skip navigational linksDOL Seal - Link to DOL Home Page
Photos representing the workforce - Digital ImageryŠ copyright 2001 PhotoDisc, Inc.
www.dol.gov/brb
December 2, 2008    DOL Home > BRB Home


                               BRB No. 00-1145 BLA

CHARLIE AKERS                      )
                         )
          Claimant-Petitioner           )
                         )
     v.                            )
                         )
WRIGHT COAL COMPANY           )    DATE ISSUED:08/30/2001               
                                   
                         )
     and                           )
                         )
OLD REPUBLIC INSURANCE COMPANY     )
                         )
          Employer/Carrier-             )
          Respondents                   )
                         )
DIRECTOR, OFFICE OF WORKERS'       )
COMPENSATION PROGRAMS, UNITED )
STATES DEPARTMENT OF LABOR         )
                         )
          Party-in-Interest             )    DECISION and ORDER

     Appeal of the Decision and Order-Denial of Benefits of Daniel J.
     Roketenetz, Administrative Law Judge, United States Department of Labor.

     William Lawrence Roberts, Pikeville, Kentucky, for claimant.

     Tab R. Turano (Greenberg Traurig, LLP) Washington, D.C., for employer.

     Before:  HALL, Chief Administrative Appeals Judge, SMITH and McGRANERY,
     Administrative Appeals Judges.

     PER CURIAM:

     Claimant appeals the Decision and Order-Denial of Benefits (99-BLA-1099) of
Administrative Law Judge Daniel J. Roketenetz on a request for modification filed
pursuant to the provisions of Title IV of the Federal Coal Mine Health and Safety
Act of 1969, as amended, 30 U.S.C. §901 et seq. (the Act).[1]   The administrative law judge found that the
claimant established a coal mine employment history of twenty-seven years. 
Decision and Order at 4.  The administrative law judge further found that the
instant claim constituted a request for modification of a denial of a duplicate
claim and in so doing concluded that the evidence of record failed to establish a
mistake in a prior determination of fact and that inasmuch as newly submitted
evidence failed to establish the existence of pneumoconiosis or a totally disabling
respiratory impairment, a change in conditions was not established.  Decision and
Order at 5-16.  Accordingly, benefits were denied.

     On appeal, claimant contends, generally, that the administrative law judge
erred in failing to find the existence of pneumoconiosis established by medical
opinion evidence and further erred in failing to find total disability established. 
Claimant further asserts that the administrative law judge erred in failing to
accord proper weight to the opinions of his treating physicians, Drs. Johnson and
Sundaram.  Lastly, claimant asserts that the administrative law judge erred in
according greater weight to "employer's physicians who only saw and examined the
Claimant on a one time basis."  Claimant's Brief at 2 (unpaginated).  Employer
responds and urges affirmance of the administrative law judge's denial of benefits. 
The Director, Office of Workers' Compensation Programs (the Director), has declined
to participate in this appeal.[2] 
     The Board's scope of review is defined by statute.  If the administrative law
judge's 
findings of fact and conclusions of law are supported by substantial evidence, are
rational, and are consistent with applicable law, they are binding upon this Board
and may not be disturbed.  33 U.S.C. §921(b)(3), as incorporated into the Act
by 30 U.S.C. §932(a); O'Keeffe v. Smith, Hinchman & Grylls Associates,
Inc., 380 U.S. 359 (1965).

     At the outset, we recognize that the standard of review in the instant case
is whether the evidence submitted in support of the duplicate claim and the
evidence submitted in support of modification, if any, is sufficient to establish
a material change in conditions. See Hess v. Director, OWCP, 21 BLR 1-141,
1-143 (1998).  Where, as here, a miner files a claim for benefits more than one
year after the final denial of a previous claim, the subsequent claim must also be
denied unless the administrative law judge finds that there has been a material
change in conditions.  Here, claimant has timely requested modification of the
district director's determination that  claimant failed to establish a material
change in conditions, thereby invoking the administrative law judge's authority to
consider whether there was a change in conditions since the denial of the duplicate
claim. Consolidation Coal Co. v. Worrell, 27 F.3d 227, 230, 18 BLR 2-290,
2-296 (6th Cir. 1994); Hess, supra; see also O'Keeffe v. Aerojet-General Shipyards, Inc., 404 U.S. 254, 256 (1971).  However, this in no way
diminished claimant's burden to prove a material change in conditions before he is
entitled to adjudication of the merits of his claim.  See Sharondale Corp. v.
Ross, 42 F.3d 993, 998, 19 BLR 2-10, 2-20 (6th Cir. 1994).  Consequently, the
issue before the administrative law judge pursuant to claimant's modification
request was whether all of the evidence in the duplicate claim plus that submitted
on modification established the requisite material change in conditions. See
Hess, supra.

