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Solis v. Home Ins. Co.

United States District Court, D. New Hampshire.
Jan 27, 2012
848 F. Supp. 2d 91 (D.N.H. 2012)

Opinion

Case No. 10–cv–572–SM.

2012-01-27

Hilda SOLIS, Secretary, United States Department of Labor, Plaintiff v. The HOME INSURANCE COMPANY and Roger A. Sevigny, New Hampshire Insurance Commissioner, as Liquidator of the Home Insurance Company, Defendants.

Kyle Forsyth, U.S. Dept. of Justice—Com'l Litigation, Washington, DC, for Plaintiff. Eric A. Smith, J. David Leslie, Rackemann Sawyer & Brewster, Boston, MA, J. Christopher Marshall, NH Attorney General'sOffice, Department of Justice, Concord, NH, for Defendants.



Kyle Forsyth, U.S. Dept. of Justice—Com'l Litigation, Washington, DC, for Plaintiff. Eric A. Smith, J. David Leslie, Rackemann Sawyer & Brewster, Boston, MA, J. Christopher Marshall, NH Attorney General'sOffice, Department of Justice, Concord, NH, for Defendants.

ORDER


STEVEN J. McAULIFFE, District Judge.

The Home Insurance Company (“Home”) was declared insolvent in 2003 by the New Hampshire Superior court, which ordered its liquidation and appointed the New Hampshire Commissioner of Insurance as liquidator. During the subsequent insolvency proceeding, the United States Department of Labor (“DOL”) filed a proof of claim seeking over $2.6 million in assessments allegedly owed by Home to a “Special Fund” administered by DOL pursuant to the Longshore and Harbor Workers' Compensation Act, 33 U.S.C. §§ 901–50 (the “Longshore Act”). Applying state law—which establishes the priority in which payments from the assets of liquidated insurers are to be made—the Liquidator assigned DOL's claim to priority Class III. Home's assets are generally thought to be insufficient to cover Class III claims, so it is unlikely that DOL will recover anything substantial. The Department of Labor brought this suit against Home and Roger A. Sevigny, New Hampshire's Insurance Commissioner and Liquidator of Home, seeking a declaration that the Longshore Act preempts the state's priority-setting statute. Before the court is DOL's motion for summary judgment (document no. 29).

Standard of Review

When ruling on a motion for summary judgment, the court must “view the entire record in the light most hospitable to the party opposing summary judgment, indulging all reasonable inferences in that party's favor.” Griggs–Ryan v. Smith, 904 F.2d 112, 115 (1st Cir.1990). Summary judgment is appropriate when the record reveals “no genuine dispute as to any material fact and ... the movant is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(a). “[A] federal preemption ruling” involves “a pure question of law.” United States v. Rhode Island Insurers' Insolvency Fund, 80 F.3d 616, 619 (1st Cir.1996) (hereinafter “RIIIF ”).

Background

The material facts are not in dispute.

I. Procedural History

The New Hampshire Superior Court (Merrimack County) declared Home insolvent and ordered its liquidation on June 13, 2003. The Liquidator (Sevigny) is “vested ... with the title to all of the property, contracts and rights of action and all of the books and records of [Home].” N.H.Rev.Stat. Ann. (“RSA”) § 402–C:21. The Liquidator must review each claim filed in Home's liquidation, and determine whether the claim should be allowed, in what amount, and at what priority class level. After doing so, the Liquidator presents his findings to the superior court in the form of recommended action for the court's approval. RSA 402–C:45.

The DOL filed a proof of claim and an amended proof of claim in 2003 and 2005, respectively, for assessments totaling $2,672,527 that Home allegedly owes to DOL under the Longshore Act for the period between 2000–2004 (collectively the “claim”). In October 2010, the Liquidator issued a notice of redetermination, which allowed DOL's claim in full. Pursuant to New Hampshire's priority statute (RSA 402–C:44), however, the Liquidator assigned DOL's claim a Class III priority. He also rejected DOL's argument that state priority law does not apply because it is preempted by the Longshore Act.

Unhappy with the Liquidator's decision, DOL filed this federal declaratory judgmentaction to press the preemption issue. It also asserted, on alternative state law grounds, that its claim against Home's assets is entitled to either a Class I or Class II priority. The superior court stayed the liquidation proceedings with respect to the DOL's claim pending the outcome of this case. This court denied the defendants' motion to dismiss DOL's federal preemption cause of action, but granted, under Wilton v. Seven Falls Co., 515 U.S. 277, 115 S.Ct. 2137, 132 L.Ed.2d 214 (1995), their motion to dismiss the state law claims. See Document No. 40. In addition, the Guaranty Funds were allowed to intervene to protect their rights as Class II claimants.

Id.

The intervenor “Guaranty Funds” are insurance guaranty funds and associations from fifteen states. They are statutory entities created, and governed by the laws of their respective jurisdictions, to provide protection to policyholders from hardships occasioned by property and casualty insurer insolvencies. They have claims against the assets of Home by virtue of assessments against Home as a “member insurer” of the funds.

II. The State Liquidation Statute and Priority Provision

The New Hampshire Insurer Liquidation Act, RSA 402–C (“Liquidation Act”), provides a comprehensive statutory framework governing the rehabilitation or liquidation of troubled insurance companies. Under the Act, the assets of an insolvent insurer are distributed to claimants, as allowed by the liquidator “[u]nder the direction of the [state] court,” and in accordance with statutory priorities. RSA 402–C:46, I. Those priorities are set out in RSA 402–C:44 (the “state priority law”), which establishes ten priority classes. The first three classes are relevant to DOL's claim in this case. Id. Class I includes the “costs and expenses of administration” of the insolvent insurer's estate. Id. Class II claims are “Policy Related Claims,” including “claims of the New Hampshire Insurance Guaranty Association, the New Hampshire Life and Health Insurance Guaranty Association and any similar organization in another state.” Id. Class III claims are “Claims of the Federal Government.” Id. Every claim in a given priority class must be paid in full (or adequate funds retained for payment in full) before any payment is made on claims of the next lower class. Id.

