. Unemployment Comp. Bd. of Rev., 
    870 A.2d 952
    , 954-55 (Pa. Cmwlth.
    2005) (“A claimant waives review of an issue by failing to raise it before the referee when [she]
    had an opportunity to do so.”).
    5
    [C]laimant provided no medical or religious exemption from
    [E]mployer’s [vaccine] requirement. Instead, [C]laimant provided an
    [AVD], which cites the Nuremburg [T]rials, the Geneva Convention,
    the Universal Declaration on Bioethics and Human Rights, and the
    U[nited ]S[tates] Supreme Court[’s] opinion Missouri v. McNeely, 
    569 U.S. 141
     (2013). [C]laimant also testified that she was covered by the
    Nuremberg Code and the Declaration of Helsinki.
    The Universal Declaration on Bioethics and Human Rights, the
    Nuremberg Code, and the Declaration of Helsinki are not treaties, so
    they are not binding law. The Geneva Conventions are a series of
    treaties, but do not provide the protections [C]laimant asserts.
    McNeely[] held that drawing blood to test for alcohol after an arrest for
    driving while intoxicated constituted a “search” and must be
    accompanied by consent or a warrant to avoid being “unreasonable”
    under Amendment IV of the U[nited ]S[tates] Constitution, which is
    not the issue before the Board. As the [AVD] correctly notes, “if you
    are vaccinated against your consent they will be committing an assault,
    battery, malpractice and other crimes.” [C]laimant was not vaccinated
    against her consent, so this is immaterial.
    The Board is unable to locate any state or federal law granting
    [C]laimant the right to refuse a vaccination required to retain her job.
    Conversely, the [United States Court of Appeals for the Third Circuit]
    held in Fallon v. Mercy Catholic Medical Center of Southeastern
    Pennsylvania, 
    877 F.3d 487
     ([3d Cir.] 2017), that an employee
    discharged for failure to be vaccinated was not protected by the
    religious discrimination provision of Title VII of the Civil Rights Act
    of 1964 because his refusal was not based on religious beliefs, but
    because “he simply worries about the health effects of the flu vaccine,
    disbelieves the scientifically accepted view that it is harmless to most
    people, and wishes to avoid this vaccine.”
    [C]laimant’s mistaken understanding of her legal rights does not justify
    her refusal to comply with [E]mployer’s reasonable request.
    6
    Id. at 2-3 (emphasis added). Therefore, the Board concluded that Claimant was
    ineligible for UC benefits under Section 402(e) of the Law. Claimant now petitions
    this Court for review.9
    Analysis
    Our courts have defined “willful misconduct” as: (a) a wanton or willful
    disregard of the employer’s interests; (b) a deliberate violation of the employer’s
    rules; (c) a disregard for the standards of behavior that the employer rightfully can
    expect of its employees; or (d) negligence indicating an intentional disregard of the
    employer’s interests or of the employee’s duties or obligations.                       Grieb v.
    Unemployment Comp. Bd. of Rev., 
    827 A.2d 422
    , 425 (Pa. 2003). The employer
    bears the burden of proving that the claimant was discharged for willful misconduct.
    Walsh v. Unemployment Comp. Bd. of Rev., 
    943 A.2d 363
    , 369 (Pa. Cmwlth. 2008).
    Moreover, “[a]n employer seeking to prove willful misconduct by a policy
    violation must demonstrate the existence of the policy, its reasonableness, and its
    violation.” Klampfer v. Unemployment Comp. Bd. of Rev., 
    182 A.3d 495
    , 500 (Pa.
    Cmwlth. 2018). “The employer must also show that the [claimant] intentionally or
    deliberately violated” the policy. Chester Cmty. Charter Sch. v. Unemployment
    Comp. Bd. of Rev., 
    138 A.3d 50
    , 54 (Pa. Cmwlth. 2016). This Court must determine
    whether the policy at issue was reasonable and whether the claimant had good cause
    for violating it. Klampfer, 182 A.3d at 500. The claimant bears the burden of
    proving good cause by demonstrating that her conduct was justifiable and reasonable
    under the circumstances. Kelly v. Unemployment Comp. Bd. of Rev., 
    747 A.2d 436
    ,
    439 (Pa. Cmwlth. 2000).
    9
    Our review is limited to determining whether constitutional rights were violated, whether
    an error of law was committed, or whether the necessary findings of fact are supported by
    substantial evidence. Section 704 of the Administrative Agency Law, 2 Pa. C.S. § 704.
    7
    1. Reasonableness of Policy
    First, we must determine whether Employer’s flu vaccine policy was
    reasonable.10 In determining whether an employer’s policy is reasonable, we “must
    consider whether application of the rule or policy under the circumstances is fair and
    just and appropriate to accomplish a legitimate interest of the employer.” Webb v.
    Unemployment Comp. Bd. of Rev., 
    670 A.2d 1212
    , 1215 (Pa. Cmwlth. 1996).
    (emphasis added).
    In this case, the record establishes that the purpose of Employer’s flu vaccine
    policy was to prevent the spread of the flu to its patients and staff. Employer
    explained the reason for its vaccine policy to Claimant as follows:
    At The Children’s Hospital of Philadelphia, our first priority is the
    health and safety of our patients. Each year, influenza (flu) causes
    thousands of hospitalizations and deaths throughout the U[nited
    ]S[tates]. . . . [W]e care for some of the most vulnerable children –
    children most likely to develop serious complications, or even death,
    related to influenza. We have an opportunity – and a responsibility –
    to protect our patients and employees from this deadly disease.
