Mabel Samons v. Nat'l Mines Corp.

25 F.4th 455
Court of Appeals for the Sixth Circuit·Decided February 11, 2022·No. 20-3209·Published·Cited by 14 cases

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b)

File Name: 22a0028p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

MABEL SAMONS, │

Petitioner, │

> No. 20-3209 │

v. │ │

NATIONAL MINES CORPORATION; OLD REPUBLIC │ INSURANCE COMPANY; DIRECTOR, OFFICE OF │ WORKERS’ COMPENSATION PROGRAMS, UNITED │ STATES DEPARTMENT OF LABOR, │ Respondents. │ ┘

On Petition for Review from the Benefits Review Board;

Nos. 18-0366 BLA; 18-0523 BLA.

Decided and Filed: February 11, 2022

Before: McKEAGUE, NALBANDIAN, and MURPHY, Circuit Judges.

COUNSEL

ON BRIEF: Evan B. Smith, APPALRED LEGAL AID, Prestonsburg, Kentucky, for Petitioner. Mark E. Solomons, Michael A. Pusateri, GREENBERG TRAURIG LLP, Washington, D.C., for Respondents National Mines Corp. and Old Republic Insurance. Sean G. Bajkowski, Anne Marie Scarpino, UNITED STATES DEPARTMENT OF LABOR, Washington, D.C., for federal Respondent.

OPINION

MURPHY, Circuit Judge. After working underground in coal mines for three decades, Casey Samons developed pneumoconiosis (commonly known as black-lung disease). His widow, Mabel Samons, sought benefits under the Black Lung Benefits Act, 30 U.S.C.

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§§ 901–44. It took the Department of Labor 17 years to decide (and ultimately deny) her claims. During this time, the claims bounced back and forth between an administrative law judge and the agency’s appellate body, the Benefits Review Board. In the last appeal, the Board also rejected one of Samons’s main arguments on what Samons likely views to be a legalistic ground (“law of the case”) without ever reaching the merits. The Department of Labor then delayed things further by filing an incomplete and disorganized administrative record in our court. We thus understand Samons’s frustrations with the agency’s handling of her claims. But while its actions perhaps could be described as poor customer service, they do not show any reversible legal error in the agency proceedings. To the contrary, the Board could lawfully invoke the discretionary law-of-the-case doctrine to avoid reexamining an issue on which it had affirmed the administrative law judge years before. And the judge’s credibility findings about the conflicting medical opinions pass muster under our deferential “substantial evidence” test. We thus affirm the Board’s decision.

I

A

Extended work in coal mines has led many miners to develop the respiratory disease known as pneumoconiosis. See U.S. Dep’t of Lab. v. Triplett, 494 U.S. 715, 717 (1990). The Black Lung Benefits Act allows coal miners (and some of their surviving relatives after their death) to seek benefits if they develop this disease. See id. The Secretary of Labor has issued many regulations to implement the Act. See Island Creek Coal Co. v. Bryan, 937 F.3d 738, 743 (6th Cir. 2019). To obtain benefits under these regulations, miners must prove four things: they have pneumoconiosis; this disease resulted from their coal-mine work; they are totally disabled; and the disease contributes to their total disability. 20 C.F.R. § 725.202(d)(2).

This case centers on the third element: total disability. Regulations treat a miner as “totally disabled” if the miner “has a pulmonary or respiratory impairment which, standing alone, prevents or prevented” the miner both “[f]rom performing his or her usual coal mine work” and “[f]rom engaging” in other “gainful employment” near the miner’s home that requires similar skills and abilities. Id. § 718.204(b)(1). A miner’s “usual coal mine work” has been

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interpreted to mean “the most recent job the miner performed regularly and over a substantial period of time.” Shortridge v. Beatrice Pocahontas Coal Co., 4 Black Lung Rep. (MB) 1-534, 1- 539 (Ben. Rev. Bd. 1982); U.S. Steel Mining Co. v. Dir., OWCP, 386 F.3d 977, 981 (11th Cir. 2004); see also Walker v. Dir., Off. of Workers’ Comp. Programs, 927 F.2d 181, 183 (4th Cir. 1991).

