JPM-RDP Farms, LLC v. United States Department of Agriculture-Risk Management Agency et al
Filing
37
OPINION AND ORDER adopting and incorporating 30 Report and Recommendations; overruling 31 Objections; denying oral argument; denying 22 Motion for summary judgment; granting 26 Cross-Motion. The Clerk shall enter judgment in favor of respondent and against petitioner affirming the Director Review Determination, terminate all pending motions and deadlines, and close the file. Signed by Judge John E. Steele on 3/6/2018. (RKR)
UNITED STATES DISTRICT COURT
MIDDLE DISTRICT OF FLORIDA
FORT MYERS DIVISION
JPM-RDP
FARMS,
LLC,
Florida corporation,
a
Petitioner,
v.
Case No:
2:17-cv-85-FtM-99CM
UNITED STATES DEPARTMENT OF
AGRICULTURE-RISK MANAGEMENT
AGENCY,
FEDERAL
CROP
INSURANCE CORPORATION,
Defendant.
OPINION AND ORDER
This matter is before the Court on consideration of a Report
and
Recommendation
(Doc.
#30),
filed
on
December
8,
2017,
recommending that petitioner’s Motion for Summary Judgment and
Request for Oral Argument (Doc. #22) be denied, and respondent’s
Cross-Motion to Uphold the RMA’s Final Agency Determination (Doc.
#26) be granted.
Petitioner filed Rule 72(b) Objections (Doc.
#31) on December 21, 2017, and the United States filed a Response
(Doc. #36) on January 12, 2017.
This case requires the Court to determine whether a government
agency properly rejected petitioner’s crop insurance claims for
the loss of its 2014-15 fresh market tomato crops.
The final
decision of the agency found the losses were not the result of a
covered cause under the insurance policy, and therefore denied
petitioner’s claims.
For the reasons set forth below, the final
decision of the agency is affirmed.
I.
As
discussed
below,
the
Court
reviews
the
Report
and
Recommendation de novo but reviews the final agency decision under
deferential standards of review.
After conducting a careful and complete review of the findings
and recommendations, a district judge may accept, reject or modify
the magistrate judge’s report and recommendation.
28 U.S.C. §
636(b)(1); United States v. Powell, 628 F.3d 1254, 1256 (11th Cir.
2010).
A district judge “shall make a de novo determination of
those portions of the report or specified proposed findings or
recommendations
636(b)(1).
to
which
objection
is
made.”
28
U.S.C.
§
See also United States v. Farias-Gonzalez, 556 F.3d
1181, 1184 n.1 (11th Cir. 2009).
This requires that the district
judge “give fresh consideration to those issues to which specific
objection has been made by a party.”
Jeffrey S. v. State Bd. of
Educ. of Ga., 896 F.2d 507, 512 (11th Cir. 1990) (quoting H.R.
1609, 94th Cong., § 2 (1976)).
The district judge reviews legal
conclusions de novo, even in the absence of an objection.
See
Cooper-Houston v. Southern Ry. Co., 37 F.3d 603, 604 (11th Cir.
1994).
Under the Administrative Procedures Act, 5 U.S.C. § 701 et
seq., a federal court shall set aside an agency decision that is
- 2 -
“arbitrary, capricious, an abuse of discretion, or otherwise not
in accordance with law.” Id. § 706(2)(A). “The arbitrary and
capricious standard is exceedingly deferential.”
Jones Total
Health Care Pharmacy, LLC v. Drug Enf’t Admin., 881 F.3d 823, 829
(11th Cir. 2018) (citation omitted).
its
judgment
for
that
of
the
A Court may not substitute
agency
so
long
as
the
agency
conclusions are rational and based on the evidence before it.
Miccosukee Tribe of Indians of Fla. v. United States, 566 F.3d
1257, 1264 (11th Cir. 2009).
“[E]ven in the context of summary
judgment, an agency action is entitled to great deference.” Mahon
v. U.S. Dep’t of Agric., 485 F.3d 1247, 1253 (11th Cir. 2007)
(citation omitted).
A court must also consider whether the final agency decision
was supported by “substantial evidence” in the record.
5 U.S.C.
§ 706(2)(E). The substantial evidence test is similar to the
arbitrary and capricious standard, but it applies to factual
findings.