    R. Item No. 3.
    As a children’s hospital, Employer undoubtedly has a legitimate interest in
    protecting the health and safety of its patients. Employer made a business decision
    that requiring its employees to be vaccinated against the flu each year was necessary
    to protect its patients’ health.       We conclude that Employer’s directive was
    reasonable. See Rebel v. Unemployment Comp. Bd. of Rev., 
    723 A.2d 156
    , 159-60
    (Pa. 1998) (recognizing that “[t]he creation of rules and requirements that govern
    the workplace is the prerogative of the employer” and that “[a]n employer has the
    10
    Claimant does not dispute that Employer had a mandatory flu vaccine policy or that she
    was aware of the policy.
    8
    right to make decisions as to how [it] is going to run [its] business”) (emphasis
    added).
    Claimant does not dispute that Employer has a right to protect its patients from
    the flu. Rather, Claimant asserts that because Employer permitted other employees
    to claim religious or medical exemptions from the vaccine requirement, the vaccine
    policy, as applied to her, was neither fair nor just. In essence, Claimant argues that
    because Employer accepted religious and medical exemptions with supporting
    documentation, it should have also accepted her AVD as an exemption.                We
    disagree.
    In support of her request for an exemption, Claimant submitted to Employer
    only a one-page printout from a website purporting to explain the doctrine of
    informed consent to medical treatment. See R. Item No. 6. The AVD printout was
    not a religious or medical exemption and conferred no legal rights on Claimant.
    Aside from submitting the AVD, Claimant also informed Employer that she did not
    need the flu vaccine because she has a strong immune system and never gets sick.
    See R. Item No. 3 (“I have been here . . . for the last 15[] years and [for] 10 of those
    years I did not receive the [flu] shot and I have never been sick.”); R. Item No. 2
    (wherein Claimant stated that she “had already proven that [her] body has a great
    defense” against the flu). However, simply because Claimant was able to avoid
    contracting the flu prior to 2012 when she was unvaccinated does not mean that she
    will never contract the flu if she remained unvaccinated. As Employer previously
    explained to Claimant, the risk of an employee potentially infecting the hospital’s
    most ill and vulnerable patients with the flu is far too great to take that chance. See
    R. Item No. 3; see also Ref.’s F.F. No. 9 (finding that “Claimant’s work brought her
    into daily contact with the patients at Employer’s hospital”).
    9
    The evidence of record demonstrates that Employer’s vaccine policy, as
    applied to Claimant, was neither unfair nor unjust, particularly in light of Employer’s
    legitimate interest in protecting the health of its patients.        See Simpson v.
    Unemployment Comp. Bd. of Rev., 
    450 A.2d 305
    , 311 (Pa. Cmwlth. 1982) (holding
    that “if an employer’s request can be deemed circumstantially reasonable, after
    considering the burden to the employee, then the employee has an implied obligation
    to cooperate”). Therefore, we conclude that Employer’s flu vaccine policy was
    reasonable under the circumstances.
    2. Good Cause
    Because we have concluded that Employer’s flu vaccine policy was
    reasonable, we must now determine whether Claimant established good cause for
    refusing to comply with the policy. In determining whether a claimant’s refusal
    amounts to willful misconduct, this Court must consider “all of the circumstances,
    including the reasons for the employee’s noncompliance with the employer’s policy
    or directive[].” Rebel, 723 A.2d at 158 (emphasis added).
    When balancing employer and employee rights in the context of employment
    directives, our Court has instructed:
    Any legal relationship that a person voluntarily enters into can, and
    usually does, diminish some common law right he could otherwise
    exercise with impunity: be the right personal or proprietary. Virtually
    every legal relationship assumed by a person creates duties and
    obligations to the other party that are not owed to people outside the
    relationship. Such a relationship is that of employee and employer. An
    employee owes his employer, among other duties, a reasonable level of
    cooperation regarding matters that are important to the employer’s
    interest. . . .
    Of course, an employee’s implied obligation to cooperate with [her]
    employer does not abrogate all of the non-constitutional personal and
    10
    proprietary rights upon which an employee could rely to justifiably
    withhold the action requested. Certainly, for example, an employee
    does not have an implied obligation to open his home to an employer
    search, or to stand on his head because the employer so requests. The
    extent to which the implied obligation to cooperate will be deemed to
    prevail over an allegedly reserved common law right must, in effect,
    rest on a conclusion about the circumstantial reasonableness of the
    employer’s request and its burdensomeness to the employee. Indeed,
    an employer’s request cannot be deemed reasonable if it will unduly
    burden an employee; and as to such a request there can be no implied
    obligation to cooperate.
    But if an employer’s request can be deemed circumstantially
    reasonable, after considering the burden to the employee, then the
    employee has an implied obligation to cooperate. Although there might
    be practical reasons that can justify an employee’s refusal to
    cooperate, such noncompliance cannot be predicated upon asserted
    common law personal and property rights. As to employer requests
    that are reasonable in the above sense, the employee has waived those
    rights as a basis for noncompliance; [she] waived them when [she]
    voluntarily assumed the legal relationship with [her] employer.
    Simpson, 450 A.2d at 311 (emphasis added) (internal citations omitted); accord
    Rebel, 723 A.2d at 158-59.
    Here, Claimant contends that she had good cause for refusing the flu vaccine
    because the AVD “stipulate[s] that [she] had a [l]awful right of informed consent”
    and “[t]he right to refuse medical treatment has deep roots in our common law.”
    Claimant’s Br. at 8.11 As explained above, however, the AVD Claimant submitted
    11
    In her appellate brief, Claimant also attempts to assert a religious objection to the flu
    vaccine, arguing:
    Title VII of the Civil Rights Act of 1964 states that the employer must
    accommodate an employee’s sincerely held religious belief which by definition
    could be new or uncommon, not a part of a formal church or sect or only held by a
    small number of people. It’s not up to my former employer to decide whether my
    (Footnote continued on next page…)
    11
    to Employer was nothing more than a printout from a website explaining the doctrine
    of informed consent. See R. Item No. 6. It was Employer’s prerogative to choose
    to not accept the AVD printout as the equivalent of a religious or medical exemption.
