Apogee Coal Co. v. OWCP

112 F.4th 343
CourtCourt of Appeals for the Sixth Circuit
DecidedAugust 5, 2024
Docket23-3332
StatusPublished
Cited by3 cases

This text of 112 F.4th 343 (Apogee Coal Co. v. OWCP) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Apogee Coal Co. v. OWCP, 112 F.4th 343 (6th Cir. 2024).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 24a0162p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

┐ APOGEE COAL COMPANY, LLC; ARCH COAL, INC., │ Petitioners, │ > No. 23-3332 │ v. │ │ DIRECTOR, OFFICE OF WORKERS’ COMPENSATION │ PROGRAMS, U.S. DEPARTMENT OF LABOR; DAVID M. │ HOWARD, │ Respondents. │ ┘

On Petition for Review from the Benefits Review Board. No. 20-0229 BLA.

Decided and Filed: August 5, 2024

Before: GIBBONS, McKEAGUE, and STRANCH, Circuit Judges.

_________________

COUNSEL

ON BRIEF: Mark E. Solomons, Dominic E. Draye, Michael A. Pusateri, GREENBERG TRAURIG, LLP, Washington, D.C., for Petitioners. Sarah M. Hurley, Sean G. Bajkowski, UNITED STATES DEPARTMENT OF LABOR, Washington, D.C., for Federal Respondent. Brad A. Austion, WOLFE WILLIAMS & REYNOLDS, Norton, Virginia, for Respondent David M. Howard. _________________

OPINION _________________

JANE B. STRANCH, Circuit Judge. This petition concerns Arch Resources and Apogee Coal Company’s challenge of Black Lung Benefits Act (BLBA) liability for a claim submitted by David Howard. Howard mined from 1978 to 1997, and his last employer was Apogee Coal No. 23-3332 Apogee Coal Co. v. OWCP Page 2

(at that time, owned and self-insured by Arch). The parties, referred to collectively as “Arch,” do not contest Howard’s entitlement to benefits for legal pneumoconiosis, but do dispute being identified as the liable insurer on Howard’s claim. Petitioners ask this court to review the Benefits Review Board’s decision affirming the Administrative Law Judge’s finding that Arch was the liable insurer for Howard’s benefits claim under the BLBA. Arch likewise asks this court to grant its motion to supplement the administrative record on appeal. For the reasons stated below, we DENY the petition for review and Arch’s motion.

I. BACKGROUND

A. The Black Lung Benefits Act

The Black Lung Benefits Act provides benefits to miners suffering from pneumoconiosis, a lung disease caused by prolonged exposure to coal dust. See 30 U.S.C. §§ 901(a), 922. As an administrative act providing employment injury benefits, it incorporates the Longshore and Harbor Workers’ Compensation Act (the “Longshore Act”), see 30 U.S.C. § 932(a), which, in turn, incorporates the Administrative Procedure Act (APA). Dir., OWCP v. Greenwich Collieries, 512 U.S. 267, 271 (1994). BLBA hearings are to be conducted in accordance with the requirements of both the Longshore Act and the APA, which vest Administrative Law Judges with the power to hold hearings, make credibility judgments, and award benefits. See 33 U.S.C. §§ 919(d), 927.

Operating within the APA and Longshore Act frameworks, the BLBA “ensure[s] that coal mine operators are liable ‘to the maximum extent feasible’ for awarded claims” by implementing a specific, sequential process for determining a liable operator and adjudicating the merits of a claim. Ark. Coals, Inc. v. Lawson, 739 F.3d 309, 313 (6th Cir. 2014) (quoting Dir., OWCP v. Oglebay Norton Co., 877 F.2d 1300, 1304 (6th Cir. 1989)). The process is triggered when a miner files a claim. That claim goes to a district director, who “is responsible for identifying those operators that are potentially liable and for issuing an initial order designating the responsible operator.” Id. The district director must then “investigate whether any operator may be held liable for the payment of benefits” and notify any potentially liable parties through a Notice of Claim. 20 C.F.R. §§ 725.407, .495. Under the BLBA, a miner’s last No. 23-3332 Apogee Coal Co. v. OWCP Page 3

employer is presumed “capable of assuming its liability” for BLBA claims if it either obtained commercial insurance or was self-insured “during the period in which the miner was last employed by the operator, provided that the operator” either still qualifies as a self-insurer or has provided a security deposit “sufficient to secure the payment of benefits in the event the claim is awarded.” Id. § 725.494. A district director may presume an operator’s ability to pay so long as that operator was the claimant’s last mining employer. See id. § 725.495(d). If the operator contests liability, as Arch does, then it bears the burden of proving that it is not liable. See id. §§ 725.103, .408(a). The operator has 90 days from the date it receives the Notice of Claim to submit any documentary evidence that may show it was not properly identified. Id. § 725.408(b).

A district director then issues a Schedule for Submission of Additional Evidence (SSAE) including “the district director’s designation of a responsible operator liable for the payment of benefits.” Id. § 725.410(a)(3). The SSAE gives the parties, including the “designated responsible operator,” another “60 days within which to submit additional evidence.” Id. at § 725.410(b). The SSAE provides the last opportunity for an operator to submit evidence contesting its liability, absent extraordinary circumstances. See id. §§ 725.456(b)(1), .457(c)(1). This is because following the SSAE period, a district director issues a Proposed Decision and Order (PDO) for the claim. Id. § 725.418. The PDO serves as the final designation of a liable operator, see id. § 725.418(d), and if an Administrative Law Judge (ALJ) later finds that the operator was improperly identified, a different operator may not be specified and any benefits will be awarded from the federally administered Black Lung Disability Trust Fund. See Final Rule, 65 Fed. Reg. 79920, 79990 ¶ (b) (Dec. 20, 2000). Once a PDO is issued, an ALJ takes over the claim—at which point no further evidence contesting liability may be submitted unless the operator demonstrates extraordinary circumstances warranting admission. 20 C.F.R. §§ 725.456(b)(1), .457(c)(1).1

1 We refer to the BLBA regulations that specifically relate to the process of putting forth evidence to contest liability before the district director (or, in the presence of extraordinary circumstances, to the ALJ) as “liability evidence rules.” See 20 C.F.R. §§ 725.408; 725.410(a)-(b); 725.414(b)-(d); 725.456; 725.457. No. 23-3332 Apogee Coal Co. v. OWCP Page 4

The ALJ ultimately determines the award of benefits on a BLBA claim. The BLBA provides these benefits from one of two sources: 1) the Black Lung Disability Trust Fund, a federally administered trust fund financed by taxes on coal, or 2) the private insurance of mine operators. See id. §§ 725.490, .494(e). Operator insurance comes in two forms: self-insurance, (i.e., operators covering their own costs under a process regulated by DOL), or commercial insurance (i.e., insurance purchased through traditional insurance carriers). Id. § 726.1. An operator may appeal to the Benefits Review Board to contest the award of benefits; upon affirmance, an operator may then petition this court for review. Id. §§ 725.481-.482.

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Bluebook (online)
112 F.4th 343, Counsel Stack Legal Research, https://law.counselstack.com/opinion/apogee-coal-co-v-owcp-ca6-2024.