Paramont Coal Company Virginia, LLC & Summit Point Insurance Company v. Carson Vanover

CourtCourt of Appeals of Virginia
DecidedApril 17, 2018
Docket1658173
StatusUnpublished

This text of Paramont Coal Company Virginia, LLC & Summit Point Insurance Company v. Carson Vanover (Paramont Coal Company Virginia, LLC & Summit Point Insurance Company v. Carson Vanover) is published on Counsel Stack Legal Research, covering Court of Appeals of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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Paramont Coal Company Virginia, LLC & Summit Point Insurance Company v. Carson Vanover, (Va. Ct. App. 2018).

Opinion

COURT OF APPEALS OF VIRGINIA

Present: Judges Alston, Chafin and Malveaux UNPUBLISHED

Argued at Salem, Virginia

PARAMONT COAL COMPANY VIRGINIA, LLC AND SUMMIT POINT INSURANCE COMPANY MEMORANDUM OPINION BY v. Record No. 1658-17-3 JUDGE ROSSIE D. ALSTON, JR. APRIL 17, 2018 CARSON VANOVER

FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION

Timothy W. Gresham (Kendra R. Prince; Penn, Stuart & Eskridge, on brief), for appellant.

Paul L. Phipps (Paul L. Phipps, P.C., on brief), for appellee.

Paramont Coal Company Virginia, LLC (appellant) argues that the Workers’

Compensation Commission (Commission) erred when it awarded permanent total disability

benefits to Carson Vanover (appellee). Appellant specifically contends that appellee failed to

provide sufficient evidence demonstrating that he suffered from sufficient pulmonary function

loss pursuant to Code § 65.2-504(A)(4). Ultimately, appellant’s argument amounts to an issue of

statutory interpretation. We disagree with appellant’s interpretation and affirm the

Commission’s award.

BACKGROUND

Appellee, currently employed by appellant, was notified that he was diagnosed with coal

workers’ pneumoconiosis on April 13, 2015. The diagnosis was based on Dr. Kathleen

DePonte’s examination of a March 20, 2015 x-ray. Prior to that notification, appellee

 Pursuant to Code § 17.1-413, this opinion is not designated for publication. “completed more than 90 shifts” and “was exposed to coal mine dust” while employed by

appellant. The uncontroverted evidence was that appellee had been a coal miner for fifty years.

Appellee filed a claim for benefits under the Workers’ Compensation Act (Act) on May 5, 2015

requesting staged benefits and lifetime benefits. The deputy commissioner designated to hear the

matter resolved the claim based on the stipulations submitted. The issue before the deputy

commissioner was whether appellee established that he has “the occupational disease of coal

workers’ pneumoconiosis and, if so, to what extent.” The deputy commissioner opined that

appellee “contracted a compensable occupational disease as a consequence of his exposure to

coal dust while working for [appellant.]” The deputy commissioner further found that appellee

qualified for stage three benefits pursuant to Code § 65.2-504(A)(3). This determination was

supported by the findings of the Pulmonary Committee and three other doctors. In this regard,

appellee’s “x-ray show[ed] the presence of abnormalities consistent with coal workers’

pneumoconiosis that has advanced” to the requisite extent; Category A large opacities were

discovered. The deputy commissioner noted the contrary findings of three other doctors. The

deputy commissioner explained that even though contrary opinions existed, the findings of the

Pulmonary Committee and the first set of three doctors satisfied the preponderance standard.

Thus, appellee was awarded stage three benefits commencing April 13, 2015 for 300 weeks and

medical benefits for as long as necessary to treat his coal workers’ pneumoconiosis.

Subsequently, appellee then filed a claim alleging a change in condition and sought

permanent total disability. Regarding this claim, Deputy Commissioner Wise requested written

statements from the parties on the interpretation of Code § 65.2-504(A)(4). In those statements,

appellee advanced a disjunctive reading of the statute pursuant to Flanary v. Moose Coal Co., 76

O.W.C. 119 (1997), and appellant advanced a conjunctive reading of the statute pursuant to

subsequent Commission opinions. Wise resolved the claim based on the stipulations and

-2- statements submitted. Wise noted the conflicting interpretations and opined that the statute was

to be read in the conjunctive. And according to the medical evidence, Wise found that appellee

established that “he has coal workers’ pneumoconiosis medically determined to be a Category A

large opacity under the I.L.O. classification, that he obtained a restriction from work in a mine or

dusty environment, and that he is in fact, not presently working.” The remaining element to be

established was whether appellee demonstrated “sufficient pulmonary function loss as shown by

approved medical tests and standards to render him unable to do manual labor in a dusty

environment.” After reviewing the medical evidence, Wise concluded that appellee did not

establish such loss and denied his claim.

Appellee filed a request for review by the full Commission. The Commission ordered

appellee to file a written statement and appellant to file a responsive statement. The parties

complied, setting forth the same arguments submitted to Wise. In its review opinion, the

Commission overruled their opinions post-dating Flanary and applied the interpretation

propounded in that opinion. The Commission indicated it must adhere to the plain language of

the statute. The Commission concluded that the statute states the elements in the disjunctive

with its use of “or,” and there was no indication the legislature intended “or” to be read

conjunctively. Appellee was also required to establish that he was “instructed by competent

medical authority not to attempt to do work in any mine or dusty environment and [that] he is in

fact not working” due to the placement of the conjunctive “and” prior to that text. Therefore,

according to the Commission, to qualify for lifetime benefits under Code § 65.2-504(A)(4),

appellee must prove one of the following:

(1) he suffers from coal workers’ pneumoconiosis medically determined to be A, B, or C under the I.L.O. classifications, and he has been instructed not to work in a mine or dusty environment by competent medical authority, and he is not working, or (2) he suffers from coal workers’ pneumoconiosis involving progressive massive fibrosis, and he has been instructed not to -3- work in a mine or dusty environment by competent medical authority, and he is not working, or (3) there is sufficient pulmonary function loss as shown by approved medical tests and standards to render him unable to perform manual labor in a dusty environment, and he has been instructed not to work in a mine or dusty environment by competent medical authority, and he is not working.

(Emphasis added).

Considering the plain language of the statute and the unchallenged findings, the

Commission found that appellee “satisfied the requirements of [] Code § 65.2-504(A)(4).”

Accordingly, the Commission reversed the finding of Deputy Commissioner Wise and awarded

appellee permanent total disability benefits.

Now comes this appeal.

ANALYSIS

“On review on appeal, we must defer to the [C]ommission’s findings of fact if supported

by credible evidence in the record.” Diaz v. Wilderness Resort Ass’n & Liberty Mutual Ins. Co.,

56 Va. App. 104, 114, 691 S.E.2d 517, 522 (2010). “When a challenge is made to the

[C]ommission’s construction of its rules, [our] review is limited to a determination of whether

the [C]ommission’s interpretation was reasonable. The [C]ommission’s interpretation will be

accorded great deference and will not be set aside unless arbitrary or capricious.” Gallahan v.

Free Lance Star Publ’g Co., 41 Va. App. 694, 700, 589 S.E.2d 12, 15 (2003) (quoting Estate of

Kiser v. Pulaski Furniture Co., 41 Va. App.

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