UNITED STATES COURT OF APPEALS
FOR THE FIFTH CIRCUIT
__________________________________
No. 99-60615 c/w 00-60093
__________________________________
POOL COMPANY and Carrier; SIGNAL MUTUAL INDEMNITY ASSOCIATION, LTD.,
Petitioners,
VERSUS
OTIS L. COOPER; DIRECTOR, OFFICE OF WORKERS’ COMPENSATION PROGRAMS,
US DEPARTMENT OF LABOR,
Respondents.
_______________________________________________________________
Petitions For Review of an Order
of the Benefits Review Board
_______________________________________________________________
November 20, 2001
Before STEWART and PARKER, Circuit Judges, and GOLDBERG,1 Judge
GOLDBERG:
Petitioners Pool Company (“Pool”) and its insurance carrier Signal Mutual Indemnity
Association, Ltd. (“Signal”), appeal the decision of the Benefits Review Board (“BRB”) awarding
respondent Otis L. Cooper (“Cooper”) temporary total disability benefits under the Longshore
and Harbor Workers’ Compensation Act (“LHWCA” or “Act”), 33 U.S.C. §§ 901 et seq. (1994).
The petitioners allege that the BRB erred by affirming the determinations of the administrative
1
Senior Judge, United States Court of International Trade, sitting by designation.
law judge (“ALJ”) that Cooper’s claim was timely and that he had not withdrawn it in part, and by
awarding attorney’s fees. We affirm the decision of the BRB with respect to the timeliness of the
claim; affirm on other grounds the award of attorney’s fees; but remand so that the ALJ may
reconsider Cooper’s waiver of a part of his claim and allow Pool and Signal to comment thereon.
I. FACTUAL AND PROCEDURAL BACKGROUND
Cooper began his employment at Pool in 1979 as a roustabout. In 1989, he sustained an
injury to his right knee, which required surgery. During his approximately six-week
convalescence, Pool paid him temporary total disability benefits under the LHWCA.2 Cooper’s
2
The LHWCA distinguishes disabilities binarily with respect to both their duration
(permanent or temporary) and their degree (partial or total). See 33 U.S.C. § 908. Consequently,
there are four different categories of disability: permanent total disability, temporary total
disability, permanent partial disability, and temporary partial disability. Louisiana Ins. Guar. Ass’n
v. Abbott, 40 F.3d 122, 125 (5th Cir. 1994). The duration of disability is a medical question, so
an injured employee is considered temporarily disabled under the LHWCA until he attains
maximum medical improvement (“MMI”). Id. at 126. However, because the degree of an
employee’s disability is primarily an economic rather than a medical concept, “the availability of
suitable alternative employment [is what] distinguishes partial from total disability.” Id. Thus, an
employee is entitled to receive temporary total disability benefits, in the form of two thirds of his
average weekly wages, so long as his medical condition is believed capable of improvement and
he is unable to obtain suitable alternative employment. See 33 U.S.C. § 908(b).
“The point of maximum medical improvement represents the beginning of permanent, as
opposed to temporary, disability under the statutory scheme.” Louisiana Ins., 40 F.3d at 126. At
that point, if suitable alternative employment is still unavailable, the employee qualifies for
permanent total disability benefits; otherwise, the employee receives permanent partial disability
benefits. If the employee’s injury involves a part of the body among those enumerated in 33
U.S.C. § 908(c)(1)-(20), (22), “the statute creates a conclusive presumption of incapacity to earn
wages and sets compensation at 66b% of the claimant’s actual wage for a fixed number of
weeks. When these types of scheduled injuries occur, a claimant simply proves the relevant
physical injury and compensation follows for a finite period of time.” Metropolitan Stevedore Co.
v. Rambo, 515 U.S. 291, 296 (1995) (citation omitted). If the employee suffers only partial loss
or partial loss of use of the body part, the duration of benefits for a scheduled injury is reduced by
a coefficient equal to the percentage of impairment. See 33 U.S.C. § 908(c)(19); see also Stevens
v. Director, OWCP, 909 F.2d 1256, 1258 n.1 (9th Cir. 1990). If the employee has a non-
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physician, Dr. William A. Morrison, a board-certified orthopedic surgeon, diagnosed a fifteen
percent permanent partial disability. Cooper accordingly continued to receive permanent partial
disability benefits for his scheduled injury after he resumed work as a roustabout in 1990.
On August 20, 1992, Cooper re-injured his right knee while working for Pool. He
informed his supervisors of the mishap and received authorization to seek medical attention. On
August 28, 1992, Dr. Morrison ordered a magnetic resonance imaging (“MRI”) of Cooper’s
knee. Dr. Morrison also referred Cooper to Dr. Gene Barrett, another board-certified orthopedic
surgeon, who informed Cooper that his anterior cruciate ligament (“ACL”) required surgery. On
November 24, 1992, Cooper ceased working, and Pool voluntarily began to pay Cooper
temporary total disability benefits. At an unspecified date, Pool also began to pay Cooper
permanent partial disability benefits, apparently before any diagnosis of maximum medical
improvement.
Dr. Barrett performed surgery on Cooper’s ACL on February 24, 1993. The surgery was
at best a mixed success; Cooper continued to complain of pain in his right knee, and several tests
confirmed poor quadriceps development in his right leg. On January 14, 1994, Dr. Barrett
resigned himself to the opinion that Cooper’s condition would not improve, but would remain at
fifteen percent impairment. Dr. Barrett revised his opinion on February 28, 1994, when he
concluded that Cooper had attained maximum medical improvement and would never work as a
roustabout again, assigned him a twenty percent impairment rating, and discharged him. As of
that same day, Pool ceased payment of temporary total disability benefits. On April 22, 1994,
scheduled injury, he receives two-thirds of the difference between his pre-injury wages and his
current wages, “payable during the continuance of the disability.” 33 U.S.C. § 908(c)(21).
