Opinion
In this workers’ compensation appeal, we are presented with the question, which was raised but not decided in
Lafayette
v.
General Dynamics Corp., 255
Conn. 762, 781,
The record reveals the following relevant undisputed facts and procedural history. The plaintiffs husband, James Bimie (decedent), worked for the defendant from 1980 until his death on June 9, 2001, when he suffered a fatal myocardial infarction, or heart attack, in the defendant’s fitness center. Thereafter, the plaintiff filed a timely claim for death benefits under the federal Longshore Act, 3 asserting, inter alia, that: (1) the decedent’s exposure to industrial irritants and asbestos, while working for the defendant, contributed to the development of his lung disease; and (2) that lung disease contributed to the decedent having suffered the myocardial infarction that had resulted in his death. In response, the defendant claimed, inter alia, that the evidence had failed to establish that the decedent’s death was “caused, hastened, or accelerated by his workplace exposures.”
On February 13, 2003, a formal hearing was held before the administrative law
On the basis of the foregoing evidence, the administrative law judge concluded that the plaintiff had established a prima facie case of compensability under the so-called § 20 (a) presumption of the Longshore Act.
4
See 33 U.S.C. § 920 (a).
5
The administrative law judge further concluded, however, that the defendant successfully had rebutted the § 20 (a) presumption with substantial evidence, because the defendant’s “board-certified pulmonary expert, [Thomas] Godar . . . unequivocally testified that [the decedent’s] death was not caused, hastened, or accelerated by his industrial exposures”
Thereafter, the defendant appealed from the decision of the administrative law judge to the United States Department of Labor benefits review board. On June 22,2004, the benefits review board affirmed the decision of the administrative law judge, concluding that: (1) the administrative law judge “rationally weighed and credited the medical opinions”; and (2) the opinion of Bigos constituted substantial evidence supporting the administrative law judge’s decision.
In addition to filing for benefits under the Longshore Act, the plaintiff also filed for survivor’s benefits under the state act, pursuant to General Statutes § 31-306.
7
On May 6, 2005, the commissioner issued a decision concluding that “[t]he issue of causation or compensability was actually litigated and necessarily determined as the [decision of the administrative law judge] could not have been validly rendered without such determination.” The commissioner recognized that the administrative law judge “applied a standard which only required that the decedent’s workplace exposures were a
contributing factor
in his myocardial infarction and death,” and then, without discussion of the requisite causation standard under the state act, concluded: “While the standard the [a]dministrative [l]aw [j]udge utilized was a
more relaxed
standard, the evidence which supports the June 9, 2003 decision and which was found to be the more persuasive evidence, also
satisfied the standard applied in the . . . [s]tate [workers’ [compensation proceedings, and accordingly, the issue of causation or compensability was fully and fairly litigated in the federal action pursuant to the Longshore . . . Act.” (Emphasis added.) Thus, the commissioner concluded that the defendant is “collaterally estopped from disputing] liability]
The defendant appealed from the decision of the commissioner to the board, arguing that the causation standard applied by the administrative law judge under the Longshore Act — namely, that the employment must be a contributing factor in producing the injury — is less onerous than the standard under the state act, which requires that the employment be a substantial factor in producing the injury. The defendant further claimed that the lower causation standard under the Longshore Act precludes the application of collateral estoppel in a subsequent state action, and that the commissioner, therefore, improperly barred the defendant from litigating whether the decedent’s employment was a substantial contributing factor in his myocardial infarction and death. The board did not, however, examine whether the causation standards differ between the Longshore Act and the state act, but rather concluded that the commissioner properly had determined that the evidence in the record was sufficient to meet the state substantial factor standard. On the basis of this conclusion, the board affirmed the decision of the commissioner. This appeal followed. See footnote 1 of this opinion.
On appeal, the defendant, supported by the amici curiae ACE USA and Travelers Corporation, claims that the causation standard applied by the administrative law judge under the Longshore Act, which requires that the decedent’s employment be a contributing factor in causing his injury, is “significantly less strenuous” than the standard under the state act, which requires that the decedent’s employment be a substantial factor in causing his injury. The defendant further contends that, because the causation standard under the Longshore Act is less rigorous than the standard under the state act, the commissioner improperly determined that the defendant was collaterally estopped from litigating the issue of causation. Put differently, the defendant claims that the issue of whether the decedent’s employment was a substantial factor in causing his myocardial infarction and death was not litigated in the federal action, and, therefore, it should have been allowed to litigate that issue before the commissioner in the state proceeding.