Fields v. Dep’t of Labor Admin. Review Bd., 173 F.3d
811, 813 (11th Cir. 1999). Substantial evidence is “such relevant
evidence as a reasonable mind might accept as adequate to support
a conclusion.” Stone & Webster Constr., Inc. v. United States DOL,
684 F.3d 1127, 1133 (11th Cir. 2012) (citation omitted). The fact
that the record may support a contrary conclusion is not enough to
undermine the existence of substantial evidence.
DeKalb Cty. v.
United States DOL, 812 F.3d 1015, 1020 (11th Cir. 2016).
- 3 -
II.
Enacted in 1938, the Federal Crop Insurance Act (the “Act” or
“FCIA”), 7 U.S.C. § 1501 et seq., is designed to “promote the
national
welfare
by
improving
the
economic
stability
of
agriculture through a sound system of crop insurance and providing
the means for the research and experience helpful in devising and
establishing such insurance.”
Act,
Congress
created
the
Id. § 1502(a).
Federal
Crop
To carry out the
Insurance
Corporation
(“FCIC”), a government-owned corporation which acts as an “agency
of and within the Department” of Agriculture (“USDA”).
Id. §
1503. The USDA Office of Risk Management, commonly referred to as
the Risk Management Agency (“RMA”), 7 C.F.R. § 400.701, supervises
the FCIC and administers all programs authorized under the FCIA.
7 U.S.C. § 6933(a), (b)(1)-(3).
crop insurance program.
One such program is a nationwide
7 U.S.C. § 1508.
Since 1980, the FCIC both directly insures producers of
agricultural commodities grown in the United States and provides
reinsurance for private companies which insure such producers.
7
U.S.C. § 1508(a)(1); Williams Farms of Homestead, Inc. v. Rain &
Hail Ins. Servs., Inc., 121 F.3d 630, 633 (11th Cir. 1997).
This
is done “under 1 or more plans of insurance determined by the
Corporation
to
be
adapted
to
the
concerned.”
7 U.S.C. § 1508(a)(1).
agricultural
commodity
“To qualify for coverage
under a plan of insurance, the losses of the insured commodity
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must be due to drought, flood, or other natural disaster (as
determined by the Secretary).”
7 U.S.C. § 1508(a)(1).
To qualify for reinsurance through the FCIC, the policies
must comply with the FCIA and its accompanying regulations.
C.F.R. §§ 457.2(b), 457.7.
7
In effect, the FCIA establishes the
terms and conditions of such re-insurance policies.
A “Common
Crop Insurance Policy” standard throughout the industry is used by
insurers when the FCIC provides reinsurance.
7 C.F.R. § 457.8.
Specific provisions relating to fresh market tomato (Dollar Plan)
crop insurance are found at 7 C.F.R. §457.139.
See generally
Davis v. Producers Agric. Ins. Co., 762 F.3d 1276, 1284–85 (11th
Cir. 2014).
III.
Petitioner purchased crop insurance for the 2015 crop year,
and ultimately filed three claims seeking indemnity for losses of
its fresh market tomato crops.
The FCIC claim determination
process is fully described in the Report and Recommendation, which
is adopted and incorporated herein.
denied
the
claim;
a
United
(Doc. #30, pp. 3-6.)
States
Department
of
The RMA
Agriculture
National Appeals Division (NAD) Administrative Judge (AJ) reversed
the RMA denial; and the Director of NAD subsequently reversed the
Administrative Judge’s decision and reinstated the RMA decision
denying the claims.
Petitioner now seeks judicial review of that
final agency decision.
- 5 -
A. Underlying Facts
The Court accepts and adopts the facts as set forth by the
Magistrate Judge (Doc. #30, pp. 6-14) 1.
In sum:
Petitioner JPM-RDP Farms, LLC (JPM) is a farming entity that
grows fresh
market
tomatoes
in
Hendry
County,
Florida.
JPM
purchased crop insurance for 259.9 acres of its 2014-15 (2015 crop
year) fresh market tomato crops from Rural Community Insurance
Service (the “Insurance Company”), an approved insurance provider
reinsured by RMA, for a premium in excess of $220,000.00.
This
is a named peril policy which only covers losses caused by the
perils identified in the policy.
JPM
filed
three
notices
of
Between January and March 2015,
loss
with
the
Insurance
Company,
reporting that excess rain and/or freeze caused its tomato crops
to fail.