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Pool made the final payment of benefits for Cooper’s scheduled permanent partial disability, and
also made a supplemental payment for eighteen days of total temporary disability benefits.
Around this time, on his own initiative Cooper began looking for employment, and eventually
started work as a high school security guard on September 3, 1994. However, Cooper returned
to Dr. Barrett on several occasions throughout 1994, complaining of knee pain.
On October 20, 1994, after Dr. Barrett suggested that Cooper obtain a second opinion,
Dr. Morrison again examined Cooper’s right knee, and recommended another MRI. On
December 8, 1994, Dr. Barrett diagnosed Cooper with a grade three or grade four
chrondromalacia, a condition whereby coating on the bone cracks and, at grade four, raw bone
rubs on raw bone. Shortly thereafter, on December 20, 1994, Dr. Barrett noted Cooper’s
performance on a knee strength test as “pitiful.”
On February 25, 1995, Cooper filed a form LS-203, Notice of Disputed Claim, with the
Office of Workers’ Compensation Programs (“OWCP”) of the United States Department of
Labor, seeking further disability benefits. Pool received written notice of Cooper’s claim from the
OWCP on March 15, 1995, and responded on March 22, 1995, by filing a form LS-207, Notice
of Controversion, disputing Cooper’s entitlement to additional benefits. On March 28, 1995, the
OWCP informed Cooper of the petitioners’ assertions. Cooper never responded to the OWCP,
and the claim did not move forward until 1997.
Throughout 1995 and 1996, Cooper worked off and on as a security guard, while
continuing to be treated by Dr. Barrett for his chronic knee pain. On January 31, 1997, Dr.
Barrett performed an arthroscopic procedure on Cooper’s right knee that confirmed the diagnosis
of chrondromalacia and the necessity of reconstructive ACL surgery. In particular, Dr. Barrett
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found that if Cooper underwent additional ACL surgery, his impairment rating would decrease to
around fifteen percent and potentially he could resume his job at Pool, but that if he did not
undergo the surgery, his condition would decline to thirty percent impairment. Following the
arthroscopic procedure, Dr. Barrett placed Cooper on temporary total disability. Cooper, who
had been working as a security guard prior to the procedure, did not return to that job until April
10, 1997.
Signal authorized ACL surgery and Dr. Barrett’s ongoing treatment of Cooper. However,
Cooper pursued his claim against the petitioners for additional monetary compensation. The ALJ
conducted a formal evidentiary hearing on December 5, 1997. In his decision and order awarding
benefits, the ALJ held that Cooper’s claim was not time-barred; that Cooper’s condition had not
stabilized; that consequently Cooper was entitled to ACL surgery and to temporary total disability
benefits until such time as he did attain maximum medical improvement; and that Cooper had been
temporarily totally disabled from February 24, 1994 through September 2, 1994, and from
January 31, 1997 through April 9, 1997, and was entitled to benefits for those periods. In two
supplemental decisions, the ALJ found the petitioners liable for Cooper’s attorney’s fees pursuant
to § 28(a) of the LHWCA, 33 U.S.C. § 928(a). On appeal, the BRB affirmed the ALJ’s decision,
but it upheld the award of attorney’s fees under § 28(b) of the LHWCA rather than under § 28(a).
In conformity with 33 U.S.C. § 921(c), Pool and Signal now appeal the decision of the
BRB. The Director of the OWCP (“Director”) has also filed a brief arguing that the BRB erred in
affirming the ALJ’s award of benefits for the period of March 3, 1994 through September 2,
1994, and erred by awarding attorneys fees under § 28(b) rather than § 28(a) of the LHWCA, but
urging affirmance in all other respects.
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II. DISCUSSION
A. Standard of Review
This Court conducts a de novo review of the BRB’s rulings of law, see H.B. Zachry Co.
v. Quinones, 206 F.3d 474, 477 (5th Cir. 2000), owing them no deference because the BRB is not
a policymaking agency. Potomac Elec. Power Co. v. Director, OWCP, 449 U.S. 268, 278 n.18
(1980); Temporary Employment Services v. Trinity Marine Group, Inc., 261 F.3d 456, 458 (5th
Cir. 2001). However, we do afford deference to the Director’s interpretations of the LHWCA.
Boudreaux v. American Workover, Inc., 680 F.2d 1034, 1046 n.23 (5th Cir. 1982) (en banc);
H.B. Zachry, 206 F.3d at 478. As the Supreme Court has recently made clear, the precise amount
of deference that we owe to any given interpretation by the Director “will depend upon the
thoroughness evident in its consideration, the validity of its reasoning, its consistency with earlier
and later pronouncements, and all those factors which give it power to persuade, if lacking power
to control.” United States v. Mead Corp., 533 U.S. __, 121 S. Ct. 2164, 2172 (2001) (quoting
Skidmore v. Swift & Co., 323 U.S. 134, 140 (1944)).3
3
In Chevron U.S.A. Inc. v. Natural Resources Defense Council, Inc., 467 U.S. 837
(1984), the Supreme Court held that both court and agency must defer to Congress’s
unambiguous intent, but if a statute that the agency administers is silent or ambiguous with
respect to a particular issue, the court must defer to the agency’s reasonable construction of the
statute, even if the court’s own reading would lead to a different conclusion. 467 U.S. at 842-45.
