Lead Opinion
Opinion
The sole issue raised by this workers’ compensation appeal is whether the surviving dependent of an employee who, prior to the employee’s death, was entitled to health insurance coverage, also is entitled to health insurance coverage following the employee’s death. The named defendant, the city of New Haven (city),
The relevant facts and procedural history are undisputed. The decedent was employed by the city as a police officer. On October 10, 1990, the decedent suffered an injury to his heart
On September 3, 1991, the decedent died as a result of his heart injury. The plaintiff, the decedent’s sole dependent, entered into an agreement with the city pursuant to which the city accepted the plaintiffs claim for survivor’s benefits under § 31-306. The city, however, contested liability for continuing health insurance coverage, claiming that, under the plain language of § 31-306, an employer is not required to provide health insurance coverage to the surviving dependent of a deceased employee. Concluding that he was bound by prior precedent of the board; see Weymouth v. Police Dept., No. 4550, CRB-1-02-7 (April 3, 2003) (holding that § 31-306 applies to surviving dependents of deceased employees); Sansone v. Enfield, No. 3885, CRB-01-98-9 (November 18, 1999) (same); the commissioner ruled in favor of the plaintiff. The city appealed from the decision of the commissioner to the board, which affirmed the commissioner’s ruling.
On appeal from the decision of the board, the city maintains that its obligation under § 31-284b to provide the plaintiff with health insurance coverage terminated upon the decedent’s death because § 31-306 plainly and unambiguously limits a surviving dependent’s benefits to burial expenses and weekly compensation calculated as a percentage of the deceased employee’s earnings. We agree with the city.
We note preliminarily that the issue raised in this appeal, namely, whether the plaintiff is entitled to continued health insurance coverage under § 31-306
“When construing a statute, [o]ur fundamental objective is to ascertain and give effect to the apparent intent of the legislature. ... In other words, we seek to determine, in a reasoned manner, the meaning of the statutory language as applied to the facts of [the] case, including the question of whether the language actually does apply. ... In seeking to determine that meaning, General Statutes § l-2z
“Moreover, [i]n applying these general principles, we are mindful that the [Workers’ Compensation Act (act), General Statutes § 31-275 et seq.] indisputably is areme-dial statute that should be construed generously to accomplish its purpose. . . . The humanitarian and remedial purposes of the act counsel against an overly narrow construction that unduly limits eligibility for workers’ compensation. . . . Accordingly, [i]n construing workers’ compensation law, we must resolve statutory ambiguities or lacunae in a manner that will further the remedial purpose of the act. . . . [T]he purposes of the act itself are best served by allowing the remedial legislation a reasonable sphere of operation considering those purposes.” (Citations omitted; internal quotation marks omitted.) Pizzuto v. Commissioner of Mental Retardation,
Under General Statutes (Rev. to 1989) § 31-306 (b), “ [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 for burial expenses . . . [and] (2) [t]o those wholly dependent upon the deceased employee at the time of his injury, a weekly compensation equal to sixty-six and two-thirds per cent of the average weekly earnings of the deceased at the time of injury . . . .” (Emphasis added.) These two payments — a payment for burial expenses and a weekly payment based on a percentage of the deceased employee’s average weekly earnings — represent the only compensation to which a surviving dependent is entitled under the express language of § 31-306. The statute makes no mention of an entitlement to any other benefits, including health insurance coverage.
The plaintiff nevertheless claims that § 31-306 is ambiguous and that the ambiguity must be resolved in her favor in light of the beneficent purposes of the act. The plaintiff relies on two separate but related arguments to support her claim of ambiguity. First, the plaintiff refers to General Statutes § 31-275 (4),
First, we reject the plaintiffs contention that § 31-275 (4), which defines “compensation” to include health insurance coverage, affords a basis for concluding that § 31-306 requires the city to continue to provide the plaintiff with such coverage following the death of the decedent. General Statutes § 31-275 expressly provides that its definition of compensation shall apply throughout the act “unless the context otherwise provides . . . .” “By adding the phrase ‘unless the context otherwise provides,’ the legislature recognized that in some cases the circumstances under which the statute is being applied control the meaning of the term ‘compensation.’ ” Weinberg v. ARA Vending Co.,
We also disagree with the plaintiff that § 31-306 is ambiguous in light of § 31-284b, which provides that an injured employee who is receiving compensation under the act is entitled to the same health insurance benefits to which he was entitled prior to the injury. The plaintiff claims that the legislature’s reason for that requirement, that is, “to maintain, as nearly as possible, the income of employees who suffer employment-related injuries”; General Statutes (Rev. to 1989) § 31-284b (a); applies with equal force to the surviving dependents of deceased employees, and, therefore, § 31-306 should be construed to include the continued health coverage that is required under § 31-284b (a).
