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No. 96-2162
Petitioner,
v.
Respondents.
_________________________
_________________________
Before
_________________________
J. Davitt McAteer,
_________________
Associate
United States
Department of
Acting Solicitor of
Solicitor,
Labor,
_________________________
November 6, 1997
________________________
petition for
Benefits
("BIW")
review of a
Review Board
Section 8(f)
provision of
("Board") that
relief
under
Section 8(f)
of the LHWCA
if
the
awarded
the
Bath Iron
Longshore
Works
Harbor
obliged to
employee's
and
of the
liability
a final order
compensable
greater" as a
non-work-related disability.1
disability
result of a
was
prior,
of Workers'
to reach,
because
we find
that
the Administrative
Law
Judge
"materially and
substantially
shipyard for
retirement in
____________________
The issue
in this
the LHWCA,
paying compensation to
the employer
should bear
pays the
the claimant.
full amount
the
unless it
in which case
second injury
fund.
consists
contributions
908(f)(1)
employers the
compensating employees,
with disabilities
injuries.
receive full
carriers
The fund
self-insured
of
from
& (2)(A).
a special
and
cost
of
33 U.S.C.
owed is paid by
while ensuring
benefits for their
that employees
work-related
-2-
January 1984.
at BIW, he
was exposed to
exposure ended
in 1978 or
Claimant's
asbestos in
five
filed
to asbestosis, and
twenty-
he successfully
to
BIW
became a
final
order
for
the purposes
of
obtaining
to take action
Because
The
earliest
evidence
that
claimant
suffered
from
an
____________________
8(f) relief
pre-existing
knee
conditions," all
injury,
of which
claimant's
employment
disability.
The
at
were
well
as
"other
manifest during
BIW and
Director,
as
OWCP,
the period
contributed
to
successfully
medical
of
his overall
appealed
the
case, concluding
for
The
-3-
routine chest
x-ray
performed prior
to
a knee
operation.3
revealed "interstitial
with asbestosis."6
from that
fibrosis and
pleural plaques
consistent
conducted
Dr.
Schall, in
a letter
dated
December 1983,
summarized
His most
pulmonary
findings of
thickened pleura
calcific pleuritides
pulmonary
inferiorly.
markings
significant
pulmonary
chronic
with
complaints
He
of shortness
with
and increased
still
has
of breath.
no
His
some
restrictive
disease and
asbestosis
component.[7]
Certainly,
some
basis and
employment.
. . [to]
the
capable of
present
on
full-time
time
it's
Certainly
his
He
has the
concomitant problems
obesity, chronic
alcoholism and
of
severe osteoarthritis
____________________
medical record
asbestos
exposure
indicating
before
As there is no evidence
physical
1982,
we
damage resulting
agree
with
the
in
from
ALJ's
is
After
this
diagnosis,
claimant
filed
protective
7
to
claimant's
"restrictive"
condition
"obstructive"
pulmonary
pulmonary function.
independent of
The
function
former
asbestosis, while
asbestos-related condition.
-4-
the
is
and
his
claimant's
latter is
his
of his
knees.
His primary
disabling feature
is his
knees.8
In
deposition
testimony
in
1988,
Dr.
Schall
described
the
restrictive disease."
Dr.
medicine,
Killian,
in
examination of
a March
physician
1986
specializing
letter
claimant, concluded
reporting
in
respiratory
upon his
recent
from
five conditions:
plaques,
asbestosis
of
obesity, hypertension,
the left
and
occurring at work.
from a pulmonary
[H]is present
the
last
chest
pleural
pain suggestive
of
exposure
lower lobe,
The
degree of
perspective can be
disability present
classified as mild.
. .
year or
so."
In deposition
testimony in
1988, Dr.
____________________
In
this letter,
Dr. Schall
also
gave the
following
The
man
was
first
examination prior
knees.
He
had at
seen
in
1978
to arthroscopic
that time
for
routine
examination of
a smoking
his
history that
included in excess
cigarettes
breath
stating that
activities.
worked
as
asbestos
He had a
a
his
knees
shortness of
limited his
physical
history of hypertension.
pipe-fitter
through his
He denied
and
has
been
work environment.
exposed
He's
to
His physical
respiratory expansion.
showed some
pulmonary
Chest
x-rays at
that
scarring consistent
with
asbestosis.