Mead clarified that Chevron’s expansive conception of judicial deference to an administrative
agency’s legal interpretation applies only when “Congress delegated authority to the agency
generally to make rules carrying the force of law, and . . . the agency interpretation claiming
deference was promulgated in the exercise of that authority.” 121 S. Ct. at 2171 (emphasis
added).
Our recognition that we owe deference to the Director’s interpretations of the LHWCA
preceded the Supreme Court’s Chevron decision, and thus was not predicated thereon. See, e.g.,
Alford v. American Bridge Div., United States Steel Corp., 642 F.2d 807, 809 n.2 (1981),
vacated in part on other grounds on reh’g, 655 F.2d 86 (5th Cir. 1981); Boudreaux, 680 F.2d at
1046 n.23. In our LHWCA cases post-Chevron, we have consistently acknowledged a measure
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With respect to disputed issues of fact, our role is more narrowly circumscribed. Like the
BRB, “we may not substitute our judgment for that of the ALJ, nor reweigh or reappraise the
evidence, but may only determine whether evidence exists to support the ALJ’s findings.” New
Thoughts Finishing Co. v. Chilton, 118 F.3d 1028, 1030-31 (5th Cir. 1997); see also 33 U.S.C. §
921(b)(3). Thus, we examine “whether the BRB properly concluded that the ALJ’s factual
findings were supported by substantial evidence on the record as a whole.” James J. Flanagan
Stevedores, Inc. v. Gallagher, 219 F.3d 426, 429 (5th Cir. 2000). Substantial evidence is “more
of deference for the Director’s interpretations of the LHWCA, but where we have discussed
Chevron in this context, we have tended to avoid giving full Chevron deference. See, e.g.,
Phillips v. Marine Concrete Structures, 877 F.2d 1231, 1234-35 (5th Cir. 1989) (court owes
“deference” to an agency’s reasonable interpretation); Texports Stevedores Co. v. Director,
OWCP, 931 F.2d 331, 333 (5th Cir. 1991) (court affords “considerable weight” to Director’s
interpretation); Ingalls Shipbuilding, Inc. v. Asbestos Health Claimants, 17 F.3d 130, 134 n.11
(5th Cir. 1994) (court “generally will give judicial deference” to agency’s reasonable statutory
interpretation). In other cases we have found the issue moot. See, e.g., H.B. Zachry, 206 F.3d
at 478-79 (declining to address Director’s claim to Chevron deference because applicable statute
was clear on its face); Sketoe v. Exxon Co, USA, 188 F.3d 596, 597 (5th Cir. 1999) (rejecting
Director’s interpretation that was unsupported by regulations, rulings, or other indications that it
was “the product of agency deliberation and judgment”); Henry v. Coordinated Caribbean
Transp., 204 F.3d 609, 610, 613 (5th Cir. 2000) (dispelling Director’s invocation of Chevron
deference because his interpretation “has no statutory or other support). However, in one case
decided shortly before Mead, we did state that the Director’s interpretations of the Act merit full
Chevron deference. See Ceres Marine Terminal v. Hinton, 243 F.3d 222, 227 (5th Cir. 2001)
(“The Director’s interpretations of the Act . . . are accepted as controlling, unless they are
unreasonable . . . or contrary to clearly expressed legislative intent.”). And in his brief in the
instant case, the Director lays claim to such deference. See Director’s Brief, at 14.
Whatever the characterization of our previous posture, it is now clear that when the
Director advances interpretations of the LHWCA in litigation briefs, such interpretations merit not
Chevron deference, but Skidmore deference. See Mead, 121 S. Ct. at 2177 n.19 (rejecting
dissent’s argument that agency interpretation not promulgated in exercise of its rulemaking
authority, but subsequently reaffirmed in agency’s litigation briefs, warranted Chevron difference).
Indeed, the Supreme Court suggested as much in Metropolitan Stevedore Co. v. Rambo, 521
U.S. 121, 136 (1997) (“[T]he Director’s reasonable interpretation of the [LHWCA] brings at least
some added persuasive force to our conclusion, see, e.g., Skidmore v. Swift & Co. . . . .”); accord
Neeley v. BRB, 139 F.3d 276, 281 (1st Cir. 1998).
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than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as
adequate to support a conclusion.” Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229
(1938); see also Director, OWCP v. Ingalls Shipbuilding, Inc., 125 F.3d 303, 305 (5th Cir. 1997)
(noting that substantial evidence is “more than a scintilla but less than a preponderance”).
Finally, we will reverse the ALJ’s award of attorney’s fees “only if it is arbitrary,
capricious, an abuse of discretion, or not in accordance with law.” H.B. Zachary, 206 F.3d at
481.
B. Cooper’s Claim Is Not Time-Barred
Pool and Signal argue that Cooper’s claim for additional benefits was time-barred under §
13(a) of the LHWCA, which states:
Except as otherwise provided in this section, the right to compensation for
disability or death under this chapter shall be barred unless a claim therefore [sic] is
filed within one year after the injury or death. If payment of compensation has
been made without an award on account of such injury or death, a claim may be
filed within one year after the date of the last payment.
