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Content Last Revised: 1/19/01
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CFR  

Code of Federal Regulations Pertaining to U.S. Department of Labor

Title 20  

Employees' Benefits

 

Chapter VI  

Employment Standards Administration, Department of Labor

 

 

Part 725  

Claims for Benefits Under Part C of Title IV of the Federal Mine Safety and Health Act, As Amended

 

 

 

Subpart G  

Responsible Coal Mine Operators


20 CFR 725.497 - Procedures in special claims transferred to the fund.

  • Section Number: 725.497
  • Section Name: Procedures in special claims transferred to the fund.

    (a) General. It is the purpose of this section to define procedures 
to expedite the handling and disposition of claims affected by the 
benefit liability transfer provisions of Section 205 of the Black Lung 
Benefits Amendments of 1981.
    (b) Action by the Department. The OWCP shall, in accordance with 
the criteria contained in Sec. 725.496, review each claim which is or 
may be affected by the provisions of Section 205 of the Black Lung 
Benefits Amendments of 1981. Any party to a claim, adjudication 
officer, or adjudicative body may request that such a review be 
conducted and that the record be supplemented with any additional 
documentation necessary for an informed consideration of the 
transferability of the claim. Where the issue of the transferability of 
the claim can not be resolved by agreement of the parties and the 
evidence of record is not sufficient for a resolution of the issue, the 
hearing record may be reopened or the case remanded for the development 
of the additional evidence concerning the procedural history of the 
claim necessary to such resolution. Such determinations shall be made 
on an expedited basis.
    (c) Dismissal of operators. If it is determined that a coal mine 
operator or insurance carrier which previously participated in the 
consideration or adjudication of any claim, may no longer be found 
liable for the payment of benefits to the claimant by reason of section 
205 of the Black Lung Benefits Amendments of 1981, such operator or 
carrier shall be promptly dismissed as a party to the claim. The 
dismissal of an operator or carrier shall be concluded at the earliest 
possible time and in no event shall an operator or carrier participate 
as a necessary party in any claim for which only the fund may be 
liable.
    (d) Procedure following dismissal of an operator. After it has been 
determined that an operator or carrier must be dismissed as a party in 
any claim in accordance with this section, the Director shall take such 
action as is authorized by the Act to bring about the proper and 
expeditious resolution of the claim in light of all relevant medical 
and other evidence. Action to be taken in this regard by the Director 
may include, but is not limited to, the assignment of the claim to the 
Black Lung Disability Trust Fund for the payment of benefits, the 
reimbursement of benefits previously paid by an operator or carrier if 
appropriate, the defense of the claim on behalf of the fund, or 
proceedings authorized by Sec. 725.310.
    (e) Any claimant whose claim has been subsequently denied in a 
modification proceeding will be entitled to expedited review of the 
modification decision. Where a formal hearing was previously held, the 
claimant may waive his right to a further hearing and ask that a 
decision be made on the record of the prior hearing, as supplemented by 
any additional documentary evidence which the parties wish to introduce 
and briefs of the parties, if desired. In any case in which the 
claimant waives his right to a second hearing, a decision and order 
must be issued within 30 days of the date upon which the parties agree 
the record has been completed.
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