Apogee Coal Company v. OWCP

113 F.4th 751
Court of Appeals for the Seventh Circuit·Decided August 19, 2024·No. 23-2521·Published·Cited by 4 cases

Opinion

In the

United States Court of Appeals For the Seventh Circuit ____________________ No. 23-2521 APOGEE COAL COMPANY, et al., Petitioners, v.

OFFICE OF WORKERS’ COMPENSATION PROGRAMS, Respondent. ____________________

Petition for Review of an Order of the Benefits Review Board. No. 22-0262 BLA ____________________

ARGUED MAY 13, 2024 — DECIDED AUGUST 19, 2024 ____________________

Before SCUDDER, ST. EVE, and PRYOR, Circuit Judges. SCUDDER, Circuit Judge. Harold Grimes developed black lung disease after 34 years of working in coal mines. He died of lung cancer in 2018. It is undisputed that Grimes’s spouse, Susan, is eligible for survivor’s benefits under the Black Lung Benefits Act. This appeal requires us to decide who must pay those benefits. A Department of Labor administrative law judge assigned financial responsibility to Apogee Coal Com- pany—Grimes’s last employer—and the Benefits Review 2 No. 23-2521

Board affirmed. Central to both decisions was the conclusion that Arch Resources Inc.—Apogee’s former parent corpora- tion—bore responsibility for paying the benefits on Apogee’s behalf. Arch disagrees and insists that Mrs. Grimes’s benefits must instead come from the Black Lung Disability Trust Fund. On the record before us, we agree with Arch. Neither the ALJ nor the Board has identified any provision (or combi- nation of provisions) in the Act or its implementing regula- tions that justify holding Arch liable for the benefits obliga- tions of Apogee. So we grant Arch’s petition for review, va- cate the Board’s decision, and remand with instructions that Mrs. Grimes’s benefits be assigned to the Trust Fund. I A The Black Lung Benefits Act provides disability benefits to miners “totally disabled” due to black lung disease. See Pittston Coal Grp. v. Sebben, 488 U.S. 105, 108 (1988); see also 30 U.S.C. §§ 901(a), 922(a), 932(c). It does so largely at the ex- pense of the mining industry itself. Whenever possible, the statute assigns financial responsibility for a miner’s benefits to one of the coal mine operators in whose service the miner developed black lung disease. See Old Ben Coal Co. v. Luker, 826 F.2d 688, 693 (7th Cir. 1987); see also 30 U.S.C. § 932(c); 20 C.F.R. § 725.495(a)(1). When no such entity is capable of pay- ing, the cost of benefits falls to the Black Lung Disability Trust Fund, see 26 U.S.C. § 9501(d)(1)(B), which is jointly adminis- tered by the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health and Human Services, see id. § 9501(a)(2), and funded by an excise tax on coal, see id. §§ 9501(b)(1), 4121(a)(1). No. 23-2521 3

The Department of Labor adjudicates benefits claims un- der the Act. See 30 U.S.C. § 932a; see also U.S. Dep’t of Labor v. Triplett, 494 U.S. 715, 717 (1990) (describing administrative scheme). The Department’s Division of Coal Mine Workers’ Compensation performs this work in field offices across the nation. 30 U.S.C. § 903(a); see also DCMWC Offices and Lead- ership, https://www.dol.gov/agencies/owcp/dcmwc/distric- toffices, archived at [perma.cc/8EVQ-CETS]. The processing of black lung claims occurs in three stages. The district director for the field office that received the claim undertakes the initial review, including by examining the ap- plicant’s employment history, see 20 C.F.R. § 725.404(a), and notifying those coal mine operators, if any, that are potentially responsible for paying benefits under the statute. See id. § 725.407(a)–(b); see also Rockwood Cas. Ins. Co. v. Director, Off. of Workers’ Compensation Programs, 917 F.3d 1198, 1205–06 (10th Cir. 2019) (discussing notification process). Absent the requisite notice, liability for benefits obligations cannot be im- posed on a coal mine operator. See 20 C.F.R. § 725.360(a)(3). In addition to fulfilling these threshold functions, district di- rectors have substantial authority to gather evidence, see id. § 725.404, develop the medical record, see id. § 725.414, and hear argument from interested parties, see id. §§ 725.408(a)(2), 725.412(a)(1), 725.416(a). The work of the district director culminates in the issuance of a decisional document called a preliminary decision and order (or PDO for short) that “resolve[s] [the] claim on the ba- sis of the evidence submitted to or obtained by the district di- rector.” Id. § 725.418(a). In any case in which the district direc- tor awards benefits, it must designate the coal mine operator, if any, that the Act and its implementing regulations make 4 No. 23-2521

liable for the miner’s benefits. See id. § 725.418(d). Absent such a designation, the district director must assign the claim and attendant payment obligation to the Trust Fund. See 26 U.S.C. § 9501(d)(1)(B). The Act and its regulations establish a two-step procedure for determining which employer, if any, is liable for awarded benefits. A district director first identifies each of the miner’s previous employers that qualify as a so-called potentially lia- ble operator under five criteria enumerated in 20 C.F.R. § 725.494(a)–(e). Only the fifth of these criteria is contested in this appeal—that “[t]he operator [be] capable of assuming [] liability for the payment of continuing benefits ….” Id. § 725.494(e). After identifying the pool of potentially liable operators, the district director must then select a single re- sponsible operator according to the formula prescribed by a neighboring regulation, § 725.495. As a general rule, that reg- ulation makes liable “the potentially liable operator … that most recently employed the miner.” Id. § 725.495(a)(1). Parties dissatisfied with a district director’s PDO may seek referral to an ALJ for a formal hearing to resolve any con- tested issue. See id. §§ 725.450, 725.451. In most respects, the district director’s findings do not bind the ALJ. The ALJ may not, however, revisit the district director’s decision to desig- nate a particular employer as the financially liable operator under the Act’s liability rules. See Rockwood Cas. Ins. Co., 917 F.3d at 1215. If the ALJ determines that the district director designated the wrong entity, “a new responsible operator may not be named.” Id. The benefits are instead paid out of the Trust Fund. See Regulations Implementing the Federal Coal Mine Health and Safety Act of 1969, as Amended, 65 Fed. Reg. 79990 (Dec. 20, 2000) (“In the event the responsible No. 23-2521 5

Free access — add to your briefcase to read the full text and ask questions with AI

Apogee Coal Company v. OWCP, 113 F.4th 751 (7th Cir. 2024).

113 F.4th 751 (Apogee Coal Company v. OWCP) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related