33 U.S.C. § 913(a). Pool and Signal acknowledge that Cooper received his last disability benefit
payment on April 25, 1994, and filed his LS-203 seeking additional compensation on February 25,
1995, less than one year later. Therefore, it was facially timely under § 13(a). Nevertheless, the
petitioners argue that this formally conforming filing was infirm, on the grounds that Cooper
failed to satisfy the one year statute of limitations because he lacked a viable claim for benefits at
the time he filed the LS-203. They claim that when Cooper submitted his LS-203, he was no
longer eligible for temporary total disability benefits because he was capable of working, and that
they had already paid him the full, uncontested amount of the permanent partial disability benefits
to which he was entitled for his scheduled injury. As Cooper had already received all the
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compensation that he was due, his claim amounted to no more than an impermissible protective
filing against speculative future injuries. In support of their reasoning, the petitioners cite I.T.O.
Corp. of Virginia v. Pettus, 73 F.3d 523 (4th Cir. 1996), and Ingalls Shipbuilding, Inc. v.
Asbestos Health Claimants, 17 F.3d 130 (5th Cir. 1994).
We find these arguments unconvincing for several reasons. First, we do not think that the
claim that Cooper filed on February 25, 1995 may be fairly characterized as “protective.” Unlike
the claimants in Ingalls Shipbuilding, who had endured exposure to asbestos but as yet suffered
neither physical nor economic disability, see 17 F.3d at 135, Cooper’s claim arose from a specific
injury, which he identified on the LS-203. Cooper was under the active medical care of Drs.
Morrison and Barrett in the months before he filed the LS-203. During several consultations in
late 1994, they advised him of the need for further tests, and for the first time diagnosed the
serious condition of chrondromalacia. Thus, there exists substantial evidence from which the ALJ
could infer that, at the time Cooper filed his claim, he was undergoing continuing treatment for his
original injury in the hope of improving his condition, and he and his physicians reasonably
believed that he had not attained maximum medical improvement after all. Indeed, the ALJ made
precisely such a finding:
A medical report from Dr. Morrison shows that Claimant was aware of the loss of
his wage earning capacity on October 20, 1994. Since Claimant had to quit
working as a security guard because of his right knee injury, his capacity to earn a
living was diminished. Therefore, Claimant attained the requisite awareness
mandated by the Act that is required to filed a claim for compensation benefits.
Decision and Order--Awarding Benefits (June 5, 1998), at 12-13 (citation omitted). We think this
conclusion is reasonable and consistent with our prior decisions. See, e.g., Louisiana Ins. Guar.
Ass’n v. Abbott, 40 F.3d 122, 126 (5th Cir. 1994) (“One cannot say that a patient has reached the
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point at which no further medical improvement is possible until such treatment has been
completed--even if, in retrospect, it turns out not to have been effective.”). Even if we were
entitled to reweigh the evidence on this issue, we would not do so, as Pool and Signal have
offered no countervailing medical evidence whatsoever.4
Second, and relatedly, the ALJ awarded temporary total disability benefits from February
24, 1994 to September 2, 1994. While the petitioners attack this award on procedural grounds,
see infra, they never refute the basic assumption underlying this award--that Cooper had not
attained maximum medical improvement at the time he filed his claim. Because the period of this
award predates Cooper’s filing of the LS-203, ipso facto, the claim cannot be deemed protective.
Our decision does not turn on this point, however; even had the ALJ awarded benefits only for a
period following February 25, 1995 (as he would have done if, for example, Cooper had been able
to work throughout all of 1994), we would be reluctant to characterize Cooper’s claim as
protective, as it arose from a concrete injury that predated the filing of his claim. While the
petitioners assume that a claim is viable only if it seeks compensation for a prior unpaid period of
disability, the Supreme Court implicitly held otherwise in Metropolitan Stevedore Co. v. Rambo,
521 U.S. 121 (1997).
In Metropolitan Stevedore, the Court considered whether a worker who has suffered a
real work-related injury but who is not presently “disabled” within the meaning of the LHWCA
4
We are at a loss to comprehend how the petitioners can assert that “the date Claimant
attained MMI was not even a realm of dispute at the ALJ hearing” and then suggest that the ALJ
became “an advocate from the bench” because he held that Cooper had not attained maximum
medical improvement. See Petitioners’ Reply, at 6. The majority of the testimony and exhibits
adduced at the hearing concerned the continuing state of Cooper’s health. Moreover, a claim of
temporary disability necessarily subsumes a claim that the employee has not attained maximum
medical improvement.
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may nevertheless obtain a compensation award, in anticipation of potential future loss, in order to
toll the statute of limitations. The Court answered affirmatively, holding that “a worker is entitled
to nominal compensation when his work-related injury has not diminished his present wage-
earning capacity under current circumstances, but there is a significant potential that the injury
will cause diminished capacity under future conditions.” Id. at 138. Of the two reasons that the
Court gave for its ruling,5 the first concerned the impact of § 13(a) of the LHWCA:
Because an injured worker who has a basis to anticipate wage loss in the future
resulting from a combination of his injury and job-market opportunities must
nonetheless claim promptly [to defeat the one year statute of limitations], it is
likely that Congress intended ‘disability’ to include the injury-related potential for
future wage loss. And because a losing claimant loses for all time after one year
from the denial or termination of benefits, it is equally likely that Congress
intended such a claimant to obtain some award of benefits in anticipation of the
future potential loss.