    With regard to Claimant’s informed consent argument, it is true that Claimant
    has a legal right, as a patient, to refuse a vaccine or other medical treatment.
    However, Claimant was not Employer’s patient; she was its employee.                               By
    voluntarily entering into an employment relationship with Employer, Claimant was
    obligated to comply with Employer’s reasonable directives related to its business
    interests. See Simpson, 450 A.2d at 311 (recognizing that an employee waives
    certain legal rights as a basis for noncompliance with a reasonable employer
    directive when she “voluntarily assumed the legal relationship with [her]
    employer”).
    While Claimant had a right to choose to not be vaccinated for a non-religious,
    non-medical reason, she was notified and aware that, under Employer’s policy, that
    religion is real their only concern should be could I prove that I practice the ten[ets]
    within my religion, which is tied to my personal health.
    Claimant’s Br. at 11-12. Claimant also cites her “holistic” lifestyle as a basis for refusing the flu
    vaccine, claiming that she “rel[ies] on what ‘The Most High’ put on this earth in its purest form
    (plants and herbs)” and that “allowing an artificial virus (manipulated under man’s hands) to alter
    my genes and reap [sic] havoc goes against my very beliefs.” Id. at 6. In the proceedings before
    the Referee, however, Claimant did not assert a religious reason for refusing the flu vaccine; she
    relied only on the AVD and her right of informed consent. See, e.g., R. Item No. 4 (“[A]s an adult
    I can make an informed decision as to what I have put into my body.”); N.T., 4/11/18, at 3 (“[M]y
    [AVD] states that I had the right to object against vaccinations per the Nuremberg Code . . . .”).
    The first time she asserted a religious objection was in her appeal to the Board. See R. Item Nos.
    11 and 12. Consequently, Claimant’s assertions regarding her purported religious objection are
    waived. See Schaal, 
    870 A.2d at 954-55
    . Furthermore, Claimant admitted during her oral
    interview with the Department of Labor and Industry that she did not have a medical reason to
    refuse the flu vaccine. See R. Item No. 4; see also Hubbard, 252 A.3d at 1188 (stating that a
    claimant’s out-of-court admissions on her UC submissions, including the “claimant questionnaire”
    and the “internet claim form,” are competent evidence to support the Board’s findings).
    12
    choice would have a consequence: termination of her employment. See R. Item No.
    3 (“A condition of [your] continued employment is to get the flu shot.”). Claimant
    cites no authority for the proposition that an employee can refuse a vaccine as an
    express condition of employment – a condition with which Claimant complied, albeit
    reluctantly, for five years before opting to refuse that condition. See Bd.’s F.F. No.
    3; R. Item No. 2. As the Board properly determined, “[C]laimant’s mistaken
    understanding of her legal rights does not justify her refusal to comply with
    [E]mployer’s reasonable request.” Bd.’s Order, 8/16/18, at 3; see Rebel, 723 A.2d
    at 159-60 (holding that the claimant’s refusal to submit to drug testing pursuant to
    his employer’s policy, on the ground that the drug policy violated his right to
    privacy, was willful misconduct under Section 402(e) of the Law).12
    In sum, Claimant failed to provide Employer with a valid reason for refusing
    the flu vaccine when Employer mandated it, knowing that her failure to do so would
    result in her discharge. Employer’s vaccine policy was entirely reasonable, given
    the nature of Claimant’s job at a children’s hospital, and she deliberately chose not
    to comply without good reason. As discussed earlier, it was Employer’s right to
    mandate certain vaccines for its employees to protect the health of its patients and
    staff. Because Claimant failed to establish a valid justification for refusing to
    12
    As our Court explained in Simpson:
    However sincere the claimant may have been in his perception of his legal rights,
    we must conclude that his mistake in that respect was not the kind that can be
    allowed to exonerate him and preserve his eligibility for [UC] benefits. His conduct
    was purely volitional, and disregardful of his employer’s interest. There is nothing
    in this case to indicate that the claimant’s beliefs about his legal rights were other
    than self-induced. If he wished to gamble on the accuracy of his personal
    jurisprudence, the [UC] Fund should not be required to subsidize his
    misconception.
    450 A.2d at 312 (emphasis added).
    13
    comply with Employer’s reasonable directive, she is ineligible for UC benefits under
    Section 402(e) of the Law.13
    Conclusion
    We conclude that Employer satisfied its burden of proving that: (1) it has a
    reasonable policy mandating the flu vaccine for its employees; (2) Claimant was
    aware of the policy; and (3) Claimant deliberately refused to comply with the policy.
    We also conclude, based on the evidence of record, that Claimant failed to establish
    good cause for refusing to comply with Employer’s vaccine mandate under the
    circumstances. Accordingly, we affirm the Board’s Order.
    __________________________________
    ELLEN CEISLER, Judge
    13
    We note that, in her appellate brief, Claimant discusses numerous “facts” that were not
    part of the record before the Referee or the Board. See Claimant’s Br. at 7-10. It is well settled
    that this Court may not consider extra-record evidence that is not part of the certified record on
    appeal. See Umedman v. Unemployment Comp. Bd. of Rev., 
    52 A.3d 558
    , 564 (Pa. Cmwlth. 2012).
    Consequently, we will not consider the extra-record evidence referenced in Claimant’s brief.
    14
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Niaja Brown,                       :
    Petitioner        :
    :
    v.                            : No. 1306 C.D. 2018
    :
    Unemployment Compensation          :
    Board of Review,                   :
    Respondent        :
    ORDER
    AND NOW, this 5th day of May, 2022, we hereby AFFIRM the August 16,
    2018 Order of the Unemployment Compensation Board of Review and DISMISS
    AS MOOT Niaja Brown’s Application for Relief filed on October 31, 2019.
