Monday, November 11, 2013

No Intentional Tort Exception Under the Outer Continental Shelf Lands Act


Latimer v. Chet Morrison Contractors, No. 11-CV-806, (W.D. La. 10/09/13)


Jon Robinson writing on the Mouledoux Bland Blog, 


drew my attention to this interesting case under the Outer Continental Shelf Lands Act. 

On July 16, 2009, Latimer’s first day of work on the rig, he was carrying a lifeline rope from one area of the platform to another. He had the rope wrapped around his shoulders and trailing behind him. Latimer alleged that Defendant Charles Endom “intentionally stepped on the rope,” jerking Latimer backward. When Endom removed his foot from the rope, Latimer allegedly stumbled forward and slipped in a wet and dirty depression on the platform floor. Latimer alleged that as a result of the incident he sustained injuries to his neck, left shoulder, low back and left knee.

Latimer claimed that the “intentional act” of Endom removed the case from the Outer Continental Shelf Lands Act, under an as yet undeclared by the Fifth Circuit exception to the exclusivity provision of the Longshore and Harbor Workers' Compensation Act.  The Court had no problem in dismissing this argument, and the related argument that the incident was not an “accidental” injury because it was intentional.  The Court also noted the “horseplay” cases in connection with the requirement that an injury so caused arises out of employment.

What was not argued was the slightly different requirement under the Outer Continental Shelf Lands Act, that the injury must occur “as a result of operations” on the Shelf.  In the light of the Vallodolid case, might the employer be able to argue that (a) the horseplay arise out of employment, but (b) it had nothing to do with the operations on the shelf.  In that case, might the employer be able to plead that respondeat superior does not apply, and escape all financial obligations to the worker?  Of course that would leave the co-worker unprotected by §§905(a) and 933(i) of the Longshore and Harbor Workers' Compensation Act, and exposed to liability for the consequences of his actions.

Monday, July 15, 2013

Settlement

In my previous blog I managed to leave off the link to the Order.  Here it is:

http://www.oalj.dol.gov/Decisions/ALJ/LHC/2013/RICHARDSON_ETHEL_L_v_HUNTINGTON_INGALLS_I_2013LHC01317_%28JUN_24_2013%29_154610_CADEC_SD.PDF

When is a settlement adequate?


On June 24, 2013, Judge Rosenow, of the Covington Office of Administrative Law Judges, issued an Order Approving Settlement in a Longshore and Harbor Workers' Compensation Act case, number 2013-LHC-01317.  Not exactly an unusual event for any day of the week.  This approval, however, was five pages long.  The District Director had disapproved the 8(i) settlement of the case.  The case was then sent to the OALJ for a formal hearing, and the parties submitted an amended settlement agreement, for $500.00 more than the old one.  They conceded that this in all probability would not have changed the District Directors mind, and, as a practical matter, did not reflect a meaningful increase at all.  The Regional Solicitor’s Office appeared to defend the District Director.

I believe as a matter of principle, that whether you support the Judge’s decision or not, the case needs to be reviewed by the Benefits Review Board, and by the Circuit Court.

The statute allows contested cases to be settled under §8(i) of the Act.  The District Director or Administrative Law judge “shall approve the settlement within thirty days unless it is found to be inadequate or procured by duress”.  If both parties are represented by counsel, then agreements shall be deemed approved unless specifically disapproved within thirty days after submission for approval.  If the District Director disapproves the settlement s/he must issue a written statement containing the reasons for disapproval.  The parties may then seek a hearing, and the Administrative Law Judge shall enter an order approving or rejecting the settlement.

The regulations, at §702.242 (6), require the parties to include “A statement explaining how the settlement amount is considered adequate” and at §702.243(f): “When presented with a settlement, the adjudicator shall review the application and determine whether, considering all of the circumstances, including, where appropriate, the probability of success if the case were formally litigated, the amount is adequate. The criteria for determining the adequacy of the settlement application shall include, but not be limited to:
            (1) The claimant's age, education and work history;
            (2) The degree of the claimant's disability or impairment;
            (3) The availability of the type of work the claimant can do;
            (4) The cost and necessity of future medical treatment (where the settlement includes medical benefits).”