In response, the plaintiff claims, inter alia, that the standard for proving causation is the same under both the Longshore Act and the state act. Specifically, the plaintiff contends that, although this court requires that a claimant’s employment be a substantial factor in the development of a compensable injury under the state act, that standard is not a quantitative test requiring that the employment be the most important, primary or even a major contributing factor. Instead, the plaintiff claims that the substantial factor standard was implemented by this court simply to distinguish adequate, and thus compensable, causal connections from those cases in which the causal connection, if any, is so minor or attenuated that compensation under the state act is not warranted. More specifically, the plaintiff contends that a claimant’s injury need only be causally traceable to the employment, such that the employment materially contributed to the development of the injury, in order to satisfy the substantial factor test. In sum, the plaintiff claims that the substantial factor standard is substantively identical to the contributing factor standard applied by the administrative law judge, and that the commissioner, therefore, properly concluded that
the defendant was collaterally estopped from relitigating the issue of causation. We agree with the plaintiff, as a general matter, with regard to her interpretation of the substantial factor standard under the state act, but we disagree that
“As a threshold matter, we set forth the standard of review applicable to workers’ compensation appeals. The principles that govern our standard of review in workers’ compensation appeals are well established. The conclusions drawn by [the commissioner] from the facts found must stand unless they result from an incorrect application of the law to the subordinate facts or from an inference illegally or unreasonably drawn from them. . . . Neither the . . . board nor this court has the power to retry facts.” (Citation omitted; internal quotation marks omitted.)
Tracy
v.
Scherwitzky Gutter Co.,
The issue before us in this appeal — namely, whether the contributing factor standard applied by the administrative law judge in the present case is a more relaxed standard of causation that the substantial factor standard under the state act, such that the commissioner in the subsequent state action should have been prohibited
from collaterally estopping the defendant from relitigating the issue of causation — is not only a question of law, but also one of first impression,
9
over which our review is plenary. See, e.g.,
Albahary
v.
Bristol,
Before reaching the merits of the defendant’s appeal, however, we briefly examine the principles underlying the doctrine of collateral estoppel. “The common-law doctrine of collateral estoppel, or issue preclusion, embodies a judicial policy in favor of judicial economy, the stability of former judgments and finality. . . . Collateral estoppel . . . prohibits the relitigation of an issue when that issue was actually litigated and necessarily determined in a prior action between the same parties
“An issue is actually litigated if it is properly raised in the pleadings or otherwise, submitted for determination, and in fact determined. ... An issue is necessarily determined if, in the absence of a determination of the issue, the judgment could not have been validly rendered. ... If an issue has been determined, but the judgment is not dependent upon the determination of the issue, the parties may relitigate the issue in a subsequent action. Findings on nonessential issues usually have the characteristics of dicta. . . .
“As a general proposition, the governing principle is that administrative adjudications have a preclusive effect when the parties have had an adequate opportunity to litigate. ... [A] valid and final adjudicative determination by an administrative tribunal has the same effects under the rules of res judicata, subject to the same exceptions and qualifications, as a judgment of a court.” (Citations omitted; internal quotation marks omitted.)
Lafayette
v.
General Dynamics Corp.,
supra,
The application of the collateral estoppel doctrine may not be proper when the burden of proof or legal standards differ between the first and subsequent actions. See, e.g.,
Bath Iron Works Corp.
v.
Director, Office of Workers’ Compensation Programs,
I
Both the Longshore Act and the state act provide that, to be compensable, an injury must both arise out of and in the course of the claimant’s employment. Compare 33 U.S.C. § 902 (2) (“[t]he term ‘injury’ means accidental injury or death arising out of and in the corase of employment”) with General Statutes § 31-275 (
Although both the federal and state statutes require that an injury be causally connected to the employment, the Longshore Act provides no further statutory guidance as to the requisite level of causation needed in order for an injury to be compensable, and the state act mandates only that the injury need be “causally traceable” to the employment. General Statutes § 31-
275 (1) (B).
