Justia Government & Administrative Law Opinion Summaries

The Fourth Circuit affirmed the denial of Westmoreland's petition for review of the Board's final decision and order granting federal disability benefits to plaintiff, a retired coal miner, under the Black Lung Benefits Act, 30 U.SC. 901 et seq. The court held that substantial evidence supported the ALJ's decision and order to award plaintiff benefits and the decision otherwise accords with applicable law. In this case, plaintiff timely brought his claim; given the array of evidence presented, substantial evidence supported the ALJ's calculation of plaintiff's smoking history; the ALJ did not err in rejecting Dr. Rosenberg's opinion regarding the ability to show particularized causation; and the ALJ did not reversibly err in concluding that Westmoreland failed to carry its "strict" and "substantial" burden to completely rule out coal dust exposure as a cause of plaintiff's disability. View "Westmoreland Coal Co. v. Stallard" on Justia Law

In this case, we deny relief on a petition for review of an award of benefits made by the Workers' Compensation Appeals Board (WCAB). In 2006, while working at Pearson Ford, Leopoldo Hernandez accidentally slammed the trunk of a car on his left hand and crushed one of his fingers. Although no bones in his hand were broken, he was unable to continue working at Pearson Ford because of continuing pain in his hand and shoulder. Hernandez applied for and received workers' compensation benefits. Pearson Ford's workers' compensation carrier retained the services of a private investigator, who conducted video surveillance of Hernandez following each of the three visits to his doctor in early 2010. Following each visit, Hernandez was observed taking off his sling, using his left hand to get in and out of his truck or a car, using his left hand to steer his truck or car, and on one occasion stopping at a grocery store and using his left hand to carry a bag of groceries. After the investigator witnessed other instances of Hernandez using his allegedly injured left hand, the carrier notified the district attorney, who in turn, commenced its own investigation. In specified circumstances, a worker who engages in criminal fraud in attempting to recover workers' compensation benefits and is convicted of doing so is thereafter barred from recovering benefits growing out of the fraud. However, in given circumstances where, independent of any fraud, a worker is able to establish his or her entitlement to benefits, benefits may be awarded. Here, the WCAB found evidence, independent of a worker's fraud, that he had suffered a compensable injury and was entitled to benefits. In doing so the WCAB relied on the determination of a medical expert. The Court of Appeal found no error in the WCAB's determination the workers' claim was not barred by the eventual misdemeanor conviction for workers' compensation fraud and in the WCAB's adoption of the expert's finding of a permanent disability. The Court denied the petitioner any relief on its petition asking that it vacate the WCAB's award. View "Pearson Ford v. Workers' Comp. Appeals Bd." on Justia Law

North Dakota, by the North Dakota Department of Corrections and Rehabilitation's Youth Correctional Center, petitioned for a supervisory writ directing a district court to vacate its July 18, 2017 order denying the State's motion for summary judgment on Delmar Markel's negligence claim. Markel cross-petitioned for a supervisory writ directing the district court to vacate its January 21, 2016 order dismissing Markel's claim for constructive and retaliatory discharge. Markel worked at the North Dakota Youth Correctional Center on December 9, 2012, when several inmates broke out of their locked rooms. The inmates injured Markel during their escape. In 2015, Markel brought a complaint against the State alleging one count of negligence for failure to fix faulty locks permitting the inmates to escape and one count of constructive and retaliatory discharge. The State argued that the Workforce Safety and Insurance ("WSI") Act in N.D.C.C. Title 65 barred Markel's negligence claim and that Markel failed to exhaust administrative remedies regarding his discharge claim. On January 21, 2016, the district court dismissed the discharge claim for failure to pursue available administrative remedies. The district court also denied the State's motion to dismiss Markel's negligence claim. The North Dakota Supreme Court exercised its original jurisdiction by granting the State's petition and denying Markel's cross-petition. The district court erred as a matter of law in denying the State's motion to dismiss Markel's negligence claim. Markel failed to allege and support at least an "intentional act done with the conscious purpose of inflicting the injury" to overcome the State's immunity. The State had no adequate remedy to avoid defending a suit from which it has immunity. View "North Dakota v. Haskell" on Justia Law

