A. T. Massey Coal Co v. Holland

472 F.3d 148, 2006 WL 3746139
CourtCourt of Appeals for the Fourth Circuit
DecidedJanuary 19, 2007
Docket05-1996, 05-2215
StatusPublished
Cited by29 cases

This text of 472 F.3d 148 (A. T. Massey Coal Co v. Holland) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
A. T. Massey Coal Co v. Holland, 472 F.3d 148, 2006 WL 3746139 (4th Cir. 2007).

Opinions

Affirmed by published opinion. Judge NIEMEYER wrote the opinion, in which Judge SHEDD joined. Judge TRAXLER wrote a dissenting opinion.

OPINION

NIEMEYER, Circuit Judge:

By enactment of the Coal Industry Retiree Health Benefit Act of 1992 (“the Coal Act”), Congress established a new mul-tiemployer benefit plan, the United Mine Workers of America Combined Benefit Fund (“Combined Fund”), to provide health care benefits to retired coal mine workers. The Combined Fund resulted from the statutorily-mandated merger of the 1950 and 1974 Benefit Plans that had been agreed to, through collective bargaining, by the United Mine Workers of America (“UMWA”) and coal mine operators. It is financed by the assets of the 1950 and 1974 Benefit Plans, by “premiums” that individual coal mine operators pay to the Combined Fund, and by government benefit plans including Medicare, and it is administered by an independent Board of Trustees. The Coal Act specifies that the premiums payable by the coal operators to the Combined Fund be determined on a per-beneficiary basis by a formula that (1) begins with the sum of payments made to all beneficiaries from the 1950 Benefit Plan and the 1974 Benefit Plan for the plan year July 1, 1991, through June 30, 1992 (the base year); (2) subtracts from that sum the “reimbursements” received from Medicare and other publicly financed programs for the base year but does not subtract administrative costs; (3) divides the resulting number by the number of [154]*154beneficiaries in the base year; and (4) multiplies the quotient by a cost of living factor. See 26 U.S.C. § 9704(b)(2).

The parties commenced these actions— the most recent skirmishes in a long-running fight — to resolve whether “reimbursements” as used in the formula includes the total payments that Medicare made to the 1950 and 1974 Benefit Plans for the base year ($182.3 million) or only the amount that the 1950 and 1974 Funds actually paid out in Medicare benefits to beneficiaries for the base year ($156.3 million). Interpreting Medicare “reimbursements” to be the $182.3-million figure results in lower premiums for the coal operators; interpreting “reimbursements” to be the $156.3-million figure results in higher premiums.

The district court ruled that “reimbursements” unambiguously refers to the total payments ($182.3 million) that Medicare made to the 1950 and 1974 Benefit Plans in the base year, and it declined to defer under Chevron1 to the contrary interpretation put forth by the Commissioner of Social Security. See A.T. Massey Coal Co. v. Barnhart, 381 F.Supp.2d 469 (D.Md.2005).

Agreeing with the district court, we conclude that “reimbursements” is an unambiguous historical term of art used by Congress to refer to the total reimbursements that Medicare actually made, using a capitation method, to the 1950 and 1974 Benefit Plans during the base year.2 We also conclude that because Congress did not delegate interpretative authority to the Commissioner to construe “reimbursements,” her interpretation of “reimbursements” is not entitled to deference under Chevron. See United States v. Mead Corp., 533 U.S. 218, 121 S.Ct. 2164, 150 L.Ed.2d 292 (2001). Accordingly, we affirm.

I

A

Before enactment of the Coal Act in 1992, more than 100,000 UMWA retirees were receiving benefits under the 1950 and 1974 UMWA Benefit Plans, which were multiemployer benefit plans established through collective bargaining. By 1988, economic factors and structural inadequacies in the Plans’ funding mechanisms placed these plans in financial peril. As coal operators went out of business, the stream of premiums diminished, leaving the Plans, which promised lifetime benefits to coal miner retirees, insolvent. As the Conference Report issued in connection with the Coal Act observed, “The need for legislative intervention arose because mounting deficits in the Plans threatened to curtail the flow of benefits absent a legislative solution.” 138 Cong. Rec. S17,-603 (daily ed. Oct. 8, 1992) (conference report). Similarly, a Senate subcommittee conducting hearings in 1991 heard testimony warning that more than 120,000 coal miner retirees were at risk of not receiving “the benefits they were promised” under the 1950 and 1974 Benefit Plans. Eastern Enterprises v. Apfel, 524 U.S. 498, 513, 118 S.Ct. 2131, 141 L.Ed.2d 451 (1998). Despite the recognized need for congressional action, the Coal Act bill’s travels were long and tortured and have been repeatedly described. See, e.g., Barnhart v. Sigmon [155]*155Coal Co., 534 U.S. 438, 444-47, 122 S.Ct. 941, 151 L.Ed.2d 908 (2002); Eastern Enterprises, 524 U.S. at 511-14, 118 S.Ct. 2131; Pittston Co. v. United States, 368 F.3d 385, 390-92 (4th Cir.2004).

The Coal Act created the Combined Fund under the administration of an independent Board of Trustees selected by representatives of the UMWA and the coal industry. The Combined Fund was established by the mandated merger of the 1950 and 1974 Benefit Plans, and its continued operation is financed by Medicare and other government benefit plans and by premiums fixed pursuant to a formula set out by Congress in the Coal Act.

The responsibilities for administering the Combined Fund are divided among the Secretary of the Treasury, the Commissioner of Social Security, and the Board of Trustees, but the roles assigned to the Secretary of Treasury and the Commissioner of Social Security are minor. The Secretary of Treasury is given the responsibility of determining whether there is reasonable cause for a coal operator’s failure to pay assessed premiums. The Commissioner is given the responsibility of assigning coal miner retirees to coal mine operators for the purpose of calculating premiums and of calculating the premium that each operator is required to pay annually. The Board of Trustees, on the other hand, is given the more comprehensive responsibilities of administering the Fund, collecting the premiums, enrolling beneficiaries in health plans that fulfill the statute’s requirements, negotiating payment rates with healthcare providers, and suing coal mine operators for the nonpayment of premiums. See generally Pittston, 368 F.3d at 392.

At bottom, the Coal Act sought to continue “substantially the same” benefits to beneficiaries as were provided them under the 1950 and 1974 Benefit Plans. See 26 U.S.C. § 9703(b)(1). Because these benefits are more comprehensive and include many benefits that otherwise would be provided by Medicare, the benefits provided by the Combined Fund function as a “supplement” to Medicare. To provide “one-stop shopping” to beneficiaries, however, the Combined Fund, in agreement with Medicare, provides the beneficiaries with health benefits, and Medicare provides the Combined Fund with “reimbursements.” This arrangement, while codified by the Coal Act, actually preexisted it when benefits were being provided by the 1950 and 1974 Benefit Plans.

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472 F.3d 148, 2006 WL 3746139, Counsel Stack Legal Research, https://law.counselstack.com/opinion/a-t-massey-coal-co-v-holland-ca4-2007.