814 S.E.2d 192
Va.2018Background
- Eddie R. Jones, Sr., a City of Hampton firefighter from 1977 to August 1, 2010, took a service retirement (a years-of-service retirement) unrelated to health reasons.
- In March 2011 Jones was diagnosed with throat cancer (an occupational disease for firefighters under Va. Code § 65.2-402) and received radiation and chemotherapy.
- Dr. John Mattern opined in a November 6, 2013 report that Jones was incapacitated from working as of March 11, 2011 and could not safely work in any environment with fumes or smoke.
- The Virginia Workers’ Compensation Commission awarded Jones temporary total disability and related medical benefits.
- The Comptroller denied Jones continued state-funded health insurance under the Virginia Line of Duty Death and Disability Act (Va. Code § 9.1-400 et seq.), reasoning Jones became incapacitated after retirement.
- The circuit court affirmed the denial; the Supreme Court of Virginia reviewed statutory interpretation de novo and affirmed the circuit court.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Jones is a "disabled person" under the Act and thus entitled to continued health insurance under § 9.1-401(B) | Jones: his throat cancer is an occupational disease under § 65.2-402 and qualifies him for continued coverage even though disability was declared after retirement | Commonwealth: the Act requires incapacity that prevents "further performance of duty," which means disability must arise while still performing duties (i.e., before retirement) | Held: Not a "disabled person" under the Act; disability occurred after retirement so no § 9.1-401(B) coverage |
| Whether the Workers’ Compensation five-year look-back (§ 65.2-406) applies to create eligibility under the Act | Jones: because his condition is covered by § 65.2-402 he should benefit from the Workers’ Compensation look-back to qualify post-retirement | Commonwealth: § 9.1-401(B) references § 65.2-402 but does not incorporate § 65.2-406; Act’s text lacks a look-back for § 9.1-401(B) | Held: Look-back does not apply to § 9.1-401(B); omission of a look-back was intentional (contrast with § 9.1-402(C)) |
Key Cases Cited
- Commonwealth v. Barker, 275 Va. 529 (court reviews statutory interpretation de novo; agency construction not controlling on pure legal questions)
- Hubbard v. Henrico Ltd. P’ship, 255 Va. 335 (infer legislative intent from plain meaning when statute lacks a definition)
- Halifax Corp. v. First Union Nat’l Bank, 262 Va. 91 (presume legislative intent where language included in one statutory section but omitted in another)
- Ferguson v. Ferguson, 169 Va. 77 (accrued rights under prior statute govern claims arising before amendment)
