Bethenergy Mines Inc. v. Director, Office of Workers' Compensation Programs, United States Department of Labor, and John C. Pauley

890 F.2d 1295, 1989 WL 146944
CourtCourt of Appeals for the Third Circuit
DecidedFebruary 6, 1990
Docket89-3364
StatusPublished
Cited by11 cases

This text of 890 F.2d 1295 (Bethenergy Mines Inc. v. Director, Office of Workers' Compensation Programs, United States Department of Labor, and John C. Pauley) is published on Counsel Stack Legal Research, covering Court of Appeals for the Third Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Bethenergy Mines Inc. v. Director, Office of Workers' Compensation Programs, United States Department of Labor, and John C. Pauley, 890 F.2d 1295, 1989 WL 146944 (3d Cir. 1990).

Opinion

OPINION OF THE COURT

GREENBERG, Circuit Judge.

This matter, involving a claim under the Black Lung Benefits Act of 1972, codified at 30 U.S.C. § 901 et seq., is before this court on a petition for review of a decision and order of March 28, 1989, of the Benefits Review Board by Bethenergy Mines Inc., the employer of the respondent John C. Pauley.

The factual and procedural history of the case is as follows. On April 21, 1978, Pau-ley filed a claim under the Benefits Act with the Office of Workers’ Compensation Programs which, after initially approving the claim, notified Bethenergy of its potential liability as the responsible operator. Though Bethenergy controverted the claim, upon further consideration the Office of Workers’ Compensation Programs adhered to its position. Bethenergy then requested a formal hearing which was held before an administrative law judge.

In his decision of May 3,1988, the administrative law judge first analyzed Pauley’s claim as a Part C claim under the interim regulations at 20 C.F.R. Part 727 since the claim was filed prior to April 1, 1980, the effective date of the permanent regulations *1296 for black lung claims. The judge noted that 20 C.F.R. § 727.203(a) contains a presumption for the benefit of miners with at least ten years coal mine experience that the miner has been totally disabled due to pneumoconiosis caused by his coal mine employment if he adduces medical evidence satisfying any of four requirements principally directed to establishing the presence of pneumoconiosis or a respiratory or pulmonary impairment. 1 Pauley was entitled to the benefit of the presumption because Bethenergy conceded that he suffered from coal workers’ pneumoconiosis and stipulated that he had 30 years coal mining experience.

The judge then considered whether Beth-energy had rebutted the presumption as permitted in various methods by 20 C.F.R. § 727.203(b). He first concluded that it had not done so under 20 C.F.R. § 727.203(b)(1) because Pauley had not worked since August 2,1978, and thus was not doing his usual coal mine work or comparable and gainful work, a showing which if made would have rebutted the presumption. The judge also considered the claim under 20 C.F.R. § 727.203(b)(2) which permits rebuttal if, in light of all relevant evidence, it is established that the miner is able to do his usual coal mine work or comparable and gainful work. The judge did not find rebuttal under that provision because he concluded that Pauley had “several medical problems, including severe arthritis, residual hemiparesis as the result of a stroke, and pulmonary disease.” The judge further set forth that “[although not all of the physicians agree as to the cause or causes of [Pauley’s] total disability, the more recent medical evidence, supported by [Pauley’s] credible testimony, clearly establishes that [Pauley] is totally disabled from returning to coal mine employment.”

The judge next considered 20 C.F.R. § 727.203(b)(3) which provides for rebuttal if the “evidence establishes that the total disability or death of the miner did not arise in whole or in part out of coal mine employment.” The judge, citing Carozza v. United States Steel Corp., 727 F.2d 74 (3d Cir.1984), set forth that under this subsection rebuttal could be established only if there was a finding that “pneumoconiosis does not contribute even in part to [a] claimant’s total disability.” After a thorough weighing of the evidence the judge concluded that Bethenergy “has sustained its burden of establishing that pneumoconi-osis is not a contributing factor in [Pau-ley’s] disability” and thus had succeeded in rebutting the presumption in Pauley’s favor. 2 This finding is not challenged on this appeal.

The judge indicated, however, citing our opinions in Halon v. Director, Office of Workers’ Compensation Programs, 713 F.2d 30 (3d Cir.1982), reinstated on rehearing, 713 F.2d 21 (3d Cir.1983), that inasmuch as this case arises within the jurisdiction of this court he was required to consider the claim under the regulation at 20 C.F.R. § 410.490. He found that in view of Bethenergy’s concession that Pauley suffered from pneumoconiosis arising out of coal mine employment, Pauley was entitled to the presumption of total disability due to pneumoconiosis in that section. He then said that 20 C.F.R. § 410.490 provides only two methods of rebuttal, either that there was evidence that the claimant was doing his usual coal mine work or comparable and gainful work or that evidence establishes that the claimant was able to do his usual coal mine work or comparable and gainful work. 20 C.F.R. § 410.490(c). Bethenergy could not show either type of rebuttal because Pauley had not worked since August 2,1978, and was, as the judge found, “clearly disabled from performing his usual coal mine work or comparable work as a result of his arthritis and residual hemiparesis.” The judge further indi *1297 cated that “[t]here is no evidence that [Pau-ley] is able to work in light of these conditions” and that, unlike 20 C.F.R. § 727.203(b), 20 C.F.R. § 410.490(c) “does not allow for rebuttal of the presumption by showing that the claimant’s total disability is unrelated to his coal mine employment.” Thus, Pauley was entitled to benefits.

After a motion for reconsideration by the administrative law judge was denied, Beth-energy appealed to the Benefits Review Board which affirmed in a two paragraph per curiam decision and order of March 28, 1989. The Board, after setting forth a concise history of the matter, held that: “In view of the decision of the United States Supreme Court in [.Pittston Coal Group v. Sebben, - U.S.-, 109 S.Ct. 414, 102 L.Ed.2d 408 (1988)], we reject [Bethenergy’s] argument that the administrative law judge erred in applying [20 C.F.R.] Section 410.490 herein.

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890 F.2d 1295, 1989 WL 146944, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bethenergy-mines-inc-v-director-office-of-workers-compensation-ca3-1990.