Armando Venicassa v. Consolidation Coal Company and Director, Office of Workers' Compensation Programs, United States Department of Labor, 137 F.3d 197, 3rd Cir. (1998)
Armando Venicassa v. Consolidation Coal Company and Director, Office of Workers' Compensation Programs, United States Department of Labor, 137 F.3d 197, 3rd Cir. (1998)
Armando Venicassa v. Consolidation Coal Company and Director, Office of Workers' Compensation Programs, United States Department of Labor, 137 F.3d 197, 3rd Cir. (1998)
3d 197
Armando Venicassa has filed a Petition for Review from the decision of the
Benefits Review Board ("Board"), affirming the denial by the Administrative
Law Judge ("ALJ") of Venicassa's claim for black lung benefits under the
Black Lung Benefits Act, 30 U.S.C. 901, et. seq. (the "Act"). In an earlier
hearing, the ALJ had dismissed United States Steel Corporation, the
responsible coal mine operator, designated by the Office of Worker's
For the reasons we discuss below, we conclude that the Board erred when it
remanded this case for designation of a second responsible operator. We will,
therefore, grant the petition for review, vacate the decision of the Board, and
remand this case to the Board to reinstate the ALJ's ruling, granting Venicassa's
claim for benefits and ordering the Trust Fund to pay them.1
This case comes to us with a lengthy procedural history, due in large part to the
long delay by the OWCP in processing Venicassa's claim and to the
acknowledged error by the OWCP in designating the responsible coal mine
operator.2
The petitioner in this case, Armando Venicassa, worked in and around coal
mining operations for 43 years before he retired in 1985. In 1986, he filed a
claim with the OWCP for benefits under the Black Lung Benefits Act. Under
the Act, benefits are awardable to persons who are totally disabled due to
pneumoconiosis, a disease known as "black lung." The OWCP processed
Venicassa's claim for benefits with the information he supplied. Venicassa
indicated clearly on his claim form that his most recent employer was
Consolidation Coal Company, for whom he worked from January 1984 until
his retirement in August 1985. However, despite being supplied with accurate
information, the OWCP erroneously designated United States Steel
Corporation ("U.S.Steel") as the responsible operator.3
To succeed on a claim for black lung benefits, a claimant must establish that he
suffers from pneumoconiosis and, as a result, is totally disabled. In addition, the
claimant must establish that the pneumoconiosis is the result of coal mining.
Under the Act, pneumoconiosis may be established by x-ray evidence or by a
finding of a physician that the miner suffers from the disease. 30 U.S.C.
902(f)(1) (1986); 20 C.F.R. 718.202.
At the hearing, the ALJ concluded that Venicassa's chest x-rays did not
establish pneumoconiosis. However, the ALJ also heard five medical experts,
four of whom diagnosed some form of lung disease related to coal dust
exposure. The one physician, who did not find lung disease related to coal
exposure, did so without providing his reasoning. The ALJ, therefore, ascribed
little weight to that opinion. The ALJ concluded that the weight of medical
opinion established the finding of pneumoconiosis. Since Venicassa had at least
10 years of coal mining employment, the ALJ found that Venicassa was
entitled to the statutory presumption that his pneumoconiosis arose as a result
of coal mine employment. 30 U.S.C. 921(c) (1986). The ALJ credited
Venicassa with 43 years of coal mine employment and found evidence
sufficient to establish the existence of pneumoconiosis due to that employment.
As a result, on June 23, 1989, the ALJ awarded benefits to Venicassa.
The Director appealed this decision to the Benefits Review Board. In its review
of the ALJ's decision, the Board did not address the merits of the entitlement to
benefits. Instead, it vacated the award and remanded the case to the deputy
commissioner for determination of another responsible operator. The Board
found it significant that the Director had filed the Motion to Remand before a
formal hearing had been held. For this reason, the Board held that the due
process concerns of relitigating the case were less compelling than those facing
the Crabtree Court.
10
11
At the conclusion of the second hearing, the ALJ denied Venicassa's claim for
benefits. Venicassa appealed to the Benefits Review Board on June 23, 1995.
On October 22, 1996, the Board issued a final decision, affirming the decision
of the ALJ. Venicassa then timely filed his petition for review with this Court.
