Liberty Mutual Insurance Company v. Hurlbut

585 F.3d 639, 2009 U.S. App. LEXIS 24163, 2009 WL 3617698
CourtCourt of Appeals for the Second Circuit
DecidedNovember 4, 2009
DocketDocket 09-1215-cv
StatusPublished
Cited by45 cases

This text of 585 F.3d 639 (Liberty Mutual Insurance Company v. Hurlbut) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Liberty Mutual Insurance Company v. Hurlbut, 585 F.3d 639, 2009 U.S. App. LEXIS 24163, 2009 WL 3617698 (2d Cir. 2009).

Opinion

MINER, Circuit Judge:

Plaintiffs-appellants Liberty Mutual Insurance Company and affiliated companies (“Liberty Mutual”) appeal from a judg *641 ment entered in the United States District Court for the Southern District of New York (Chin, J.) in favor of defendantsappellees, Commissioners of the Workers’ Compensation Board of the State of New York (the “Board”) and Trustees of the New York State Insurance Fund (the “Trustees”). Liberty Mutual brought the action giving rise to the judgment seeking injunctive and declaratory relief from two amendments to the New York Workers’ Compensation Law enacted in 2007. Liberty Mutual challenges these amendments as violative of the Contracts, Takings, Due Process and Equal Protection provisions of the United States Constitution. Relying on the doctrine announced in Younger v. Harris, 401 U.S. 37, 91 S.Ct. 746, 27 L.Ed.2d 669 (1971), the District Court determined that the circumstances of this case required it to abstain from the exercise of federal jurisdiction and dismiss the complaint for that reason. We agree that abstention is appropriate but rely on different precedent.

BACKGROUND

I. The New York Workers’ Compensation System — Policy and Procedure

The New York Workers’ Compensation System is governed by the Workers’ Compensation Law (the “WCL” or “Law”). The Law requires employers to pay benefits to workers who are injured or disabled during the course of their employment, regardless of fault. N.Y. Workers’ Comp. Law § 10(1). These benefits include medical care, replacement of lost wages (“indemnity payments”) and death benefits. Id. §§ 13, 14, 16. To assure that these payments are made, the Law requires employers to obtain insurance coverage in one of the following ways: purchase workers’ compensation coverage from an approved insurance carrier (“Carrier”) such as Liberty Mutual; secure coverage from the State Insurance Fund; or seek approval from the Board to act as a self-insurer. Id. §§ 10(1), 50. The benefits provided under the WCL are the exclusive remedies for injuries sustained by employees in the course of employment, and the Law thus forecloses any suit by an employee against an employer in tort. Id. § 11; see also O’Rourke v. Long, 41 N.Y.2d 219, 222, 391 N.Y.S.2d 553, 359 N.E.2d 1347 (1976). (The WCL “was designed to provide a swift and sure source of benefits to the injured employee or to the dependents of the deceased employee” in return for “the loss of the common-law tort action in which greater benefits might be obtained.”).

The original law took effect on January 1, 1914, and the New York Court of Appeals soon thereafter recognized that the underlying policy of the Law was to “protect[] both employer and employee, the former from wasteful suits and extravagant verdicts, the latter from the expense, uncertainties and delays of litigation in all cases and from the certainty of defeat if unable to establish a case of actionable negligence.” Jensen v. S. Pac. Co., 215 N.Y. 514, 524, 109 N.E. 600 (1915), rev’d on other grounds, 244 U.S. 205, 37 S.Ct. 524, 61 L.Ed. 1086 (1917). Numerous refinements to the Law over the years have resulted in a statute of some complexity. As one judge of the New York Court of Appeals has put it, the Law has been the “object of constant legislative attention and fine-tuning,” with various amendments, including 560 amendments between 1914 and 1961, and an Omnibus Reform amendment in 1996, all resulting in a “complex, integrated and unusually prescriptive statute.” See Greenberg v. N.Y. City Transit Auth., 7 N.Y.3d 139, 145-46, 818 N.Y.S.2d 784, 851 N.E.2d 1135 (2006) (Read, J., dissenting).

*642 It has been estimated that more than 90% of employee claims for benefits under the standards provided by the WCL are paid without contest. See Martin Minkowitz, New York Practice Series: New York Workers’ Compensation, § 15:1, at 594 (2003). The Law provides a comprehensive system for resolving contested claims. The responsibility for operation of that system lies with the Board. N.Y. Workers’ Comp. Law § 20(1). An injured worker who seeks benefits under the WCL is required to file a claim with the Board or his employer. Id. § 20. The carrier is afforded the opportunity to dispute the claim, Id. § 25(2)(a); N.Y. Comp.Codes R. & Regs. tit. 12, § 300.22(a), and the dispute is addressed in the first instance by a Workers’ Compensation Law Judge (“WCLJ”). See N.Y. Workers’ Comp. Law § 150; N.Y. Comp.Codes R. & Regs. tit. 12, § 300.1(a)(10). A party dissatisfied with the decision of the WCLJ may seek administrative review by a three-member Board panel and, if review is granted and the panel does not make a unanimous decision, review of the full Board is mandated upon request of either party; if the decision is unanimous, any party my seek discretionary review by the full Board. The statutory scheme allows a party to seek judicial review of the Board’s administrative decision in the New York State Supreme Court, Appellate Division, Third Department. N.Y. Workers’ Comp. Law § 23. The designation of a single court for this purpose implements the legislative intent to establish a judicial forum having “specific expertise to deal with the complexity” of the issues presented in workers’ compensation cases. Empire Ins. Co. v. Workers’ Comp. Bd., 201 A.D.2d 425, 607 N.Y.S.2d 675, 675 (N.Y.App.Div.1994). The Law provides that appeals in workers’ compensation cases “shall be heard in a summary manner and shall have precedence over all other civil cases in such court.” N.Y. Workers’ Comp. Law § 23. An opportunity for further review may be sought in the New York State Court of Appeals, and “[a]n appeal to the appellate division of the supreme court, third department, or to the court of appeals, shall not operate as a stay of the payment of compensation required by the terms of the award or of the payment of the doctors’ bills found to be fair and reasonable.” Id. (2007).

The jurisdiction of the Board is far-reaching. The WCL, administered by the Board, covers approximately 7.9 million workers. See N.Y. State Workers’ Compensation Board, Basic Facts About the Board, at www.wcb.state.ny.us/content/ main/TheBoard/faetsht.jsp (last visited Sept. 21, 2009). In 2006, the Board received 140,109 new claims, re-opened 182,-028 claims; received 13,258 applications for appeals; and rendered 12,072 decisions. Id. The Law vests the Board with extensive powers beyond the adjudication of claims. For example, it licenses workers’ compensation attorneys, N.Y. Workers’ Comp. Law § 24-a; approves or rejects medical providers, Id. § 13-b-13-e; and brings certain enforcement proceedings not related to the challenged amendments, Id. § 26, 54-b, 141-a. Among the Board’s powers is the authority to order payments for certain types of indemnity awards to be made to the Aggregate Trust Fund (“ATF”).

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585 F.3d 639, 2009 U.S. App. LEXIS 24163, 2009 WL 3617698, Counsel Stack Legal Research, https://law.counselstack.com/opinion/liberty-mutual-insurance-company-v-hurlbut-ca2-2009.