     On appeal, claimant contends, generally, that the administrative law judge
erred in  failing to find the existence of pneumoconiosis established by medical
opinion evidence.  We reject claimant's assertion and affirm the administrative law
judge's conclusion that the newly submitted medical opinion evidence has failed to
establish the existence of pneumoconiosis.  In a permissible exercise of his
discretion the administrative law judge concluded the newly submitted medical
reports of Drs. Broudy, Dahhan and Fino, all of whom opined that claimant did not
suffer from pneumoconiosis, Employer's Exhibits 1, 2, 12, 13, 15, were entitled to
greatest weight based on these physicians' superior qualifications, see Gray v.
SLC Coal Co., 126 F.3d 382, 387, 21 BLR 2-615, 2-625-26 (6th Cir. 1999);
McMath v.  Director, OWCP, 12 BLR 1-6 (1988); Dillon v. Peabody Coal
Corp., 11 BLR 1-113 (1988); Martinez v. Clayton Coal Co., 10 BLR 1-24
(1987); Wetzel v. Director, OWCP, 8 BLR 1-139 (1986), and because these
physicians provided the best reasoned and documented opinions of record. Clark
v. Karst-Robbins Coal Co., 12 BLR 1-149 (1989)(en banc); Peskie v. 
United States Steel Corp., 8 BLR 1-126 (1985); Lucostic v. United States
Steel Corp., 8 BLR 1-46 (1985).  Further, the administrative law judge, in a
permissible exercise of his discretion, accorded less weight to the medical
opinions of the claimant's treating physicians, Drs. Johnson and Sundaram,
Director's Exhibit 93; Claimant's Exhibits 1, 2, because these doctors failed to
provide adequate support for their conclusions that claimant suffered from
pneumoconiosis. See Clark, supra; York v. Jewell Ridge Coal
Corp., 7 BLR 1-766 (1985); Oggero v. Director, OWCP, 7 BLR 1-860 (1985);
Cooper v. United States Steel Corp., 7 BLR 1-842 (1985).  Revised Section
718.104(d)(governing the weighing of a treating physician's opinion) of the Code
of Federal Regulations is inapplicable to the instant case inasmuch as the treating
physician evidence was developed before January 19, 2001.  Accordingly, contrary
to claimant's assertion, the administrative law judge need not accord greater
weight to the opinion of a treating physician merely because of that status.
See 20 C.F.R. §718.104(d)(2000).  Further still, the administrative law
judge permissibly accorded less weight to the opinions of Drs. Baker and Fritzhand,
both of whom concluded that the claimant suffered from pneumoconiosis, Director's
Exhibit 96, inasmuch as both physicians failed to fully explain their conclusions
and thus did not present well-documented opinions. See Clark, supra;
York, supra; Oggero, supra; Cooper,
supra.  Inasmuch as the administrative law judge has considered all relevant
evidence of record and has provided affirmable bases for the weight accorded such
evidence, see Clark, supra; Peskie, supra;
Lucostic, supra; we reject claimant's general contention and affirm
the administrative law judge's finding that the medical opinion evidence failed to
support a finding of pneumoconiosis.  20 C.F.R. §718.202(a)(4); Director,
OWCP v.  Greenwich Collieries [Ondecko], 512 U.S. 267, 18 BLR 2A-1
(1994), aff'g sub nom. Greenwich Collieries v. Director, OWCP, 990
F.2d 730, 17 BLR 2-64 (3d Cir. 1993).

     Claimant also makes the general contention that the medical opinion evidence
demonstrates the presence of a totally disabling respiratory impairment.  In
finding that the evidence of record failed to establish the presence of a totally
disabling respiratory impairment, the administrative law judge again found that the
opinions of Drs. Dahhan, Broudy and Fino, all of whom concluded that the claimant
did not suffer from a totally disabling respiratory impairment, were entitled to
the greatest weight based on their superior qualifications and their proffer of the
best-reasoned and documented opinions of record.  Decision and Order at 16.  For
the same reasons that we affirmed the administrative law judge's weighing of the
medical opinion evidence on the existence of pneumoconiosis, see discussion,
supra, we affirm the administrative law judge's weighing of the medical
opinions regarding the presence of a totally disabling respiratory impairment,
see also Beatty v. Danri Corp., 49 F.3d 993, 19 BLR 1-136 (3d Cir.
1995), aff'g 16 BLR 1-11 (1991).  We therefore affirm the administrative law
judge's finding that claimant has failed to establish the presence of a totally
disabling respiratory or pulmonary impairment. See 20 C.F.R.
§718.204(b)(2)(iv). Beatty, supra; see generally
Ondecko, supra.[3] 

