Drummond Company, Inc. v. DIrector, OWCP

586 F. App'x 541
CourtCourt of Appeals for the Eleventh Circuit
DecidedOctober 3, 2014
Docket13-11800
StatusUnpublished

This text of 586 F. App'x 541 (Drummond Company, Inc. v. DIrector, OWCP) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Drummond Company, Inc. v. DIrector, OWCP, 586 F. App'x 541 (11th Cir. 2014).

Opinion

PER CURIAM:

We address in this appeal whether res judicata bars an eligible dependent from pursuing automatic derivative benefits in a second claim for survivors’ benefits under the Black Lung Benefits Act, 30 U.S.C. § 932(i), as amended by the Patient Protection and Affordable Care Act, Pub.L. No. 111-148, § 1556, 124 Stat. 119, 260 (2010), after failing to prevail on a first claim for benefits under a provision that conditioned the dependent’s eligibility for *542 benefits on her ability to prove that pneu-moconiosis was a cause of the deceased miner’s death. Drummond Company, Inc., petitions for review of a decision of the Benefits Review Board that affirmed an award of survivors’ benefits to Óllie P. Gardner after she filed a subsequent claim for automatic derivative benefits under section 1556. We deny the petition.

I. BACKGROUND

In 1992, Melvin Gardner applied for benefits under the Black Lung Benefits Act based on his work as a coal miner between 1956 and 1983. In 1995, an administrative law judge found that Melvin was totally disabled due to pneumoconiosis and awarded him benefits. Drummond did not appeal.

Melvin died in April 2001, and his widow, Ollie Gardner, filed a claim for survivors’ benefits under the Act. Under the version of the Act then in effect, Ollie could receive benefits only if she proved that her husband’s death was due at least in part to pneumoconiosis. See 30 U.S.C. § 932(Z) (1981); 20 C.F.R. § 718.205(c)(2) (1984). In 2003, an administrative law judge decided that Gardner was a surviving dependent, 20 C.F.R. § 720.201(a)(2), but she was ineligible for benefits because she failed to prove that pneumoconiosis was a cause of her husband’s death, id. § 718.205(c)(2). Gardner did not appeal.

In March 2010, Congress reinstated a former provision of the Act, 30 U.S.C. § 932(Z) (1978), that awarded derivative benefits automatically to deceased miners’ dependents. Pub.L. No. 111-148, § 1556(b), 124 Stat. at 260. Until 1982, the dependents of a deceased miner were entitled to automatic derivative benefits if the miner “was determined to be eligible to receive benefits under this title at the time of his or her death,” 30 U.S.C. § 932(Z) (1978); Pub.L. No. 95-239, § 7(h), 92 Stat. 95, 100 (1978). Section 932(Z) eliminated any duty imposed on “eligible survivors of a miner ... to file a new claim for benefits, or refile or otherwise revalidate the claim of such miner.” Id. When Gardner filed her first claim, Congress conditioned a dependent’s eligibility for benefits on an ability to prove that the deceased minor’s death was due to pneu-moconiosis, id. § 932(Z) (1981), but section 1556 eliminated that condition. Under that provision, the restored right to automatic benefits, id. § 932(Z) (2012), applies to “claims filed ... after January 1, 2005, that are pending on or after [March 23, 2010],” Pub.L. No. 111-148, § 1556(c), 124 Stat. at 260.

In May 2010, Gardner filed a second claim for survivors’ benefits, and the Director of the Office of Workers’ Compensation Programs in the Department of Labor issued a proposed decision that awarded benefits to Gardner. The Department determined that Gardner’s claim for benefits was governed by section 1556. The Department ruled that Gardner was entitled to benefits, under amended section 932(Z), because she was a surviving dependent of a miner who had received benefits under the Act.

Drummond objected to the decision on three grounds. First, Drummond argued that Gardner’s second claim was a “subsequent claim” because it was filed “more than one year after the effective date of a final order denying [her 2001] claim,” and it was barred because “the applicable conditions of entitlement in such claim ... [was] [ ]related to [her husband’s] physical condition at the time of his death.” 20 C.F.R. § 725.309(d) (effective until October 24, 2013). In other words, Gardner’s subsequent claim was barred because her-2001 claim was denied on the ground that her husband’s death was not due to pneu-moconiosis, and his physical condition *543 could not change. Second, Drummond argued that restored section 932(Z) did not apply to Gardner for three reasons: (1) the provision applied to the claim filed by Gardner’s husband in 1992, not to Gardner’s subsequent claim; (2) Gardner’s subsequent claim was not pending on or after March 23, 2010; and (3) Gardner’s 2001 claim was adjudicated before the coverage period in section 1556. Third, Drummond argued that Gardner’s subsequent claim was barred by res judicata.

The administrative law judge awarded survivors’ benefits to Gardner. The administrative law judge ruled that Gardner’s claim was a “subsequent claim,” by which she could pursue benefits because “the applicable condition[] of entitlement ... [ — the restoration of automatic derivative benefits under section 1556 — was] unrelated to [her husband’s] physical condition at the time of his death.” Id. And Gardner was entitled to benefits, the administrative law judge determined, because she was an “unremarried widow of a miner who had been awarded compensation benefits under the Act during his lifetime, and ... she filed her current claim in May 2010,” within the covered period.

Drummond appealed, and challenged the decision of the administrative law judge on three grounds. First, Drummond argued that Gardner’s claim was a “subsequent claim” that was barred by res judicata and by section 725.309(d) of the regulations. Second, Drummond argued that the “claim” mentioned in restored section 932(l) referred to a miner’s claim and could not apply to Gardner’s subsequent claim because survivors are not required to file a claim. See 30 U.S.C. § 932(i) (2012); Pub.L. No. 111-148, § 1556(c), 124 Stat. at 260. Third, Drummond argued that, even if Gardner could proceed under restored section 932(Z), she had to prove that her husband’s death was due to pneu-moconiosis.

The Benefits Review Board affirmed the decision to award benefits to Gardner. The Board ruled that Gardner’s subsequent claim was not barred by res judicata because her entitlement to benefits was not “tied to relitigation of the prior finding that [her husband’s] death was not due to pneumoconiosis.” The Board also ruled that Gardner did not have to prove the cause of her husband’s death because section 1556 eliminated the causation requirement contained in the 1981 version of section 932(l).

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Bluebook (online)
586 F. App'x 541, Counsel Stack Legal Research, https://law.counselstack.com/opinion/drummond-company-inc-v-director-owcp-ca11-2014.