Id. at 129 (footnote omitted). The Court also noted that a present award of nominal
compensation was preferable to the dubious practice of permitting protective filings, because “the
[latter] approach, unlike the [former], has the defect of putting off the adjudication of every
5
Because Metropolitan Stevedore involved a non-scheduled injury permanent partial
disability claimant, the second consideration on which the Court based its decision was a statutory
provision applicable only to that category of disability and to temporary partial disabilities. See
521 U.S. at 130-34. Compensation for these categories of injuries is based on the difference
between the employee’s pre-injury wages and his post-injury wages. See 33 U.S.C. §§
908(c)(21), (e). While compensation under these classes of disability is only available to those
claimants that presently hold inferior employment, compensation for a temporary total disability is
available only to those claimants with no present employment. As the Supreme Court recognized
in Metropolitan Stevedore, an injured worker’s present employment situation can change for the
worse. Thus, disability is not merely “a product of the worker’s injury and present market
conditions, but . . . a potential product of injury and market opportunities in the future,” see id. at
132, for, we believe, all categories of disability for which the claimant’s recovery is tied to his
employment situation.
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element of the worker’s claim, including such matters as the work-related nature of the injury,
until long after the evidence grows stale.” Id. at 129 n.2.
The reasoning expressed in Metropolitan Stevedore--requiring claims for compensation
for a future disability to be presently adjudicated, rather than deferring them until later--is similar
to the approach we took in Ingalls Shipbuilding, a case on which the petitioners rely. In Ingalls
Shipbuilding, we affirmed the district court’s grant of a writ of mandamus ordering the Director
to transfer to the Office of the Administrative Law Judge (“OALJ”) for hearing certain claims by
workers exposed to asbestos, ninety percent of whom were not presently experiencing any
physical or economic disability. 17 F.3d at 135. The Director urged that such claims be held in
abeyance, but we declined to so order, noting that changes in the LHWCA had obviated the
necessity of filing protective claims. Id.. Pool and Signal’s selective and misleading focus on one
sentence in Ingalls Shipbuilding, wherein we stated that “nothing in the LHWCA . . . authorizes
the filing of protective claims or even recognizes their existence,” id., ignores the actual holding of
the case--viz., “we hold that the protective claims filed in the instant case enjoy no special status
which would exempt them” from being transferred to the OALJ for investigation and hearing. Id.
In short, “[a]ll claims filed with the Director are to be treated as active claims,” regardless of their
characterization as protective or otherwise. Id. This is precisely what happened with Cooper’s
claim.
The petitioners’ reliance on Pettus is likewise unavailing. In that case, the Fourth Circuit
held that two letters briefly reciting a “demand for any and all benefits that may be due” were too
vague to constitute the filing of a claim to amend a compensation order under the LHWCA. 73
F.3d at 527-28. The court observed that the OWCP did not inform the employer of any claim and
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did not otherwise take any action in response to the letters, because the letters were so sparse that
they “failed to indicate any actual intention on the part of the claimant to seek compensation for a
particular loss, a factor that is critical in assessing their sufficiency.” Id. at 527. Thus, Pettus is
easily distinguished on its facts from the instant case, where Cooper filed a formal claim,6 the
OWCP processed it as such, and Pool responded with a Notice of Controversion.7 While the
Pettus court did remark that the claimant’s additional period of disability followed the first claim
letter, and that “[s]uch anticipatory filings cannot be thought of as initiating review,” id., we do
not read that observation as forming a cornerstone of the court’s analysis. To the extent that
Pettus does stand for the proposition that a claim may only seek compensation for an antecedent
period of disability, it is in direct conflict with the Supreme Court’s holding in Metropolitan
Stevedore, and we must disregard it.
Finally, the petitioners’ argument that they had paid Cooper all the benefits to which he
was entitled is not germane to the issue of whether his claim satisfied the statute of limitations
established by § 13(a). As the Director notes, such an argument goes to the merits of Cooper’s
claim, not to its timeliness. If, in fact, the petitioners owed Cooper no further disability benefits
6
We note in passing that even an informal claim suffices to toll the statute of limitations
so long as it “discloses an intention to assert a right to compensation.” Fireman’s Fund Ins. Co. v.
Bergeron, 493 F.2d 545, 547 (5th Cir. 1974) (quoting Atlantic & Gulf Stevedores v. Donovan,
279 F.2d 76, 78 (5th Cir. 1960).
7
Pool and Signal distort the meaning and significance of the letter of March 28, 1995,
that the OWCP sent to Cooper after he filed his LS-203. Contrary to the petitioners’ assertions,
this letter did not state that the LS-203 “did not seek any relief for additional workers’
compensation benefits,” see Petitioners’ Brief, at 9, or that “the OWCP was not able to discern
the nature of his claim(s) at that time.” Id. at 14. As the Director points out, and as the plain text
of the letter makes clear, it merely informed Cooper that Pool disputed his claim for benefits and
that he needed to supply additional information to substantiate his claim. See J. Ex. 10.
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because he had no compensable disability for the relevant period and could not demonstrate a
significant potential of future compensable disability under Metropolitan Stevedore, then the
proper action for the ALJ would be to deny compensation on the merits, not dismiss for failure to
satisfy the statute of limitations. Although Cooper’s claim is perhaps unusual in that it did not
move forward for resolution for several years, we are aware of no authority that suggests it
should be disqualified from consideration on that basis alone. Cf. Intercounty Constr. Corp. v.
Walter, 422 U.S. 1, 3-12 (1975) (holding that a timely filed claim for permanent disability benefits
that remained dormant for ten years, during part of which time the employer had paid temporary
disability benefits, was not time-barred despite one year statute of limitation in § 22 of LHWCA
for amendment of compensation orders).
Accordingly, we hold that Cooper’s claim for disability benefits was not time-barred under
§ 13(a) of the LHWCA.