-5-
by asbestos exposure
In
1987
claimant
and
pulmonary
reviewed
specialist,
his
Dr.
pulmonary
Corbin,
function
examined
tests.
He
concluded,
fibrosis. . . . I
am certain that
Mr.
in degree. . . .
related to
obese,
but patients
restrictive
pulmonary
with
obesity alone
function.
As
of
significantly
breath
and
contributed
The
patient is
rarely
have
have
stated
is related to his
. . . [H]is symptoms of
restricted
to
by
activity
his
are
physical
1982
they showed
"restrictive
disease."
lung
He
pulmonary
disease
and
also reported
function
minimal
obstructive
that claimant's
studies
showed
"mild
airway
January
20, 1983
obstructive
airway
In
1986
claimant, for
the
first time,
undisputed
that
claimant
was
was
diagnosed as
result of asbestosis.
twenty-five
percent
It is
partially
what amount of
-6-
ENTITLEMENT TO SECTION 8(f) RELIEF -PERMANENT TOTAL AND PARTIAL DISABILITY CRITERIA DISTINGUISHED
We
review the
supported by
Board's
decision for
to determine whether
substantial evidence.
errors
of law,9
and
are
33 U.S.C.
921(b)(3); CNA
___
Insurance Co. v. Legrow, 935 F.2d 430, 434 (1st Cir. 1991).
_____________
______
numerous complex
issues concerning
the
application
of
Section 8(f).
resolved on
a fairly straightforward
consider many of
below,
unless
the issues
the
partial
greater"
believe
as a
this case
can
raised on
employer
compensable permanent
substantially
We
appeal.
establishes
that
disability
was
result
of a
As we
the
us to
discuss
employee's
"materially
prior
be
and
disability, a
analysis
is required.
Because existing
ignored
the
clear
threshold
however,
we
think
it helpful
issues in the
case law
requirements
to
clarify
We
of
has largely
Section
8(f),
certain preliminary
choose, therefore, to
award of Section
including consideration
consider issues
requirements.
____________________
In
this case,
because the
result
within
one
year,
we
treat
ALJ
order is
final as
order
as
the
Board's
decision.
-7-
The
from
a work-related
"aggravation rule,"
injury.
the LHWCA
Under
what has
requires an
death results
been termed
employer to
the
provide
injury
and a pre-existing
condition.
to concern
an incentive
Id.;
___
response
disabled workers
8(f).
In
enacted Section
that the
employ
handicapped
workers
by
limiting
liability
for
subsequently incurred
permanent partial
disability attributable
(f)
(1)
found
not to
employee
be
due
solely to
having
an
existing
disability,
the
employer
compensation
payments . .
that
injury, of
permanent
shall
provide
. for one
an
partial
.
weeks only. . . .
In
permanent
solely
. .
cases
in
which
partial disability,
to
that
materially and
would have
injury,
found
and
such
substantially greater
not
to
908(f)(1).
-8-
has
be
than that
a
due
disability
is
which
. . . compensation
33 U.S.C.
the employee
for one
Inc.,
____
803 F.2d
731, 737
(D.C.
Cir. 1986);
Director, OWCP
______________
v.
Newport News Shipbuilding & Dry Dock Co., 676 F.2d 110, 115 (4th
_________________________________________
Cir. 1982).
To
qualify
for
the
limitation
on
full
liability,
the
a permanent
We have
condition]
increased
risk
of
[an]
compensation liability.'"
may be
able
found to
to
existing
employment-related
suffer from a
work full
time in
disability must,
the 'greatly
accident
Thus,
pre-existing disability
the identical
however, be
a person
even if
The pre-
"condition," and
not
See
___
position.
and
(finding
years prior to
work
did not
constitute a
disability so as to
8(f)).
before
To qualify
the
prior permanent
partial
Section
as pre-existing,
work-related
simultaneously will
qualifying
of exposure at
injury;
not meet
the condition
disability
the requirement.
-9-
must exist
that
See
___
occurs
Fineman v.
