Creek Coal Company, Inc. v. Ray Bates

134 F.3d 734, 1997 U.S. App. LEXIS 36761
CourtCourt of Appeals for the Sixth Circuit
DecidedDecember 31, 1997
Docket96-3786
StatusPublished
Cited by6 cases

This text of 134 F.3d 734 (Creek Coal Company, Inc. v. Ray Bates) 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
Creek Coal Company, Inc. v. Ray Bates, 134 F.3d 734, 1997 U.S. App. LEXIS 36761 (6th Cir. 1997).

Opinion

134 F.3d 734

CREEK COAL COMPANY, INC.; Old Republic Insurance Company, Petitioners,
v.
Ray BATES; Director, Office of Workers' Compensation
Programs, United States Department of Labor, Respondents.

No. 96-3786.

United States Court of Appeals,
Sixth Circuit.

Argued Sept. 16, 1997.
Decided Dec. 31, 1997.*

Laura Metcoff Klaus (briefed), Mark E. Solomons (argued and briefed), Arter & Hadden, Washington, DC, for Petitioners.

Elizabeth Hopkins (argued and briefed), Allen H. Feldman and Edward D. Sieger (briefed), U.S. Department of Labor, Office of the Solicitor, Washington, DC, for Respondent Director, Office of Workers' Compensation Programs, United States Department of Labor.

Robert G. Miller (briefed), Perry, Preston & Miller, Paintsville, KY, for Respondent Bates.

Before: RYAN, SUHRHEINRICH, and COLE, Circuit Judges.

OPINION

COLE, Circuit Judge.

Petitioners Creek Coal Company, Inc. ("CCI") and Old Republic Insurance Company ("Old Republic") appeal an adverse decision by the Benefits Review Board of the United States Department of Labor ("the Board") granting Ray Bates' claim for benefits under the Black Lung Benefits Act, 30 U.S.C. § 931 et seq. They contend that the Board erred in finding that CCI was the responsible operator and that Old Republic, its insurance carrier, was liable for the payment of benefits as it interpreted them to be due under an insurance policy issued by Old Republic. For the following reasons, we reverse the Board.

FACTS AND PROCEEDINGS BELOW

Ray Bates ("Bates" or "claimant") filed a claim for black lung benefits which has given rise to this appeal. From March 29, 1976 to August 19, 1977, Bates was doing business as Creek Coal Company ("CCC"), a sole proprietorship, and was engaged in coal mine work. Bates had only a couple of employees and did much of the drilling and loading of coal himself. Bates obtained a workers compensation insurance policy from Old Republic running from August 4, 1976 until August 4, 1977. The policy included a federal Coal Mine Health and Safety Act endorsement as required by the Black Lung Benefits Act ("BLBA"), see 30 U.S.C. §§ 932, 933, providing for the payment of benefits due to miners under the BLBA. Prior to the expiration of the policy, Bates purchased a new policy for the period July 13, 1977 until July 13, 1978. That policy also included the endorsement required by the BLBA. After obtaining coverage under the second policy, Bates incorporated CCC. It was thereafter known as Creek Coal Company, Inc. ("CCI"). On October 29, 1977, Bates retired from coal mine employment.

Bates filed a claim for black lung benefits on May 9, 1979. It was administratively denied on September 17, 1979. The district director named CCC as the responsible operator. Upon the claimant's July 1980 request, he was given a hearing. A hearing was held on May 14, 1981 before an administrative law judge ("ALJ"). At that hearing, Old Republic argued that the insurance policy at issue did not cover an owner of a coal company. The ALJ noted that CCC had been out of business since approximately October 1977 and remanded the case to the district director for admission of additional evidence and further review of the responsible operator issue. On November 17, 1981, the Department of Labor issued a statement that it believed that Creek Coal and Old Republic were properly designated as liable parties.

The claim was then referred to an ALJ on April 8, 1982 for another hearing. A second hearing was held before an ALJ on April 17, 1984. The ALJ issued a decision on March 8, 1985. He found that the evidence was sufficient to establish an invocation of the interim presumption of total disability pursuant to 20 C.F.R. § 727.203(a)(1) and insufficient to establish a rebuttal that the disability did not arise from coal mine employment under 20 C.F.R. § 727.203(b). The ALJ awarded benefits. As to the responsible operator issue, the ALJ found that since the claimant had worked for CCI for only two months, the director had named the wrong responsible party and thus he designated the Black Lung Disability Trust Fund liable if, on remand, the district director found no other responsible operator. In April of 1985, the Director filed a motion for reconsideration of the ALJ's decision on this issue, arguing that CCI was the responsible operator as the successor operator to CCC. In June of 1985, the ALJ issued a decision upon reconsideration finding CCI to be the successor operator to CCC, and finding Old Republic, as the insurance carrier, liable for benefits.

On July 25, 1985, CCI and Old Republic appealed the ALJ decision to the Board, challenging the ALJ's liability determination. By an order dated March 11, 1993, some eight years later, the Board permitted supplemental briefing in the appeal "in light of the many changes in the law which have taken place since the original decisions were issued." See J.A. 9. In supplemental briefs, CCI and Old Republic challenged the ALJ's responsible operator finding as well as his finding of insufficient evidence to establish rebuttal under § 727.203(b)(3). The Director urged that the liability and responsible operator findings be affirmed. The claimant also argued in support of the ALJ's decision.

The Board affirmed the ALJ's decision in a decision dated September 23, 1993. As to the responsible operator issue, the Board noted that the record established that CCC became CCI without interrupting operations and that any liability incurred by CCC, the sole proprietorship, was incurred by CCI, the incorporated form of the same business enterprise. The Board thus affirmed the ALJ's decision on the basis that the prerequisite one-year minimum employment was satisfied because the claimant's two months of employment with CCI merged with his two years of employment with CCC and thus CCI was properly considered the "primary operator" by virtue of being the last employer for which the claimant worked. The Board went on to affirm the ALJ's liability decision, reasoning that because Old Republic insured both CCC and CCI, it was liable for any benefits due under the policies.

CCI and Old Republic subsequently filed with the Board a motion to reconsider its decision and the Board issued a decision on May 23, 1996. The Board held that the regulations treated a business entity resulting from a change in business form as the primary responsible operator and thus CCC and CCI were, for purposes of determining liability for benefits, the same entity. The Board also rejected CCI and Old Republic's assertion that the Board had impermissibly preempted state law in violation of the McCarran Ferguson Act, 15 U.S.C. § 1012(b), with its insurance coverage determination. The Board considered the provisions of the policy which included the endorsement required by federal law. Looking to the definition of "miner" as amended by Congress in 1978, the Board held that Bates fit the amended definition of "miner" and that he was thus covered by the insurance policy. Accordingly, the Board again affirmed the ALJ's decision awarding benefits.

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