III. The Federal Longshore Act

A. Generally

DOL's claim against the assets of Home arises from assessments DOL levied against Home pursuant to the Longshore Act. The Longshore Act creates “an extensive workers' compensation program that protects longshore and other specific classes of workers whose injuries occur upon navigable waters of the United States or adjoining facilities like piers and dry docks.” Reich v. Bath Iron Works Corp., 42 F.3d 74, 75 (1st Cir.1994) (citing 33 U.S.C. § 903(a)). The Longshore Act is similar to workers' compensation programs “provided by many states for non-maritime workers.” B.S. Costello, Inc. v. Meagher, 867 F.2d 722, 723 (1st Cir.1989). It “establishes benefits to workers without regard to the employer's fault, but, at the same time, it eliminates common law tort liability and limits the employer's liability to predictable amounts.” Id. The purpose of the Longshore Act, therefore, is “to afford expeditious relief to injured workers while distributing their economic losses on to industry and the consuming public.” Id.

The Longshore Act sets the amount and duration of compensation payments it requires employers to make to their injured employees. Employers must “secure the payment of compensation” either (1) through a contract with an insurance carrier or (2) by qualifying as a self-insurer with the DOL. 33 U.S.C. § 932(a). Insurance carriers must receive authorization from the Secretary before they can insure the “payment of ... compensation,” id., and must disclose to the Secretary a “full and complete statement of [their] financial condition.” 20 C.F.R. § 703.102. In deciding whether to authorize an insurance carrier to provide insurance under the Longshore Act, the Secretary may consider the recommendation of “any State authority having supervision over carriers or over workmen's compensation.” 33 U.S.C. § 932(b). The Secretary may suspend or revoke its authorization for good cause shown. Id.

Because “employees' claims will ... commonly be handled by an insurance carrier, the [Longshore Act] facilitates claim administration by allowing the Secretary of Labor to substitute the carrier for the employer for purposes of administrative proceedings and orders.” B.S. Costello, 867 F.2d at 724. Nevertheless, and “notwithstanding the important role carved out for insurance carriers,” employers remain liable for compensation despite any insurance. Id.

B. The Special Fund: § 944

Section 944 of the Longshore Act creates a “Special Fund” of money held in trust and administered by DOL. 33 U.S.C. § 944(a). The Special Fund operates primarily (1) to provide to “second injury” workers compensation beyond that which employers are required to provide (33 U.S.C. § 908), and (2) to provide compensation to workers in the event of employer insolvency (33 U.S.C. § 918). See33 U.S.C. § 944(I). Section 944 authorizes the Secretary to fund the Special Fund through annual assessments on self-insured employers and insurance carriers. See 33 U.S.C. § 944(c)(2).

.Section 944 of the Longshore Act provides in pertinent part: § 944. Special fund


(a) Establishment; administration; custody, trust

There is established in the Treasury of the United States a special fund. Such fund shall be administered by the Secretary. The Treasurer of the United States shall be the custodian of such fund, and all moneys and securities in such fund shall be held in trust by such Treasurer and shall not be money or property of the United States.

* * *

(c) Payments into fund

Payments into such fund shall be made as follows:

* * *

(2) At the beginning of each calendar year the Secretary shall estimate the probable expenses of the fund during that calendar year and the amount of payments required (and the schedule therefor) to maintain adequate reserves in the fund. Each carrier and self-insurer shall make payments into the fund on a prorated assessment by the Secretary [as] determined [below].

33 U.S.C. § 944.

(1) Second Injury Payments from the Special Fund

Employer liability for worker compensation under the Longshore Act is limited in cases of “second injury,” that is, where a partially disabled worker suffers a work-related injury that increases her disability. Under such circumstances, the employer is usually liable only for 104 weeks of compensation payments. 33 U.S.C. § 908(f)(1); 20 C.F.R. 702.145(b) (2010). After that period, liability for payments shifts to the Special Fund. 33 U.S.C. § 908(f); Reich, 42 F.3d at 77 (Section 944 “mak[es] the special fund, and not the employer, liable ... for so-called ‘second injury’ compensation payments”).

Shifting liability to the Special Fund is meant “to encourage employers to hire workers who have a previous partial permanent disability.” Reich, 42 F.3d at 77. “For various reasons, employers feared that such a worker who suffered a new disability might impose extra liability on the employer where the first injury contributed to the severity of the second; a good example is the loss of an eye by a worker already blind in one eye.” Id. (emphasis in original).

(2) Payments from the Special Fund in the Event of Employer Insolvency

The Secretary may also, in her discretion, disburse so-called “Section 918” payments from the Special Fund to workers whose employers have defaulted on paying compensation. See33 U.S.C. §§ 918(b), 944(I). That relief is available to workers who have secured federal court judgments against their employers, but the judgment cannot be satisfied because of employer “insolvency or other circumstances precluding payment.” 33 U.S.C. § 918(b).

In other words, Section 918 payments from the Special Fund act as a safety net with respect to the relationship between worker and employer.

In addition, and on a much smaller scale, Special Fund monies are used to provide workers with information and legal advice and to defray medical examination expenses. 33 U.S.C. § 944(i).