_______
27 BRBS
104 (1993)
v. Harris, 934
______
Once
the employer
establishes
that
the
employee
had
the compensable
injury must
be considered.
acknowledge
point
turns on
whether
the
employee suffers
from
failed to
a full
or
partial disability.
must
show that
recent injury.
the
disability is
not due
solely to
the most
F.2d 1341,
OWCP,
____
913
F.2d 1426,
1429
employment
injury
was
claimant's
total permanent
(9th Cir.
sufficient,
intended
to
counteract
if an
never
comes
able-bodied employee
"Thus, if
the
to
the
cause
employer should
be
circumstances because
extent
itself,
disability, the
should be denied.
by
1990).
Director,
_________
into
play
under
be liable to
suffered
the same
these
the same
injury."
pre-existing
injury
compounded his
employment-related
injury;
rather,
the
employer
must
show
that,
but
for
pre-existing
-10-
disability,
claimant would
be employable.
Director, OWCP
______________
v.
Jaffe New York Decorating, 25 F.3d 1080, 1085 (D.C. Cir. 1994).
_________________________
In
employer
cases
where
the employee
is
partially
disabled, the
"is
have resulted
908(f);
from the
v. Rambo, 515
_____
which would
33
U.S.C.
"heavier burden"
Section 8(f)
relief
in
is
placed on
the
case of
Director, OWCP
_______________
v.
("Newport News"),10
____________
employer to
permanently
obtain
partially
8 F.3d
Inc. v.
____
the
Cir. 1993),
aff'd on
________
In
To
satisfy
this additional
prong, the
employer must
partial
substantially exceeds
disability
materially
the disability as it
would have
impairment
that
injury alone.
ensue
from
injured
employer
would suffer if
by the
the
level of
work-related
A showing
quantification of the
would
and
same work-related
establishes the
level
injury.
Once
of disability
the
in the
10
News
Shipbuilding &
a number of cases
Dry Dock
Co.
The abbreviation,
-11-
involving Newport
"Newport
_______
an
adjudicative body
determine
whether
will have
the
a basis
ultimate
on which
permanent
to
partial
employer
is
attributable to
required
to
show
the
degree
of
Thus, an
disability
that
an
employer
percentage
related
need
of whole
injury,
ultimate permanent
show
medical
body impairment
that
impairment exists
the earlier
only
greater
after the
evidence
existed
percentage
before the
of
work-related injury,
that
body
and that
the
causally connected to
a]
section
showing
8(f)
eviscerates
that
the
the
requirement
ultimate
permanent
from
partial
by
overlooking
related
level
work-
whole
element:
[Such
injury alone
the
alone would
possibility that
could cause
virtually
the
work-
the same
permanent partial
disability through
the contribution
8 F.3d at 184.
Despite
need
language of Section
8(f), and
the
in partial disability
a looser
-12-
all.
(1993) (stating
may be
that the
met by
a showing "that
aggravated by claimant's
finding
that
greater as
8(f).
contribution requirement
the pre-existing
permanent
physical
However,
impairment
is
pre-existing and
statutory
disability was
subsequent employment.").
claimant's
a result of
work-related
Section 8(f)
criteria
of
"materially
and substantially
greater"
constitutes error.
I.
The
ALJ defined
the essential
elements
for Section
8(f)
relief
as:
partial
"(1) the
employee
had
a pre-existing
permanent
the
subsequent
permanent
injury
to produce
or
increase
the employee's
injury alone."
In concluding that
The record
reflects
. .
(2) that
at least
examined
by
Dr.
prior to knee
obesity
May of 1978
required to be
pre-operative
has
as he was
Schall for
[claimant]
clearance
he has suffered
from
that he
to 3
packs
stopped in
per day
for
forty years,
habit he
Claimant's asbestos-related
-13-
of
1982, .
. (7)
tests, including
increase
of
worsening
Schall,
his subsequent
pulmonary function
his
of his
that
tests, showed
asbestos-related
shortness of
diagnostic
disease
breath,
and
(8) that
an
a
Dr.
of chronic
restrictive
component," (9)
obstructive
and
is
(in) a
further
that Claimant's
advanced
state than
"chronic
is
his
obesity,
chronic
osteoarthritis of
doctors
are
in
his
alcoholism
knees," .
agreement
and
. (12)
that Claimant's
severe
that
the
permanent
partial impairment
asbestos-related
hypertension,
diagnosed
is due
to the
disease,
his
i.e., his
obesity,
as ischemic
combination of
his
heart
asbestosis,
cardiac
his
his
problems
disease, (13)
that
the
permanent disability is
of his pre-existing
[and]
(14)
that
Claimant's
combination
injury,
. .
in combination
has
contributed
permanent disability,
. [.
with
to
concluded
from
category
of person
classic
condition
of
pre-existing
greater
to
the evidence
condition, prior
His]
Dr.
his
work
degree
of
Schall,
Dr.