C. The ALJ Must Take Notice of Cooper’s Attempt to Withdraw a Portion of His
Claim, and Allow the Petitioners to Comment Thereon
The petitioners assert that even if Cooper’s claim is not time-barred, the ALJ erred by
awarding temporary total disability benefits for the period March 3, 1994 through September 2,
1994. They argue that Cooper withdrew his claim to such benefits during the formal hearing
before the ALJ. At that hearing, Cooper's counsel became aware for the first time of a letter sent
by Thomas Brooks, a representative of Pool’s previous insurance carrier, to Cooper's previous
counsel, Karl Wiedemann. The letter, dated March 10, 1994, purported to memorialize a
telephone conversation between Mr. Brooks and Mr. Wiedemann on March 3, 1994, in which
they agreed that Cooper had attained maximum medical improvement (albeit with a fifteen
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percent permanent partial disability) and that Cooper was employable at other jobs and did not
require the assistance of an employment rehabilitation counselor. Upon learning of this letter,
Cooper's current counsel stated on the record that Cooper would withdraw his claim for
temporary total disability benefits from February 28, 1994, to March 3, 1994. Contrary to the
record evidence, the petitioners characterize this withdrawal as covering March 3, 1994 to
September 2, 1994. See Petitioners’ Brief, at 17; Petitioners’ Reply Brief, at 7-8.
Cooper urges us to affirm the decision of the BRB, which held that the concession of
Cooper's counsel at the formal hearing was without effect because he did not follow the
procedure for withdrawing a claim for benefits set forth in 20 C.F.R. § 702.225(a) (1999). That
provision permits an employee to withdraw his claim without prejudice provided that he files a
written request to do so with the district director, and the director determines that withdrawal is
for a proper purpose and is in the claimant's best interest. See 20 C.F.R. § 702.225(a).
The Director questions whether the petitioners accurately describe the dates for which
Cooper waived a part of his claim. Assuming that they are correct, the Director then argues that
the BRB erred, as such a concession would not constitute withdrawal of Cooper’s claim, but only
an amendment of a part of it, and thus not implicate the formal requirements of 20 C.F.R. §
702.225(a). The Director also argues that the ALJ was empowered to disregard Cooper's
amendment of his claim, and award benefits for the period in question, but not without giving
Pool and Signal notice and allowing them to comment on the issue. Accordingly, the Director
urges that we remand so that the ALJ may reconsider the concession of Cooper's counsel and
allow Pool and Signal the opportunity to comment thereon.
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Before we reach the issue of the dates for which Cooper allegedly withdrew a part of his
demand for benefits, we must first consider whether he could even make such a concession at the
hearing before the ALJ, rather than by following the formal requirements of 20 C.F.R. §
702.225(a). In our resolution of this issue, which we believe to be a matter of first impression for
any court, we find the Director's argument well considered and persuasively reasoned, and thus
choose to defer to it. We begin by noting that neither the LHWCA nor the agency regulations
define what constitutes a “claim” under the LHWCA. See 33 U.S.C. §902; 20 C.F.R. § 701.301
(2001). A contextual reading of the LHWCA and the relevant regulations, however, strongly
suggests that the term “claim” refers to the whole of the employee’s demand for compensation,
rather than to specific categories of benefits allowed under the LHWCA. By implication, only if
an employee seeks to retract his claim in its entirety is he obliged to follow the requirements of 20
C.F.R. § 702.225(a); any lesser modification may be made less formally.
Section 13(a) of the LHWCA provides that “the right to compensation for disability or
death under this Act shall be barred unless a claim therefore [sic] is filed.” 33 U.S.C. § 913(a).
Thus, a claim is an assertion of a “right to compensation for disability or death under this Act.”
The agency regulations similarly provide that “[c]laims for compensation for disability or death
shall be in writing and filed with the district director.” 20 C.F.R. § 702.221(a). A disabled
employee may initiate a claim by filing an LS-203 with the district director. Nowhere on this form
is the employee required to enumerate the specific category of disability (e.g., temporary total,
permanent partial, etc.) or list the applicable dates for each disability. Nor is he required to file a
separate LS-203 for each category or term of disability. Instead, the claim form merely requires
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the employee to describe the injury and incident, suggesting that they, rather than the category of
disability under the LHWCA, are the determinants of a claim.
Furthermore, the fluid nature of the categorization of disabilities militates against their
treatment as discrete claims. A single injury can and usually does give rise to several different
disabilities, since the LHWCA conceives of disabilities not merely in a medical sense, but an
economic one as well. See 33 U.S.C. § 902(10) (defining “disability” as “incapacity because of
injury to earn the wages which the employee was receiving at the time of injury in the same or any
other employment”). A claimant’s disability may shift from one category to another upon a
change in the condition of either his health or the relevant labor market. It is entirely conceivable
that in the course of a hearing before an ALJ, a claimant may discover that at the time he filed his
claim he did not correctly ascertain the timing of such shifts to the precise day. A static definition
of “claim,” as pertaining only to a precise category of disability for a fixed period of time, would
deny the claimant the ability to modify his claim informally in response to such a situation. At
least for the purposes of 20 C.F.R. § 702.225, we reject this definition of “claim” in favor of a
more holistic concept, whereby employees remain free to modify the dates or categories of
disability encompassed in their claim when they seek compensation for a single injury, arising out
of a single incident, without being forced to jump over additional bureaucratic hurdles.
