Tom Mays v. DOWCP

938 F.3d 637
CourtCourt of Appeals for the Fifth Circuit
DecidedSeptember 11, 2019
Docket18-60004
StatusPublished
Cited by16 cases

This text of 938 F.3d 637 (Tom Mays v. DOWCP) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tom Mays v. DOWCP, 938 F.3d 637 (5th Cir. 2019).

Opinion

Case: 18-60004 Document: 00515113103 Page: 1 Date Filed: 09/11/2019

IN THE UNITED STATES COURT OF APPEALS FOR THE FIFTH CIRCUIT United States Court of Appeals Fifth Circuit

No. 18-60004 FILED September 11, 2019 Lyle W. Cayce TOM L. MAYS, Clerk

Petitioner - Cross-Respondent

v.

DIRECTOR, OFFICE OF WORKERS' COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT OF LABOR

Respondent - Cross-Respondent

HUNTINGTON INGALLS, INCORPORATED,

Respondent - Cross-Petitioner

Petitions for Review of an Order of the Benefits Review Board

Before HIGGINBOTHAM, ELROD, and HO, Circuit Judges. PATRICK E. HIGGINBOTHAM, Circuit Judge: Tom Mays and his former employer, Huntington Ingalls, Inc. (“Avondale”), cross-petition for review of an order of the Benefits Review Board denying Mays’s motion for modification of his Longshore and Harbor Workers’ Compensation Act benefits. We affirm. Case: 18-60004 Document: 00515113103 Page: 2 Date Filed: 09/11/2019

No. 18-60004 I. This case arises from nearly three decades of administrative and state- court litigation. In the spring of 1991, Tom Mays was employed by Avondale as a welder at its shipyard in Avondale, Louisiana. Avondale contracted with International Marine & Industrial Applicators, Inc. (“IMIA” or “International Marine”) for cleaning and sandblasting services on a Naval vessel. Under the companies’ agreement, IMIA employees would work at Avondale’s facility for up to ninety days, during which time they would continue to be supervised and insured by IMIA. Although Avondale reserved the right to remove IMIA employees from its shipyard, only IMIA could fire them. At the end of the sandblasting job, Avondale was to pay IMIA a fixed lump sum, out of which IMIA would compensate its own workers. John Gliott was one of the IMIA employees placed on temporary work duty at the Avondale shipyard. On March 18, 1991, Gliott kicked Mays in the head, fracturing Mays’s cheekbone and injuring his eye. Mays was treated for his injuries, underwent surgery, and saw several psychiatrists to address a resulting psychological condition. Avondale voluntarily paid Mays $5,514.68 in disability and medical benefits for a five-month period, after which it requested that he return to work. Mays did not return, and instead filed a claim for workers’ compensation benefits under the Longshore and Harbor Workers’ Compensation Act (“the Act”). 1 The Office of Administrative Law Judges (“ALJ”) initially denied Mays’s claims for medical benefits and wage indemnity, but reversed its position as to medical benefits upon remand from the Benefits Review Board (“BRB” or “Board”). Avondale appealed, and the Board affirmed.

1 33 U.S.C. § 901 et seq. 2 Case: 18-60004 Document: 00515113103 Page: 3 Date Filed: 09/11/2019

No. 18-60004 Meanwhile, Mays had filed suit against Gliott and IMIA in Louisiana state court. In January of 2000, Mays accepted a settlement of $60,000 from Gliott and IMIA without Avondale’s approval. As part of the settlement agreement, Mays agreed to “dismiss all claims in the Longshoremen and Harbor Workers Compensation matter against Avondale.” Following the settlement, Avondale sought relief against Mays under Section 33(g) of the Act, which requires an injured employee to obtain his employer’s approval before accepting a third-party tort settlement for less than the value of his workers’ compensation benefits. 2 If the employee fails to obtain employer approval of such a settlement, “all rights to compensation and medical benefits . . . shall be terminated.” 3 Avondale argued that because it had not approved Mays’s settlement with Gliott and IMIA, it was no longer liable for his medical expenses pursuant to Section 33(g). At the same time, Mays filed a request for modification of his workers’ compensation award, providing new documentation showing that his injuries were more extensive than previously recognized. 4 The ALJ denied Avondale’s request because the $60,000 settlement exceeded the value of the workers’ compensation benefits Mays had received up to that point, rendering Section 33(g) inapplicable. However, the ALJ granted Avondale relief under Section 33(f) of the Act, which entitles an employer to credit its liability for medical benefits against the net settlement amount. 5 Finally, the ALJ denied Mays’s request for modification as untimely.

233 U.S.C. § 933(g). 3Id. § 933(g)(2). 4 Section 22 of the Act “provides two avenues for modification of a prior judgment: (1)

a change in conditions, or (2) a mistake in a determination of fact by the ALJ.” Island Operating Co., Inc. v. Dir., OWCP, 738 F.3d 663, 667 (5th Cir. 2013); see 33 U.S.C. § 922. 5 See 33 U.S.C. § 933(f).

3 Case: 18-60004 Document: 00515113103 Page: 4 Date Filed: 09/11/2019

No. 18-60004 On appeal, the Board affirmed the ALJ’s grant of Section 33(f) relief but found that Mays’s modification action was not time-barred. The Board remanded the case with instructions to determine whether Mays was entitled to any further periods of disability compensation and, if so, whether his lifetime compensation benefits would become subject to forfeiture under Section 33(g). Mays withdrew his request for modification in 2006 but reinstated it several years later, this time arguing that a mistake of fact had been made in the earlier proceedings. Mays claimed that he had never entered into a third- party settlement because Gliott was a borrowed servant of Avondale, not a third-party employee of IMIA. Because Longshore Act compensation is the exclusive remedy for an employee injured by a person “in the same employ,” neither Section 33(f)’s setoff provision nor Section 933(g)’s forfeiture provision would apply if Gliott were determined to be Avondale’s borrowed servant. 6 In July of 2016, the ALJ rejected Mays’s mistake-of-fact argument and found that Gliott was not a borrowed servant. However, the ALJ also found that Mays was entitled to additional disability compensation of $335,012.08. 7 Had the inquiry ended there, Mays’s compensation would have been modified upward by this amount. However, per the Board’s earlier instruction, the ALJ next considered the interaction between the hypothetical increase in compensation and Mays’s settlement with Gliott and IMIA. Before the hypothetical increase, Mays’s workers’ compensation was less than his recovery under the settlement. However, with the increase, Mays’s compensation would far exceed his recovery under the settlement, and this change would trigger Section 33(g) of the Act. Because Avondale had not

6 Id. § 933(i); see Gaudet v. Exxon Corp., 562 F.2d 351, 354 & n.4 (5th Cir. 1977). 7 Because of a technical error, the ALJ initially found that Mays was entitled to an additional $502,518.13. It corrected that figure downward on reconsideration. 4 Case: 18-60004 Document: 00515113103 Page: 5 Date Filed: 09/11/2019

No. 18-60004 approved the settlement and Gliott was not an Avondale employee, Mays would forfeit his benefits under the Act. In short, if the ALJ were to make the hypothetical increase in benefits, it would also have to cancel those benefits under Section 33(g)—resulting in no change for Mays. Thus, the ALJ denied the modification.

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938 F.3d 637, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tom-mays-v-dowcp-ca5-2019.