However, the Special Fund does not pay compensation to claimants where an insurer becomes insolvent. See 33 U.S.C. § 944. See also B.S. Costello, 867 F.2d at 724 (when insurer becomes insolvent, employer is liable for compensation).

Where an insurer is insolvent, DOL may seek compensation from the employer in lieu of payments from the insolvent insurer. If the employer, too, is insolvent, DOL may withdraw funds from security deposits previously posted by the insurer. See “Dep't of Labor, Notice re: Regulations Implementing the Longshore and Harbor Workers' Compensation Act and Related Statutes,” 70 Fed.Reg. 43224 (July 26, 2005).

(3) Special Fund Assessments

Special Fund monies come primarily from insurance carriers and self-insured employers. See33 U.S.C. § 944(c)(2). Section 944(c)(2) (the “Assessment Provision”) charges the Secretary with “maintain[ing] adequate reserves in the fund,” and grants her the authority to levy assessments necessary to accomplish that goal. Id. The Assessment Provision establishes a formula for calculating annual assessments, which applies specifically to “carrier[s] and self-insurer[s].” Id. The Secretary first “estimate[s] the fund's expected obligations for the forthcoming year.” Reich, 42 F.3d at 75 (citing 33 U.S.C. § 944(c)(2)). Nothing in § 944 appears to limit the Secretary from increasing her estimate of probable expenses to cover assessments unpaid by insolvent insurers. From her estimate of probable expenses, the Secretary then subtracts “other fund income ( e.g., fines).”

Id. The remaining balance represents the amount that must be funded through assessments. Id. In determining how much to assess against each self-insured employer or insurance carrier, the Secretary applies a calculation that takes into consideration each entity's compensation payments during the preceding calendar year and second injury payments made during the preceding calendar year that are “attributable to” each entity. Id. at 75–76 (citing 33 U.S.C. § 944(c)(2)). Unpaid assessments are collected “by civil suit brought by the Secretary.” 33 U.S.C. § 944(h). See also20 C.F.R. § 702.147(c).

The Special Fund is also funded in small part by amounts collected as fines and penalties and from employers when there is no person entitled to receive benefits upon the death of a covered employee. 33 U.S.C. § 944(c)(1),(3).

For fiscal years 2000–2004, assessments against insurance carriers comprised more than ninety-nine percent of the Special Funds' revenues. Payments made from the Fund during that same period consisted primarily of second injury payments, which accounted for over 90% of all Special Fund outlays. The next largest category of Special Fund payments for that period consisted of “Section 918” payments, which comprised less than 5% of payments from the Special Fund.

Discussion

The federal priority statute, 31 U.S.C. § 3713, provides that a “claim of the United States Government shall be paid first when ... a person indebted to the Government is insolvent and ... an act of bankruptcy is committed.” 31 U.S.C. §§ 3713(a)(1)(A)(iii). DOL's claim, then, is arguably entitled to first priority in the state insolvency proceedings, notwithstanding the contrary state priority law. However, the Supreme Court, in United States Dept. of Treasury v. Fabe, 508 U.S. 491, 113 S.Ct. 2202, 124 L.Ed.2d 449 (1993), held that, to the extent a state statute protects policyholders by requiring a different priority class for federal claims in insurance insolvency proceedings, it may supersede the federal priority statute under the McCarran–Ferguson Act, which seeks to preserve “the supremacy of the States in the realm of insurance regulation.” Id. at 500, 113 S.Ct. 2202.See also Ruthardt v. United States, 303 F.3d 375, 379–384 (1st Cir.2002) (applying Fabe and holding that federal claim priority statute was reverse-preempted by Massachusetts insurer insolvency priority law). Because Fabe precludes application of the federal priority statute to DOL's claim, DOL seeks to conjure up a similar “absolute priority” requirement (document no. 29–1, at 1) from the Assessment Provision of subsection 944(c)(2) of the Longshore Act—one DOL contends can survive reverse-preemption under McCarran–Ferguson.

In response, defendants and intervenors (collectively “defendants”) point out that the Assessment Provision of the Longshore Act contains no explicit priority requirement, and they further note that the provision does not impliedly create one. Absent such a priority requirement, defendants contend, there is no conflict between federal law and the state's priority law. So, no federal preemption issue arises. Defendants also argue, in the alternative, that, even if the court were to find that the Assessment Provision would normally preempt the state's priority law under conventional preemption principles, the McCarran–Ferguson Act protects the state law and renders the federal law reverse-preempted.

I. Conventional Preemption Analysis

A. Presumption Against Preemption

In determining whether the federal law at issue here preempts the state priority law, the court is guided by the “two cornerstones of ... preemption jurisprudence.” Wyeth v. Levine, 555 U.S. 555, 565, 129 S.Ct. 1187, 173 L.Ed.2d 51 (2009). First, “the purpose of Congress is the ultimate touchstone in every pre-emption case.” Id. (internal quotation marks omitted). Second, there is a “presumption against preemption,” especially where state law operates in a field “traditionally occupied” by the states. Massachusetts Med. Soc'y v. Dukakis, 815 F.2d 790, 792, 796 (1st Cir.1987). The Supreme Court in Wyeth recently “put renewed emphasis on the presumption against preemption,” Genesee Cnty. Employees' Ret. Sys. v. Thornburg Mortg. Sec. Trust, 825 F.Supp.2d 1082, 1145, No. Civ. 09–0300JB/KBM, 2011 WL 5840482, at *46 (D.N.M. Nov. 12, 2011), by clarifying that it applies in all preemption cases, including those in which conflict-preemption is claimed. See Wyeth, 555 U.S. at 624 n. 14, 129 S.Ct. 1187 (Alito, J. dissenting).