    __________________________________
    ELLEN CEISLER, Judge
    IN THE COMMONWEALTH COURT OF PENNSYLVANIA
    Niaja Brown,                              :
    Petitioner            :
    :   No. 1306 C.D. 2018
    v.                           :
    :   Submitted: February 22, 2019
    Unemployment Compensation Board           :
    of Review,                                :
    Respondent                 :
    BEFORE:      HONORABLE MARY HANNAH LEAVITT, President Judge
    HONORABLE PATRICIA A. McCULLOUGH, Judge
    HONORABLE ELLEN CEISLER, Judge
    DISSENTING OPINION
    BY JUDGE McCULLOUGH                                   FILED: May 5, 2022
    I respectfully but strenuously dissent from the Majority opinion. While
    employers can terminate an employee for failure to comply with an employer
    mandate, i.e., a reasonable policy, I believe the Pennsylvania Unemployment
    Compensation Board of Review’s (UCBR) denial of unemployment compensation
    benefits under these circumstances is indefensible.
    In assessing whether an individual may be denied unemployment
    benefits due to the alleged failure to comply with an employer mandate, we must
    determine whether the action constituted willful misconduct, and whether the policy
    is reasonable. First, regarding willful misconduct, in this Commonwealth the people
    have a right to choose their own medical treatment, which includes deciding whether
    to get a flu shot. They are not forced to do so. Moreover, there is no federal or state
    law mandating it. Rather, every competent individual has a right under the common
    law doctrine of self-determination to choose their medical treatment(s). Yet, the
    majority upholds the UCBR’s decision to deny a citizen unemployment
    compensation benefits for exercising this legally protected right and, moreover,
    engages in no assessment of whether this particular employer’s policy was
    reasonable.
    As discussed below, the decision about whether to get a flu shot every
    year is a personal health choice that is protected in this Commonwealth under the
    common law doctrine of self-determination. This is a legally protected right,
    which Niaja Brown (Claimant) here chose to invoke when she refused the shot – and
    she was fired for doing so.1 Our Courts in Ault v. Unemployment Compensation
    Board of Review, 
    157 A.2d 375
     (Pa. 1960), and Duquesne Light Company v.
    Unemployment Compensation Board of Review, 
    474 A.2d 407
     (Pa. Cmwlth. 1984),
    have refused to deny unemployment compensation benefits to claimants terminated
    for exercising their legally protected rights, holding that such may be considered
    to be reasonable conduct and not willful misconduct. I submit that this case falls
    directly within the purview of these cases, as Claimant exercised the right to make a
    decision about her medical care based on her own personal secular beliefs. In what
    I perceive to be an issue of first impression, we must hold here that the exercise of
    the common law right of self-determination in refusing an invasive bodily intrusion
    did not, and cannot, amount to willful misconduct under our unemployment
    compensation law.
    1
    The Children’s Hospital of Philadelphia (Employer) fired Claimant from employment as
    a Senior Nursing Assistant because she failed to comply with Employer’s mandate to get a flu shot
    by December 5, 2017. Whether Employer wrongfully terminated Claimant for failing to comply
    with its flu shot policy is an entirely separate question that is not before us. The question of
    justifiable termination and eligibility for unemployment benefits are two different things; an
    employee may be fired for completely proper reasons yet remain eligible for benefits. See Burger
    v. Unemployment Compensation Board of Review, 
    801 A.2d 487
     (Pa. 2002).
    PAM - 2
    Second and equally compelling in my view is Employer’s utter failure
    to demonstrate that the application of all aspects of its flu shot policy under the
    circumstances were “fair and just and appropriate to accomplish a legitimate
    interest.”2 As such, I believe the Majority falls short of resolving fully the issue
    before us. Under Employer’s policy, certain employees qualified for a religious or
    medical exemption, for which Employer ostensibly adopted far less-intrusive flu-
    prevention alternatives, which allowed those employees to avoid the shot and
    continue working. Inexplicably, the risk reduction component of Employer’s flu
    shot policy does not afford employees, such as Claimant, who declined a flu shot for
    secular (non-religious) or philosophical reasons the same opportunity to don a mask
    or take other precautions and remain employed.
    In my assessment, the issue before us reaches beyond whether an
    employee committed willful misconduct by committing some overt infraction of a
    work policy. Rather, Claimant was fired because she would not permit Employer to
    determine her medical treatment, i.e., what she must allow to be injected into her
    body, while still allowing other employees who refused the shot for other reasons,
    to remain employed. Thus, I submit, the discussion requires a more in-depth analysis
    than the superficial conclusion that an employee who violates a work policy that was
    meant to protect her employer’s patients has engaged in willful misconduct.
    1. Legally Protected Common Law Right of Self-Determination
    More than a century ago, the United States Supreme Court recognized
    that “[n]o right is held more sacred, or is more carefully guarded by the common
    law, than the right of every individual to the possession and control of his own
    person, free from all restraint or interference of others, unless by clear and
    2
    Spirnak v. Unemployment Compensation Board of Review, 
    557 A.2d 451
    , 453 (Pa.
    Cmwlth. 1989).
    PAM - 3
    unquestionable authority of law.” Union Pacific Railway Co. v. Botsford, 
    141 U.S. 250
    , 251 (1891). In Cruzen by Cruzen v. Director, Missouri Department of Health,
    
    497 U.S. 261
     (1990), then-Chief Justice Rehnquist stated that “[e]very human being
    of adult years and sound mind has a right to determine what shall be done with his
    own body.” 