The plaintiffs contention, however, is contrary to the straightforward language of both of those statutory provisions. Section 31-284b provides that an employer shall continue to “provide to [the] employee equivalent insurance coverage . . . while the employee is eligible to receive or is receiving . . . compensation . . . .” (Emphasis added.) General Statutes (Rev. to 1989) § 31-284b (a); see Kelly v. Bridgeport,
The plaintiff contends that construing § 31-306 to deny her the right to continued health insurance following the decedent’s death leads to a harsh result that is inconsistent with the humanitarian purposes of the act. We agree, of course, that the act is remedial in nature and must be construed broadly to that end. We also agree that any ambiguities should be resolved in a manner that furthers, rather than thwarts, the act’s remedial purposes. We are not free, however, to create ambiguity when none exists; in other words, we cannot “accomplish a result that is contrary to the intent of the legislature as expressed in the act’s plain language.”
The decision of the board is reversed and the case is remanded to the board with direction to reverse the decision of the commissioner.
In this opinion KATZ, VERTEFEUILLE and ZARE-LLA, Js., concurred.
Notes
Connecticut Interlocal Risk Management Agency, the city’s heart and hypertension administrator, also is a defendant. In the interest of simplicity, we refer only to the city throughout this opinion.
General Statutes (Rev. to 1989) § 31-284b provides in relevant part: “(a) In order to maintain, as nearly as possible, the income of employees who suffer employment-related injuries, any employer . . . who provides accident and health insurance or life insurance coverage for any employee or makes payments or contributions at the regular hourly or weekly rate for full-time employees to an employee welfare fund . . . shall provide to such employee equivalent insurance coverage or welfare fund payments or contributions while the employee is eligible to receive or is receiving workers’ compensation payments pursuant to this chapter, or while the employee is receiving wages under a provision for sick leave payments for time lost due to an employment-related injury. . . .”
Hereinafter, all references to § 31-284b are to the 1989 revision unless otherwise provided.
General Statutes (Rev. to 1989) § 7-433c provides in relevant part: “Notwithstanding any provision of chapter 568 or any other general statute, charter, special act or ordinance to the contrary, in the event a uniformed member of a paid municipal fire department or a regular member of a paid municipal police department who successfully passed a physical examination on entry into such service, which examination failed to reveal any evidence of hypertension or heart disease, suffers either off duty or on duty any condition or impairment of health caused by hypertension or heart disease resulting in his death or his temporary or permanent, total or partial disability, he or his dependents, as the case may be, shall receive from his municipal employer compensation and medical care in the same amount and the same manner as that provided under chapter 568 if such death or disability was caused by a personal injury which arose out of and in the course of his employment and was suffered in the line of duty and within the scope of his employment, and from the municipal or state retirement system under which he is covered, he or his dependents, as the case may be, shall receive the same retirement or survivor benefits which would be paid under said system if such death or disability was caused by a personal injury which arose out of and in the course of his employment, and was suffered in the line of duty and within the scope of his employment. If successful passage of such a physical examination was, at the time of his employment, required as a condition for such employment, no proof or record of such examination shall be required as evidence in the maintenance of a claim under this section or under such municipal or state retirement systems. The benefits provided by this section shall be in lieu of any other benefits which such policeman or fireman or his dependents may be entitled to receive from his municipal employer under the provisions of chapter 568 or the municipal or state retirement system under which he is covered, except as provided by this section, as a result of any condition or impairment of health caused by hypertension or heart disease resulting in his death or his temporary or permanent, total or partial disability. As used in this section, the term ‘municipal employer’ shall have the same meaning and shall be defined as said term is defined in section 7-467.”
Hereinafter, all references to § 7-433c are to the 1989 revision.
General Statutes (Rev. to 1989) § 31-306 provides in relevant part: “(b) Compensation shall be paid 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) There shall be paid the sum of four thousand dollars for burial expenses. 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 time of his injury, a weekly compensation equal to sixty-six and two-thirds per cent of the average weekly earnings of the deceased at the time of injury but in no case more than the maximum weekly benefit rate set forth in section 31-309 for the year in which the injury occurred or less than twenty dollars weekly. In the case of an occupational disease, the time of injury shall be the date of total or partial incapacity to work as a result of such disease. (A) The weekly compensation rate of each dependent entitled to receive benefits under this section as a result of death arising from a compen-sable injury occurring on or after October 1,1977, shall be adjusted annually as provided herein as of the following October first, and each subsequent October first, to provide such dependent with a cost-of-living adjustment in his weekly compensation rate as determined as of the date of the irjury under section 31-309. If the maximum weekly compensation rate as determined under the provisions of section 31-309, to be effective as of any October first following the date of irjury, is greater than the maximum weekly compensation rate prevailing at the time of injury, the weekly compensation rate which the irjured employee was entitled to receive at the time of the injury shall be increased by the dollar amount of the increase in the maximum weekly compensation rate required by the provisions of section 31-309 from the date of irjury to such October first. Such cost-of-living increases shall be paid by the employer without any order or award from the commissioner. Such acjustments shall apply to each such payment made in the next succeeding twelve-month period commencing with the October first next succeeding the date of injury. . . .
“(3) If the surviving spouse is the sole presumptive dependent, compensation shall be paid until death or remarriage if such should occur. . . .”
