Navistar, Inc. v. Terry Forester

767 F.3d 638, 2014 FED App. 0237P, 2014 U.S. App. LEXIS 17597, 2014 WL 4473331
CourtCourt of Appeals for the Sixth Circuit
DecidedSeptember 12, 2014
Docket13-3994
StatusPublished
Cited by5 cases

This text of 767 F.3d 638 (Navistar, Inc. v. Terry Forester) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Navistar, Inc. v. Terry Forester, 767 F.3d 638, 2014 FED App. 0237P, 2014 U.S. App. LEXIS 17597, 2014 WL 4473331 (6th Cir. 2014).

Opinion

OPINION

RICE, District Judge.

At issue in this case is whether work as a federal mine inspector is qualifying coal mine employment under the Black Lung Benefits Act (“BLBA”), 30 U.S.C. §§ 901-944, as amended by § 1556 of the Patient Protection and Affordable Care Act, Pub.L. No. 111-148, § 1556, 124 Stat. 119, 260 (2010). This is a matter of first impression in the Sixth Circuit.

Respondent-Claimant Terry Forester was awarded BLBA benefits after the Administrative Law Judge (“ALJ”) determined that Forester’s five years of private coal mine employment with Petitioner Navistar’s predecessor, combined with his sixteen years of employment as a mine inspector with the United States Department of Labor’s Mine Safety and Health Administration (“MSHA”), rendered him eligible for the rebuttable presumption that, having been employed for at least fifteen years in underground coal mines, and having a totally disabling respiratory or pulmonary impairment, he was totally disabled due to pneumoconiosis, commonly known as black lung disease. See 30 U.S.C. § 921(c)(4). Navistar appealed, but the Benefits Review Board (“BRB”) upheld the award of benefits. Navistar has now filed a Petition for Review of the BRB’s decision.

For the reasons set forth below, we conclude that a federal mine inspector is not a “miner” for purposes of the BLBA. We therefore VACATE the award of benefits, and REMAND the case to the Administrative Law Judge for an initial determination of whether Respondent-Claimant Terry Forester is entitled to an award of BLBA benefits without the benefit of the fifteen-year presumption.

I.

In order to recover BLBA benefits, a coal miner must prove by a preponderance of the evidence that: (1) he has pneumoco-niosis; (2) his pneumoconiosis arose at least in part out of his coal mine employment; (3) he is totally disabled; and (4) the total disability is due to pneumoconio-sis. 20 C.F.R. §§ 718.201-718.204. The BLBA establishes a rebuttable presumption that a miner who was employed for at least fifteen years in underground coal mines and suffers from a “totally disabling respiratory or pulmonary impairment,” is “totally disabled due to pneumoconiosis.” 30 U.S.C. § 921(c)(4). This presumption may be rebutted by a showing that “(A) such miner does not ... have pneumoconi-osis, or that (B) his respiratory or pulmonary impairment did not arise out of, or in connection with, employment in a coal mine.” Id.

*641 For purposes of the BLBA, a “miner” is defined as:

any individual who works or has worked in or around a coal mine or coal preparation facility in the extraction or preparation of coal. Such term also includes an individual who works or has worked in coal mine construction or transportation in or around a coal mine, to the extent such individual was exposed to coal dust as a result of such employment.

30 U.S.C. § 902(d) (emphasis added). A Department of Labor regulation slightly expands the definition of “miner” to include individuals involved in maintenance of a coal mine. It defines a “miner” as:

any person who works or has worked in or around a coal mine or coal preparation facility in the extraction, preparation, or transportation of coal, and any person who works or has worked in coal mine construction or maintenance in or around a coal mine or coal preparation facility. There shall be a rebuttable presumption that any person working in or around a coal mine or coal preparation facility is a miner. This presumption may be rebutted by proof that:
(1) The person was not engaged in the extraction, preparation or transportation of coal while working at the mine site, or in maintenance or construction of the mine site; or
(2) The individual was not regularly employed in or around a coal mine or coal preparation facility.

20 C.F.R. § 725.202(a) (emphasis added).

We have held that BLBA claimants must satisfy a two-part eligibility test. “To qualify as a ‘miner,’ an individual must establish that: (1) he worked in or around a statutorily defined coal mine (the ‘situs’ test), ... and (2) his duties involved the extraction or preparation of coal, or involved appropriate coal mine construction or transportation (the ‘function’ test).” Falcon Coal Co. v. Clemons, 873 F.2d 916, 921 (6th Cir.1989). Although the “function” test also encompasses “workers performing duties incidental to the extraction or preparation of coal,” those duties must be “an ‘integral’ or ‘necessary’ part of the coal mining process.’ ” Id. at 922. “In general, those individuals who handle raw coal or who perform tasks necessary to keep the mine operational and in repair are generally classified as ‘miners.’ ” Id. at 922-23.

II.

From 1970 until 1975, Respondent Claimant Terry Forester was employed by Wisconsin Steel, a predecessor to Petitioner Navistar, as a dust sampler, safety inspector, and section foreman in the underground coal mines in Kentucky. From 1975 until 1991, Forester worked as a federal coal mine inspector in Kentucky, with MSHA. He was in the underground coal mines each day, checking for compliance with federal mine safety regulations. Throughout his twenty-one-year career in the coal mine industry, he was regularly exposed to coal dust. He stopped working in 1991 due to a knee injury. In 1992, he was declared totally disabled due to breathing problems, and began receiving monthly benefits under the Federal Employees’ Compensation Act (“FECA”), 5 U.S.C. §§ 8101-8193. In 2008, Forester filed a claim for BLBA benefits. Forester’s continued receipt of FECA benefits does not prevent him from also receiving BLBA benefits. However, any BLBA award would be reduced by the amount of the FECA award. See 30 U.S.C. § 932(g).

The claims examiner for the Office of Workers’ Compensation Programs (“OWCP”), Department of Labor, recommended that Forester’s BLBA claim be denied based on a finding that the evi *642 dence failed to show that Forester was totally disabled due to pneumoconiosis. Forester then requested a formal hearing, which was held on April 6, 2011, before an ALJ.

At that hearing, Navistar stipulated that Forester had seventeen years of coal mine employment. 1

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767 F.3d 638, 2014 FED App. 0237P, 2014 U.S. App. LEXIS 17597, 2014 WL 4473331, Counsel Stack Legal Research, https://law.counselstack.com/opinion/navistar-inc-v-terry-forester-ca6-2014.