Galle v. Ingalls Shipbuilding

CourtCourt of Appeals for the Fifth Circuit
DecidedJune 6, 2001
Docket00-60075
StatusPublished

This text of Galle v. Ingalls Shipbuilding (Galle v. Ingalls Shipbuilding) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Galle v. Ingalls Shipbuilding, (5th Cir. 2001).

Opinion

UNITED STATES COURT OF APPEALS For the Fifth Circuit

No. 00-60075

ANDREW T. GALLE, deceased,

Petitioner - Cross-Respondent,

VERSUS

DIRECTOR, OFFICE OF WORKERS’ COMPENSATION PROGRAMS, U.S. DEPARTMENT OF LABOR,

Respondent,

INGALLS SHIPBUILDING, INC.; AETNA CASUALTY & SURETY COMPANY,

Respondents - Cross-Petitioners.

Petition for Review of an Order of the Benefits Review Board

March 26, 2001

Before REAVLEY, SMITH, and DeMOSS, Circuit Judges.

DeMOSS, Circuit Judge:

The Court is asked to review final decisions of the Benefits

Review Board determining that Galle's notice of appeal to the Board

was timely and awarding a limited amount of compensation benefits

under the Longshore and Harbor Worker's Compensation Act (“LHWCA”),

33 U.S.C. § 901 et seq. Plaintiff Andrew T. Galle appeals the

Board's decision on the merits of his claim for disability

benefits. Galle argues that the Board properly held that his notice of appeal from the ALJ's decision was timely, but that the

Board erroneously limited his benefits by finding only a permanent

partial disability, rather than a permanent total disability, by

excluding certain medical services, and by refusing to award fees

to Galle's representative. Defendant-employer Ingalls

Shipbuilding, Inc. (“Ingalls”) and Aetna Casualty and Surety

Company (“Aetna”), which is Ingalls' LHWCA carrier, cross-appeal,

arguing that the Board erroneously determined that Galle's notice

of appeal to the Board was timely, but that the Board properly

limited Galle's benefits. The Director of the Office of Workers'

Compensation Programs (“OWCP”) filed a brief limited to the

question of whether Galle filed a timely notice of appeal to the

Board. The Director construes the relevant federal rules and

regulations to require the conclusion that Galle's notice of appeal

was timely. We agree, and affirm the Board's determination that

Galle filed a timely appeal with the Board. We likewise affirm the

Board's decision on the merits of Galle's claim for disability

benefits.

I. BACKGROUND

In November 1984, Galle was injured on the job when he tripped

over debris left by other workers, and fell hard on his knee and

right shoulder. Galle filed this claim for compensation benefits

under the LHWCA in 1988. See 33 U.S.C. § 919. In June 1989, the

ALJ held an evidentiary hearing on Galle's claim. On March 23,

2 1990, the ALJ issued a decision ordering Ingalls and Aetna to pay

Galle temporary total disability benefits from November 1984 until

October 1985, and permanent partial disability benefits from

October 1985 forward. The ALJ excluded benefits for certain

medical expenses claimed by Galle, see 33 U.S.C. § 907, and ordered

the defendants to pay certain penalties, see 33 U.S.C. § 914(e).

The decision was filed in the deputy commissioner's office on April

19, 1990. See 33 U.S.C. § 921 (a) (compensation orders become

effective when filed in the office of the deputy commissioner).

Galle moved for reconsideration, which was denied. See 20 C.F.R.

§ 802.206(b)(1) (permitting motions for reconsideration of an ALJ's

benefit determination). Galle filed a timely appeal to the Board.

See 20 C.F.R. § 802.205.

In July 1992, the Board affirmed the ALJ's decision, as

modified to include additional benefits for medical services. On

August 25, 1992, Galle moved for reconsideration of the Board's

decision. See 20 C.F.R. § 802.219(i). Shortly thereafter, in

January 1993, Galle unexpectedly died. Galle's counsel withdrew

and his widow, Margaret Galle, continued as his “representative.”

In April 1993, Galle, represented pro se by his widow, filed a

second motion for reconsideration of the Board's decision. In

November 1993, the Board issued an order granting Galle's motion

for reconsideration in part by changing the date upon which total

temporary disability ended and permanent partial disability began

3 from October 1985 to June 18, 1987, thus affording Galle an

additional twenty months of benefits for total disability. In

January 1994, Galle filed a petition for review of the Board's

decision with this Court, see 33 U.S.C. § 921(c), thus ending the

first complete round of administrative review.

In January 1994, and while the petition for review was pending

in this Court, the defendants filed a motion to alter or amend the

November 12, 1993 Board decision. The defendants' motion was based

upon new information indicating that Galle may have sought pre-

authorization for certain medical services, as to which

compensation had been denied on the theory that he had not sought

such pre-authorization. In October 1994, the Board granted that

motion, remanding the case to the ALJ with instructions to receive

evidence on the pre-authorization issue and to re-evaluate whether

the challenged medical expenses were compensable on the basis of

that evidence. In November 1994, this Court dismissed the pending

petition for review on the basis of the Board's remand order.

Between February 1995 and November 1995, Galle filed several

motions for reconsideration of certain aspects of the Board's

October 1994 remand order. In December 1995, the Board issued an

order stating that no further filings would be accepted by the

Board because the case was on remand to the ALJ.

On remand, the ALJ received evidence on the pre-authorization

issue. On June 5, 1998, the ALJ issued an order expanding the

4 award in Galle's favor by including some of the previously excluded

medical expenses requested by Galle. Ingalls and Aetna were

ordered to pay interest on the additional amount. The ALJ also

awarded Galle $220 for travel expenses associated with receiving

medical care, and denied Mrs. Galle's request for fees, which was

based upon the premise that she was Galle's legal representative.

On June 19, 1998, the decision was filed in the deputy

commissioner's office.

On July 1, 1998, Galle filed a motion for reconsideration of

the June 19, 1998, decision. The LHWCA regulations recognizing the

right to file a motion for reconsideration of an ALJ's benefits

determination provide that the motion must be “filed not later than

ten days from the date the [ALJ's] decision or order was filed in

the Office of the Deputy Commissioner.” 20 C.F.R. § 802.206(b)(1).

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