Miners can prove their total disability in two general ways (apart from using various legal presumptions that are not at issue in this case). They can rely on objective evidence, including, as relevant here, pulmonary-function tests. 20 C.F.R. § 718.204(b)(2)(i). To establish a miner’s total disability, the results of a test must fall within specified ranges listed in the regulations. Id.; see id. pt. 718, app. B. Alternatively, miners can rely on a physician’s medical opinion that their impairment has rendered them totally disabled within the meaning of the regulatory definition. Id. § 718.204(b)(2)(iv). Physicians must exercise “reasoned medical judgment” and base their opinions on “medically acceptable clinical and laboratory diagnostic techniques.” Id. And evidence supporting a miner’s total disability must be weighed against any “contrary probative evidence[.]” Id. § 718.204(b)(2); Peabody Coal Co. v. Hill, 123 F.3d 412, 416 (6th Cir. 1997).

A miner’s total disability also affects survivor’s claims. If a miner is awarded benefits, eligible relatives can receive survivor’s benefits upon the miner’s death without additional proof. 30 U.S.C. § 932(l); Consolidation Coal Co. v. Maynes, 739 F.3d 323, 326 (6th Cir. 2014). Otherwise, survivors must prove three elements, including that the “miner’s death was due to pneumoconiosis[.]” 20 C.F.R. § 718.205(a)(3). But the miner’s death is presumed to be due to the disease if survivors prove, among other things, that the miner was totally disabled. Id. § 718.305(b)–(c).

The coal-mine operator for whom the miner last worked generally must pay these benefits. See id. §§ 725.494–.495. To resolve benefits-eligibility disputes between operators and miners, the Act incorporates the claims-processing rules of the Longshore and Harbor Workers’ Compensation Act, 33 U.S.C. §§ 901–50. 30 U.S.C. § 932(a). After an administrator issues a proposed eligibility decision, a miner or operator may request a hearing before an administrative law judge. 33 U.S.C. § 919(d); 20 C.F.R. §§ 725.418, 725.451. A losing party may then appeal that judge’s decision to the Benefits Review Board. 33 U.S.C. § 921(b)(3). Although the Board

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reviews legal issues de novo, it must accept all of the judge’s factual findings as long as they are “supported by substantial evidence in the record considered as a whole.” Id. If the Board finds that the judge erred, it may remand the case to the judge. Id. § 921(b)(4). If it issues “a final order,” a party may seek review in a federal circuit court. Id. § 921(c); see Bryan, 937 F.3d at 744.

B

Born in 1920, Casey Samons (whom we will refer to as Casey to distinguish him from his wife) began working in the coal mines in 1940. Casey put in two years at this coal job before leaving in June 1942 to serve his country during World War II. He returned to the mines in Kentucky in 1946 and took various coal-related jobs from that year until his health forced him to retire in 1976. All told, he worked underground in the coal mines for over 30 years. He married Mabel Samons in 1942 and they remained married for over 60 years until his death. Samons thus qualifies as an eligible survivor. See 20 C.F.R. § 720.212.

Casey filed a claim for benefits in 2003 when he was 82 years old, but he sadly passed away two years later with his claim still pending. Samons took over Casey’s claim on behalf of his estate and filed her own claim for survivor’s benefits starting on the date of his death. Over the next 15 years, this case took four trips between an administrative law judge and the Board.

Round One. A federal administrator initially awarded Samons benefits on both Casey’s claim and her survivor’s claim. Casey’s former employer, National Mines Corporation, asked for a hearing before an administrative law judge.

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Mabel Samons v. Nat'l Mines Corp., 25 F.4th 455 (6th Cir. 2022).

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