Marfork Coal Company v. Weis

251 F. App'x 229
CourtCourt of Appeals for the Fourth Circuit
DecidedOctober 18, 2007
Docket06-1913
StatusUnpublished
Cited by2 cases

This text of 251 F. App'x 229 (Marfork Coal Company v. Weis) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Marfork Coal Company v. Weis, 251 F. App'x 229 (4th Cir. 2007).

Opinions

LEGG, Chief District Judge:

In this case we address whether medical evidence offered for the sole purpose of disproving liability constitutes “documentary evidence” under § 725.456(b)(1) of the regulations implementing the Black Lung Benefits Act. Relying on the plain language and history of that regulation, we conclude that it does. Accordingly, we affirm the order of the Benefits Review Board naming petitioner Marfork Coal Co. as the responsible operator liable for the payment of benefits to respondent Roger L. Weis. We also affirm the Board’s conclusion that Weis’s benefits are payable as of April 1, 1996.

I.

A.

Coal miners are prone to develop pneumoconiosis, commonly known as black lung disease. The Black Lung Benefits Act (“the Act”), 30 U.S.C. § 901 et. seq., provides benefits to coal miners who have been totally disabled by pneumoconiosis, and to the surviving dependents of miners who die of the disease.

The Act places liability for the payment of benefits upon the “responsible” coal operator.1 Under the regulations implementing the Act, the “responsible operator” is usually the coal company that most recently employed the miner for at least one year.2 There are a number of grounds, however, upon which the most recent employer can avoid liability. For example, the operator may prove that it did not cause, contribute to, or aggravate the miner’s pneumoconiosis.3 The operator may establish that it lacks the means to pay, in which case the Black Lung Disability Trust Fund will pay.4 The operator may also prove that the miner was already totally disabled by pneumoconiosis before he was hired.5

The Department of Labor (“DOL”) is responsible for the administrative adjudication of black lung cases. Generally speaking, the litigation involves three stages. A miner or his survivor first files a claim with a “district director” from the [231]*231DOL’s Office of Workers’ Compensation Programs. After investigating the claim, the district director determines whether the claimant is eligible for benefits, and, if so, which operator is presumptively responsible.6 Any party may appeal the district director’s decision to the Office of Administrative Law Judges (“OALJ”).7 Thereafter, appeals are to the DOL’s Benefits Review Board (“the Board”), and then to the Court of Appeals for the circuit in which the miner’s “injury” occurred.8

In 2000, the DOL revamped its rules to streamline the handling of black lung cases. One thrust of the new rules is to make conclusive a district director’s determination of the “responsible operator” liable for payments. If the district director’s determination is overturned on appeal, the case is not remanded to correct the error. Instead, benefits are paid by the Black Lung Disability Trust Fund (“the Fund”). This is the case even if the actual responsible operator can be identified.9

To protect the Fund from unwarranted liability, the rules require the parties to present to the district director all documentary evidence concerning which operator is liable.10 Absent exceptional circumstances, new documentary evidence pertaining to liability may not be thereafter introduced into the record.11 With this background in mind, we turn to the facts.

B.

Roger L. Weis worked in the coal mines of West Virginia for approximately thirty-six years. Most recently, Weis worked for Marfork Coal Co. (“Marfork”), which employed him from November 1, 1994 to August 1, 2006.12

On July 9, 2002, Weis filed a claim for black lung benefits with a DOL district director located in Charleston, West Virginia. On August 23, 2002, the district director notified Marfork of Weis’s claim and identified Marfork as a potentially liable coal operator.13 20 C.F.R. § 725.407. The regulations required Marfork to file a response in which it either accepted or contested that identification. Id. § 725.408(a)(1). On September 4, 2002, Marfork contested liability.14

The district director ordered a complete pulmonary evaluation of Weis. Id. §§ 725.405(b); 725.406(b). On September 24, 2002, Dr. Manu Patel diagnosed Weis with complicated pneumoconiosis, a rare and serious form of black lung disease.15

On January 28, 2003, the district director issued a “Schedule for the Submis[232]*232sion of Additional Evidence” (“the Schedule”). Id. § 725.410(a). The Schedule laid out the district director’s preliminary conclusion that Weis was entitled to benefits because of his disease.16 It gave Marfork thirty days to accept or contest that finding. J.A. 51. It also gave the parties sixty days to submit additional medical evidence concerning Weis’s entitlement. Under the regulations, the parties could submit entitlement evidence either to the district director or thereafter to an ALJ if a formal hearing was requested. J.A. 52.

In the Schedule, the district director also preliminarily designated Marfork as the responsible operator. J.A. 51. It gave Marfork thirty days to accept or contest this finding.17 J.A. 52. It also gave Mar-fork sixty days in which to submit any “documentary evidence relevant to liability.” Id. Such evidence was to include any evidence “relevant to whether another potentially liable operator should have been designated the responsible operator.” J.A. 53. The Schedule cautioned that “[a]bsent a showing of extraordinary circumstances, no documentary evidence relevant to liability, or testimony of a witness not identified at this stage of the proceedings, may be admitted into the record once a case is referred to the [OALJ].” Id.

On February 11, 2003, Marfork submitted a DOL Operator Response form to the district director in which it accepted its designation as the responsible operator. J.A. 65. It contested, however, that Weis was entitled to benefits. Id. Marfork did not submit evidence of any kind to the district director.

Weis, however, did submit additional entitlement evidence to the district director. He proffered two x-ray interpretations by Dr. John Parker, who compared x-rays of Weis’s lungs from 1971, 1974, 1980, 1996, 1999, 2000, and 2003. Parker diagnosed Weis with “progressive massive fibrosis,” another name for complicated pneumoconiosis.18 Parker noted that the disease had “progressed” between 1996 and 2003. J.A. 14.

On July 7, 2003, the district director issued a proposed order awarding Weis benefits and holding Marfork liable. Mar-fork timely requested a formal hearing before an ALJ. On September 18, 2003 the case was referred to the OALJ.19

In preparation for a hearing before the ALJ, Marfork had Weis examined by Dr. Robert Crisalli. The examination suggested that Weis was indeed suffering from complicated pneumoconiosis. J.A. J.A. 354; 364.

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251 F. App'x 229, Counsel Stack Legal Research, https://law.counselstack.com/opinion/marfork-coal-company-v-weis-ca4-2007.