    Id. at 269
    .3
    Pennsylvania recognizes a common law right to exercise autonomy
    over the medical treatment to be utilized by an individual, also referred to as the
    doctrine of self-determination. Although some courts have noted constitutional
    bases for such a right,4 our Pennsylvania Supreme Court has chosen to follow the
    example set by the courts5 that have relied solely on the common law basis for the
    right to self-determination. See In re Fiori, 
    673 A.2d 905
    , 909-10 (Pa. 1996)
    (“[f]rom [the] right to be free from bodily invasion developed the doctrine of
    informed consent”); Shinal v. Toms, 
    162 A.3d 429
    , 452 (Pa. 2017) (recognizing right
    to medical self-determination); Coleman v. Workers’ Compensation Appeal Board
    (Indiana Hospital and Phico Services Company), 
    842 A.2d 349
    , 355 (Pa. 2004)
    3
    Specifically, in Cruzen by Cruzen, the U.S. Supreme Court held that the right of a
    competent person to refuse unwanted medical treatment or care is a protected liberty interest under
    the Fourteenth Amendment. U.S. Const. amend. XIV. There, a patient in a state hospital slipped
    into a persistent vegetative state after a car accident. 
    497 U.S. at 266
    . After it became clear that
    the patient would never recover cognitive function, her parents sought an “order directing the
    withdrawal of their daughter’s artificial feeding and hydration equipment.” 
    Id.
     The Supreme
    Court of Missouri searched for evidence of the patient’s intent; in the absence of clear and
    convincing evidence of her consent to withdraw life-sustaining treatment, the Court held her
    parents lacked the authority to make such a request on her behalf. 
    Id. at 269
    . The U.S. Supreme
    Court affirmed. In reaching its decision, the U.S. Supreme Court found that the patient possessed
    a cognizable “liberty interest” under the Due Process Clause in the right to individual bodily
    autonomy.
    4
    See Ragona, Incompetent v. Attorney General, 
    6 Pa. D. & C. 4th 202
     (1990), 
    1990 WL 259033
    .
    5
    For that proposition, the Pennsylvania Supreme Court in Fiore cited to In re Estate of
    Longeway, 
    549 N.E.2d 292
    , 297 (Ill. 1989); Mack v. Mack, 
    618 A.2d 744
     (Md. 1992).
    PAM - 4
    (recognizing importance of safeguarding a workers’ compensation claimant’s right
    of self-determination). See also In re Duran, 
    769 A.2d 497
    , 506 (Pa. Super. 2001)
    (recognizing the right to self-determination); and Mrs. Smith Pie Co. v. Workmen’s
    Compensation Appeal Board (Wise), 
    426 A.2d 209
    , 211-12 (Pa. Cmwlth. 1981)
    (interest against unwarranted intrusions implicitly recognized where this Court
    affirmed the referee’s conclusion that a 10-14 day hospitalization for testing,
    including the intravenous administration of a narco-hypnotic, was unreasonable
    under section 314 of the Workers’ Compensation Act6); Forbes v. County of San
    Diego, 20-cv-00998-BAS-JLB, 
    2021 WL 843175
    , at *7 (S.D. Cal. Mar. 4, 2021)
    (viewing compulsory vaccination as an intrusion into personal autonomy).7
    Here, Claimant determined not to allow others to inject a foreign
    substance into her body, by mandate of Employer in order to keep her job. She
    expressly asserted her legally protected right to self-determination at the time of
    refusal and was then fired for doing so. There can be no “fault” in exercising a
    legally protected right. Ergo, Claimant’s conduct cannot be construed as willful
    misconduct.
    Indeed, our courts have held that exercising one’s legally protected
    rights may be considered to be reasonable conduct, which does not amount to willful
    misconduct. In Duquesne Light Company, we held that a claimant’s reliance on his
    federal right to privacy was good cause for his refusal to complete a medical
    disclosure form required by his employer. There, the employer, Duquesne Light
    Company (Duquesne), required the claimant, a nuclear control operator, to obtain
    6
    Act of June 2, 1915, P.L. 736, as amended, 77 P.S. §651.
    7
    In addition, a person’s right to self-determination has been codified in the Health Care
    Agents and Representatives Act, 20 Pa.C.S. § 5423(a), which the General Assembly intended to
    provide “a statutory means for competent adults to control their health care through instructions
    written in advance or by health care agents or health care representatives and requested orders.”
    PAM - 5
    certification from the Nuclear Regulatory Commission. To obtain a nuclear control
    operator license, the claimant was required to disclose his medical history by
    completing a Certificate of Medical History. The claimant, who had become
    dissatisfied with his position as nuclear control operator, attempted to transfer, or
    bid into a different job within Duquesne. However, Duquesne would not permit him
    to transfer from his position. Relying on the Federal Privacy Act,8 5 U.S.C. §552a,
    the claimant refused to complete this form in order to disqualify himself as a nuclear
    control operator and, in turn, secure his transfer to a different job. Duquesne
    terminated his employment because he refused to disclose his medical history. 474
    A.2d at 408-09.
    The claimant applied for, and was awarded, unemployment
    compensation benefits. Duquesne sought review, arguing that the claimant’s refusal
    to disclose certain medical information constituted a wanton and willful disregard of
    his employer’s interests and that the claimant was ineligible for benefits because the
    claimant became unemployed through his own fault. This Court disagreed.
    Examining the claimant’s reasons for withholding medical information
    and balancing those against the reasonableness of the request made by Duquesne,
    we concluded that
    [t]he claimant here had a legally protected right under
    the Privacy Act. This notice, attached to the license
    application, made the disclosure of medical information
    voluntary. Since [the] claimant had a legally protected
    right, one that he could exercise at his own option, his
    conduct can be characterized as reasonable. His
    unemployment, therefore, was not the result of his
    8
    The federal Privacy Act, Pub.L. 93-579, 
    88 Stat. 1896
    , enacted December 31, 1974, 5
    U.S.C. §552a, a United States federal law, establishes a Code of Fair Information Practice that
    governs the collection, maintenance, use, and dissemination of personally identifiable information
    about individuals that is maintained in systems of records by federal agencies.