The Claimant, the Employer and the Solicitor submitted letter briefs to the Judge, who also had the benefit of the settlement application.   The Claimant cites no case law in support of his client. The Employer merely cites the regulations §702.243(g), which explain the actuarial formula for commutation.  The Solicitor cites the statutory history of the section, the regulations, the Fifth Circuit case, Oceanic Butler, Inc. v. Nordahl, and three Benefits Review Board cases. 

The Judge does not discuss any of the cases cited by the Solicitor’s office.  His decision makes much of the distinction between represented and unrepresented claimants; and asserts a presumption, or deference, to represented claimants.  However, the distinction in section 8(i) has nothing to do with deference; it is merely a procedural difference.  If the claimant is unrepresented the District Director must approve, but if the claimant is represented he does not have to do this paper work.  In both cases, the presumption is in favor of settlement.  There is no difference. 

Although the Judge asks the question of the standard of review of a denial of an application, the Judge does not answer the question.  It is a question that needs to be answered.
The Employer states that were the case to go to trial, it might get another medical opinion that might show that the claimant might have been or might at the time of the opinion be able to return to her old job.  However, the regulations call for a determination of adequacy based on certain criteria at the time of the application.  If there is a medical report that states that recovery in the future is possible, that is something that the decision maker can consider.  The suggestion seems be similar to an attempt to rebut the 20(a) presumption on the grounds that the employer might have evidence to rebut it later.

The Judge does not look at the criteria listed in §243(f) and discuss them.  He should do so, if only to guide future applicants in the correct method of weighing the various indicia of adequacy in the future.  In supporting a deferential standard of review of an application he does not give any indication of what might validate a disapproval of a settlement where both sides are represented.  It might seem that he believes there is no such possibility.  However, were Congress to have wished to waive the possibility of disapproval, they could have done so by simply removing it.  Since they left the possibility open, we should have the guidance of at least the Benefits Review Board on the matter.

I urge all parties to press the Solicitor to enter an appeal, and to join in “amicus” briefs to help the Benefits Review Board in their decision.



Wednesday, April 10, 2013

Proposed New Overseas Contractors Compensation Act - "OCCA" - to replace the Defense Base Act

In the President's Fiscal Year 2014 Budget is a proposal to replace the Defense Base Act.  The new statute, (not yet published), would create a Government wide fund to replace the patchwork of contract coverage now in effect under the DBA.  The program would pay benefits directly from the Federal fund administered by the DOL and agencies would be billed only for their share of benefits and administrative costs.

The proposal appears on page 772 of the Budget proposal, under Office of Workers' Compensation Programs.

The link is attached:

http://www.whitehouse.gov/sites/default/files/omb/budget/fy2014/assets/lab.pdf

Monday, March 25, 2013

Roberts v Sealand and the History of the LHWCA


Awards and the Supreme Court – Roberts on its first anniversary.  The history of disfigurement.


On March 20, 2012, Justice Sotomayor delivered the opinion of the Court in Roberts v. Sea-Land Services, Inc.   Whatever we may think of the result of the case, the reasoning – to which eight justices gave their assent – is hardly what one might have hoped.  The question is the meaning of a word: “awarded”, as in “newly awarded compensation”.  The opinion decides that in section 6(c) of the Longshore and Harbor Workers' Compensation Act, at least, it means: “first becomes disabled”.  One of the Court’s examples seems to me historically inaccurate, and indeed, seems to suggest the opposite of its views.

 Lord Mansfield once remarked: “Most of the disputes of the world arise from words.” Morgan v. Jones (1773).  An older adage, “Radix malorum est cupiditas” reminds us that most cases are about money.  And so it is with this case.