ANALYSIS
12
We review decisions of the Benefits Review Board and of the ALJ for errors of
law. Lango v. Director, OWCP, 104 F.3d 573, 575 (3d Cir.1997); Kowalchick
v. Director, OWCP, 893 F.2d 615, 619 (3d Cir.1990).
13
The petitioner contends that the Board's reversal of the award of benefits and its
decision to remand this case for the designation of a second responsible
operator violated due process and subjected him to substantial prejudice. He
argues that to make him relitigate a claim, on which he has already won an
award of benefits on the merits, violates due process. He further contends that,
under the rationale of the Benefits Review Board in Crabtree, the efficient
administration of the Black Lung Benefits Act dictates that the case should not
have been remanded and that the Trust Fund should be reinstated as payor.
14
The Director argues that, although a mistake occurred in the designation of U.S.
Steel as the responsible operator at the outset, the Director attempted to correct
the mistake with the motion to remand for designation of another responsible
operator. The Director further contends that the ALJ's denial of that motion was
in error and that the Trust Fund is not the appropriate payor because ultimately
Consolidation Coal was identified as the responsible operator.
15
We begin our review with an examination of the regulations, under the Black
Lung Benefits Act, which govern the designation of a responsible operator.
These regulations provide:
16 any time during the processing of a claim under this part, after sufficient evidence
At
has been made available to the deputy commissioner, the deputy commissioner may
identify a coal mine operator ... which may be liable for the payment of the claim....
Such identification shall be made as soon after the filing of the claim as the evidence
obtained permits....
17
18
It is uncontested that, as of January 1986 when Venicassa first filed his claim,
the OWCP had all the evidence necessary to designate the proper responsible
operator. However, the Director argues that, under the Act and the applicable
regulations, a coal mine operator may be designated as responsible operator for
the purposes of defending a claim for Black Lung Benefits "at any time" during
the processing of the claim. The Director claims, therefore, that the ALJ
improperly refused to remand the case for the designation of a second
responsible operator.
19
The regulations also state, however, that the identification of the responsible
operator shall be made "as soon after the filing of the claim as the evidence
obtained permits." For this reason, Venicassa argues that, since from the outset
the Director had enough information to name the proper responsible operator,
Venicassa should not be penalized for the Director's failure to do so. Venicassa
contends that, because the OWCP did not make a prompt resolution of the
responsible operator issue, the ALJ's decision to go forward with the hearing on
the merits was appropriate; to proceed otherwise would have subjected
Venicassa to further substantial delay in the processing of his claim.
20
When the ALJ considered the Director's motion to remand the case for
designation of another responsible operator, he relied on the decision of the
Benefits Review Board in Crabtree. In Crabtree, the Board dismissed
Bethlehem Steel as the responsible operator. Instead, however, of remanding
the case for identification of another responsible operator, the Board held that
the Trust Fund would be liable for benefits because the delay involved in
relitigating the claim would offend due process. In Crabtree, the Board
concluded that "the Department of Labor is not entitled to a second opportunity
to identify another putative responsible operator." Id. at 1-356-357.
21
23
Id. at 1-357.
24
The Director contends, however, that Crabtree should not have prevented the
OWCP from identifying Consolidation Coal as the responsible operator even
after the ALJ had awarded benefits payable by the Trust Fund. The Director
urges that the critical distinction between Venicassa's case and the Crabtree
decision is that here a motion to remand was filed before the hearing on the
merits. Therefore, Crabtree does not apply. The Director contends that remand,
at the time that the motion was filed, would have been appropriate under
Crabtree because remand would have been prior to litigation of the claim;
Crabtree held only that the Director could not wait until after the ALJ had
awarded benefits against the Trust Fund before seeking to identify a second
responsible operator. Because the motion to remand was filed 18 months before
the hearing on the merits and was denied prior to the hearing, the Director
claims he did not have an opportunity to ascertain the correct responsible
operator.5
25
In resolving the motion to remand in the instant case, the ALJ concluded that
the "Director blew it" in failing to name the proper responsible operator.
