Brogan v. Holland

908 F. Supp. 363, 1995 U.S. Dist. LEXIS 18942, 1995 WL 758490
CourtDistrict Court, S.D. West Virginia
DecidedDecember 13, 1995
DocketCiv. A. 2:95-0143
StatusPublished
Cited by4 cases

This text of 908 F. Supp. 363 (Brogan v. Holland) is published on Counsel Stack Legal Research, covering District Court, S.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Brogan v. Holland, 908 F. Supp. 363, 1995 U.S. Dist. LEXIS 18942, 1995 WL 758490 (S.D.W. Va. 1995).

Opinion

MEMORANDUM OPINION AND ORDER

HADEN, Chief Judge.

Pending are the cross motions of the parties for summary judgment: 1

THE PENSION PLAN

Mr. Brogan seeks disability retirement benefits from the United Mine Workers of America 1974 Pension Trust. He applied for a disability pension based on a stroke that allegedly occurred while he was working in the mines on the nightshift of December 17 and 18,1986. The Trustees denied Mr. Brogan’s application for a disability pension on March 7, 1988. Article II. C. of the 1974 Pension Plan describes the eligibility requirements:

A participant who (a) has 10 years of signatory service prior to retirement and (b) becomes totally disabled as a result of a mine accident .., shall, upon retirement, be eligible for a pension while so disabled. A Participant shall be considered to be totally disabled only if by reason of such accident such Participant is subsequently determined to be eligible for Social Security Disability Insurance (“SSDI”) Bene-fits_

Defs.’ Mem.Supp.Summ.J. at 2. The Trustees determined that Mr. Brogan is disabled, is receiving SSDI benefits, and has 12% years of signatory service in the coal industry. The Trustees refused to certify Mr. Brogan’s eligibility based on their conclusion that he failed to prove he was totally disabled as a result of a mine accident.

Although the 1974 Pension Plan does not define the term “mine accident,” the Trustees have promulgated, pursuant to their rule-making authority, a series of interpretive guidelines called “questions and answers” (Q *365 & A) to aid in interpreting the provisions of the plan. Q & A 252 provides a miner is totally disabled as a result of a mine accident if the following conditions are met:

(1) Unexpectedness: The disability must have been unlooked for and unforeseen; (2) Definiteness: The disability must be traceable to. a definite time, place and occasion which occurred within the course of the mine worker’s employment. A progressive disease does not meet this test and therefore cannot be a disability that resulted from a mine accident; (8) Force or Impact: The disábility must have been caused by the exertion or impact of some external physical force or object against the body or by the exertion or impact of the body against some external physical object; i.e., not simply as the result of the mine worker’s own physical condition.

Def.’s Mem.Supp Summ.J. at 3. Q & A 252 also provides examples of mine accidents including when “a miner suffers a heart attack while pushing a heavy object in the normal course of his job.” Id.

FACTS

Mr. Brogan was employed by Westmore-land Coal Company as a beltman and sometimes performed the duties of an electrician and welder. He last worked on December 18,1986. Mr. Brogan’s duties often involved strenuous physical labor including shoveling coal and lifting and carrying heavy objects. During the three weeks preceding December 18, Mr. Brogan worked extensive overtime. Although his precise schedule is not available, it is clear Mr. Brogan worked at least eight to twelve hours for six days each week during the period involved.

On Friday, December 12,1986 Mr. Brogan began experiencing dizziness and he was having difficulty maintaining his balance. Brogan’s condition worsened the following week. On the night of December 17, 1986, he was asked to work overtime on a welding job. He testified at a December 18, 1989 State Workers’ Compensation hearing he had been engaged in welding on a scoop on the night of December 17 and into the morning of December 18, 1986 and as part of that task he was required to carry heavy tanks and lift cables and jacking scoops. His foreman testified Mr. Brogan had an odd expression on his face that night:

We had discussed the work I was wanting done and this and that and a post on the miner broke off — about his welding it on. And his and Joe Athey and two or three other ones around there — I noticed Brogan that night that something was wrong. I asked if something was wrong and [Mr., Brogan] said, “No, I can handle it.” ... Well something just wasn’t right.... Yeah the way he looked in his face, no walking or nothing like that — there was no slur in his voice or nothing like that.... I believe I said we could do it another time if we had to if something was wrong but he did do my welding.

Defs.’ Mem.Supp.Summ.J. Ex. A at 536, 537. Mr. Brogan testified:

I was welding on a scoop down at the end of the track and a stop broke on the miner and Herman Miller come down and told me both scoops were tore up. I carried tanks up there to the equipment. Van Horn came up later, I remember telling Van Horn I just didn’t feel good or something and he said he would have somebody stay in with me. I said, “Okay, I will stay in and fix it.” I knew something was wrong with me but I thought that I was just tired.

Id. at 552. Mr. Brogan stated that, although he had been having some balance problems and dizziness for a few days prior to the December 17-18 shift, he did not “actually start falling down” until December 18. Neither Mr. Brogan nor anyone for him filed an accident, report with the mine operator reporting Mr. Brogan’s stroke or any related event of December 17-18.

Mr. Brogan completed the welding job at 3:30 a.m. on December 18 and went to bed around 5:00 a.m. He awoke at 10:00 a.m., ate, took his insulin and other medicine, and slept until noon. When Mr. Brogan awoke again, his left side was partially paralyzed. He remained in bed for the rest of the day and went to the hospital the next day. Upon admission to the hospital on December 19, Mr. Brogan’s condition was diagnosed as “right hemisphere infarct resulting in left *366 hemiplegia [paralysis affecting the left side of the body], diabetes ... and hypertension.” Defs.’ Mem.Supp.SummJ. Ex. A at 606.

In October 1987, Dr. Sharma, an internist who had examined Mr. Brogan upon his readmission to the hospital in September, opined on a disability form Mr. Brogan’s stroke, hypertension, and diabetes' were not related to his employment. Defs’ Mem.Supp. SummJ. Ex. A at 396. According to Dr. Ignatiadis, a consulting neurologist during Mr. Brogan’s first hospitalization, the paralysis was “due to a stroke of the right hemisphere [of the brain] which was felt to be secondary to his diabetes involving the brain vessels.” Id. at 240.

On October 26, 1987, an Administrative Law Judge awarded Mr. Brogan Social Security Disability Insurance benefits. The ALJ found, “[a]s of the date claimant suffered the stroke, December 17, 1986, he no longer had the residual functional capacity to engage in a full range of even sedentary work due to the fact that he has had practically no use of his left upper extremities and also has double vision.” Id. at 138.

In February, 1988, Mr. Brogan applied for a disability pension from the 1974 Pension Trust. That application was denied on the basis he had not proven he was injured in a mine accident on December 17, 1986. Mr.

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

Related

Offenberg v. Olin Corp. Long-Term Disability Plan
6 F. Supp. 2d 554 (S.D. West Virginia, 1998)
Offenberg v. UNUM Life Insurance Co. of America
986 F. Supp. 351 (S.D. West Virginia, 1997)
Darling v. E.I. DuPont De Nemours & Co.
952 F. Supp. 162 (W.D. New York, 1997)
Hurley v. Holland
929 F. Supp. 977 (S.D. West Virginia, 1996)

Cite This Page — Counsel Stack

Bluebook (online)
908 F. Supp. 363, 1995 U.S. Dist. LEXIS 18942, 1995 WL 758490, Counsel Stack Legal Research, https://law.counselstack.com/opinion/brogan-v-holland-wvsd-1995.