Injured workers under the Longshore and Harbor Workers' Compensation Act are entitled to two thirds of their average weekly wage until they reach maximum medical improvement.  The average weekly wage is calculated at the time of their disability – which is the time they can no longer earn wages.  This compensation rate is limited further, for successful workers, who earn high wages.  The Act discriminates against high wage earners by limiting their compensation rate, (“shall not exceed”), to a maximum of two hundred per cent of the national average weekly wage for the fiscal year in which the worker is “newly awarded compensation”.  Mr. Roberts’s average weekly wage was $2,853.08.  His compensation rate would be $1,902.05.  The maximum rate in 2002, the fiscal year of his disability, was $966.08.  That is, his compensation was statutorily reduced to the level of a worker earning $1,494.12 a week.  For the privilege of being a successful worker, he takes a notional pay cut of $1,358.96 resulting in an actual compensation cut of $935.97, nearly 50%.  However, the statute does not apply the national average weekly at the time of disability.  It applies it at the time the worker is “newly awarded compensation”.  Mr. Roberts was duly paid compensation at the $966.08 rate by his employer “without an award”, to use the language of the statute, §914(a).  The employer later contested the case, and after it lost at trial before an Administrative Law Judge, Mr. Roberts was awarded compensation in fiscal year 2007, (when the maximum rate was $1,114.44), at the rate of fiscal year 2002. 

Mr. Roberts felt that since he was newly awarded compensation in fiscal year 2007, he was entitled to the maximum rate of that year.  But the Administrative Law Judge did not agree, and nor did the Benefits Review Board.  The Administrative Law Judge and the Board were bound by the Board’s previous decision in Reposky.  So the case went to the Ninth Circuit, which affirmed the Board’s decision.  The Supreme Court granted certiorari to resolve a split in the Circuits, a split that became a little wider when the Eleventh Circuit decided the Boroski case.

One of the arguments that “award” does not mean “formal order” derived from section 8(c)(20) of the Act as amended.  The Ninth Circuit wrote:
In other sections, however, the LHWCA uses the terms “award” and “awarded” to refer to an employee’s entitlement to compensation under the Act, even in the absence of a formal order. Section 8, for example, defines “awards” for specific types of injuries. See, e.g., id. § 908(c)(22) (defining the “award” for loss of certain body parts). Section 8(c)(20) also provides that “[p]roper and equitable compensation not to exceed $7,500 shall be awarded for serious disfigurement of the face, head, or neck or of other normally exposed areas likely to handicap the employee in securing or maintaining employment.” Id. § 908(c)(20) (emphasis added). By use of the term “awarded,” Congress could not have meant “assigned by formal order in the course of adjudication,” given that employers are obligated to pay such compensation regardless of whether an employee files an administrative claim. Section 908 thus uses the terms “award” and “awarded” to refer to an employee’s entitlement to compensation under the Act generally, separate and apart from any formal order of compensation.”

The Supreme Court wrote:
“For example, §908(c)(20) provides that “[p]roper and equitable compensation not to exceed $7,500 shall be awarded for serious disfigurement.” Roberts argues that§908(c)(20) “necessarily contemplates administrative action to fix the amount of the liability and direct its payment.” Reply Brief for Petitioner 11. In Roberts’ view, no disfigured employee may receive benefits without invoking the administrative claims process. That argument, however, runs counter to §908’s preface, which directs that “[c]ompensation for disability shall be paid to the employee,” and to §914(a), which requires the payment of compensation “without an award.” It is also belied by employers’ practice of paying §908(c)(20) benefits voluntarily. See, e.g., Williams-McDowell v. Newport News Shipbuilding & Dry Dock Co., No. 99–0627 etc., 2000 WL 35928576, *1 (BRB, Mar. 15, 2000) (per curiam); Evans v. Bergeron Barges, Inc., No. 98–1641, 1999 WL 35135283, *1 (BRB, Sept. 3, 1999) (per curiam). In light of the LHWCA’s interest in prompt payment and settled practice, “awarded” in §908(c)(20) can only be better read, as in§906(c), to refer to a disfigured employee’s entitlement to benefits.”

This is most interesting.  The provision for disfigurement goes back to the 1927 Act, which read, “Disfigurement: The deputy commissioner shall award proper and equitable compensation for serious facial or head disfigurement, not to exceed $3,500.” 