    PAM - 6
    willful misconduct because [the] claimant acted in a
    reasonable manner.
    Id. at 410 (emphasis added).
    Applying Duquesne Light to the facts of this case, Claimant had a
    legally protected right, i.e., a common law right of self-determination, to refuse the
    flu shot.    Since Claimant had a legally protected right, her conduct can be
    characterized as reasonable and not the result of willful misconduct.
    Similarly, in Ault, an employee was discharged after exercising his
    privilege under the Fifth Amendment9 before a United States Senate subcommittee.
    In concluding that the employee should not have been denied his unemployment
    compensation benefits for exercising that legal right, the Supreme Court said: “We
    are unwilling to engraft upon our law the notion, nowhere so decided, that
    unemployment benefits may be denied because of raising the bar of the Amendment
    against rumor or report of disloyalty or because of refusing to answer such rumor or
    report.” Ault, 157 A.2d at 380.
    Like the Pennsylvania Supreme Court in Ault, we must be unwilling to
    engraft upon our law the notion that unemployment benefits may be denied to
    Claimant because she chose to exercise her long-standing legally protected right of
    self-determination. Therefore, unlike the Majority, I would conclude that Claimant
    may not be denied unemployment benefits for invoking her legally protected right
    to self-determination when she refused the flu shot.10
    9
    U.S. Const. amend. V.
    10
    The UCBR and Majority focus on Claimant’s mistaken understanding of the legal import
    of her “Advance Vaccination Directive (AVD) Card” and the authorities cited therein. As the
    Majority recounts, Claimant believed that the Nuremberg Code and Declaration of Helsinki gave
    her the “legal” right to refuse the flu vaccination. (Certified Record (C.R.), Item No. 9; Notes of
    Testimony (N.T.) at 4.) Claimant explained that she presented Employer with an AVD Card which
    she obtained online. Id.; N.T. at 3. Claimant told Employer that her AVD Card entitled her to
    (Footnote continued on next page…)
    PAM - 7
    2. Reasonableness of Employer’s Policy/Rule
    Further, if an employer alleges willful misconduct because the claimant
    violated a work rule, the employer must prove both the existence of the rule and its
    violation. Caterpillar, Inc. v. Unemployment Compensation Board of Review, 
    703 A.2d 452
    , 456 (Pa. 1997); Ductmate Industries, Inc. v. Unemployment
    Compensation Board of Review, 
    949 A.2d 338
    , 342 (Pa. Cmwlth. 2008).                                 In
    considering the employer’s proffer, we examine whether “the rule or policy is
    reasonable in light of all the circumstances and if so, whether the employee [had]
    good cause to violate the rule or policy.” Caterpillar, Inc., 703 A.2d at 456.
    Reasonableness of the rule or policy is determined by “consider[ing] whether
    application of the rule or policy under the circumstances is fair and just and
    appropriate to accomplish a legitimate interest of the employer.” Spirnak, 
    557 A.2d at 453
    .
    Only if the employer satisfies its burden, will the burden then shift to
    the claimant to show that she had good cause for her actions. McKeesport Hospital
    v. Unemployment Compensation Board of Review, 
    625 A.2d 112
    , 114 (Pa. Cmwlth.
    1993). “Whether a claimant has good cause to violate an employer’s rule or policy
    is a question of law subject to this [C]ourt’s review and should be viewed in light of
    lawfully refuse the vaccine and that Employer should allow her to assert this legal exemption. 
    Id.
    Claimant argued that “if an exemption [is] allowed for medical and religious reasons, then my
    advanced directive should be allowed as well.” Id.; N.T. at 4. She explained that she previously
    got the flu shot before because she felt “forced to get it” but “upon coming into this knowledge . .
    . that I have a right to object to it, that’s when I decided to say no, enough is enough.” Id.; N.T. at
    5. Before this Court, Claimant continues to argue that Employer failed to demonstrate that she
    committed willful misconduct because “every human being has the right to make decision[s]
    concerning their health.” (Claimant’s Brief at 5.)
    To me, the fact that Claimant was mistaken as to the legal import of the AVD Card is of
    no moment because Claimant’s legally protected right of self-determination existed even without
    the AVD Card, and regardless of her mistaken belief that the AVD Card granted her that legally
    protected right.
    PAM - 8
    all of the attendant circumstances.” Docherty v. Unemployment Compensation
    Board of Review, 
    898 A.2d 1205
    , 1208 (Pa. Cmwlth. 2006). In Frumento v.
    Unemployment Compensation Board of Review, 
    351 A.2d 631
     (Pa. 1976), our
    Supreme Court found that if an employee’s action is justifiable or reasonable under
    the circumstances then it will not constitute willful misconduct because the
    employee would not be in willful disregard of the employer’s interests and rules or
    standard of conduct that the employer has the right to expect. See also Docherty,
    
    898 A.2d at 1208-09
     (“A claimant has good cause if his . . . actions are justifiable
    and reasonable under the circumstances.”).
    Under the relevant standard, Claimant is not ineligible for benefits
    unless (1) Employer demonstrates that its flu shot policy was reasonable in light of
    all the circumstances; and (2) her violation of Employer’s flu shot policy was not
    justifiable or unreasonable. Spirnak, 
    557 A.2d at 453
    ; Docherty, 
    898 A.2d at
    1208-
    09.
