Three H Coal Company, Inc. v. DOWCP

CourtCourt of Appeals for the Fourth Circuit
DecidedJanuary 21, 2025
Docket23-1486
StatusUnpublished

This text of Three H Coal Company, Inc. v. DOWCP (Three H Coal Company, Inc. v. DOWCP) 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
Three H Coal Company, Inc. v. DOWCP, (4th Cir. 2025).

Opinion

USCA4 Appeal: 23-1486 Doc: 59 Filed: 01/21/2025 Pg: 1 of 17

UNPUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 23-1486

THREE H COAL COMPANY, INC.; OLD REPUBLIC INSURANCE COMPANY,

Petitioners,

v.

DIRECTOR, OFFICE OF WORKERS’ COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT OF LABOR; RAY L. HALE,

Respondents.

On Petition for Review of an Order of the Benefits Review Board. (22-0030 BLA)

Submitted: October 24, 2024 Decided: January 21, 2025

Before WILKINSON and HEYTENS, Circuit Judges, and TRAXLER, Senior Circuit Judge.

Petition for review denied by unpublished per curiam opinion.

ON BRIEF: Michael A. Pusateri, Mark E. Solomons, GREENBERG TRAURIG LLP, Washington, D.C., for Petitioners. Brad A. Austin, WOLFE WILLIAMS & REYNOLDS, Norton, Virginia, for Respondent Ray L. Hale. Seema Nanda, Solicitor of Labor, Barry H. Joyner, Associate Solicitor, Jennifer Feldman Jones, Deputy Associate Solicitor, Michael P. Doyle, Counsel for Appellate Litigation, Olgamaris Fernandez, Senior Attorney, Office of the Solicitor, UNITED STATES DEPARTMENT OF LABOR, Washington, D.C., for Federal Respondent. USCA4 Appeal: 23-1486 Doc: 59 Filed: 01/21/2025 Pg: 2 of 17

Unpublished opinions are not binding precedent in this circuit.

2 USCA4 Appeal: 23-1486 Doc: 59 Filed: 01/21/2025 Pg: 3 of 17

PER CURIAM:

Three H Coal Company (“Three H Coal”) and Old Republic Insurance Company

(“Old Republic”) petition for review of an order of the Benefits Review Board (“BRB”)

affirming an administrative law judge’s (“ALJ”) decision ordering Three H Coal to pay

black lung benefits to Ray Hale under the Black Lung Benefits Act (“BLBA”), see 30

U.S.C. §§ 901-944. The parties do not dispute that Hale is totally disabled due to

pneumoconiosis arising from his coal mine employment and is entitled to benefits under

the BLBA. The only issue is whether Three H Coal should have been ordered to pay those

benefits. Finding no error, we deny the petition for review.

I.

Congress enacted the BLBA to provide benefits to miners who are totally disabled

by pneumoconiosis. Generally speaking, coal mine operators that employed the miner and

contributed to his disability or death are liable for the payment of such benefits. The

operators may secure the payment of such benefits by “(1) qualifying as a self-insurer in

accordance with regulations prescribed by the Secretary, or (2) insuring and keeping

insured the payment of such benefits with any stock company or mutual company or

association, or with any other person or fund, including any State fund, while such

company, association, person or fund is authorized under the laws of any State to insure

workmen’s compensation.” 30 U.S.C. § 933(a).

Where a miner has worked for multiple coal mine operators, the black lung

regulations establish standards for apportioning liability. See 30 U.S.C. § 932(h); 20 C.F.R.

§§ 725.490-.495. Pursuant to the regulations, “[t]he operator responsible for the payment

3 USCA4 Appeal: 23-1486 Doc: 59 Filed: 01/21/2025 Pg: 4 of 17

of benefits . . . (the ‘responsible operator’) shall be the potentially liable operator, as

determined in accordance with § 725.494, that most recently employed the miner.” 20

C.F.R. § 725.495(a)(1). To qualify as a “potentially liable operator,” the coal mine operator

must satisfy several criteria. Among other requirements, “[t]he miner’s disability or death

[must have arisen] at least in part out of employment in or around a mine or other facility

during a period when the mine or facility was operated by such operator,” 20 C.F.R. §

725.494(a), and the miner must have been “employed by the operator . . . for a cumulative

period of not less than one year,” 20 C.F.R. § 725.494(c). Of particular significance in this

case, the operator must also be financially “capable of assuming its liability for the payment

of continuing benefits.” 20 C.F.R. § 725.494(e). An operator will be deemed financially

capable of assuming liability if:

(1) The operator obtained a policy or contract of insurance under [the Act and regulations] that covers the claim, except that such policy shall not be considered sufficient to establish the operator’s capability of assuming liability if the insurance company has been declared insolvent and its obligations for the claim are not otherwise guaranteed;

(2) The operator qualified as a self-insurer under [the Act and regulations] during the period in which the miner was last employed by the operator, provided that the operator still qualifies as a self-insurer or the security given by the operator [required by the regulations] is sufficient to secure the payment of benefits in the event the claim is awarded; or

(3) The operator possesses sufficient assets to secure the payment of benefits in the event the claim is awarded. . . .

20 C.F.R. § 725.494(e)(1)-(3).

When a miner files a claim for black lung benefits, the district director obtains and

reviews the miner’s employment history and identifies the “operators potentially liable for

4 USCA4 Appeal: 23-1486 Doc: 59 Filed: 01/21/2025 Pg: 5 of 17

the payment of benefits.” 20 C.F.R. § 725.407(b). The district director then notifies the

operators and their insurance carriers of the claim and affords them an opportunity to accept

or contest their status and submit evidence on the issue. See 20 C.F.R. §§ 725.407(b),

725.408(a)(1), 725.408(b)(1). The district director thereafter issues a “schedule for the

submission of additional evidence.” 20 C.F.R. § 725.410(a). The schedule must “contain

the district director’s designation of a responsible operator liable for the payment of

benefits.” 20 C.F.R. § 725.410(a)(3). If the district director does not name the miner’s

most recent employer as the responsible operator, he must explain his decision. See id.; 20

C.F.R. § 725.495(d). And if it is because the most recent employer is not financially

capable of assuming liability for the claim, the district director must include in the record

a statement that a search of the Office of Workers’ Compensation files revealed “no record

of insurance coverage for that employer, or of authorization to self-insure, that meets the

conditions of § 725.494(e)(1) or (e)(2).” 20 C.F.R. § 725.495(d). “Such a statement shall

be prima facie evidence that the most recent employer is not financially capable of

assuming its liability for a claim.” Id. After consideration of all of the evidence submitted,

the district director issues the proposed decision and order reflecting, inter alia, “the district

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