Plaintiff Greggory Owings sustained an on-the-job injury, for which he received long-term disability benefits by defendant United of Omaha Life Insurance Company (United), under the terms of a group insurance policy issued by United to Owings’ employer. Owings disagreed with, and attempted without success to administratively challenge, the amount of his disability benefits. He then filed suit against United in Kansas state court, but United removed the action to federal district court, asserting that the federal courts had original jurisdiction over the action because the policy was governed by the Employee Retirement Income Security Act of 1974 (ERISA). The district court ultimately granted summary judgment in favor of United. Owings appealed. The Tenth Circuit concluded after review of this matter that United was arbitrary and capricious in determining the date that Owings became disabled and, in turn, in calculating the amount of his disability benefits. Consequently, the Court reversed the district court’s grant of summary judgment in favor of United and remanded with directions to enter summary judgment in favor of Owings. View "Owings v. United of Omaha Life" on Justia Law

The issue before the Georgia Supreme Court in this case was whether an employer has to show the availability of suitable employment to justify suspension of workers’ compensation benefits after already establishing that an employee’s work-related aggravation to a preexisting condition has ceased to be the cause of the employee’s disability. The Court of Appeals held the answer was yes; the Supreme Court disagreed, finding the Court of Appeals erred in remanding this case for the ALJ court to determine if the employer demonstrated suitable employment for the injured employee. View "Ocmulgee EMC v. McDuffie" on Justia Law

In this case raising two questions concerning Hawaii law of workers’ compensation as it relates to permanent partial disability (PPD) awards, the Supreme Court held (1) a PPD award for an unscheduled injury that is not comparable to a scheduled injury must be supported by some factual finding of a determinate percentage of impairment of a physical or mental function of the whole person; and (2) a PPD determination may be based on a claimant’s post-injury inability to perform the usual and customary work activities in the position the claimant occupied prior to the injury.In the instant case, the Labor and Industrial Relations Appeals Board (LIRAB) awarded Employee $250 in PPD benefits. The intermediate court of appeals (ICA) vacated LIRAB’s ruling and remanded for a determination of whether Employee had suffered a permanent impairment and, if so, the percentage of the impairment and the award of PPD benefits based on that percentage. The Supreme Court affirmed in part and vacated the Board’s $250 lump sum award and remanded to LIRAB for it to determine the relevant percentage of Employee’s impairment, as well as an award of PPD benefits based on that percentage. View "Ihara v. State" on Justia Law

The First Circuit affirmed the grant of summary judgment in favor of Kenneth Currier in this action brought by Mark Reenstierna alleging defamation and other torts. Reenstierna, a real estate appraiser, was brought before the New Hampshire Real Estate Appraisal Board for a disciplinary hearing. During the hearing, the Board considered as evidence a report on Reenstierna’s work written by Currier at the Board’s request. Reenstierna later filed suit against Currier alleging that Currier knowingly and purposely submitted a false report to the Board and that the purported deficiencies cited against Reenstierna in Currier’s report constituted material misrepresentations of fact. The district court concluded that New Hampshire’s absolute witness immunity doctrine precluded the use of Currier’s report to establish liability on Reenstierna’s claims. The First Circuit affirmed, holding that Currier’s statements in his reported were shielded in this action by New Hampshire’s absolute witness immunity doctrine as set forth in Provencher v. Buzzell-Plourde Associates, 711 A.2d 251, 255 (N.H. 1998). View "Reenstierna v. Currier" on Justia Law

