Cauthen v. Pub. Employees' Retirement Sys.


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Docket Number: 2002-CC-01668-COA

Court of Appeals: Opinion Link
Opinion Date: 12-02-2003
Opinion Author: McMillin, C.J.
Holding: Reversed and Remanded

Additional Case Information: Topic: Disability benefits - Substantial evidence - Section 25-11-113(1)(a)
Judge(s) Concurring: King and Southwick, P.JJ., Bridges, Thomas, Lee, Irving, Myers, Chandler and Griffis, JJ.
Procedural History: Admin or Agency Judgment
Nature of the Case: CIVIL - STATE BOARDS AND AGENCIES

Trial Court: Date of Trial Judgment: 08-29-2002
Appealed from: Hinds County Circuit Court
Judge: W. Swan Yerger
Disposition: DISABILITY BENEFITS DENIED
Case Number: 251-01-18CIV

  Party Name: Attorney Name:  
Appellant: LISA CAUTHEN




LANCE LAROY STEWART



 

Appellee: THE PUBLIC EMPLOYEES' RETIREMENT SYSTEM MARY MARGARET BOWERS  

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Topic: Disability benefits - Substantial evidence - Section 25-11-113(1)(a)

Summary of the Facts: Lisa Cauthen, formerly a teacher in the Jackson Public School System, unsuccessfully applied for disability benefits from the Mississippi Public Employees’ Retirement System. After exhausting her administrative, she appealed to circuit court which affirmed. She appeals.

Summary of Opinion Analysis: Cauthen argues that the decision to deny her benefits was not supported by substantial evidence since essentially all of the medical evidence submitted by her indicated that she suffered from medical conditions that left her unable to perform the duties of her job with little hope of improvement. Section 25-11-113(1)(a) defines disability as the inability to perform the usual duties of employment or the incapacity to perform such lesser duties, if any, as the employer, in its discretion, may assign without material reduction in compensation, or the incapacity to perform the duties of any employment covered by the Public Employees’ Retirement System that is actually offered and is within the same general territorial work area, without material reduction in compensation. In other cases, it has been held that PERS is not free to ignore the only evidence in the record especially where it chose not to exercise its right to an independent medical evaluation. Here, PERS based its decision principally on a skepticism regarding the validity of the chronic fatigue syndrome diagnosis and did not obtain an independent medical evaluation pertaining to Cauthen’s physical condition, instead limiting itself to an independent evaluation of Cauthen’s mental capabilities. The evidence tending to indicate the legitimacy of Cauthen’s claim is substantial and there is essentially no countering evidence relating to her physical condition diagnosed by several treating physicians as chronic fatigue syndrome that would tend to show she was either not suffering from such a condition or that its symptoms were not so severe as to be disabling. Therefore, the decision by PERS was arbitrary and capricious and the judgment of the circuit court is reversed.


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