(Appendix 56). For this reason, the ALJ dismissed U.S. Steel and substituted
the Trust Fund as the responsible party. The ALJ's decision places the
incentives in the proper place--the Director should have gotten it right the first
time. That would not have been an onerous task because, from the outset, the
OWCP had in its possession all the information necessary to name the proper
responsible operator.
26
The Director, however, argues that the plain language of the regulations allows
for the designation of a responsible operator "at any time" during the
processing of the claim. Therefore the OWCP should be allowed to rectify its
mistake. The Director relies on the Sixth Circuit's decision in Director,
O.W.C.P. v. Oglebay Norton Company, 877 F.2d 1300 (6th Cir.1989).
27
Although we have not decided a case involving the failure of the OWCP to
correctly name the responsible operator in the first instance, Oglebay addresses
such a situation in a black lung, widow's benefits case. In Oglebay, the court
considered the identification of a responsible operator nearly ten years after the
claim was filed. The Director appealed a decision of the Benefits Review Board
which had dismissed the company as responsible operator. The Sixth Circuit
held that the identification of the company as "responsible operator" nearly ten
years after the claim was filed was valid and that the transfer of liability to the
Fund was improper. In reaching this conclusion, the Sixth Circuit interpreted
the regulation, governing the identification of the responsible operator (20
C.F.R. 725.412(a)). The Court noted that the regulation permits identification
of the responsible operator at any time during the processing of the claim. In
addition, the Sixth Circuit found the transfer of liability to the Trust Fund to be
improper when there is an affirmative identification of a responsible operator.
Oglebay, 877 F.2d at 1304. The court reasoned that neither the applicable
statutes nor regulations indicated that identification of the responsible operator
should be disregarded merely because it was inefficiently reached; the operator
would not be substantially prejudiced in defending the matter on its merits.
28
The Director asks us to disregard Crabtree and follow the Sixth Circuit's
reasoning in Oglebay. We are not, however, bound by Oglebay. Moreover, the
instant case is easily distinguishable from Oglebay. First, Oglebay involved a
dispute between the OWCP and the responsible operator. The case before us
involves a dispute between the claimant, the Director, and the putative
responsible operator. Second, in Oglebay the ALJ decided to remand the case
for determination of another responsible operator prior to holding a hearing on
the merits. In the instant case, the decision to remand was made after a formal
hearing on the merits and after the ALJ had awarded benefits. In other words,
the Crabtree concerns about due process and piecemeal litigation--relied on by
the ALJ in denying the motion to remand--are greater in the instant case than
30
The Director contends, however, that, because the motion to remand was made
prior to litigation of the claim on the merits, remand and designation of a
responsible operator were appropriate and did not raise due process concerns.
Consolidation Coal argues, on the other hand, that the critical issue here is not
the timing of the motion to remand but the timing of the identification of the
responsible operator. To resolve this dispute, we must go back to the language
of the regulation.
31
The regulation allows for the designation of a responsible operator "at any
time." Thus, the Director asserts that, upon receiving the motion to remand, the
ALJ should have allowed the designation of a second responsible operator. The
Director argues that, while the OWCP clearly erred in failing to identify
Consolidation Coal as the responsible operator at the outset, the ALJ erred in
denying the motion to remand the case in order to correct the problem. The
Director contends that the Act gives the OWCP sole responsibility for
identifying the responsible operator who may be liable for payment of benefits.
20 C.F.R. 725.410(b), 725.412. The Director relies on the regulatory
language which provides for designation of a responsible operator "at any time
during the processing of a claim" and contends that a claim is still being
"processed" even after it is referred to the ALJ for a hearing.
32
While the regulation clearly states that the designation of the responsible
operator may be made "at any time," the language of the regulation triggers the
process by providing that the designation be made "after sufficient evidence has
been made available to the deputy commissioner." The regulation then further
limits the process by providing that the designation "shall be made as soon after
the filing of the claim as evidence obtained permits." 20 C.F.R. 725.412(a).
The focus of the regulation is clearly on the swift and accurate designation of
the responsible operator so that the claim may be resolved through the
presentation of evidence to the fact finder by the appropriate parties.
