Consolidation Coal Co. v. Swiger

98 F. App'x 227
CourtCourt of Appeals for the Fourth Circuit
DecidedMay 11, 2004
Docket03-1971
StatusUnpublished
Cited by6 cases

This text of 98 F. App'x 227 (Consolidation Coal Co. v. Swiger) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Consolidation Coal Co. v. Swiger, 98 F. App'x 227 (4th Cir. 2004).

Opinion

OPINION

PER CURIAM.

Consolidation Coal Company petitions for review of a decision by the Benefits Review Board (BRB) affirming an Administrative Law Judge (ALJ)’s award of benefits to Arnold E. Swiger under the Black Lung Benefits Act, 30 U.S.C. § 901 et seq. Because each of the several ALJ decisions over the course of this case were supported by substantial evidence and involved no legal errors, we deny the petition for review.

I.

Arnold Swiger, who is seventy-three, worked in coal mine employment for forty years before leaving the industry on January 31, 1992. Most of his employment was spent inside the mines. Swiger smoked approximately one-half pack of cigarettes a day from the early 1950s until 1979, when he developed Legionnaire’s disease. Although Swiger no longer smokes cigarettes, he continues to smoke four to five bowls of pipe tobacco a day.

Swiger first applied for federal black lung benefits in the early 1970s. The Social Security Administration (SSA) denied benefits in a letter dated July 25,1973, and Swiger did not appeal the decision. He filed a second application for benefits on February 1, 1990, which was denied by a district director on June 26, 1990. In 1992 Swiger filed his third application for benefits and requested an administrative hearing. On July 12, 1993, ALJ Victor Chao determined that although Swiger had established the presence of a totally disabling respiratory impairment, he had failed to establish the presence of pneumoconiosis. Accordingly, the ALJ denied benefits. Swiger alleges that on August 10, 1993, he mailed a letter to the Department of Labor (DOL) stating, “I protest this claim ... you state I am disabled due to smoking. But you have disregarded 40)4 years in the mines.” J.A. 40. Approximately two months after sending the letter, Swiger called the DOL to check on the status of his case. After being informed that the DOL had never received his letter of pro *230 test, Swiger decided to “give up.” J.A. 803.

In 1997 Swiger filed his fourth application for black lung benefits and retained counsel for the first time. As an initial matter, Swiger argued that his 1992 application for benefits was still pending because his letter to the DOL, dated August, 10 1993, constituted a valid appeal of the ALJ’s denial of benefits. ALJ Richard Morgan held a formal administrative hearing on the matter and ruled that the letter, although not an appeal, constituted a timely request for modification pursuant to 20 C.F.R. § 725.310. Because the request had never been finally denied, the ALJ merged Swiger’s fourth application, dated January 7, 1997, into the still-pending 1992 claim. The ALJ also found that Swiger’s file was in total disarray. He therefore remanded the case to the district director’s office, asking it to reconstruct the file and to provide each of the parties an opportunity to obtain and submit new medical evidence.

Following the remand, Swiger’s counsel sent a cover letter to the district director’s office informing it of Swiger’s initial application for black lung benefits in the early 1970s. Enclosed with the letter was a copy of the SSA document, dated July 25, 1973, that denied Swiger benefits. After contacting several sources within the SSA, the district director determined that “a claim was filed [in 1973], almost certainly denied, forwarded to the Federal Records Center in 1980, and the file was destroyed in 1985 or 1986.” J.A. 808.

Soon thereafter, Consolidation sought to be dismissed from the case as the responsible operator, claiming that Swiger was never sent an election card informing him of his right to appeal his 1973 Part B claim. See 20 C.F.R. §§ 725.496, 410.704. Consolidation and Swiger both took the position that the SSA’s failure to provide an election card meant that Swiger’s Part B claim, originally denied on July 25, 1973, was still alive, thereby allowing him to elect review of that claim. See id. § 410.704. If Swiger could make this election, liability for his case would be transferred from Consolidation to the Black Lung Disability Trust Fund. See id. § 725.496. ALJ Michael Lesniak held a hearing to resolve the issue and, on April 16, 2001, denied Consolidation’s motion to be dismissed as a responsible operator. ALJ Lesniak concluded that the preponderance of the evidence indicated that Swiger had been sent an election card and failed to return it to the government, thereby waiving his right to review of his Part B claim. See id. § 410.704(d).

With the procedural issues resolved, ALJ Lesniak proceeded to hold a hearing on Swiger’s eligibility for black lung benefits. In a written opinion dated May 8, 2002, the ALJ first considered the radiological evidence. The parties submitted a total of fifty-two x-ray interpretations, only thirty-nine of which conformed to the classification requirements set forth in 20 C.F.R. § 718.102. Of the thirty-nine qualifying x-rays, nine were read positive for pneumoconiosis and thirty were read negative. The positive interpretations included eight readings made by seven different dual qualified B-readers/radiologists, and twelve of the negative interpretations were made by five different dual qualified B-readers/radiologists. Based on this conflicting evidence, the ALJ concluded that “the radiological evidence neither precludes nor establishes pneumoconiosis.” J.A. 877.

The ALJ next considered the conflicting medical reports of twelve physicians, only eight of which are relevant here. Drs. Bellotte, Renn, Fino, Branscomb, and Rosenburg all concluded that Swiger did not have pneumoconiosis. Dr. Bellotte found *231 that Swiger was suffering from a chronic obstructive pulmonary disease (COPD) due to his history of smoking, asthma, and possibly cardiovascular problems. Dr. Renn examined Swiger on three occasions and determined that he was suffering from a totally disabling impairment caused by a combination of tobacco and asthma. Dr. Fino reviewed the medical evidence compiled from 1993-2001 and found that although Swiger was suffering from a respiratory impairment, his condition improved following the use of bronchodilator medication. Because bronchodilators have no effect on pulmonary impairments caused by coal dust, Dr. Fino reasoned that Swig-er must be suffering from the effects of smoking and asthma. Drs. Branscomb and Rosenburger reiterated many of the findings of Drs. Bellotte, Renn, and Fino.

Dr. Rasmussen examined Swiger in 1997 and found that he was suffering from a lung impairment due to the combined effects of asthma, coal mine dust, and smoking. Dr. Rasmussen concluded that “[pneumoconiosis] must be considered a significant contributing factor to his loss of function.” J.A. 883. Dr. Abrahams examined Swiger in 1999 and found that although there was no sign of clinical pneumoconiosis, Swiger was suffering from chronic bronchitis caused by cigarette smoking and coal dust exposure, thereby constituting a form of legal pneumoconiosis. See 20 C.F.R.

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