Here, the presumption that the federal statute does not preempt the state's priority law is “particularly strong,” Rhode Island Hospitality Ass'n v. City of Providence, 667 F.3d 17, 46 (1st Cir.2011) (Stahl, J., concurring), because the insurance field, and the sub-field of insurance insolvency, are areas traditionally occupied by the states. See In re Union Guarantee & Mortg. Co., 75 F.2d 984, 984–85 (2d Cir.1935) (“Congress meant to leave to local winding up statutes the liquidation of such companies; ... since the states commonly kept supervision over them during their lives, it was reasonable that they should take charge on their demise.”). B. Preemption Theories Generally

There are two general types of federal preemption—express and implied. Liberty Cablevision of Puerto Rico, Inc. v. Municipality of Caguas, 417 F.3d 216, 220 (1st Cir.2005). Express preemption occurs where Congress has used “explicit preemptive language.” Id. Where Congress has not employed such language, its preemptive intent may, nevertheless, be implied from the statute's “structure and purpose.” Jones v. Rath Packing Co., 430 U.S. 519, 525, 97 S.Ct. 1305, 51 L.Ed.2d 604 (1977); Geier v. Am. Honda Motor Co., 529 U.S. 861, 885, 120 S.Ct. 1913, 146 L.Ed.2d 914 (2000) (“[T]his Court traditionally distinguishes between ‘express' and ‘implied’ pre-emptive intent....”). There are three forms of implied preemption. “Field” preemption occurs where the “scheme of federal regulation [is] so pervasive as to make reasonable the inference that Congress left no room for the States to supplement it.” Rice v. Santa Fe Elevator Corp. 331 U.S. 218, 230, 67 S.Ct. 1146, 91 L.Ed. 1447 (1947). “Impossibility” preemption “arises where federal and state law ‘impose directly conflicting duties,’ e.g., ‘if the federal law said, “you must sell insurance,” while the state law said, “you may not.” ’ ” Bartlett v. Mut. Pharm. Co., 659 F.Supp.2d 279, 293 (D.N.H.2009) (LaPlante, J.) (quoting Barnett Bank of Marion Cnty., N.A. v. Nelson, 517 U.S. 25, 31, 116 S.Ct. 1103, 134 L.Ed.2d 237 (1996)). The third type of implied preemption is “obstacle” preemption, which occurs where state law “stands as an obstacle to the accomplishment and execution of the full purposes and objectives of Congress.” Hines v. Davidowitz, 312 U.S. 52, 67, 61 S.Ct. 399, 85 L.Ed. 581 (1941). Both impossibility and obstacle preemption are so-called “conflict pre-emption” theories, which require an “actual conflict” between the federal and state law. Freightliner Corp. v. Myrick, 514 U.S. 280, 287, 115 S.Ct. 1483, 131 L.Ed.2d 385 (1995).

In this case there is no express preemption because neither Section 944, nor the Assessment Provision of sub-section 944(c)(2), contains explicit preemptive language. DOL does not contend otherwise. DOL's position rests, instead, on the implied preemption theories of “impossibility” and “obstacle” preemption. Specifically, DOL says it is impossible for the defendants to comply with both their duty under § 944 to pay Home's assessment to the Special Fund and their duty under the state's priority law to pay Class I and Class II claims ahead of DOL's claim. In addition, DOL contends that, in the present case, the state law stands as an “obstacle” to the purposes and objectives of the federal law. C. Impossibility Preemption

DOL bears a “demanding” burden to present “clear evidence” that “ ‘compliance with both [the] federal and state [laws] is a physical impossibility.’ ” Wyeth, 555 U.S. at 571, 573, 589, 129 S.Ct. 1187 (2009) (quoting Florida Lime & Avocado Growers, Inc. v. Paul, 373 U.S. 132, 142–143, 83 S.Ct. 1210, 10 L.Ed.2d 248 (1963)).

DOL argues that defendants cannot comply with both state and federal law because federal law requires them to pay the federal assessment, but the state's priority law forbids payment because Home's assets are insufficient to pay DOL's Class III claim.

DOL says it is asserting an “as-applied” impossibility theory, i.e., that in this case, because there are not enough Home assets to pay Class III claims, compliance with both the federal statute and the state priority law is not possible. Defendant responds, in part, that there is no impossibility because in other cases insurer assets may be sufficient to pay Longshore Act assessments. The court addresses DOL's theory as presented.

The argument is difficult for several reasons. First, it incorrectly frames the conflict. See Bartlett, 659 F.Supp.2d at 293 (parties claiming impossibility preemption are required to “fit their claimed predicament” into the relevant “framework”). A conflict exists in this case if defendants' compliance with the state's priority law would “run[...] afoul” of the Assessment Provision. Id. at 290. Answering that question, i.e., whether application of the state's priority law to DOL's claim would result in violation of the Assessment Provision of Section 944(c)(2), requires resolution of a subsidiary issue: Does that section command something that state law forbids? See id. at 293 (“[D]efendants would need to show a federal law saying ‘You may not change your label’ to conflict with the state law underlying the Bartletts' failure-to-warn claims, i.e., ‘You must change your label.’ So the defendants' assertion that the FDCA does not say one way or the other whether they can change their label is insufficient.”) (emphasis in original). Given that the state's priority law rules out Class I priority for DOL's claim, DOL must show that the Assessment Provision requires it. In other words, it is not enough to show the obvious—that the federal Assessment Provision creates an assessment claim. Of course it does. DOL must also show that the Assessment Provision creates a right of absolute priority for such a claim in state insurance insolvency proceedings. No express language in either Section 944 or in the Assessment Provision of subsection 944(c)(2) provides that assessments are entitled to absolute priority (or any priority). Similarly, no other provision of the Longshore Act speaks to the issue of assessment claim priority. DOL's argument, therefore, rests entirely on the notion that a preferential priority is implied. That argument is unsupported.