33
Because the OWCP did not make a timely designation of the proper responsible
operator, nor did it even make a timely attempt to correct its misdesignation or
to add Consolidation Coal as a potential responsible operator, we conclude that
the ALJ at the first hearing correctly designated the Trust Fund as the
defending party.6
34
Moreover, this result is consistent with the purpose behind the establishment of
the Trust Fund. The Trust Fund was established by the Black Lung Benefits
Revenue Act of 1977 "to provide a more effective means of transferring the
responsibility for the payment of benefits from the Federal government to the
coal industry...." 20 C.F.R. 725.490(a). The Black Lung Benefits Revenue
Act of 1977, (Pub. Law 95-227) (92 Stat. 11) (1978 U.S.C.C.A.N.) (codified at
30 U.S.C. 934a). The fund is financed by the coal industry through an excise
tax on the sale of coal. 26 U.S.C. 9501.
35
The Director argues that the Trust Fund should not be liable in this instance
because the Trust Fund was created to assume liability for benefits in the event
that no responsible operator could be found. The statute provides that the Trust
Fund is available for the payment of benefits in any case in which the Secretary
determines that "there is no operator who is required to secure the payment of
such benefits." 26 U.S.C. 9501(d)(1)(B).7
36
In order to support its argument that the Trust Fund should be liable only in the
absence of an identifiable responsible operator, the Director emphasizes a
portion of the Act's legislative history which states that Congress intended to
ensure that individual coal operators, rather than the Trust Fund, would be
liable for claims.8 The Sixth Circuit relied on these statements in holding that,
where a responsible operator has been identified, the transfer of liability to the
Trust Fund is improper. Oglebay, 877 F.2d at 1304.
37
However, investigation into the legislative history indicates that Congress did
not contemplate the situation before us. Indeed, the Trust Fund's architects were
motivated by a desire to curb the ability of coal mine operators to transfer assets
in order to sidestep liability as responsible operators.
38
At the time of the Trust Fund's creation, its drafters were cognizant of the
structural changes in the coal industry which resulted in the consolidation of
numerous coal companies and the disappearance of others. They were
particularly conscious of the impact of these changes on future claimants and of
their effect on the responsibility of successor and former operators.9
During
the last two decades, the coal industry has undergone major structural
39
changes. Of the 50 largest coal companies, 29 have become captive of other
industries ... In most instances, these acquisitions transferred intact the ownership of
the mines and operations of existing coal producers to the larger and more
diversified parent corporations.... It was originally the intent of Congress that such
entities should bear the liability for black lung diseases arising out of employment in
their mines....
40
S. Rep. 209, at 9.
41
Thus, while the Act evidences an intent that individual coal mine operators,
rather than the Trust Fund, assume liability for the payment of black lung
benefits, the rationale behind this determination is the protection of claimants
from the denial of benefits due to the disappearance of any responsible
operator. Here, because of the failure of the OWCP to identify the responsible
operator "as soon after the filing of the claim as the evidence obtained permits,"
it is the claimant who will suffer unless the Trust Fund assumes responsibility
for payment of the benefits. This result will protect the claimant, which is the
purpose of the Act.
CONCLUSION
42
The Black Lung Benefits Act was enacted in order to ensure benefits for coal
miners who have been totally disabled due to black lung disease as a result of
their work in coal mines. Despite possessing accurate information regarding
Venicassa's employment history, the Office of Worker's Compensation
Programs failed to designate the proper responsible operator to defend the
claim. As a result of this failure, the Benefits Review Board ruled that
Venicassa had to relitigate his claim. We conclude, however, that the OWCP's
failure to make a timely designation of the proper responsible operator should
not have jeopardized the award of benefits which had been made to Venicassa.
We will, therefore, grant the petition for review, vacate the decision of the
Benefit's Review Board, and remand this case for reinstatement of the June 23,
1989, order and award of the Administrative Law Judge.
43
44
Today the majority holds that a district director is not authorized, under any
circumstances, to correct a mistaken responsible operator identification.
Because this holding is contrary to, inter alia, the Director's reasonable
interpretation of 20 C.F.R. 725.412(a) and (c), congressional intent, and the
Sixth Circuit's decisions in Caudill Construction Co. v. Abner, 878 F.2d 179
(6th Cir.1989) and Director, OWCP v. Oglebay Norton Co., 877 F.2d 1300 (6th
Cir.1989), I must respectfully dissent.
I.