JPM asserted that it was entitled to indemnities in
excess of $1 million.
JPM uses crop-scouting services to monitor and assess the
health
of
its
tomato
plants
by
severity of insects and disease.
assessing
the
occurrence
and
Between November 2014 and March
2015, scouts visited JPM’s farms twice weekly and created written
reports as to the health status of the crops and the recommended
1
While most of the record citations are contained in the
Report and Recommendation and will not be repeated here, the Court
will cite to portions of the administrative record as “AR” followed
by the page number. The Administrative Record is found at Doc.
#18.
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control measures.
Beginning December 17, 2014, these reports
documented the presence of Late Blight and Tomato Yellow Leaf Curl
Virus (“Yellow Leaf”) spreading to JPM’s tomatoes.
On January 15, 2015, a loss adjuster conducted a pre-harvest
appraisal on the first and second ages of the winter crop, and
reported that the first age had severe virus affecting over 50% of
the plants and the second age planting had less virus and bacteria
pressure.
On January 16, 2015, scouts detected late blight, and
petitioner was advised to use a fungicidal spray rotation of
Previcur
Flex,
Forum,
and
Curzate
to
combat
its
spread.
Petitioner continued to spray its fields with protective fungicide
products.
Due to a high number of days of heavy fog, dew, and
frequent rain, the late blight continued to develop on the leaves,
reaching medium to high levels.
Between
January
19
and
February
conducted two harvests of its winter crop.
19,
2015,
petitioner
On the last day of the
second harvest, petitioner observed the continued breakdown of the
tomatoes and determined that it could not harvest any more of the
crop.
Petitioner requested permission to destroy the crop, which
required the RMA’s approval.
On February 19, 2015, temperatures
at the farm ranged from 28 to 32 degrees Fahrenheit for longer
than 5 hours.
On February 20, 2015, the scouting report showed
moderate sporulation was producing on the first and second age
plantings of the winter crop.
On February 23, 2015, petitioner
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filed a second Notice of Loss of its winter crop due to freeze
damage.
A February 24, 2015, scouting report showed that the first
age of the winter crop was drying, and there was no sporulation
visible.
The
second
age
showed
active
fungus
with
high
sporulation, indicating that new infections were occurring, and
there
were
new
lesions
and
some
spread.
The
scout
advised
petitioner to continue rotating fungicides, but rainfall hindered
petitioner from making applications quickly.
Also on February 24, 2015, the loss adjuster conducted a field
inspection
and
saw
yellowing
softness, and chlorotic veins.
and
blanching
of
the
tomatoes,
The marketable tomatoes remaining
on the vines after two harvests were beyond salvage.
again requested permission to destroy the crop.
Petitioner
Based on the
extent of the damage, the loss adjuster contacted the RMA, which
elected to participate in the loss adjustment of the claims.
From February to mid-March 2015, a wet weather environment
escalated the diseases.
Fungus developed on leaves faster and the
sprays were not preventing the spread.
On March 3, 2015, the RMA
issued a certification to destroy the first age of petitioner’s
winter
crop.
Additional
scouting
reports
in
March
showed
continued spread of disease in the crops.
On April 6, 2015, the adjuster, a certified crop advisor, and
a
RMA
representative
conducted
a
- 8 -
field
inspection.
The
RMA
confirmed the presence of late blight, Tomato Yellow Leaf Curl
Virus, and possible bacterial infection.
After inspecting the
second age of the spring crop, it was estimated that it would be
100% infected within a week.
An RMA official notified petitioner
that disease for which control measures exist is not an insurable
cause of loss, but that damage due to disease for which weather
events make control measures ineffective is an insurable cause of
loss if the producer followed recommended good farming practices.
At the end of April 2015, the RMA visited a comparative farm
6 to 10 miles away, and then visited petitioner’s farm to conduct
post-harvest appraisals of the second and third ages of the spring
crop.
The RMA found no marketable tomatoes.
The certified crop
advisor reviewed the scouting reports and spray records.
The crop
advisor determined that petitioner was unable to control the
disease due to the weather conditions, and that petitioner had
done everything within its control to conquer the pest pressure,
but the combination of diseases was overwhelming and the rainfall
played a significant part in the problem.