It is commonly understood that a debt obligation (a “claim”) and the priority assigned to such an obligation in insolvency or bankruptcy proceedings are distinct. See generally Bankruptcy Code, 11 U.S.C. § 507(a) (“The following expenses and claims have priority in the following order ...”). Congress fully understands that difference, see id., and has long created priorities for federal claims directly and expressly. For example, since 1797 Congress has provided priority for federal claims in insolvency proceedings through express statutory command in the federal priority statute. See Act of Mar. 3, 1797, ch. 20, § 5, 1 Stat. 515 (1797), current version at31 U.S.C. § 3713. Congress has also expressly set forth a priority scheme for federal claims in bankruptcy proceedings. See11 U.S.C. § 507; see also United States v. Romani, 523 U.S. 517, 531, 118 S.Ct. 1478, 140 L.Ed.2d 710 (1998). Except for federal tax claims, claims of the United States have been treated as general creditor claims in bankruptcycases for over a hundred years. See id.

In the context of the Longshore Act, legislative history shows that when Congress meant to provide a specific priority it did so directly and expressly. Before 1978, § 917(a) of the Longshore Act expressly required that compensation claims be given a preferential priority in both employer and insurer insolvencies:

Any person entitled to compensation under provisions of this Act shall have a lien against the assets of the carrier or employer for such compensation without limit of amount, and shall, upon insolvency, bankruptcy, or reorganization in bankruptcy proceedings of the carrier or employer, or both, be entitled to preference and priority in the distribution of the assets of such carrier or employer, or both.
33 U.S.C. § 917(a), as amended by Pub.L. No. 92–576 (1972) (emphasis added). Congress repealed that subsection as part of the Bankruptcy Reform Act of 1978. Pub.L. No. 95–598, tit. III, § 324, 92 Stat. 2679. Congress sought to eliminate the “special priority and super-priority lien” created by § 917(a) in order to promote “equality of treatment of all creditors” in bankruptcy proceedings. S.Rep. No. 95–989, at 159 (1978), reprinted in 1978 U.S.C.C.A.N. 5787, 5950. Both the enactment and subsequent repeal of § 917(a) demonstrate that Congress did not overlook the matter of preferential priorities in the Longshore Act, and they provide strong evidence that Congress did not mean to create additional priorities. Cf. Wyeth, 555 U.S. at 567, 574–75, 129 S.Ct. 1187 (fact that Congress expressly dealt with issue in one part of federal statute but was silent as to same issue in another part of the same statute was “powerful evidence” of its intent). Had Congress wanted to create an absolute priority in Section 944, it could easily have done so. See e.g., Pacific Operators Offshore, LLP v. Valladolid, ––– U.S. ––––, 132 S.Ct. 680, 689, 181 L.Ed.2d 675 (2012) (“[I]t is unlikely that Congress intended to impose [the Longshore Act] situs-of-injury requirement” in a related federal statute because “creating an express situs-of-injury requirement in the text [of that related statute] ... would have been simple.”)

Moreover, Congress's repeal of § 917(a) of the Longshore Act in the Bankruptcy Reform Act of 1978 was part of a larger effort to eliminate piecemeal treatment of priorities. The Bankruptcy Reform Act repealed many priority provisions. See Bankruptcy Reform Act of 1978, tit. III. The House legislative report noted:

When an insolvent estate is liquidated and the proceeds distributed under the bankruptcy laws, myriad other laws that reorder the priorities fixed in the bankruptcy code create confusion and unfairness.... Thus, the bill, in the interest of a coherent bankruptcy policy, eliminates special priorities found in other laws and brings all priorities into the bankruptcy code itself.
H.R.Rep. No. 95–595, 95th Cong., 1st Sess. 252 (1977) reprinted in 1978 U.S.C.C.A.N. at 6242. The Bankruptcy Reform Act also made the federal priority statute inapplicable to bankruptcy proceedings. See31 U.S.C. § 3713(a)(2). Congress's intent to provide for a more unified and less piecemeal treatment of priorities, including priorities for the federal government's claims, is manifest in these legislative changes.

At bottom, there is nothing to suggest that Congress meant to attach “absolute priority” status to assessments made under Section 944. And such a requirement should not be inferred from Congress's silence in Section 944, particularly given that Congress normally addresses priority issues expressly, including within the Longshore Act itself. See generally Edmonds v. Compagnie Generale Transatlantique, 443 U.S. 256, 266–67, 99 S.Ct. 2753, 61 L.Ed.2d 521 (1979) (refusing to infer from amendment to the Longshore Act a Congressional intent to change pre-existing rights where the statutory language was silent and the legislative history did not support it).

Because neither Section 944 as a whole, nor its Assessment Provision in particular, assigns a preferential priority status to DOL's claim there is no “actual conflict,” Freightliner, 514 U.S. at 287, 115 S.Ct. 1483, with the state's priority law assigning DOL's claim Class III status. In short, it is not “impossible” for defendants to comply with both the state and federal laws because federal law does not command something that state law forbids. D. Obstacle Preemption

The Assessment Provision supports the Special Fund's objective of providing funds for injured workers. See discussion supra at Background Part 3.b. DOL's primary “obstacle preemption” argument is that the state's priority law is preempted because, under the circumstances of this case, that law impairs the Special Fund's ability to make compensation payments to injured workers. Defendants do not deny that compensation payments from the Special Fund promote the Fund's dual mission of encouraging employer hiring of second injury workers and helping injured workers whose employers have become insolvent. See Document No. 33, at 5, 13–14. They contend, however, that DOL's inability to collect Home's assessment does not, in fact, impair the Special Fund's ability to carry out those purposes. See id. at 17; Document No. 42, at 9.