The section was amended in 1972.  The House Report No. 92-1441 of September 25, 1972 reads in part: “This section amends paragraph (20) of section 8(c) of the Act, which directs that an award be made for serious facial or head disfigurement.  Such an award cannot exceed $3,500.  The amendment directs that such compensation shall be awarded also for serious disfigurement of the neck, or other normally exposed areas likely to handicap the employee in securing or maintaining employment.”

With the greatest respect to the Ninth Circuit, it appears that in 1927 the term “awarded” as used in §8(c)(20) did indeed mean a formal order.  Quite possibly it was because the Deputy Commissioner had to exercise discretion in setting the amount.  Quite possibly the amendment removed the Deputy Commissioner from the section in 1972 because “Hearing Officers” were to replace Deputy Commissioners.  Certainly the House Report does not suggest that they are changing the meaning of word they had used since 1927 by moving the section to the passive voice.

The Supreme Courts remarked that: “In Roberts’ view, no disfigured employee may receive benefits without invoking the administrative claims process. That argument, however, runs counter to §908’s preface, which directs that “[c]ompensation for disability shall be paid to the employee,” and to §914(a), which requires the payment of compensation “without an award” .”  It appears to have been the view of Congress as well. 
The Court continues: “It is also belied by employers’ practice of paying §908(c)(20) benefits voluntarily”.  I search in vain for a canon of statutory construction that a word means what one party decides it will mean.

Thursday, March 21, 2013

Changes to the FAR affecting the DBA


Proposed Changes To The Federal Acquisition Regulations

Defense Base Act


It’s Spring, officially at least, though the snow in Connecticut still lies roundabout and we are still collecting logs, (not pine logs), hither for the evening fire.  And suddenly among the snowdrops, crocuses and daffodils, up pops a regulation that affects the Longshore and Harbor Workers' Compensation Act, and from an unlikely source, the Federal Acquisition Regulations, embedded in the Federal Register, Vol. 78, No. 54, March 20, 2013, pages 17176 to 17178.  Your comments are due on or before May 20th.  Go to http://www.regulations.gov, “FAR case 2012-016”.

The change is not at first sight either revolutionary or problematic.  It simply requires contractors to arrange insurance or self-insurance before commencing performance under the contract, and to file the required reports, including the LS-202, and pay compensation timely as required, and to “insert the substance of this clause in all subcontracts to which the Defense Base Act applies”.  The proposal states: “The objective of the rule is to amend FAR clause 52.228-3, Workers’ Compensation Insurance (Defense Base Act) to clarify the responsibilities of contractors under the Defense Base Act, including the requirement to include flow down of this clause to all subcontractors to which the Defense Base Act applies.”   And, we might add, there’s nothing wrong with that particularly for contractors who are domiciled overseas and probably need some guidance.

However, paragraph (b) reads: “The actions set forth under paragraphs (a)(2) through (a)(8) may be performed by the contractor’s agent or insurance carrier”.  Paragraph (a)(2) reads: “Within 10 days of an employee’s injury or death or from the date the Contractor has knowledge of the injury or death, submit form LS-202 (Employee’s First Report of Injury or Occupational Illness) to the Department of Labor…” But this particular form is one that the Employer has to file, not the carrier.  Indeed, at least one major insurer makes this clear in CAPITAL LETTERS on their policies.  The regulation, whether by accident or on purpose, makes a major change, which affects both the Defense Base Act and the Longshore and Harbor Workers' Compensation Act.

I would respectfully suggest that it is inappropriate to redefine the statutory provision other than by an amendment to the Act or the regulations issued thereunder by the Department of Labor.  Paragraph (b) should be amended allow only actions under (a)(3) through (8) to be performed by the insurance carrier.  If the Department of Labor wishes to amend its regulations, it should do so.  Employers and carriers under the Longshore and Harbor Workers' Compensation Act, the Nonappropriated Fund Instrumentalities Act and the Outer Continental Shelf Lands Act should not have to seek the meaning of the Act under the FAR.