    Employer’s flu shot policy was adopted to prevent the spread of the flu
    virus to employees and patients. (C.R. Item No. 3.) However, Employer’s policy
    also permitted certain employees to apply for an exemption for religious and medical
    reasons and allowed those employees, who declined to get the flu shot, to remain
    employed without a vaccine. Seemingly, these individuals were allowed to wear
    masks or take other precautionary measures to avoid spreading the flu virus.
    Employer did not appear at the hearing and explain why Claimant, who refused the
    flu shot for secular, non-religious reasons, was not afforded the same opportunity to
    take these less invasive risk-reducing measures and remain employed.
    Under Pennsylvania law, an employer must demonstrate that the
    application of the rule was reasonable; otherwise a violation of the rule will not
    PAM - 9
    constitute willful misconduct. Spirnak. This is where I believe the Majority’s
    analysis falls short because it does not address whether Employer’s application of
    its flu shot policy under these circumstances was fair, just, and appropriate to achieve
    a legitimate purpose. Spirnak. It is a critical aspect of the policy which was
    challenged by Claimant, which I believe we are obliged to address head-on.
    As one court has observed, there is no principled reason to treat one’s
    refusal to take the flu shot for secular reasons differently than those who refuse it for
    religious or medical reasons for purposes of determining whether an employee
    engaged in willful misconduct. In Valent v. Board of Review of the Department of
    Labor, 
    91 A.3d 644
     (N.J. App. Div. 2014), June Valent was employed as a registered
    nurse at Hackettstown Community Hospital (hospital). The hospital operated under
    a mandatory vaccination policy, providing exemptions only for documented
    religious and medical purposes. As in this case, Valent refused to take the flu shot
    for purely secular reasons but she offered to wear a facemask, the same alternative
    to the flu shot required of employees who invoked a medical or religious exemption.
    The hospital terminated Valent’s employment based on her refusal to submit to the
    flu vaccination policy. Consequently, the New Jersey Board of Review (board)
    denied Valent unemployment compensation benefits on the grounds that she was
    engaged in misconduct as defined by New Jersey’s unemployment compensation
    statute. Id. at 646.
    On appeal, the Valent Court reversed, finding it compelling that the
    hospital permitted employees to work without the vaccine provided they wear a
    mask. The Valent Court reasoned that the flu vaccination policy was not reasonably
    based exclusively on public health concerns because an employee claiming an
    exemption was only required to sign a form attesting to his or her faith-based (or
    PAM - 10
    medical) reason for refusing to be vaccinated, “accompanied with an appropriate
    note” from a religious leader, after which he or she could wear a mask. Id. at 647.
    The Valent Court found that these requirements were “facially unrelated to public
    health issues, patient safety concerns, or scientifically valid reasons for the
    containment of the flu virus.” Id. at 647-48. The court held that by exempting
    employees who could produce religious-based documentation, and allowing them to
    wear a mask, but not Valent, the employer’s requirements for exemptions under the
    flu vaccination policy were facially unrelated to public health issues. They were
    also facially unrelated to patient safety concerns and scientifically valid reasons for
    the containment of the flu virus. By following the religious or medical exemption
    policy of wearing a facemask when in the presence of patients, Valent adhered to
    what the court regarded as the relevant part of the hospital’s policy by preserving the
    patient’s health and safety.11
    Here, the Majority concludes that Employer’s flu shot policy was
    reasonable because of the potential health danger to Employer’s vulnerable patient
    population. However, this analysis only touches upon part of Employer’s flu shot
    policy. The other part, not acknowledged or addressed by the Majority, involves the
    reasonableness of Employer’s exemption policy which singled out the religious and
    medical exemptions for different treatment - by allowing some employees to wear
    face masks or take some other precautionary alternative deemed sufficient to protect
    its goal of patient safety. These alternatives are presumptively suitable religious and
    11
    Valent also argued the board’s endorsement of the hospital’s flu vaccination policy that
    contained a religious-based exemption violated her constitutionally protected right to freedom of
    expression under the First Amendment of the U.S. Constitution. 91 A.3d at 648. The Valent Court
    agreed, holding that by denying Valent’s application to receive unemployment benefits based only
    on her unwillingness to submit to the hospital’s religion-based policy, the board violated Valent’s
    rights under the First Amendment. Id.
    PAM - 11
    medical belief accommodations. However, Employer provided no explanation on
    the record as to why it cannot also meet its legitimate public health goals through
    less intrusive means by allowing Claimant to, for example, wear a facemask, as well.
    Based on what I perceive to be an arbitrary disparity between
    Employer’s position regarding safe alternatives for religious and medical
    exemptions, versus the denial of such alternatives for those who exercise their
    legally protected right of self-determination of a medical treatment, I believe
    Employer’s policy was not justified and, hence, is unreasonable. Employer has
    failed to come forward with any evidence or argument that denying Claimant those
    same options furthers its legitimate goal of promoting the public health.
    Consequently, despite the seemingly reasonableness of seeking to avoid the spread
    of the flu virus in a children’s hospital, I submit that Employer failed to demonstrate
    that its application of its flu shot policy under these circumstances was fair, just, and
    appropriate because it allowed certain employees to take measures to avoid the
    spread of the virus and remain employed, but it did not provide Claimant the same
    opportunity, without any explanation of why that was reasonable. See Spirnak;
    Caterpillar, Inc.
    In this same vein, I would also find that Employer failed to establish
    that Claimant’s conduct was so inimical to its interests that willful misconduct
    occurred.12 Umedman v. Unemployment Compensation Board of Review, 
    52 A.3d 558
    , 562 (Pa. Cmwlth. 2012) (citation omitted) (explaining that willful misconduct
    may also be found “where the behavioral standard is obvious, and the employee’s
    conduct is so inimical to the employer’s best interests that discharge is a natural
    result”).
    12
    See C.R. Item No. 3 at page 3 where Employer states that it discharged Claimant because
    her “actions were not in [Employer’s] interests.”
