Arkansas Coals, Inc. v. Albert Lawson

739 F.3d 309, 2014 WL 67349, 2014 U.S. App. LEXIS 386
CourtCourt of Appeals for the Sixth Circuit
DecidedJanuary 9, 2014
Docket13-3563
StatusPublished
Cited by19 cases

This text of 739 F.3d 309 (Arkansas Coals, Inc. v. Albert Lawson) 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
Arkansas Coals, Inc. v. Albert Lawson, 739 F.3d 309, 2014 WL 67349, 2014 U.S. App. LEXIS 386 (6th Cir. 2014).

Opinion

OPINION

McKEAGUE, Circuit Judge.

This case involves a dispute over who should pay benefits under the Black Lung Benefits Act to a coal miner afflicted with pneumoconiosis. The claimant originally brought suit in 1992 and an administrative law judge determined that he was not medically qualified for benefits. In the same decision, the administrative law judge indicated that Arkansas Coals was not the “responsible operator” required to pay benefits. Approximately seventeen years later, the claimant filed a second claim alleging a change in his medical condition and requesting relief. After finding that his medical condition had worsened and that the claimant was now disabled, an administrative law judge awarded benefits and determined that Arkansas Coals was the responsible operator. The Benefits Review Board upheld this decision.

Arkansas Coals appeals the determination that it is the responsible operator. The company presents four arguments: 1) that the principle of finality and the Long-shore Act bar reconsideration of the responsible operator designation after a determination has been made that a company is not the responsible operator; 2) that collateral estoppel precludes the Department of Labor from now asserting that Arkansas Coals is the responsible operator; 3) that the director waived the right to relitigate Arkansas Coals’s liability; and 4) that even if the court reconsiders the question of the responsible operator, the uncontradicted evidence establishes that another company should be held liable. As the claimant was entitled to bring a second claim under 20 C.F.R. § 725.309(d)(4) 1 and as the determination that Arkansas Coals was the responsible operator was not “necessary” to the resolution of the initial claim, we reject the finality and collateral estoppel arguments. Likewise, as the director contested Arkansas Coals’s denial of its responsible operator status during the initial claim, we also reject the waiver argument. Finally, substantial evidence supports the administrative law judge’s determination that Arkansas Coals is the responsible operator, and therefore, relief on the grounds that another company is the responsible operator is also denied. As the Benefits Review Board properly determined that Arkansas Coals was the responsible operator, we AFFIRM the Benefits Review Board’s decision.

I.

A. The Structure of the Black Lung Benefits Act

Congress passed the Black Lung Benefits Act (“the Act”) and created the Black Lung Disability Trust Fund to provide benefits for miners and their survivors when a miner is killed or disabled by pneu-moconiosis. 30 U.S.C. § 901. Pneumoco-niosis, popularly known as black lung, is a *313 “chronic dust disease of the lung and its sequelae, including respiratory and pulmonary impairments” that develops from inhalation of coal dust. 30 U.S.C. § 902(b). A miner is entitled to benefits if the disability arose “at least in part, out of employment in a mine during a period after December 31, 1969.” 30 U.S.C. § 932(c). To ensure that the fund does not bear the sole burden of black lung claims, the Department of Labor (“the Department”), following congressional authorization, established regulations to ensure that coal mine operators are liable “to the maximum extent feasible” for awarded claims. Director, OWCP v. Oglebay Norton Co., 877 F.2d 1300, 1304 (6th Cir.1989) (internal quotation marks and citations omitted).

An operator is liable for benefits only if several conditions are met. First, the miner seeking benefits must have been “employed by the operator, or ... a successor operator, for a cumulative period of not less than one year,” and second, the “operator [must be] capable of assuming its liability for the payment of continuing benefits under this part.” 20 C.F.R. § 725.494(c), (e). An operator is capable of assuming liability if it satisfies one of the following three conditions: “(1) the operator obtained a policy or contract of insurance ...; (2) [t]he operator qualified as a self-insurer ... during the period in which the miner was last employed by the operator ...; or (3) [t]he operator possesses sufficient assets to secure the payment of benefits in the event the claim is awarded in accordance with § 725.606.” § 725.494(e)(l)-(3). The operator that “most recently employed the miner” for more than one year and that satisfies one of the § 725.494(e) criteria is held liable. If that operator fails to satisfy one of the § 725.494(e) criteria, then the operator that next most recently employed the miner and that satisfies one of the § 725.494(e) criteria is held liable. § 725.495(a)(3). The Black Lung Disability fund provides benefits if “there is no operator who is liable for the payment of such benefits.” 26 U.S.C. § 9501(d)(1)(B).

A director is responsible for identifying those operators that are potentially liable and for issuing an initial order designating the responsible operator. 20 C.F.R. §§ 725.401, 725.418(d). The responsible operator may then request a de novo hearing before an administrative law judge (“ALJ”). §§ 725.419(a), 725.455(a). The director bears the burden of proof that the responsible operator is potentially liable, and if the responsible operator is not the employer that most recently employed the miner, then the director must explain the reason for the designation. § 725.495(b), (d).

One common reason why a director might select a prior employer as the responsible operator is if the most recent employer lacked insurance. See § 725.494(e)(l)-(3). Under such circumstances, the director must provide “a statement that the Office has searched the files it maintains ..., and that the Office has no record of insurance coverage for [the most recent] employer, or of authorization to self-insure.” § 725.495(d). “Such a statement shall be prima facie evidence that the most recent employer is not financially capable of assuming its liability for a claim.” Id. And as discussed above, if the most recent employer is incapable of assuming its liability for the payment of benefits, then the operator that most recently employed the miner and that satisfies one of the § 725.494 criteria is held liable. In the absence of a statement regarding insurance coverage, it is presumed that the most recent employer is financially capable of assuming its liability for a claim. However, if the director satisfies the prima facie requirement by searching the office files, the burden shifts to the *314

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Cite This Page — Counsel Stack

Bluebook (online)
739 F.3d 309, 2014 WL 67349, 2014 U.S. App. LEXIS 386, Counsel Stack Legal Research, https://law.counselstack.com/opinion/arkansas-coals-inc-v-albert-lawson-ca6-2014.