As an initial matter, the court notes that “there is always a federal interest to collect moneys” which are owed the government. United States v. Yazell, 382 U.S. 341, 348, 86 S.Ct. 500, 15 L.Ed.2d 404 (1966). However, “generalities as to the paramountcy of th[at] federal interest do not lead inevitably to” a “total disregard of state laws.” Id. at 349, 86 S.Ct. 500 (holding, federal interest in collecting on Small Business Administration loan did not require extending a preferred right to proceed against wife's separate property to the government, in contravention of state law of coverture). DOL's general interest in having its assessments paid is, in similar way, not an interest sufficient to overcome the state priority law under a theory of obstacle preemption.

As for DOL's argument that application of the state priority law will obstruct the specific purposes of the Special Fund, the court finds the facts unsupportive. As defendants point out, the Secretary may offset Home's unpaid assessment by increasing next year's assessments against other carriers and self-insured employers. DOL does not suggest that the statute expressly or impliedly limits the Secretary's authority to redistribute the cost of Home's unpaid assessment. Indeed, DOL concedes that the Assessment Provision allows her to do so. See Document No. 46 at 6. The Secretary's statutory duty to “maintain adequate reserves in the fund,” 33 U.S.C. § 944(c)(2), suggests that she may well be obligated to exercise her authority as necessary to offset the Special Fund's losses.

DOL insists, nevertheless, that even if the Secretary's ability to recoup Home's unpaid assessments means that the state law does not impair the Special Fund's overall purposes, recoupment would impair a subsidiary purpose of the Assessment Provision. That subsidiary purpose—which defendants do not disclaim—is the spreading of Special Fund costs among industry participants. DOL essentially argues that Congress intended that cost-spreading among industry participants include even insurers in liquidation. Defendants say that expression of Congressional intent is incorrect, and that while the subsidiary purpose of the Assessment Provision is certainly to spread costs among insurance carriers and self-insured employers, Congress did not “say [...] anything about what should happen if an insurer is insolvent.” Document No. 51, at 2.

The court rejects as “untenable” DOL's articulation of Congress's cost-spreading purpose. Wyeth, 555 U.S. at 573, 129 S.Ct. 1187 (finding no obstacle preemption where petitioner's proffered articulation of congressional purpose “relie[d] on an untenable interpretation of congressional intent”). Nothing suggests Congressional intent to preclude redistribution of the cost of unpaid insurer assessments. Indeed, that the Assessment Provision authorizes the Secretary to effect such a re-distribution suggests otherwise.

Congress's silence in Section 944 does not suggest an intent to create a cost-spreading scheme so critical that it necessarily displaces state insurer insolvency priority laws. See Marsh v. Rosenbloom, 499 F.3d 165, 178–79 (2d Cir.2007) (state statute of limitations did not present an obstacle to accomplishment of federal environmental law's cost-sharing objective, even where its application would reduce funds otherwise available from responsible parties for environmental clean-up; federal statute's cost-sharing objective “while strong, [was] not absolute”).

In this as-applied challenge to the state priority law, the comparative size of the actual loss that DOL must recoup among the remaining industry participants is relevant. The evidence shows that Home's assessments are small in comparison to the total annual assessments to the Special Fund. For example, Home's 2004 assessment ($586,595), was less than one-half of one-percent of the Special Fund's total assessments ($135,813,028). Under these circumstances, spreading the loss among remaining industry participants would not seem to pose a risk of significant disruption with respect to any identified statutory purposes.

In sum, the state's priority law, as applied in this case, poses an obstacle neither to the primary purposes of the Special Fund nor to the Assessment Provision's subsidiary purpose of spreading Special Fund costs among industry participants. As to both its impossibility and obstacle preemption arguments, therefore, the court finds that DOL has failed to overcome the presumption that Congress did not intend, when it created an assessment mechanism to fund the Special Fund, to displace state priority laws operating in the field of insurer insolvency proceedings, a field traditionally occupied by the states.

II. Reverse Preemption Under the McCarran–Ferguson Act

Even assuming that Section 944, and the Assessment Provision of subsection 944(c)(2), preempt, under normal preemption principles, the state's priority law, the McCarran–Ferguson Act prohibits that result. The federal statutory provisions at issue here do not “specifically relate to the business of insurance,” 15 U.S.C. §§ 1011–1015, and, therefore, do not strip the state's priority law of McCarran–Ferguson's protection.

The McCarran–Ferguson Act, 15 U.S.C. § 1011 et seq., was enacted to protect “ ‘the continued regulation and taxation by the several States of the business of insurance.’ ” Fabe, 508 U.S. at 500, 113 S.Ct. 2202 (quoting 15 U.S.C. § 1011). Toward that end, the first section of the Act explicitly provides “that silence on the part of the Congress shall not be construed to impose any barrier to [such] ... regulation or taxation....” 15 U.S.C. § 1011. The Act, therefore, prohibits federal preemption of state laws that regulate insurance, “unless the federal statute expressly announce[s] Congress's specific intention to inject itself into the area of state insurance law.” RIIIF, 80 F.3d at 620 (requiring a “clear statement” of congressional intent to intrude upon state insurance regulation). “[I]nadvertent federal intrusion,” therefore, is not enough to strip a state law of the Act's protection. Id.

The McCarran–Ferguson Act provides in pertinent part:


(a) The business of insurance, and every person engaged therein, shall be subject to the laws of the several States which relate to the regulation or taxation of such business.