We are aware that in some cases, including this one, our interpretation of “claim” may run
counter to public policy insofar as it makes it easier for an injured employee to waive his rights to
disability benefits to which he might otherwise be entitled. However, we think that on balance a
more flexible approach will redound to the benefit of claimants and better fulfill the statutory
purpose of the LHWCA, either because they seek to modify their claims so as to recover greater
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benefits, or simply because a speedier resolution of their claims will result in quicker payment of
benefits. All parties, including claimants, have an interest in the expeditious resolution of claims
for disability benefits.
In the instant case, Cooper’s counsel apparently concluded that Cooper was not entitled to
total temporary disability benefits for a brief period of less than five days, a small fraction of his
total alleged period of disability. It defies common sense to suggest that the proper course at that
point would be for the ALJ to suspend proceedings, for Cooper to draft a formal letter to the
district director stating his intention to withdraw a claim to a fraction of the benefits that he
sought, and for all parties to await the ruling of the district director. Besides wasting judicial
resources, such a policy would delay the claimant’s eventual recovery of compensation, and
subvert the flexibility, informality, and efficiency that are the hallmark of the workers’
compensation statutes. See U.S. Indus./Fed. Sheet Metal, Inc. v. Director, OWCP, 455 U.S. 608,
613 n.7 (1982) (observing that procedure in workmen’s compensation law “is generally summary
and informal” and that “[t]he whole idea is to get away from the cumbersome procedures and
technicalities of pleading, and to reach a right decision by the shortest and quickest possible
route”) (quoting 3 A. Larson, The Law of Workmen’s Compensation § 78.10, p. 15-2 (1976));
see also 33 U.S.C. § 923 (“In . . . conducting a hearing the deputy commission or [BRB] shall not
be bound by . . . technical or formal rules of procedure, except as provided by this chapter; but
may . . . conduct such hearing in such manner as to best ascertain the rights of the parties.”).8
8
In dicta, the Supreme Court has observed that in proceedings under the LHWCA
“‘considerable liberality is usually shown in allowing amendment of pleadings to correct . . .
defects,’ unless the ‘effect is one of undue surprise or prejudice to the opposing party.’” U.S.
Indus./Fed. Sheet Metal, 455 U.S. at 613 n.7 (1982) (quoting 3 Larson, Law of Workmen’s
Compensation § 78.10, p. 15-11). Particularly in cases such as in this one, where the effect of the
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Indeed, the very formality of the process prescribed in 20 C.F.R. § 702.225 strongly suggests that
such procedures are limited to the withdrawal of an entire claim. For these reasons, we find that
20 C.F.R. § 702.225(a) applies only when an employee seeks to withdraw the entirety of his claim
for benefits, rather than to modify it with respect to dates or categories of disability.9
Having concluded that the withdrawal provision of 20 C.F.R. § 702.225(a) did not
prevent Cooper from amending his claim at the hearing, we must next consider whether and for
what time period he did so. As noted, there is a discrepancy in the version of the dates for which
Cooper allegedly withdrew his claim. The transcript of the formal hearing before the ALJ is
unambiguous:
[COOPER’S COUNSEL]: Since I did not have that letter [from Mr.
Brooks to Mr. Wiedemann], I will withdraw any claim for TTD benefits during
that period, up and to his conversation with Mr. Wiedemann.
[ALJ]: Well, what period would that be now?
[COOPER’S COUNSEL]: There would be just an additional five days,
from February 28, not even to March 3, ‘94.
[ALJ]: Oh, okay.
Transcript of ALJ Hearing (Dec. 5, 1997), at 56. At no stage of the proceedings, including in
their brief to the BRB,10 have the petitioners identified any basis beyond this exchange for their
asseveration that Cooper withdrew his claim to benefits for the period from March 3, 1994 to
September 2, 1994. Yet in their reply brief, the petitioners persist in characterizing their position
amendment is to reduce the liability of the employer and carrier, there is no danger of prejudice.
9
The petitioners also argue in passing that Cooper never claimed benefits for any period
prior to the filing of the LS-203, until the morning of the ALJ hearing. However, they offer no
evidence to support their claim of ambush, aside from the comments of their own counsel at the
hearing.
10
The BRB did not address the discrepancy in dates in the brief portion of its opinion
dedicated to this issue.
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on this point as “uncontested.” See Petitioners’ Reply Brief, at 7. In fact, the Director expressly
challenged their version of the dates in his brief, and thus their claim is in no way “uncontested.”11
See Director’s Brief, at 25 n.9. Oddly, however, Cooper conceded the accuracy of the
petitioners’ version of the dates in his brief to the Court. See Cooper’s Brief, at 15-16. We are
entitled, but not required, to treat this concession as a binding judicial admission of fact. City
Nat’l Bank v. United States, 907 F.2d 536, 544 (5th Cir. 1990). While we are loath to condone
careless advocacy, we are even less willing to reward the petitioners for making claims directly
contradicted by the record evidence. Nor is Cooper’s admission, made in passing in the one short
paragraph he devotes to this issue, on par with the “overwhelming, consistent totality of the[ ]
circumstances” in which we previously held a judicial admission binding. See Stallard v. United
States, 12 F.3d 489, 496 (5th Cir. 1994).
While the ALJ was likewise free not to treat Cooper’s concession as a binding judicial
admission, we agree with the Director that considerations of equity require that he should have so
stated and given the petitioners notice and opportunity to be heard. We therefore remand so that
the ALJ may resolve whether Cooper effectively withdraw his claim to compensation for the
period of February 28, 1994 to March 3, 1994.
