Thacker v. Old Republic Insurance Co.

CourtDistrict Court, E.D. Kentucky
DecidedSeptember 13, 2019
Docket7:18-cv-00085
StatusUnknown

This text of Thacker v. Old Republic Insurance Co. (Thacker v. Old Republic Insurance Co.) is published on Counsel Stack Legal Research, covering District Court, E.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Thacker v. Old Republic Insurance Co., (E.D. Ky. 2019).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF KENTUCKY SOUTHERN DIVISION AT PIKEVILLE DENITA THACKER, on behalf of The Estate of Geraldine Clevenger, Widow of CIVIL ACTION NO. 7:18-85-KKC Donald Lee Clevenger, Plaintiff, v. ORDER AND OPINION OLD REPUBLIC INSURANCE CO., et al., Defendants. *** *** *** This matter is before the Court on cross-motions for summary judgment. For the reasons stated below, Plaintiff’s Motion for Summary Judgment (DE 14) is GRANTED, and the Defendants’ Motion for Summary Judgment (DE 10) is DENIED. I. BACKGROUND This case stems from a claim under the Black Lung Benefits Act (“BLBA”), 30 U.S.C. §§ 901-945. Plaintiff, Denita Thacker on behalf of the Estate of a deceased black lung beneficiary, filed this suit under 33 U.S.C. § 921(d) claiming that American Business & Mercantile Insurance and its parent company, Old Republic, (hereinafter collectively referred to as “Old Republic”) owe her additional compensation under 33 U.S.C. § 914(f)1 and 20 C.F.R. § 725.607. (DE 1 at 1.) Donald Clevenger worked for E F & B Coal in Eastern Kentucky until he retired in 1985. (DE 10-2 at 1.) Mr. Clevenger passed away in February 2010, and thereafter, his spouse, filed for survivor benefits under the BLBA. (DE 10-2 at 2.) On February 2, 2011, the U.S.

1 33 U.S.C. § 914(f) is a provision of the Longshore and Harbor Workers’ Compensation Act, which is incorporated by reference into the BLBA under 30 U.S.C. § 932(a). Department of Labor’s Director of the Office of Workers’ Compensation Programs (“District Director”) issued a proposed decision and order finding that Mrs. Clevenger was entitled to black lung benefits going back to her husband’s death in February 2010. (DE 1 at 3.) Old Republic challenged the award and sought a formal hearing before an Administrative Law Judge (“ALJ”). While Old Republic was challenging the award, the U.S. Department of Labor’s Black Lung Disability Trust Fund (“Trust Fund”) stepped in and made interim payments to Mrs. Clevenger. On July 3, 2014, the ALJ awarded Mrs. Clevenger benefits going back to February 2010. (DE 1 at 4.) Thereafter, Old Republic appealed the ALJ’s order

to the U.S. Department of Labor’s Benefits Review Board. Then, Mrs. Clevenger died on August 9, 2015, and her daughter, Denita Thacker, became heiress and executrix of her estate. (DE 10-2 at 2.) On August 31, 2015, the Benefits Review Board vacated the ALJ’s July 3, 2014 order and remanded with instructions for the ALJ. (DE 1 at 4.) On June 13, 2016 the ALJ issued an order (“June 13, 2016 order”) again awarding benefits to Mrs. Clevenger with the same onset date of February 2010. (DE 14 at 5.) The District Director received the ALJ’s decision on August 1, 2016 and issued a computation of benefits on August 17, 2016 (“August 17, 2016 computation of benefits”) requiring that Old Republic pay Mrs. Clevenger’s benefits. (DE 14-1, 14-2.) Old Republic again appealed the ALJ’s decision to the Benefits Review Board. (DE 14 at 6.) On July 16, 2017, the Benefits Review Board affirmed the ALJ’s award of benefits, and Old Republic did not further challenge the award. On January 30, 2018, the District Director issued a final calculation of benefits (“January 30, 2018 computation of benefits”) stating that Old Republic owed Mrs. Clevenger’s Estate $638.10 and the Trust Fund $40,813.40, which reflected the amount of payments the Trust Fund made to Mrs. Clevenger. (DE 1 at 5.) On February 2, 2018, Old Republic paid the amounts stated in the January 30, 2018 computation of benefits. On August 15, 2018, Plaintiff brought suit under 33 U.S.C. § 921(d) against E F & B Coal’s insurance provider, Old Republic. Plaintiff asserts that Old Republic owes additional compensation under 33 U.S.C. § 914(f) and 20 C.F.R. § 725.607, which provide that twenty percent additional compensation is owed when a compensation award is not paid within ten days after it becomes “due,” unless the order making such award is being reviewed under 33 U.S.C. § 921 and an order staying payments has been issued by the Benefits Review Board or Court. 33 U.S.C. § 914(f); 20 C.F.R. § 725.607. Plaintiff contends that Old Republic did not timely pay the June 13, 2016 order awarding benefits once it became “due” and did not

seek an order staying those payments, thus triggering the additional compensation addressed by 33 U.S.C. § 914(f) and 20 C.F.R. § 725.607. Old Republic filed a motion for judgment on the pleadings, or in the alternative, a motion for summary judgment asserting that Plaintiff is not entitled to additional compensation under 33 U.S.C. § 914(f). (DE 10.) Plaintiff asserts that a motion for judgment on the pleadings is inappropriate but agrees that the case is appropriate for summary judgment. Plaintiff has thus filed a cross-motion for summary judgment. (DE 14.) The issues have been fully briefed, and they are ripe for summary judgment. Old Republic raises several arguments against awarding additional compensation under 33 U.S.C. § 914(f) to Plaintiff: (1) this Court does not have jurisdiction under 33 U.S.C. § 921(d) because it complied with the final award issued on January 30, 2018; (2) the plain language of the Longshore and Harbor Workers’ Compensation Act (“LHWCA”), the BLBA, and the Department of Labor’s (“DOL”) black lung regulations preclude Plaintiff’s argument that the “penalty” in 33 U.S.C. § 914(f) is applicable in this case; (3) Plaintiff’s theory of recovery invites an unworkable administrative scheme and the payment procedures of the BLBA and the LHWCA are distinct; and (4) since the District Director did not indicate that any penalty was owed and the law required the District Director to do so, Plaintiff’s request for additional compensation must fail. (DE 10-1 at 18 n.6; DE 19 at 8.) Plaintiff also raises arguments in support of her position: (1) under 20 C.F.R. § 725.502, benefits became due on September 16, 2016, and since Old Republic did not pay until February 2, 2018, it owes additional compensation under 33 U.S.C.

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Thacker v. Old Republic Insurance Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/thacker-v-old-republic-insurance-co-kyed-2019.