     Inasmuch as the newly submitted evidence has failed to establish the existence
of pneumoconiosis or a totally disabling respiratory impairment, the administrative
law judge properly found that claimant failed to establish modification by showing
a material change in conditions, see Ross, supra; Hess,
supra, and claimant is, therefore, precluded from establishing entitlement
pursuant to Part 718, see Trent v. Director, OWCP, 11 BLR 1-26 (1987);
Gee v. W.G. Moore and Sons, 9 BLR 1-4 (1986)(en banc); Perry v.
Director, OWCP, 9 BLR 1-1 (1986)(en banc).
     Accordingly, the administrative law judge's Decision and Order - Denial of
Benefits is affirmed.

     SO ORDERED.




                                                                   
                         BETTY JEAN HALL, Chief
                         Administrative Appeals Judge



                                                                   
                         ROY P. SMITH
                         Administrative Appeals Judge



                                                                   
                         REGINA C. McGRANERY
                         Administrative Appeals Judge

To Top of Document

Footnotes.


1) The Department of Labor has amended the regulations implementing the Federal Coal Mine Health and Safety Act of 1969, as amended. These regulations became effective on January 19, 2001, and are found at 65 Fed. Reg. 80,045-80,107 (2000)(to be codified at 20 C.F.R. Parts 718, 722, 725, and 726). All citations to the regulations, unless otherwise noted, refer to the amended regulations. Pursuant to a lawsuit challenging revisions to 47 of the regulations implementing the Act, the United States District Court for the District of Columbia granted limited injunctive relief for the duration of the lawsuit, and stayed, inter alia, all claims pending on appeal before the Board under the Act, except for those in which the Board, after briefing by the parties to the claim, determined that the regulations at issue in the lawsuit would not affect the outcome of the case. National Mining Ass'n v. Chao, No. 1:00CV03086 (D.D.C. Feb. 9, 2001)(order granting preliminary injunction). The Board subsequently issued an order requesting supplemental briefing in the instant case. On August 9, 2001, the District Court issued its decision upholding the validity of the challenged regulations and dissolving the February 9, 2001 order granting the preliminary injunction. National Mining Ass'n v. Chao, Civ. No. 00-3086 (D.D.C. Aug. 9, 2001). The court's decision renders moot those arguments made by the parties regarding the impact of the challenged regulations. Back to Text
2) We affirm, as unchallenged on appeal, the administrative law judge's length of coal mine employment determination as well as his finding that there was no mistake in the prior determination of fact pursuant to Section 725.310. See 20 C.F.R. §725.310 (2000); Skrack v. Island Creek Coal Co., 6 BLR 1-710 (1983). We further affirm the findings that the existence of pneumoconiosis was not established pursuant to Section 718.202(a)(1)-(3) (2000) and total disability was not demonstrated pursuant to Section 718.204(c)(1)-(3)(2000). See 20 C.F.R. §§718.202(a)(1)-(3); 718.204(b)(2)(i)-(iii); Skrack, supra. Back to Text
3) Moreover, while we have affirmed the administrative law judge's findings regarding the existence of pneumoconiosis and total disability as supported by the evidence of record, we note that other than alleging that the opinions of claimant's treating physicians are entitled to greater weight than the opinions of physicians who saw and examined claimant only once, claimant fails to allege any error in the administrative law judge's consideration of the evidence. This failure would also require affirmance of the administrative law judge's Decision and Order. See 20 C.F.R. §§802.211(b); 802.301(a); Cox v. Director, OWCP, 791 F.2d 445, 9 BLR 2-46 (6th Cir. 1986), aff'g 7 BLR 1-610 (1984); Sarf v. Director, OWCP, 10 BLR 1-119 (1987); Slinker v. Peabody Coal Co., 6 BLR 1-465 (1983); Fish v. Director, OWCP, 6 BLR 1-107 (1983). Back to Text

NOTE: This is an UNPUBLISHED BLA Document.

To Top of Document



Phone Numbers