10
Thus, under both the Longshore Act and the state act, administrative law judges and commissioners must apply a standard of causation to identify whether the proffered evidence in each case satisfies the baseline level of causation necessary to render an injury compensable. For purposes of determining whether an injury is compensable under the state act, our appellate courts have required the commissioners to use a “substantial factor” causation standard. See, e.g.,
Norton
v.
Barton’s Bias Narrow Fabric Co.,
II
We begin with an examination of the substantial factor standard, as applied in workers’ compensation cases pursuant to the state act. Not long after the enactment of the state act, this court construed the statutory requirement that an injury “arise out of’ the employ
ment; General Statutes § 31-275 (1); to mean that there must exist
a
causal connection between the employment and the injury. See, e.g.,
Mann
v.
Glastonbury Knitting Co.,
The term “ ‘arisfing] out of ” also was construed to mean that the employment be a contributing proximate cause of the injury;
Mann
v.
Glastonbury Knitting Co.,
supra,
Subsequently, in
Norton
v.
Barton’s Bias Narrow Fabric Co.,
supra,
It has been determined that the substantial factor standard is met if the employment
“materially or essentially contributes
to bring about an injury . . . .” (Emphasis added.)
Norton
v.
Barton’s Bias Narrow Fabric Co.,
supra,
Ill
The defendant claims that the administrative law judge in this case applied the “norm” causation standard under the Longshore Act, specifically, that the employment must be a “contributing factor” in the development of a claimant’s injury. The defendant further contends that any amount of causal contribution, no matter how minor, will satisfy the contributing factor standard. Although we can discern from the administrative law judge’s decision that he concluded that some causal connection is required under the contributing factor standard, that decision provides no indication of the scope of the standard actually applied; that is, whether a de minimis causal connection would satisfy the standard, or whether, like claims under the state act, the causal connection needs to be more than de minimis in order to be compensable. Because we cannot adequately compare the scope of the contributing factor standard as applied, and the substantial factor standard as required under the state act, we are unable to determine whether the application of the collateral estoppel doctrine is proper in this case. We conclude, therefore, that the application of collateral estoppel by the commissioner in this case was improper.
We first note that there is no universal causation standard that is applied in every case for compensation under the Longshore Act. Instead, the standard of causation in Longshore Act cases may vary depending on, for example, whether the claimant suffers from an injury or from a disease,
12
or the particular circumstances
In his decision in the underlying federal proceeding, the administrative law judge did not directly identify the contributing factor as a specific, judicially recognized standard of causation under the Longshore Act. More specifically, the administrative law judge did not discuss factors or any kind of substantive test that the plaintiff would need to satisfy before concluding that the decedent’s employment was a contributing factor in his myocardial infarction and death. Although the
administrative law judge cited
Director, Office of Workers’ Compensation Programs
v.
Greenwich Collieries,
What
is
clear from the administrative law judge’s decision, however, is that he equated “causally related to” with “contributing factor,” as evinced by his statement that, “the ultimate question [is] whether the workplace exposures
The defendant claims, however, that a decision by the benefits review board, Cairns v. Matson Terminals, Inc., 21 Benefits Rev. Bd. 252 (1988), demonstrably shows that any amount of employment contribution to the injury, no matter how small, will satisfy the contributing factor standard as it was applied in this case. Even if this case stood for the proposition cited by the defendant, that case is immaterial as the administrative law judge neither cited Cairns in his decision, nor did the administrative law judge suggest in his decision that any amount of causal connection, no matter how de minimis, would satisfy the contributing factor standard. This is not to say that the administrative law judge would not have accepted a de minimis causal connection under the contributing factor standard; rather, we simply have not been given enough information by the administrative law judge’s decision to make that determination.
