Consolidation Coal Company v. Albert A. Borda Director, Office of Workers' Compensation Programs, United States Department of Labor

171 F.3d 175, 1999 U.S. App. LEXIS 4125, 1999 WL 137386
CourtCourt of Appeals for the Fourth Circuit
DecidedMarch 15, 1999
Docket98-1109
StatusPublished
Cited by49 cases

This text of 171 F.3d 175 (Consolidation Coal Company v. Albert A. Borda Director, Office of Workers' Compensation Programs, United States Department of Labor) 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 Company v. Albert A. Borda Director, Office of Workers' Compensation Programs, United States Department of Labor, 171 F.3d 175, 1999 U.S. App. LEXIS 4125, 1999 WL 137386 (4th Cir. 1999).

Opinion

Affirmed in part and reversed in part by published opinion. Judge NIEMEYER

wrote the opinion, in which Judge WILKINS and Judge FRIEDMAN joined.

OPINION

NIEMEYER, Circuit Judge:

Albert Borda was awarded black lung benefits on two merged claims, one filed in 1978 and the other filed in 1988. The Office of Workers’ Compensation Programs (“OWCP”) did not advise Consolidation Coal Company, the putative responsible coal mine operator, of the 1978 claim until after the 1988 claim was filed and never informed Consolidation Coal that the 1978 claim was still pending on reconsideration. Yet, in August 1996, the Administrative Law Judge awarded Borda benefits based in part on the conclusion that the 1978 claim remained viable. Consolidation Coal contends that it was denied due process by the OWCP’s delay.and failure to notify it of Borda’s claim and urges us to dismiss it as the responsible operator and to direct the Black Lung Disability Trust Fund to pay Borda’s benefits. Alternatively, Consolidation Coal challenges the award on the merits.

For the reasons that follow, we affirm the award of benefits, but, because the violation of Consolidation Coal’s due process rights requires that it be dismissed as the responsible operator, we direct that benefits be paid to Borda by the Black Lung Disability Trust Fund.

I

The procedural history of this case reveals an unflattering account of the government’s delay and mishandling in processing and adjudicating Albert Borda’s black lung claims over the course of 18 years.

Borda labored in the coal mines for roughly 40 years, working for Consolidation Coal between 1968 and 1972. In 1972, Borda left the private sector and began work for the federal government as a federal mine inspector. He worked in that *178 capacity for the next 15 years until he retired completely in 1987.

On January 30, 1978, while working for the federal government, Borda first filed a claim for black lung benefits, based on radiographs indicating that he had pneu-moconiosis. In April 1980, the OWCP denied Borda’s claim, indicating that it had received no evidence that established any element of eligibility for benefits. Shortly thereafter, still in April 1980, Borda submitted documentation of his coal mine employment history and his pneumoconiosis diagnosis — both of which he had submitted with his original application. He also made arrangements for a clinic to send additional medical evidence to the OWCP.

Without acknowledging Borda’s second submissions, the OWCP again denied Bor-da’s claim on August 4,1980, again indicating that it had no evidence that would establish eligibility for benefits. The OWCP’s standard denial letter informed Borda of his right to submit additional evidence or to request a formal hearing within 60 days. It also advised Borda of his right to request reconsideration of the denial within one year based upon a change in condition or a mistake in the determination of fact. The denial letter further included a hand-typed additional notation stating that the OWCP would “reconsider” Borda’s claim if he submitted certain medical and employment evidence.

On July 31,1981 — within one year of the OWCP’s August 4, 1980 denial of his claim — -Borda submitted documentation of his employment history and medical diagnosis, for the third time. His cover letter advised the OWCP as follows:

I’m sorry that you found no evidence of my having worked in the underground coal mines....
5k * * * * *
I am enclosing a xerox copy of the work record I originally mailed you in Jan. 1978, plus the zero copy of my work record from all of the Coal Mining Employers, which was also sent in with my original claim.
S*: Sj< ❖ # * ❖
Sir, this is ALL of my work record that had been mailed you, this was my record for all of my employable years, up to present. I have nothing more to send you. It is about 30 yrs. give or take a bit, all underground. Also, in the original claim, some medical evidence was sent also, stating that I do have Black Lung. I am sending you the xeroxed copies again, and have marked them with 3 red * * * asterisks, will be easily picked up. Since 1980, you should have received more evidence from Fair-mont Clinic.

In his letter, Borda also inquired whether, as a federal employee, he should file a federal workers’ compensation claim and what the consequences of filing such a claim would be on his ability to work and to receive black lung benefits.

Borda never received an acknowledgment of or response to his 1981 letter. Over a year later, however, he received a form letter from the OWCP, stating that his file had been transferred from Washington, D.C. to Parkersburg, West Virginia. For several years, Borda assumed— given the two year delay in the original decision on his 1978 claim — that because he had heard nothing from the OWCP, his claim was being reconsidered. By 1985, however, suspecting that the government may have lost his file, Borda requested a copy of his claim file under the Freedom of Information Act. To Borda’s dismay, the file that the OWCP sent him was nearly empty and did not contain his multiple submissions of documents evidencing his coal mine employment and pneumoconio-sis. . .

Believing that his file had been lost, Borda filed a second claim for black lung benefits on April 26, 1988. In May 1988, the OWCP notified Consolidation Coal that it was the putative responsible operator on that claim. This was the first notice that *179 Consolidation Coal had received from the OWCP regarding any claim filed by Bor-da.

Treating the 1988 claim as though the 1978 claim were closed, the OWCP denied Borda’s second claim on the same grounds that it had denied his first claim. Borda timely appealed, submitted additional medical evidence, and was given a hearing before an Administrative Law Judge (“ALJ”) on March 1,1994.

Until a day before the hearing, Consolidation Coal had been under the impression that it was contesting Borda’s eligibility for benefits based on his 1988 claim standing alone. When it learned that Borda was proceeding as if the 1978 claim were still viable and pending on reconsideration by virtue of Borda’s 1981 letter to the OWCP, Consolidation Coal objected on constitutional grounds, arguing that it had never received notice of the continued viability of Borda’s 1978 claim which had been filed 16 years earlier. With the agreement of counsel, the ALJ proceeded with the hearing and admitted all of the evidence, despite the disagreement as to the status and effect of the 1978 claim and the sufficiency of notice provided to Consolidation Coal. The OWCP was not represented at this hearing.

In August 1996, over two years after the hearing and 18 years after the original claim was filed, the ALJ issued a 32-page opinion awarding benefits to Borda on the basis of both his 1978 claim and his 1988 claim merged together. The ALJ found that Borda’s original claim was still alive because it concluded, for the first time, that Borda’s 1981 letter constituted a request for modification of the OWCP’s denial of the 1978 claim.

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Cite This Page — Counsel Stack

Bluebook (online)
171 F.3d 175, 1999 U.S. App. LEXIS 4125, 1999 WL 137386, Counsel Stack Legal Research, https://law.counselstack.com/opinion/consolidation-coal-company-v-albert-a-borda-director-office-of-workers-ca4-1999.