The RMA reviewed the
scouting reports and spray records and found that petitioner had
not followed the recommended publication guidelines on control
measures.
B. RMA’s Denial of Insurance Claims
On July 22, 2015, the RMA issued a decision denying JPM’s
insurance claims.
(AR 5-95.)
The RMA determined that the primary
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cause for the loss of the winter crop was late blight; the primary
cause of the loss for the spring crop was Yellow Curl; effective
control measures existed to control both diseases; but that JPM
did
not
follow
diseases.
the
recommended
(AR 6-13.)
guidelines
to
control
these
The RMA concluded that “[JPM’s] tomato
crop was damaged by disease, an uninsured cause of loss; therefore,
there is no payable indemnity for [JPM’s] 2015 crop year fresh
market tomato claim.”
(AR 13.)
On August 17, 2015, JPM appealed the RMA’s decision to the
NAD.
C. Administrative Judge Decision
An Administrative Judge heard testimony on three days, and on
August 5, 2016, issued an Appeal Determination (AR 89-102) finding
the RMA’s decision was “in error.”
(AR 90.)
The Administrative Judge stated the issue as whether the RMA
had
followed
its
rules
and
regulations
when
it
denied
JPM’s
indemnity claim for losses to its fresh market tomato crop, and
identified six sub-issues.
(AR 90-91.)
After setting forth
Findings of Fact (AR 91-97), the Administrative Judge resolved the
six sub-issues she had identified.
the Administrative Judge held:
(AR 97-102.)
Specifically,
(1) the RMA had utilized the wrong
burden of proof standard, requiring JPM to establish its case
beyond
a
preponderance
preponderance
of
the
of
the
evidence;
evidence
(2)
- 10 -
the
instead
RMA
of
by
a
“cherry-picked”
particular facts and improperly dismissed relevant evidence which
supported JPM’s contention; (3) rainy weather conditions made the
virus conducive to the spread of disease, and made JPM’s use of
recognized and accepted control measures less effective; (4) JPM
promptly requested permission to destroy is first winter plantings
to protect adjacent plantings from virus and disease; (5) the RMA
did not have a clear understanding of JPM’s tomato operation or of
the cultural practices and technical aspects of growing fresh
farmed tomatoes, and was unclear as to the rules and regulations
that applied to JPM’s claim; and (6) the RMA failed to select an
adequate comparative farm which met the requirements of the Loss
Adjustment Manual, and did not comply with the procedures to
establish the date of interest to accrue for controversial claims.
The Administrative Judge determined that JPM had met its
preponderance of the evidence burden to prove that the RMA’s
adverse decision was erroneous.
(AR 102.)
Both the RMA and JPM requested review of the Administrative
Judge’s decision by the Director of the NAD.
(AR 110-17; 121-35.)
D. Director’s Decision
On February 1, 2017, the Director Review Determination (AR
139-56) by the Director of the National Appeals Division reversed
the Administrative Judge and reinstated the RMA’s decision denying
JPM’s insurance claims because the losses were due to an ineligible
cause of loss, i.e., disease.
(AR 154.)
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The Director stated that the issue on appeal was “whether RMA
properly denied Appellant’s indemnity claims in connection with
its 2015 winter and spring fresh market tomato crops because
Appellant’s loses were due to an ineligible cause of loss.”
139.)
(AR
The Director reviewed the facts in the record in some detail
(AR 139-43), all of which were consistent with the findings of the
Administrative Judge.
The Director stated that he was tasked with
conducting “a review of the Administrative Judge’s determination
using the entire case record in order to determine if the decision
is supported by substantial evidence . . . [and] is consistent
with the laws and regulations of the agency, and with the generally
applicable interpretations of such laws and regulations.”
(AR
144.)
On appeal, the RMA argued, among other things, that JPM’s
crop losses were caused by disease, an uninsured cause of loss,
and that the Administrative Judge erred by relying on the provision
of the RMA’s Loss Adjustment Manual and disregarding the actual
provisions of JPM’s crop insurance policy.
other
things,
that
the
Administrative
JPM responded, among
Judge’s
decision
was
consistent with the laws and regulations of the agency and was
supported by substantial evidence.
JPM asserted that its crop
losses were covered under the policy because no effective control
measure existed for the disease and insect infestation of the crops
at
issue.