Thus, without a more precise articulation of the contributing factor standard applied by the administrative law judge, we cannot make assumptions about the scope of the contributing factor standard for purposes of determining whether collateral estoppel was appropriate in the subsequent state proceeding. See, e.g., Overseas Motors, Inc. v. Import Motors Ltd., 375 F. Sup. 499, 518 n.66a (E.D. Mich. 1974) (if issues “concern the legal significance of [the same underlying] facts, the legal standards to be applied must also be identical; different legal standards as applied to the same set of facts create different issues”). Since we have not been given enough information by the administrative law judge to compare adequately the scope of the contributing factor and substantial factor standards, we must conclude that the commissioner’s application of the doctrine of collateral estoppel, as well as the board’s subsequent affirmance of the commissioner’s decision, were improper.
The decision of the compensation review board is reversed and the case is remanded to the board with direction to reverse the decision of the commissioner, and to
Notes
The defendant appealed from the decision of the compensation review board to the Appellate Court, pursuant to General Statutes § 31-301b, and we transferred the appeal to this court pursuant to General Statutes § 51-199 (c) and Practice Book § 65-1.
Although neither party has discussed in its brief whether there has been an appealable final judgment, “we first must address whether this court has jurisdiction to review the merits of this appeal.”
Levarge
v.
General Dynamics Corp.,
As an initial matter, we note that, for purposes of determining whether the defendant properly was estopped from relitigating the issue of causation, we are not concerned with whether the federal administrative law judge in the underlying Longshore Act proceeding applied the
correct
legal standard for causation; see, e.g.,
Lynch
v.
Commissioner of Internal Revenue,
“The Longshore Act provides a comprehensive scheme governing the [workers’ compensation] rights of an injured longshoreman. . . . Section 9 of the Longshore Act governs the distribution of death benefits, and provides that a widow or widower is entitled to such benefits [i]fthe [employee’s] injury causes death .... 33 U.S.C. § 909 (b); see also 33 U.S.C. § 902 (11) (defining [d]eath, as basis for a right to compensation, as death resulting from an injury); 33 U.S.C. § 902 (2) (defining injury as accidental injury or death arising out of and in the course of employment); 33 U.S.C. § 902 (16) (defining widow or widower as the decedent’s wife or husband living with or dependent for support upon him or her at the time of his or her death; or living apart for justifiable cause or by reason of his or her desertion at such time). Taken together, these statutes indicate that a surviving spouse qualifies for death benefits [under the Longshore Act] only if: (i) the survivor’s deceased worker-spouse dies from a work-related injury; (ii) the survivor is married to the worker-spouse at the time of the worker-spouse’s death; and (iii) the survivor is either living with the worker-spouse, dependent upon the worker-spouse, or living apart from the worker-spouse because of desertion or other justifiable cause at the time of the worker-spouse’s death.” (Citation omitted; internal quotation marks omitted.)
Lafayette
v.
General Dynamics Corp.,
supra,
“Once a prima facie case has been established for . . . death benefits, § 20 (a) of the Longshore Act provides a presumption that the claim is covered by the Longshore Act. See 33 U.S.C. § 920 (a) .... In order for a claimant to establish a prima facie case to invoke the presumption, the claimant must show that he has suffered an injury and that conditions existed in the workplace that could have caused the injury. ... If the so-called § 20 (a) presumption of coverage is invoked, the burden of going forward with the evidence shifts to the employer. In order to rebut the § 20 (a) presumption, the employer must introduce substantial evidence that the injury did not arise out of or in the course of employment.” (Citations omitted.)
Lafayette
v.
General Dynamics Corp.,
supra,
Section 920 of title 33 of the United States Code provides in relevant part: “In any proceeding for the enforcement of a claim for compensation under this chapter [the Longshore Act] it shall be presumed, in the absence of substantial evidence to the contrary—
“(a) That the claim comes within the provisions of this chapter. . . ."
Specifically, the administrative law judge ordered the defendant to pay the plaintiff: (1) “funeral expenses in the maximum allowable amount of [$3000] pursuant to 33 U.S.C. § 909 (a)”; (2) “widow’s compensation benefits pursuant to 33 U.S.C. § 909 (b) based on an average weekly wage of [$1151.63], plus the applicable annual adjustments provided in [§] 10 of the [Longshore] Act”; and (3) “interest on any past due compensation benefits at the [treasury [b]ill rate applicable under 28 U.S.C. § 1961 (1982).”