Hereinafter, all references to § 31-306 are to the 1989 revision.
We note that the plaintiffs right to survivor’s benefits arises under § 7-433c, commonly known as the Heart and Hypertension Act, but the benefits to which the plaintiff became entitled upon the decedent’s death are set forth in § 31-306. See Genesky v. East Lyme,
The city appealed from the decision of the 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.
The record does not reveal the nature of the decedent’s injury to his heart.
This court repeatedly has observed that an agency’s reasonable interpretation of an ambiguous statute is entitled to deference only when that interpretation has been subjected to judicial review or the agency interpretation is both reasonable and time-tested. See, e.g., Longley v. State Employees Retirement Commission,
General Statutes § l-2z provides: “The meaning of a statute shall, in the first instance, be ascertained from the text of the statute itself and its relationship to other statutes. If, after examining such text and considering such relationship, the meaning of such text is plain and unambiguous and does not yield absurd or unworkable results, extratextual evidence of the meaning of the statute shall not be considered.”
General Statutes § 31-275 provides in relevant part: “As used in [the act], unless the context otherwise provides:
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“(4) ‘Compensation’ means benefits or payments mandated by the provisions of [the act], including, but not limited to, indemnity, medical and surgical aid or hospital and nursing service required under section 31-294d and any type of payment for disability, whether for total or partial disability of a permanent or temporary nature, death benefit, funeral expense, payments made under the provisions of section 31-284b, 31-293a or 31-310, or any adjustment in benefits or payments required by [the act]. ...”
We note that the legislature did not define the term “compensation” for purposes of the act until 1991; see Public Acts 1991, No. 91-32, § 1; and that the present case implicates the 1989 revision of the applicable statutory provisions based on the decedent’s date of injury. As this court previously has explained, however, the legislature, in defining the term “compensation” in § 31-275 (4) “merely clarified the term as it had already been used throughout the act and did not enact any substantive change in the law.” Weinberg v. ARA Vending Co.,
For purposes of General Statutes § 31-284b (a), “ ‘income’ means all forms of remuneration to an individual from his employment, including wages, accident and health insurance coverage, life insurance coverage and employee welfare plan contributions and ‘employee welfare plan’ means any plan established or maintained for employees or their families or dependents, or for both, for medical, surgical or hospital care benefits.”
Although the definition of “income” was added to § 31-284b (a) in 1991; see Public Acts 1991, No. 91-32, § 8 (P.A. 91-32); and the present case implicates the 1989 revision of the applicable statutory provisions; see footnote 10 of this opinion; the legislative history of the public act that incorporated this definition suggests that it merely clarified the meaning of the term as it previously had been used in the act. See Weinberg v. ARA Vending Co.,
We note that Jesse M. Frankl, then chairman of the workers’ compensation commission, dissented from the majority opinion of the board in Sansone.
We reject the plaintiffs claim that this court’s decision in Cappellino v. Cheshire,
The plaintiff contends that Tufaro v. Pepperidge Farm, Inc., supra,
The plaintiff urges us to apply the doctrine of legislative acquiescence to the decisions of the board that the surviving dependent of a deceased employee is entitled to health insurance benefits. See Weymouth v. Police Dept., supra, No. 4550; Sansone v. Enfield, supra, No. 3885. Under that doctrine, the legislature’s failure to amend a statutory provision in response to a definitive interpretation of the provision may be viewed as evidence of legislative agreement with that interpretation. E.g., Commission on Human Rights & Opportunities v. Sullivan Associates, 250 Conn. 763, 783,
Thus, the principle of statutory construction that instructs us to construe the act broadly to achieve its remedial purpose does not guide us in the present case because that principle is applicable only when the statutory language is susceptible of more than one reasonable interpretation or when the text of the statute, although plain and unambiguous, yields absurd or unworkable results. See General Statutes § 1-2z. In the present case, the governing statutory language is neither ambiguous nor leads to an absurd or unworkable result.
The plaintiff also maintains that construing § 31-306 to deprive her of the right to continued health insurance coverage would place that provision in constitutional jeopardy under the equal protection clause of the fourteenth amendment to the United States constitution. Specifically, she claims that there is no rational justification for denying health insurance benefits to the surviving dependents of deceased employees when the dependents of living employees are entitled to receive the same benefits. “This court has held, in accordance with the federal constitutional framework of analysis, that in areas of social and economic policy that neither proceed along suspect lines nor infringe fundamental constitutional rights, the [e]qual [protection [cjlause is satisfied [as] long as there is a plausible policy reason for the classification . . . the legislative facts on which the classification is apparently based rationally may have been considered to be true by the governmental decisionmaker . . . and the relationship of the classification to its goal is not so attenuated as to render the distinction arbitrary or irrational . . . .” (Citations omitted; internal quotation marks omitted.) Rayhall v. Akim Co.,
Concurrence Opinion
concurring. I agree with the result reached by the majority, and with much of its reasoning. I depart from its analysis only with respect to whether the statutory language at issue is ambiguous.