Claimant Lydia Diamond appeals the summary judgment decision of the Commissioner of the Department of Labor denying her claim for PPD benefits associated with the C3-4 levels of her spine. In April 2001, claimant was injured in a motor vehicle collision while delivering newspapers for employer. The crash exacerbated claimant’s preexisting right carpal tunnel syndrome. She underwent right carpal tunnel release surgery in February 2002, and had a surgical release of her left carpal tunnel in January 2003. After the surgeries, it became clear that claimant had unresolved neck pain relating to the work accident. Her doctor diagnosed disc herniations in her cervical spine and in September 2003 performed discectomies at the C5-6 and C6-7 levels of her cervical spine and a two-level cervical fusion at C4-C6. The issue this case presented for the Vermont Supreme Court’s review centered on whether a workers’ compensation award of permanent partial disability (PPD) benefits based on damage to the C4-6 levels of claimant’s cervical spine precluded a subsequent award of PPD benefits, more than six years later, for damage to the C3-4 levels of claimant’s spine that arose, over time, from the same work injury. Claimant appealed the grant of summary judgment by the Commissioner of the Department of Labor that denied her claim for PPD benefits associated with the C3-4 levels of her spine. The Commissioner determined that claimant’s request for the additional PPD benefits amounted to a request to modify the prior PPD award and was time-barred. The Supreme Court concluded, based on the specific language of the initial PPD award, it did not purport to encompass injury to other levels of claimant’s cervical spine beyond the C4-6 levels. Accordingly, claimant was not seeking to modify the prior PPD award but, rather, sought PPD benefits for physical damage not encompassed within a previous PPD award. Her claim was therefore timely, and accordingly the Court reversed and remanded for further proceedings. View "Diamond v. Burlington Free Press" on Justia Law

Claimant Kimberly Haller was an employee of Champlain College when she suffered a work-related injury. Claimant had taken numerous courses at Champlain College pursuant to its “Tuition Benefits” policy. In the twenty-six weeks prior to her injury, claimant completed over ten credits of classwork at the College. The issue presented to the Department of Labor on cross-motions for summary judgment was whether the value of these tuition benefits should be included in the calculation of claimant’s average weekly wage for the purposes of her permanent partial disability benefit. The Commissioner concluded the tuition benefits was an “other advantage” that constituted part of claimant’s wages. The College argued on appeal the tuition benefit was not an "other advantage," nor did it amount to "remuneration" as defined in the applicable workers' compensation laws. The Vermont Supreme Court agreed with the Commissioner that where the non-health-insurance benefits at issue had actual monetary value and were actually received by the employee, they fell within the broad “other advantages” language. The Court concluded the Commissioner's determination was not unreasonable and affirmed. View "Haller v. Champlain College" on Justia Law

Paula Hathorn appealed a circuit court judgment granting summary judgment in favor of the Louisville Utilities Commission (Commission). Hathorn sued the Commission along with the City of Louisville and the O’Reilly Auto Parts store for injuries she claimed resulted from a fall that occurred after she stepped into a sunken utility box set into a sidewalk in front of O’Reilly’s Auto Parts. Hathorn dismissed O’Reilly Auto Parts and the City from the suit after entering into a settlement agreement with each separately. The Commission thereafter moved for summary judgment, which was granted based on the court’s findings that: (1) the Commission was a subsidiary of the City, and according to the settlement agreement, Hathorn had released all claims against the City and its subsidiaries; (2) the Commission was immune from liability in this instance under the Mississippi Tort Claims Act (MTCA) because it did not have a ministerial duty to maintain the water meter at a level even with the ground; and (3) Hathorn could not maintain a premises liability claim against the Commission because the City owned the Commission’s assets including its water meter boxes. After review, the Mississippi Supreme Court agreed with the trial court that Hathorn released her claim against the Commission when she entered into a settlement agreement with the City. Therefore, the Court affirmed the trial court’s grant of summary judgment in favor of the Commission. This issue being dispositive, the Court limited its decision in this case to that assignment of error. View "Hathorn v. Louisville Utilities Commission" on Justia Law