45
II.
46
47
(a) At any time during the processing of a claim under this part, after sufficient
evidence has been made available to the [district director], the [district director]
may identify a coal miner [sic] operator (see 725.491) which may be liable
for payment of the claim.... Such identification shall be made as soon after the
filing of the claim as the evidence obtained permits....
48
....
49
(c) If within one year after the final adjudication of a claim, the adjudication
officer determines that an operator which may be liable for the payment of
benefits has not been notified under this section, such adjudication officer shall
51
According to the Director, section 725.412 provides that: (1) a district director1
is authorized to correct mistaken responsible operator identifications; (2) such
corrections may occur "at any time" during the processing of a claim, and up to
one year after final adjudication; and (3) a district director has no duty--beyond
the "at any time" limitation above--to identify a responsible operator within a
reasonable time after the information necessary to make an identification
becomes available to him. Each of these contentions will be addressed in turn.
The Director asserts that section 725.412 "clearly authorizes the correction of a
mistaken responsible operator identification...." Respondent's Br. at 12. I agree.
There is simply nothing in the regulation that is inconsistent with this
interpretation. Nor does this interpretation conflict with any statutory or
constitutional provisions. On the contrary, the Director's view effectuates clear
congressional intent to limit Trust Fund liability to those instances in which no
responsible operator can be identified. See 26 U.S.C. 9501(d). Moreover, it is
supported by two persuasive Sixth Circuit decisions. See Oglebay, 877 F.2d at
1305 (corrections permitted pursuant to section 725.412(a)); Caudill Const.,
878 F.2d at 181 (corrections permitted pursuant to section 725.412(c)).
Consequently, we must defer to the Director's reasonable interpretation.
2. Timing of Corrections
53
The Director next contends that section 725.412(a) and (c) authorize the district
director or ALJ to correct a mistaken responsible operator identification "at any
time" during the processing of a claim, and up to one year after a final
adjudication. The Director also contends that the ability to make such
corrections is not limited to cases--such as this one--where an attempt to correct
a mistaken identification occurs prior to final adjudication of a claim.
54
Once again, the Director's interpretation is not inconsistent with the regulation.
Moreover, it is not inconsistent with due process. Due process is simply not
O'Keeffe v. Aerojet-General Shipyards, Inc., 404 U.S. 254, 256, 92 S.Ct. 405,
407, 30 L.Ed.2d 424 (1971) (per curiam). Thus, "the statute and regulations
give the [district director] the authority, for one year after the final order on the
claim, to simply rethink a prior finding of fact." Jessee v. Director, OWCP, 5
F.3d 723, 724-25 (4th Cir.1993).
57
60
4. Conclusion
61
62
63
While the regulation clearly states that the designation of the responsible
operator may be made "at any time," the language of the regulation triggers the
process by providing that the designation be made "after sufficient evidence has
been made available to the deputy commissioner." The regulation then further
limits the process by providing that the designation "shall be made as soon after
the filing of the claim as evidence obtained permits." 20 C.F.R. 725.412(a).
The focus of the regulation is clearly on the swift and accurate designation of
the responsible operator so that the claim may be resolved through the
presentation of evidence to the fact finder by the appropriate parties.
64
65
While the majority properly concludes that section 725.412(a) requires the
67
68
Third, the majority view is at odds with clear congressional intent, expressed
over a period of years, to limit Trust Fund liability to instances in which no
responsible operator can be identified. See 26 U.S.C. 9501(d). In creating the
Trust Fund, Congress intended to "ensure that individual coal operators rather
than the trust fund bear the liability for claims arising out of such operator's
mines to the maximum extent feasible." S.Rep. No. 95-209, 95th Cong., 1st
Sess. 9 (1977), reprinted in House Comm. on Educ. and Labor, 96th Cong.,
Black Lung Benefits Reform Act and Black Lung Benefits Revenue Act of
1977, 612 (Comm. Print 1979); see also Old Ben Coal, 826 F.2d at 693.
69
Finally, the majority's interpretation also conflicts with the Sixth Circuit's
decision in Oglebay, where at least two judges (and possibly a third 5 ) concluded
that section 725.412(a) authorizes the correction of a mistaken responsible
operator identification. 6 It is also at odds with Caudill Construction, where the
Sixth Circuit observed that subsection (c) "permits notification of a new
I respectfully dissent.