ALJ
"Claimant's
at least
the subsequent
according
The
smoking habit of
work-related asbestosis
disability,
cardiac
to
that
was designed
his injury
high-risk
claimant
employee
in
fit
to protect:
1986, was
whom
the
the
cautious
sustain
-14-
quoted
for
mentions
different
proposition,11
the
ALJ
in no
place
greater
as
result of
the
preexisting
disability
than the
subsequent injury
alone.
II.
Under the
LHWCA, Johnson's
compensable injury
occurred in
____________________
11
Newport News,
____________
only
pulmonary
22 BRBS
78, 85 (1989),
problems
were
for the
relevant
to
proposition that
the
Section
8(f)
determination; physical
such
problems relating to
other impairments,
section
of Adams
_____
"materially
of its
quoted
by
the ALJ,
the
general
pre-existing
Board mentions
the
In the
must be met by a
of physical
12
In
long-latency
disease
cases,
such as
asbestosis,
because the
disease manifests
injury arises
years
later when
the
itself.
163.
here
the applicable
date for
claimant
was diagnosed
suffered
from
disability
--
with --
time of
injury is the
and thus
twenty-five
percent
date that
became aware
that he
permanent
partial
See Harris,
___ ______
934 F.2d at
diligence or
by reason
of medical
advice should
910(i)
the definition
-15-
Claimant
suffered
from
1986.
The
evidence in
conclusion that
pulmonary
problems,
including
the medical
record supports
to
the ALJ's
and
smoking, amounted to
employee whom
a cautious employer
of a high-risk
hired nor
an employee would
we need not
that
While
we agree
Section
such
with
the
ALJ's finding
that
claimant met
the
To
be
required to
entitled to
carry the
twenty-five percent
greater
than that
exposure alone.
of
Section 8(f)
burden of
relief, however,
demonstrating that
claimant's
and substantially
resulted from
BIW was
the asbestos
the degree
to claimant's asbestosis.
See
___
Newport News, 8
_____________
compared
F.3d
at 185-86.
this information
with
Then,
the
ALJ should
claimant's twenty-five
have
percent
See id.
___ ___
____________________
Section 8(f).").
-16-
The ALJ,
discussed
however, made no
such determination.
He neither
Further,
"materially
chosen
to
the
and
do
attributable
Nor
relating to
so.
No
the
evidence
greater"
evidence of
be deduced
the
from
claimant's non-asbestos-related
further
degree
than
1983.
apply
the
even had
he
of disability
ever presented.
the medical
injury.
advanced state
to
standard
disability
in
lacked
substantially
only to
can such
ALJ
claimant's
records
While Dr.
asbestosis, Dr.
At that time,
claimant was
not
disabled
assessment,
as a
reporting
of
non-asbestos-related
on
claimant's
impairment.
was impacted
disability.
condition
in
1986,
contribution existed,
But
earlier
Killian,
concluded
in
that
contributed to
and included
1983
to which
by an
Dr.
non-asbestos-related disability
compensable injury
claimant's prior
much
pulmonary
claimant's 1986
existing
result
in
his assessment
determination.
of
which
Dr.
Corbin provides the best evidence for BIW, stating, in 1987, that
claimant's
activity
"symptoms
are
of
shortness
significantly
of
breath
contributed
However,
to
and
by
his
restricted
physical
-17-
meet
the
statement
his
required standard.
Dr.
Corbin provides
general
"restricted activity."
The
report does
his
permanent
partial
disability,
not
indicate the
condition contributed to
the
twenty-five
percent
received
the contribution
partial disability
of asbestosis
nor a
to claimant's
basis for
overall permanent
deducing such
contribution
-18-
CONCLUSION
Because we
record contains
current
insufficient evidence
permanent
substantially
partial
asbestosis alone, we do
by appellant.
For the
to show,
disability
is
and the
that claimant's
materially
and
resulted from
issues raised
-19-