(b) [First Clause] No Act of Congress shall be construed to invalidate, impair, or supersede any law enacted by any State for the purpose of regulating the business of insurance, or which imposes a fee or tax upon such business, unless such Act specifically relates to the business of insurance:

[Second Clause] Provided, That ... [the Sherman, Clayton, and FTC antitrust acts] shall be applicable to the business of insurance to the extent that such business is not regulated by State law.

15 U.S.C. § 1012 (alterations added).

For McCarran–Ferguson to protect a state law from the application of “normal federal preemption principles,” “three conditions” must be met. Id. at 619. First, the federal statute “must not ‘specifically relat[e] to the business of insurance.’ ” Id. (quoting 15 U.S.C. § 1012). Second, the state law “must have been enacted ‘for the purpose of regulating the business of insurance.’ ” Id. Third, the federal statute must “ ‘invalidate, impair, or supersede’ ” the state law. Id. Here, the parties agree that the second condition is met in that New Hampshire's insurer insolvency priority law regulates the business of insurance. See generally Ruthardt, 303 F.3d at 379–84 (Massachusetts insurer insolvency priority law, in part, regulated the business of insurance). Moreover, for purposes of this analysis the court assumes that the third condition is also met, i.e., that the federal law supersedes the state priority law under normal preemption principles. What remains primarily in dispute is the first condition—whether the federal law is “specifically related to the business of insurance.”

Here, the relevant federal law is Section 944 of the Longshore Act, and, more specifically, the Assessment Provision of subsection 944(c)(2). Although DOL points to many provisions of the Longshore Act that might support its contention that the Act as a whole relates to the “business of insurance,” precedent employing the McCarran–Ferguson analysis suggests that the proper focus is on the allegedly preemptive provision, and not on the entire federal statute. See e.g., RIIIF, 80 F.3d at 621–22 (applying McCarran–Ferguson analysis to Medicare secondary payer provision, not entire Medicare program). See also Barnett Bank, 517 U.S. at 38, 116 S.Ct. 1103 (applying McCarran–Ferguson analysis to section 13 of the Bank Act); Blackfeet Nat'l Bank v. Nelson, 171 F.3d 1237, 1249 (11th Cir.1999) (holding that, unlike section 13 of the Bank Act, section 24 (Seventh) of the same Act does not specifically relate to the business of insurance). A. “Specific Relation”

The requirement under McCarran–Ferguson that the relevant federal statutory provision “specifically” relate to the business of insurance means that the provision must not simply “encompass” the business of insurance by implication through language of “general application.” RIIIF, 80 F.3d at 620. Rather, it must “explicity, particularly, [or] definitely” referto insurance. Barnett Bank, 517 U.S. at 38, 116 S.Ct. 1103 (1996) (quotation omitted). Defendants here concede that the Assessment Provision makes “specific,” i.e., explicit, reference to insurance, in that it authorizes the Secretary to fund the Special Fund through assessments against “carrier[s] and self-insurer[s].” B. “Business of Insurance”

A federal statutory provision is related to the “business of insurance” where it affects the “core relationship between a private insurer and its insured.” RIIIF, 80 F.3d at 621. Matters at the “core” of that relationship include:

‘the type of [insurance] policy that could be issued, its reliability, interpretation, and enforcement’ ... as well as the standards governing performance under insurance contracts.
Id. at 621–22 (quoting Fabe, 508 U.S. at 501, 508–10, 113 S.Ct. 2202) (citations omitted). As the Court in Fabe explained, “the focus ... is upon the relationship between the insurance company and its policyholders.” Fabe, 508 U.S. at 501, 113 S.Ct. 2202.

Applying these principles, the Court in Barnett Bank found that the federal statutory provision at issue there related to the “business of insurance” where it “explicitly grant[ed to] national banks permission to”: (1) “ ‘act as the agent for any fire, life, or other insurance company,’ ” (2) “to ‘solici[t] and sel[l] insurance,’ ” (3) to “ ‘collec[t] premiums,’ ” and (4) to “ ‘receive for services so rendered ... fees or commissions.’ ” Barnett Bank, 517 U.S. at 39, 116 S.Ct. 1103 (quoting 12 U.S.C. § 92). The Court found that “[t]he statute thereby not only focuse[d] directly upon industry-specific selling practices, but also affect[ed] the relation of insured to insurer and the spreading of risk—matters ... at the core of the McCarran–Ferguson Act's concern.” Id. at 39, 116 S.Ct. 1103.

Soon after Barnett Bank, the appellate court for this circuit considered whether a provision of the Medicare Secondary–Payer Act, 42 U.S.C. § 1395y(b), related to the “business of insurance.” RIIIF, 80 F.3d at 622. The federal provision “explicitly prohibit[ed] private insurers from negotiating or enforcing any insurance-contract term which purports to make Medicare the primary-insurance obligor in lieu of a private insurance carrier, even though authorized by state law.” Id. The court found that the federal provision related to the business of insurance because it “control[ed] the core contract relationship at both the negotiation and performance stages.” Id.

Noting that the McCarran–Ferguson Act “seeks to protect state [insurance] regulation primarily against inadvertent federal intrusion,” it found that the Act afforded the state law no protection because the federal provision at issue was a clear and “overt federal intervention.” Id. at 620, 622.