Venicassa indicated on his claim form that he was employed by U.S. Steel from
1942 until January 1984. The regulations define "responsible operator" as "the
operator or other employer with which the miner had the most recent periods of
cumulative employment of not less than one (1) year ..." 20 C.F.R.
725.493(a)(1)
The record reflects that the ALJ, who ruled on the remand motion in August
1988, did not receive the case until May or June of that year even though the
case was referred to the Office of Administrative Law Judges in September of
the previous year. Appendix 56-57
In making this argument, the Director also relies on Director, OWCP v. Trace
Fork Coal Company, 67 F.3d 503 (4th Cir.1995). However, Trace Fork does
not in fact support the Director's position. In Trace Fork, the ALJ dismissed the
coal company as responsible operator, refusing to remand the case for the
designation of another responsible operator, and then named the Trust Fund as
payor. The ALJ awarded benefits and the Director appealed the ALJ's finding
that the Trust Fund was liable. The Benefits Review Board affirmed the ALJ's
ruling. The Fourth Circuit held that dismissal of Trace Fork as responsible
operator was proper and affirmed the refusal to remand for the naming of
another responsible operator. The Board and the Fourth Circuit based their
decisions on Crabtree and on the holding in that case that the Director must
resolve the responsible operator issue in a preliminary proceeding or else
proceed against all potential operators at each stage of the adjudication in order
to avoid piecemeal litigation and due process concerns. The Trace Fork court
found that to remand the case would allow a second operator to challenge the
claimant's entitlement to benefits. The court concluded, "We are unwilling to
potentially upset the finding that [claimant] is entitled to benefits, a matter
already fully litigated on the merits. The Director had full opportunity, and even
a motion, to ascertain the responsible operator as a preliminary matter, but
simply refused." Trace Fork, 67 F.3d at 508
6
Contrary to the approach of the petitioner, and to the views expressed in the
dissent, we do not ground our decision on due process considerations
The provision reads that the Trust Fund shall be liable for the payment of
benefits in any case in which the Secretary determines that:
(a) the operator liable for the payment of such benefits-(i) has not commenced payment of such benefits within 30 days after the date of
an initial determination of eligibility by the Secretary, or
(ii) has not made a payment within 30 days after the payment is due,
(b) there is no operator who is required to secure payment of such benefits, ...
26 U.S.C. 9501(d) (emphasis added).
"It is further the intention of this section, with respect to claims related to which
the miner worked on or after January 1, 1970, to ensure that individual coal
operators rather than the trust fund bear the liability for claims arising out of
such operator's mines, to the maximum extent feasible." S. Rep. 209, 95th
Cong., 1st Sess. 9 (1977), reprinted in House Comm. On Educ. And Labor,
96th Cong., Black Lung Benefits Reform Act and Black Lung Benefits
Revenue Act of 1977, 612 (Comm. Print 1979). See also Old Ben Coal Co. v.
Luker, 826 F.2d 688, 693 (7th Cir.1987)
"When the black lung benefits provisions of the Federal Coal Mine Health and
Safety Act of 1969 were first enacted, it was the expectation of Congress that
after the Federally financed portion of the program terminated, individual coal
mine operators would assume the liability for benefits either under an approved
state workers' compensation program or under Part C of the Federal Act. In
Because a motion to remand was made prior to final adjudication of the merits
in this case, we need not consider the Director's position that due process would
not bar a district director's attempt to correct a mistaken responsible operator
identification when that attempt is not made until after final adjudication
By filing a motion to remand, and then renewing it at the hearing, the Director
did everything within his control to correct the mistaken responsible operator
identification before the ALJ awarded benefits payable by the Trust Fund. The
Director could not order the ALJ to grant the motion, see Director, OWCP v.
Newport News Shipbuilding and Dry Dock Co., 514 U.S. 122, 134, 115 S.Ct.
1278, 1287, 131 L.Ed.2d 160 (1995); Old Ben Coal Co. v. Luker, 826 F.2d
688, 696 n. 4 (7th Cir.1987), and an appeal to the Board at that point would
have been interlocutory