General Statutes § 31-306 provides in relevant part: “(a) Compensation shall be paid to dependents on account of death resulting from an accident arising out of and in the course of employment or from an occupational disease as follows:
“(1) Four thousand dollars shall be paid for burial expenses in any case in which the employee died on or after October 1, 1988. If there is no one wholly or partially dependent upon the deceased employee, the burial expenses of four thousand dollars shall be paid to the person who assumes the responsibility of paying the funeral expenses.
“(2) To those wholly dependent upon the deceased employee at the date of the deceased employee’s irvjury, a weekly compensation equal to seventy-five per cent of the average weekly earnings of the deceased calculated pursuant to section 31-310, after such earnings have been reduced by any deduction for federal or state taxes, or both, and for the federal Insurance Contributions Act made from such employee’s total wages received during the period of calculation of the employee’s average weekly wage pursuant to said section 31-310, as of the date of the injury but not more than the maximum weekly compensation rate set forth in section 31-309 for the year in which the injury occurred or less than twenty dollars weekly. (A) The weekly compensation rate of each dependent entitled to receive compensation under this section as a result of death arising from a compensable injury occurring on or after October 1, 1977, shall be adjusted annually as provided in this subdivision as of the following October first, and each subsequent October first, to provide the dependent with a cost-of-living adjustment in the dependent’s weekly compensation rate as determined as of the date of the injury under section 31-309. If the maximum weekly compensation rate, as determined under the provisions of said section 31-309, to be effective as of any October first following the date of the injury, is greater than the maximum weekly compensation rate prevailing at the date of the injury, the weekly compensation rate which the injured employee was entitled to receive at the date of the injury or October 1,1990, whichever is later, shall be increased by the percentage of the increase in the maximum weekly compensation rate required by the provisions of said section 31-309 from the date of the injury or October 1, 1990, whichever is later, to such October first. The cost-of-living increases provided under this subdivision shall be paid by the employer without any order or award from the commissioner. . . .
“(3) If the surviving spouse is the sole presumptive dependent, compensation shall be paid until death or remarriage.
“(b) The dependents of any deceased employee who was injured on or after January 1,1974, and who subsequently dies shall be paid compensation on account of the death retroactively to the date of the employee’s death. The cost of the payment or adjustment shall be paid by the employer or its insurance carrier who shall be reimbursed for such cost from the Second Iqjury Fund as provided in section 31-354 upon presentation of any vouchers and information that the Treasurer shall require. . . .”
We agree with the plaintiff that, because the defendant had successfully rebutted the § 20 (a) presumption and the plaintiff, therefore, had to prove by apreponderance of the evidence that the decedent’s myocardial infarction and death arose out of and in the course of his employment with the defendant, the plaintiff carried the same procedural burden of proof in the federal action as she did in the subsequent state action. See
Lafayette
v.
General Dynamics Corp.,
supra,
The defendant argued this issue for the first time during oral argument in
Lafayette
v.
General Dynamics Corp.,
supra,
General Statutes § 31-275 (1) (B) provides in relevant part: “A personal injury shall not be deemed to arise out of the employment unless causally traceable to the employment other than through weakened resistance or lowered vitality . . . .”
As the question of whether the conditions of employment are a substantial factor in bringing about an injury is one of fact; see, e.g.,
Spatafore
v.
Yale University,
Although an “injury” under the Longshore Act must “arisfe] out of and in the course of employment,” an “occupational disease” need only “[arise] naturally out of such employment . . . .” 33 U.S.C. § 902 (2). “[Wjorker’s compensation law generally defines occupational disease as ‘any disease arising out of exposure to harmful conditions of the employment, when those conditions are present in a peculiar or increased degree by comparison with employment generally.’ ”
Port of Portland
v.
Director, Office of Workers’ Compensation Programs,
As we have explained previously, there must be at least some “causal relationship” between the injury and the employment in order for an injury to be compensable under the Longshore Act.
American Stevedoring Ltd.
v.
Marinelli,
Furthermore, not only does the administrative law judge fail to discuss the scope of the contributing factor standard in his decision, but he also did not articulate the actual level of contribution that he found between the defendant’s facilities and the decedent’s myocardial infarction and death. Accordingly, we have no idea whether the contribution was considered to be de minimis, or more than de minimis, by the administrative law judge.
