Youghiogheny & Ohio Coal Co. v. Baker

815 F.2d 422
CourtCourt of Appeals for the Sixth Circuit
DecidedApril 3, 1987
DocketNo. 86-3009
StatusPublished
Cited by25 cases

This text of 815 F.2d 422 (Youghiogheny & Ohio Coal Co. v. Baker) 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
Youghiogheny & Ohio Coal Co. v. Baker, 815 F.2d 422 (6th Cir. 1987).

Opinion

WELLFORD, Circuit Judge.

This case concerns a jurisdictional issue of finality and a substantive issue of the proper application of federal black lung benefits statutes and regulations. Because we find the decision below was not final, we do not reach the substantive issue.

Some time before June 30, 1973, George Baker applied for benefits under Part B of the Black Lung Benefits Act (the “Act”).1 This claim was denied before the effective date of the Act’s 1977 amendments. On May 18, 1976, several months after he claimed to have stopped working as a coal miner, Baker filed the instant claim for black lung benefits under Part C of the Act. A Deputy Commissioner made an initial finding of eligibility with respect to this Part C claim, which the employer, Yough-iogheny & Ohio Coal Company (Y & 0), contested.

In March 1978, while Baker’s Part C claim was still pending with the Department of Labor and after his Part B claim had been denied, Congress amended the Black Lung Benefits Act to establish a procedure whereby claims denied before March 1, 1978 or pending on that date could be re-examined under more liberal eligibility criteria. See 30 U.S.C. § 945. Review of pending or denied Part C claims was automatic. Id. § 945(b). Review of pending or denied Part B claims was not automatic; rather, the Secretary of Health and Human Services had to notify Part B claimants of their right to request review of these claims. Id. § 945(a)(1). A claimant could then elect review by either the Department of Labor or Department of Health and Human Services. Id.

In August 1978, the Department of Health and Human Services issued regulations setting out procedures for Part B claimants to elect review of denied or pending claims. These regulations provide that a request for review of a Part B claim “must be received by the Social Security Administration within 6 months from the date on which the notice [from the Secretary of Health and Human Services] is mailed.” 20 C.F.R. 410.704(d). Failure to respond within this period is considered a waiver of the right to review, unless “good cause,” as defined in the regulation, can be established for not timely responding. Id. Good cause does not exist “when there is evidence of record that the individual was informed that he or she should respond timely and the individual failed to do so because of negligence or intent not to respond.” Id. § 410.704(d)(3).

In 1978, the Secretary of Health and Human Services notified Baker of his right to seek review of the denied Part B claim. No evidence has been presented to establish that Baker requested review of his denied Part B claim or that good cause existed for his failure to request review.

In 1981 Congress amended the Act to relieve coal operators of liability for certain claims that were denied before March 1978 and reopened and approved under the Act’s 1977 amendments. The 1981 amendment accomplished this through provisions that transfer liability in certain cases to the Black Lung Disability Trust Fund. In February 1982 Y & O filed a motion to transfer liability for Baker’s claim to the Trust Fund.

Considering Y & O’s motion, the Administrative Law Judge (AU) recognized that [424]*424Baker’s Part C claim is not subject to the 1981 transfer provision because this claim has not been “denied” within the meaning of 30 U.S.C. 932(j)(3). See 30 U.S.C. 902(i)(2) (definition of “denied” claims). Nevertheless, the AU transferred liability for the claim on the theory that Baker “could have” elected review of his denied Part B claim, and that if this claim had been approved, liability for it would have transferred to the Trust Fund. According to the AU, review of the Part B claim would have put Baker in the same “position procedurally” as review of the Part C claim, in that both claims would be reviewed under the 1977 amendments. The AU therefore treated Baker’s two claims, neither of which separately met the transfer of liability criteria, as one “dual” claim that did meet those criteria.

The Benefits Review Board (the “Board”), relying on its decision and order in Chadwick v. Island Creek Coal Co., 7 Black Lung Rep. 1-883 (1985), aff'd en banc, 8 Black Lung Rep. 1-447 (1986), vacated the AU’s decision and order. The Board reasoned that “claims filed pursuant to Part B and Part C of the Act are separate and distinct assertions of entitlement” that merge, if at all, only by operation of law under the Department of Labor’s and Department of Health and Human Services’ duplicate claims regulations. The AU erred by combining the procedural histories of Baker’s Part B and Part C claims, the Board held, because Baker “failed to request review of his denied Part B claim, thus waiving his right to further consideration of that claim” under the Department of Health and Human Services’ regulations. Because the remaining Part C claim was not “denied” prior to March 1, 1977, the Board held that the case “does not contain the procedural history necessary to support transfer under the 1981 amendments.”

The Board further rejected Y & O’s argument that the Director had failed to establish that Baker received but did not return an election card in connection with his Part B claim. The Director’s September 3, 1982 response to the AU’s order to submit information on the transfer issue “satisfied his duty of presenting all relevant facts regarding transferability,” the Board concluded, and Y & 0 “has not presented evidence establishing the existence of an election by claimant.” The Board reversed, therefore, the AU’s decision transferring liability from Y & 0 to the Trust Fund and remanded the case to the AU to determine the merits of Baker’s Part C claim to benefits. Y & 0 now appeals the Board’s determination that liability should not be transferred to the Trust Fund.

The threshold issue in this case is whether the Board’s decision is a final, appeal-able order.2 We have defined a final order as: “one which disposes of the whole subject, gives all the relief that was contemplated, provides with reasonable completeness for giving effect to the judgment and leaves nothing to be done in the cause save to superintend, ministerially, the execution of the decree.” Wagner v. Burlington Industries, Inc., 423 F.2d 1319, 1321 (6th Cir.1970). This definition is in keeping with the Supreme Court’s general test for finality: whether the decision “ends the litigation on the merits and leaves nothing for the court to do but execute the judgment.” See Firestone Tire & Rubber Co. v. Risjord, 449 U.S. 368, 373, 101 S.Ct. 669, 673, 66 L.Ed.2d 571 (1981).

The Board’s order in this case is not “final” according to these definitions. The Board decided the transfer issue, which [425]*425resolved only the question of who will pay if Baker is entitled to benefits. The entitlement issue, which is central to the case, remains to be determined.

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815 F.2d 422, Counsel Stack Legal Research, https://law.counselstack.com/opinion/youghiogheny-ohio-coal-co-v-baker-ca6-1987.