Anderson's Application for Disability Benefits, Matter of
| Citation | 468 N.W.2d 338 |
| Decision Date | 16 April 1991 |
| Docket Number | No. CX-90-2081,CX-90-2081 |
| Parties | In the Matter of Lee ANDERSON'S APPLICATION FOR DISABILITY BENEFITS. |
| Court | Minnesota Court of Appeals |
Syllabus by the Court
A firefighter capable of working in a light duty assignment is not entitled to disability benefits.
Barry G. Reed, Zimmerman Reed, Minneapolis, for relator Anderson.
David R. Ornstein, City Atty., Sheila M. Happe, Asst. City Atty., Bloomington, for respondent Bloomington Fire Dept.
Joseph B. Nierenberg, Messerli & Kramer, Bloomington, for respondent Bloomington Fire Dept. Relief Assn.
Considered and decided by LANSING, P.J., and HUSPENI and DAVIES, JJ.
Relator Lee C. Anderson seeks certiorari review of the Bloomington Fire Department Relief Association (BFDRA) decision denying his application for disability benefits. We affirm.
Relator is a volunteer firefighter in respondent Bloomington Fire Department and is a member of respondent BFDRA, a benevolent organization founded to provide disability, retirement, and death benefits to its members.
In May 1987, due to a cardiac condition, relator applied for disability benefits. According to association bylaws, a member of the relief association who becomes totally disabled during employment as a voluntary fireman is entitled to disability payments. The bylaws define "total disability" as:
Inability to perform the duties of a firefighter, in the opinion of a physician or physicians appointed by the Board of Trustees.
In reviewing relator's application, the relief association board of trustees considered medical opinions from five doctors before deciding that relator was not totally disabled and therefore not entitled to benefits.
The first physician, Dr. Thomas Layman, relator's cardiologist, originally opined that relator's heart condition prohibited him from safely undertaking the duties of a firefighter. Dr. Layman revised this opinion in July 1987 to state that relator was capable of performing a restricted light duty assignment during the daytime hours. Beginning in the summer of 1987, the fire department placed relator on light duty assignment. 1
During 1988-89, relator saw a licensed psychologist, Jay T. Gourlie. In a letter to the trustees, Dr. Gourlie wrote:
It is my professional opinion that the situation is severely stressful to [relator] from a psychological perspective.
* * * * * *
Furthermore, I believe recent research indicates that [relator's] psychological distress about his situation (especially the problems with the Bloomington Volunteer Fire Department) might increase his risk of physical problems related to his cardiac status.
I emphatically recommend that [relator] be reclassified as 100% disabled with regard to his status at the Bloomington Volunteer Fire Department.
Upon receipt of Dr. Gourlie's opinion, the board requested that relator be examined by a board-selected psychiatrist. In response to the board's request, relator chose to see Dr. Gourlie's partner, Dean Knudson, a licensed psychiatrist. Dr. Knudson opined:
It is my professional opinion that [relator's] continued presence in the Bloomington Fire House is severely stressful to [relator] from a psychiatric perspective.
It is my clinical opinion that ongoing psychological stress related to his conflict with the Bloomington Volunteer Fire Department is a threat to his physical health. I believe that the stress associated with this conflict is exacerbating his panic disorder and his cardiac disease.
It is my professional opinion that [relator] should receive a 100% disabled classification with the Bloomington Volunteer Fire Department. This classification is based upon his cardiac disease and upon his functional psychiatric condition.
(Emphasis added.) The board asked Dr. Richard Lentz, a psychiatrist, and Dr. James Zavoral, a cardiologist, to examine relator. Dr. Lentz, after reciting his clinical observations, reached the following conclusions:
In my opinion, it is difficult to find a reason psychiatrically why he cannot do light work. Neither the symptoms of panic attack nor those of mild low grade depression, nor his fears that he may die seem disabling to the point that he could not do light work. If there are some difficulties among his co-workers which could be addressed in a way he might view as more sensitive, that might help make the work situation easier. I recognize it is difficult to tell co-workers how to feel and act. He indicates to me that his own cardiologist, Dr. Nelson, believes that from a physical standpoint he can do light work as well. Although [relator] feels somewhat unfairly treated by the fact that he is not considered 100% disabled, and is angry about that, I can find no clear psychiatric basis to support a reason why he cannot do light work.