D. The BRB Erred By Reversing the ALJ’s Award of Attorney’s Fees Under Section
28(a) of the LHWCA and Awarding Them Instead Under Section 28(b)
The LHWCA provides two avenues by which a successful claimant’s attorney may
recover attorney’s fees from the employer or carrier. Under § 28(a), the ALJ shall award
11
This is not the only instance in this case where the petitioners’ counsel have misstated
the facts or the law. While the Court hesitates to impute any willfulness to such actions, excessive
misrepresentations test the bounds of tolerable human error and call into question counsel’s
adherence to even a minimal practice standard.
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attorney’s fees “[i]f the employer or carrier declines to pay any compensation on or before the
thirtieth day after receiving written notice of a claim for compensation having been filed from the
deputy commissioner, on the ground that there is no liability for compensation . . . ,” and the
claimant prevails and is represented by legal counsel. 33 U.S.C. § 928(a). Alternatively, § 28(b)
provides that the ALJ shall award attorney’s fees under the following circumstances:
If the employer or carrier pays or tenders payment of compensation without an
award . . . , and thereafter a controversy develops over the amount of additional
compensation, if any, to which the employee may be entitled, the deputy
commissioner or [BRB] shall set the matter for an informal conference and
following such conference . . . shall recommend in writing a disposition of the
controversy. If the employer or carrier refuse to accept such written
recommendation . . . they shall pay or tender to the employee in writing the
additional compensation, if any, to which they believe the employee is entitled. If
the employee refuses to accept such payment or tender of compensation, and
thereafter utilizes the services of an attorney at law, and if the compensation
thereafter awarded is greater than the amount paid or tendered by the employer or
carrier, a reasonable attorney’s fee based solely on the difference between the
amount awarded and the amount tendered or paid shall be awarded . . . .
33 U.S.C. § 928(b). In the instant case, the ALJ awarded attorney’s fees under § 28(a). The
BRB affirmed the award of attorney’s fees on other grounds, finding that Pool’s voluntary
payment of disability benefits from November 24, 1992 through February 28, 1994 precluded
liability under § 28(a), and instead holding Pool liable for such fees under § 28(b). Before this
Court, the petitioners disclaim liability for attorney’s fees under either subsection. Cooper
conversely claims that Pool is liable under both sections. The Director argues that we need not
decide whether an award of attorney’s fees is proper under § 28(b), as the ALJ correctly awarded
them under § 28(a).
It is clear that the BRB erred in awarding attorney’s fees under § 28(b). Pool did pay
compensation without an award; a controversy about the amount of additional compensation did
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subsequently arise; and Cooper subsequently did obtain a compensation award in excess of what
Pool was willing to pay. However, as the parties concur, no informal conference with the
Department of Labor ever took place. Under the law of our Circuit, that fact poses an absolute
bar to an award of attorney’s fees under § 28(b). See FMC Corp. v. Perez, 128 F.3d 908, 910
(5th Cir. 1997); accord Staftex Staffing v. Director, OWCP, 237 F.3d 404, 409 (5th Cir. 2000),
modified on rehearing, 237 F.3d 409 (5th Cir. 2000); James J. Flanagan Stevedores v. Director,
OWCP, 219 F.3d 426, 434-35 (5th Cir. 2000). Cooper variously argues that Perez misconstrued
the Ninth Circuit precedent on which it was based, that Staftex Staffing applied an unduly strict
construction to § 928(b), that Flanagan Stevedores is factually distinct, and that, in any event, an
informal conference would have served no purpose as Pool would not have complied with the
recommendation. We see no need to entertain these arguments, not only because of our
obligation to follow the established law of our Circuit, see Barber v. Johnson, 145 F.3d 234, 237
(5th Cir. 1998), but because we find that an award of attorney’s fees is proper under § 28(a).
Although initially Pool voluntarily paid disability benefits to Cooper, it ceased making all
such payments on April 25, 1994. Cooper filed his claim for additional benefits on February 25,
1995, and Pool received written notice thereof on March 15, 1995. Pool disclaimed further
liability and declined to pay any further benefits within thirty days after receiving written notice of
Cooper’s claim, and is thus liable for attorney’s fees under the plain language of the statute. See
33 U.S.C. § 928(a) (awarding attorney’s fees where “the employer or carrier declines to pay any
compensation on or before the thirtieth day after receiving written notice of a claim for
compensation having been filed from the deputy commissioner, on the ground that there is no
liability for compensation”). We find no basis in any statute, regulation, or case law for the
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BRB’s holding that Pool’s prior voluntary payment of benefits precluded liability under § 28(a).
Such payments preceded their receipt of written notice of Cooper’s claim, and are thus irrelevant
to the question of an award under § 28(a). We likewise attach no credence to Pool’s argument
that an award of fees under § 28(a) is improper because Cooper’s claim was protective. As
discussed supra, that assertion is incorrect as a matter of fact and of law.
Accordingly, we affirm the award of attorney’s fees, but on different grounds than those
cited by the BRB.
III. CONCLUSION
We affirm the decision of the BRB that Cooper’s claim was not time-barred; affirm the
award of attorney’s fees on grounds other than those cited by the BRB; and reverse the decision
of the BRB affirming the ALJ’s award of temporary total disability benefits for the period from
February 28, 1994 through March 3, 1994. We remand to the ALJ with instructions to resolve,
after giving petitioners notice and opportunity to be heard, whether Cooper withdrew his claim
for benefits for that same period.
AFFIRMED IN PART; REVERSED IN PART; and REMANDED.
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