    PAM - 12
    Here, Employer sent Claimant a letter which stated that “[o]ur first
    priority is the health and safety of our patients . . . [w]e have an opportunity—and a
    responsibility—to protect our patients and our employees from this deadly disease.”
    (C.R. Item No. 3.) At first glance it may appear that refusing the flu shot was an
    intentional disregard of Employer’s interest or Claimant’s duties and obligations.13
    However, I do not view the conundrum as so cut-and-dry. Even without Employer’s
    evidence, it is safe to say, for those employees, alternative protective measures are
    undoubtedly put in place to contain the spread of the flu virus, such as facemasks.
    Yet these same measures were denied to Claimant as an option. Thus, without more,
    we should be loath to accept that Claimant arbitrarily or flagrantly disregarded
    Employer’s interests. To do so would require us to conclude that Claimant, who
    refused the shot for secular personal reasons, acted contrary to Employer’s interests,
    while those employees who received exemptions for religious or medical reasons
    did not. Here, the reason for not taking the flu shot does not change in any way the
    fact Employer could have allowed Claimant, like the others who invoked an
    exemption, to wear a facemask and still uphold its public health policy. In my view,
    the measure of disregard of Employer’s interests is the same regardless of the reason
    for refusing the flu shot: religious, medical, or legal. It would be absurd to conclude
    that Claimant is ineligible for benefits by way of misconduct for failing to obtain a
    flu shot, where Employer evidently would employ safety measures for those who
    are unvaccinated pursuant to its Flu Shot Policy and allow those individuals to
    remain employed. Most importantly, Employer failed to appear at the hearing and
    13
    See Grieb v. Unemployment Compensation Board of Review, 
    827 A.2d 422
    , 425 (Pa.
    2003) (defining willful misconduct as (1) a wanton and willful disregard of an employer’s
    interests; (2) a deliberate violation of an employer’s rules; (3) a disregard of the standards of
    behavior that an employer can rightfully expect from an employee; or (4) negligence showing an
    intentional disregard of the employer’s interest or the employee’s duties and obligations).
    PAM - 13
    present evidence as to why, if those safety measures are effective for employees who
    raise a religious or medical exemption, those same safety measures will not be
    equally effective for employees such as Claimant who object to the flu shot for
    secular, legal reasons. Perhaps there is a good reason. If there is, it is not in the
    record. I do not believe we can hold this failure against Claimant.
    For the reasons above, I believe Claimant is entitled to unemployment
    compensation benefits.      Our unemployment compensation system is solely
    concerned with an individual’s entitlement to benefits for becoming unemployed
    through no fault of her own. Here, Claimant became unemployed because she
    exercised her common law right to self-determination.           Exercising a legally
    protected right cannot amount to “willful misconduct” warranting denial of
    unemployment benefits. Ault; Duquesne Light. Yet, by denying her benefits, the
    UCBR (i.e., acting on behalf of our Pennsylvania government) has in essence
    penalized or punished Claimant under our Commonwealth’s unemployment
    compensation law for exercising a legally protected right – for not getting a flu shot.
    In so doing, our government is indirectly requiring what the law does not - by
    denying unemployment compensation benefits to those who refuse it. Moreover,
    Employer has failed to meet its burden of demonstrating that its policy was
    reasonable under these circumstances. Suffice it to say, had Claimant been afforded
    the same risk-reducing accommodations as employees asserting a religious or
    medical exemption, she would still be employed.
    Finally, I would find the UCBR’s reliance on Fallon v. Mercy Catholic
    Medical Center of Southeastern Pennsylvania, 
    877 F.3d 487
     (3d Cir. 2017), to be
    mistaken because it involved a claim for wrongful termination based on religious
    discrimination. In Fallon, a hospital worker claimed that his employer terminated
    PAM - 14
    him for failing to get a flu shot due to his religious beliefs. The United States Court
    of Appeals for the Third Circuit, however, held that the worker’s anti-flu vaccination
    beliefs were not religious and that, as a result, Title VII14 did not protect the
    employee. Although the employee in Fallon did not belong to any religious
    organization, he held strong personal and medical beliefs opposing the flu vaccine.
    His complaint alleged that he believed that he “should not harm” his own body and
    that the flu vaccine “may do more harm than good.” Fallon, 877 F.3d at 492.
    The court found that the worker’s beliefs were not religious because
    they: (1) did not “address fundamental and ultimate questions having to do with deep
    and imponderable matters,” (2) were not part of a comprehensive belief system, and
    (3) were not manifested in formal and external signs. Id. Rather, the worker’s
    concern was really about health effects of the flu vaccine because he did not believe
    the scientifically accepted view that it is harmless to most people. Id. The court
    held that the worker’s belief, although sincerely held, was medical rather than
    religious, and did not occupy a place in his life similar to that of a more traditional
    religion. Id. Accordingly, the court affirmed the dismissal of the employee’s Title
    VII claim.
    Fallon is materially distinguishable from the instant matter. Fallon is
    squarely concerned with an individual’s right to protection from discrimination
    under a federal statute, solely concerned with discriminatory behavior resulting in a
    wrongful termination. Under Burger, the impetus of an individual’s discharge
    viewed through the lens of wrongful termination is a question separate from an
    individual’s entitlement to unemployment compensation benefits. For this reason, I
    find Fallon unpersuasive herein because the issue here is whether Claimant is
    14
    
    42 U.S.C. §§2000
    (e)-2000(e)-17.
    PAM - 15
    entitled to unemployment compensation, as a matter of state law, for availing herself
    of an existing legal right.
    Accordingly, I dissent.     I would reverse the UCBR’s denial of
    unemployment compensation benefits.
    ________________________________
    PATRICIA A. McCULLOUGH, Judge
    PAM - 16