(Emphasis added.) Finally, after reviewing the opinions regarding relator's status, Dr. Zavoral opined:
It would seem to me that he is clearly in a very difficult situation and he is probably disabled, particularly with the stress involving his duties at the fire department from a cardiovascular as well as a mental standpoint.
(Emphasis added.) Following an inquiry seeking clarification of Dr. Zavoral's opinion of relator's fitness to perform light duty, the doctor concluded:
From a purely physical cardiovascular standpoint, his cardiovascular limitations would not prevent him from performing [light duty] tasks. As you mentioned; however, there are other difficulties that need to be addressed.
(Emphasis added.) In response to the medical opinions, the fire chief took steps to reduce stress in the workplace.
On May 22, 1990, relator attended a meeting of the board of trustees to seek review of the board's decision to deny benefits. Relator voluntarily appeared without counsel and agreed to submit the matter on the medical reports submitted to that date.
At the hearing, relator conceded that during the period of alleged disability he continued to work at Bachman's. He told the board that the job entailed caring for leased plants in office buildings. Relator admitted that he was occasionally called upon to lift weights of up to 45 pounds and do a limited amount of stair climbing. He stated, however, that he had not applied for disability benefits from Bachman's.
On July 31, 1990, the board issued its findings, conclusions and decision denying benefits. The detailed findings recite all of the medical testimony contained in the record and include the lengthy procedural history of the case. The board reasoned that relator was not totally disabled because he was capable of performing light duty tasks.
Is the BFDRA board of trustees' decision supported by substantial evidence, based on an error of law, or arbitrary and capricious?
"The BFDRA board of trustees acted in the nature of an administrative agency" when it rejected relator's application for disability benefits. Nichols v. Borst, 439 N.W.2d 432, 434 (Minn.App.1989).
Agency decisions are presumed correct by the court * * * and will be reversed only when they reflect an error of law or when the findings are arbitrary and capricious or are unsupported by substantial evidence.
Crookston Cattle Co. v. Minnesota Dep't of Natural Resources, 300 N.W.2d 769, 777 (Minn.1980).
The Minnesota Supreme Court has defined "substantial evidence" as:
1. Such relevant evidence as a reasonable mind might accept as adequate to support a conclusion;
2. More than a scintilla of evidence;
3. More than "some evidence";
4. More than "any evidence"; and
5. Evidence considered in its entirety.
Reserve Mining Co. v. Herbst, 256 N.W.2d 808, 825 (Minn.1977). When applying this test, the appellate court must consider the evidence in light of the entire record and "must affirm if the agency engaged in reasoned decision making." In re Larkin, 415 N.W.2d 79, 82 (Minn.App.1987).
The board considered five physician's opinions in deciding to deny benefits. Dr. Lentz, the board-appointed psychiatrist, Dr. Zavoral, the board-appointed cardiologist, and Dr. Layman, relator's cardiologist, stated that relator could work on light duty status. Relator correctly points out that the board also received opinions from Dr. Knudson, relator's psychiatrist, and Dr. Gourlie, relator's psychologist, that the fire department should classify relator as 100% disabled. Moreover, relator conceded that he continued to work at Bachman's, but had never requested disability leave from that position.
We recognize that the physicians differ as to the severity of relator's physical condition. However, the board resolved this factual conflict by finding that relator was able to continue working a light duty shift. It would be inappropriate for this court now to invade the province of the board by engaging in independent fact finding. See Reserve Mining, 256 N.W.2d at 825. Viewing the entire record, we conclude that substantial evidence supported the board's decision.
Next, relator argues that the board incorrectly interpreted the definition of "total disability" in denying benefits. The bylaws provide that benefits are only payable when a member is unable "to perform the duties of a firefighter." Relator urges a very broad interpretation of the language arguing that he is entitled to benefits if he is unable to perform all or the majority of the duties of a firefighter. Respondents, in contrast, interpret the provision to mean that benefits are payable only if the claimant is unable to perform any of...
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