In focusing on the “core contract relationship at both the negotiation and performance stage,” the court in RIIIF rejected a strict application of the so-called Pireno factors. In Union Labor Life Ins. Co. v. Pireno, 458 U.S. 119, 102 S.Ct. 3002, 73 L.Ed.2d 647 (1982), the Supreme Court set forth three criteria for assessing whether a practice involves the “business of insurance” for purposes of the second clause of § 2(b) of the McCarran–Ferguson Act. The second clause addresses whether a given practice is exempt from federal antitrust laws. The three Pireno factors are: (1) “whether the practice has the effect of transferring or spreading a policyholder's risk,” (2) “whether the practice is an integral part of the policy relationship between the insurer and the insured,” and (3) “whether the practice is limited to entities within the insurance industry.” Id. at 129, 102 S.Ct. 3002. In RIIIF, the appellate court for this circuit rejected a strict application of the Pireno factors in cases arising under the first clause of the McCarran–Ferguson Act. See RIIIF, 80 F.3d at 622.

Here, Section 944 and its Assessment Provision are nothing like the federal provisions at issue in Barnett Bank and RIIIF.

As noted, Section 908 of the Longshore Act limits employer liability for second injury compensation. See33 U.S.C. § 908(f). Section 944 supports that goal by creating the Special Fund and making it liable for compensation for second injuries when employer liability ends. Reich, 42 F.3d at 77. With respect to its primary function as a reserve for second injury compensation, therefore, the Special Fund operates beyond employer liability and, thus, outside the insurer-insured contract relationship. Likewise, to the extent the Special Fund operates as a discretionary safety net in the event of employer insolvency, see33 U.S.C. § 918(b), it does not regulate the core relationship between insurer and insured. No limitation in either Section 918(b) or Section 944 requires that an insolvent employer, whose default may be covered by the Special Fund, be a self-insured employer. Moreover, there is no provision in Section 944 providing a safety net in the event of insurance carrier insolvency. Accordingly, because Section 944 creates a Special Fund that may, in the Secretary's discretion, apply broadly to all insolvent employers, but not at all to insolvent insurance carriers, it simply does not control the “core relationship between a private insurer and its insured.” RIIIF, 80 F.3d at 621. Neither Section 944, nor the Assessment Provision of subsection 944(c)(2), therefore, seek to dictate “the type of [insurance] policy that could be issued, its reliability, interpretation, and enforcement,” nor “the standards governing performance under insurance contracts.” RIIIF, 80 F.3d at 621–22 (quotations omitted).

The RIIIF court's citation to Texas Employers' Ins. Ass'n v. Jackson, 820 F.2d 1406, 1414–15 (5th Cir.1987) does not settle the issue of whether Section 944, and subsection 944(c)(2), relate to the business of insurance. In Texas Employers', the Fifth Circuit held that the Longshore Act specifically relates to the business of insurance. Id. The RIIIF court cited that holding when discussing the meaning of “specifically relates,” and for the subsidiary proposition that a federal program or agency need not “technically [be] considered part of the ‘business of insurance’ ” for the relevant federal provision to “specifically relate” to the business of insurance. See RIIIF, 80 F.3d at 621. The RIIIF court did not refer to Texas Employers' in its analysis of the “business of insurance” issue. Moreover, although the court in Texas Employers' ruled that the Longshore Act relates to the business of insurance, it did so in the context of deciding whether a claimant's state law bad faith “claim handling” claim against a Longshore Act insurer was precluded by the Act, but not in the context of Section 944. See Texas Employers', 820 F.2d at 1410.

In reaching this conclusion, the court is mindful of DOL's argument that, by supporting Section 908's narrowing of the scope of employer liability, Section 944 affects, at least indirectly, the scope of insurance coverage employers must secure. “This argument,” however, “goes too far.” Fabe, 508 U.S. at 508, 113 S.Ct. 2202. To be sure, courts should consider a statute's indirect effects when determining whether it relates to the “business of insurance.” See Ruthardt, 303 F.3d at 382.

Here, the asserted indirect effect that Section 944 (including the Assessment Provision of sub- section 944(c)(2)) may arguably have on the scope of insurance coverage obtained by employers is so remote from the statute's purpose, i.e., encouraging employersto hire and retain injured workers, that, even if real, that effect can only be described as an “inadvertent federal intrusion” on the state's regulation of insurance matters. Section 944 cannot plausibly be construed as specifically relating to the business of insurance, and does not displace the state's priority law. RIIIF, 80 F.3d at 620 (requiring a “clear statement” of congressional intent to intrude upon state insurance regulation). See also Pallozzi v. Allstate Life Ins. Co., 198 F.3d 28, 35 (2d Cir.1999) (even if federal statute is found to relate to the relationship of insured to insurer and the spreading of risk, court must also consider whether the federal intrusion on the state regulation appears deliberate or “inadvertent”).

The appellate court in Ruthardt found that a state law regulated the “business of insurance,” in part, because it “indirectly assure[d] that policyholders get what they were promised.” Ruthardt, 303 F.3d at 382.

Conclusion

DOL has not shown a clear and manifest Congressional intent to preempt the state priority law in Section 944, or in the Assessment Provision of sub-section 944(c)(2). That law, in any event, is protected from federal intrusion under the McCarran–Ferguson Act. For those reasons DOL's motion for summary judgment, document no. 29, is denied. As plaintiff is not entitled to the relief she seeks, as a matter of law, judgment shall be entered in favor of defendants, and the case closed.

SO ORDERED.


Summaries of

Solis v. Home Ins. Co.

United States District Court, D. New Hampshire.
Jan 27, 2012
848 F. Supp. 2d 91 (D.N.H. 2012)
Case details for

Solis v. Home Ins. Co.

Case Details

Full title:Hilda SOLIS, Secretary, United States Department of Labor, Plaintiff v…

Court:United States District Court, D. New Hampshire.

Date published: Jan 27, 2012

Citations

848 F. Supp. 2d 91 (D.N.H. 2012)
2012 DNH 20