JPM
also
relied
upon
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the
statement
of
RMA’s
representative that the circumstances of these crops could be
considered an insurable cause of loss if recommended good farming
practices were followed.
(AR 144-47.)
The Director stated that the key issue in the case was
the proper legal interpretation of the Causes
of Loss provisions for the [Dollar Plan]
insurance policy codified at 7 C.F.R. §
457.139. Among the covered causes of loss for
fresh market tomatoes under the Dollar Plan
are excess rain and freeze. 7 C.F.R. §
457.139, Para. 11(a)(l) and (3). Among the
causes of loss excluded by these provisions
are disease or insect infestation, unless no
effective control measure exists for such
disease or insect infestation. Id. at § 11
(b)(1).
(AR 148) (emphasis added in original).
The first policy provision
cited by the Director provides:
(a) In accordance with the provisions of
section 12 of the Basic Provisions, insurance
is provided only against the following causes
of loss that occur during the insurance
period:
(1) Excess rain
. . . .
7 C.F.R. § 457.139, ¶ 11(a)(1).
“Excess rain” is defined as “[a]n
amount of precipitation sufficient to directly damage the crop.”
7 C.F.R. § 457.139, ¶ 1.
The second policy provision cited by the
Director provides:
(b) In addition to the causes of loss excluded
in section 12 of the Basic Provisions, we will
not insure against any loss of production due
to:
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(1) Disease or insect infestation, unless no
effective control measure exists for such
disease or insect infestation;
. . . .
7 C.F.R. § 457.139, ¶ 11(b)(1).
(1)
Excess Rain
The Director noted that while JPM argued on appeal that excess
rain was the cause of the loss, its position was actually more
nuanced.
“Specifically, Appellant contends that a confluence of
weather events, including rain, combined to create conditions
particularly conducive to the development of late blight and Tomato
Yellow Leaf Curl Virus.
Appellant further contends that these
weather patterns rendered ineffective the control measures it
employed to combat the onset and spread of the diseases, ultimately
leading to its crop losses.”
this
argument
asserted
an
(AR 149).
indirect
The Director noted that
relationship
between
the
weather and the crop losses, which was consistent with factual
testimony from the agency hearing.
(Id.)
The Director found that the circumstances described in the
agency hearing 2 were “too attenuated to qualify for coverage under
2
The Director noted the testimony at the agency hearing
established that excess rain did not directly harm JPM’s crops,
but instead indirectly contributed to JPM’s crop losses by creating
the environment conducive to the spread of crop disease.
The
testimony was that “a unique combination of rain, dense fog,
humidity, and dew that contributed to the onset and spread of
[L]ate [B]light and [Yellow Leaf] in [JPM’s] crops.” (AR 149.)
Petitioner’s expert testified it was not simply large amounts of
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7 C.F.R. § 457.139, Para. 11(a)(1).” [i.e., as a loss caused by
“excess rain”].
Policy
plan’s
(AR 150.)
definition
The Director focused on the Dollar
of
“excess
rain,”
(“[a]n
precipitation sufficient to directly damage the crop.”
§ 457.139 Para. 1).
amount
of
7 C.F.R.
Based on this definition, the Director
concluded “it is reasonable for RMA to cover only those claims in
which an insured party is able to establish that it suffered crop
losses directly as a result of excess rain in the absence of any
intervening cause that is not identified in the policy.”
(emphasis added).
(AR 150)
Accordingly, the Director did “not find error
in RMA’s determination that Appellant’s loss claims do not qualify
for coverage pursuant to 7 C.F.R. § 457.139, Para. 11(a).”
(2)
(Id.)
Disease; Effective Control Measure
Because the claims did not qualify for coverage under the
“excess rain” provision, the Director next considered whether the
claims qualified under 7 C.F.R. 457.139, paragraph(b)(1).
This
policy provision provides:
(b) In addition to the causes of loss excluded
in section 12 of the Basic Provisions, we will
not insure against any loss of production due
to:
(1) Disease or insect infestation, unless no
effective control measure exists for such
disease or insect infestation;
rain that led to the damage, but the timing and persistence of
rain, which contributed to an environment conducive to the spread
of disease. (AR 149.)
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. . . .
7 C.F.R. § 457.139, ¶ 11(b)(1).
parties
had
completely
The Director noted that the
different
interpretations
of
this
provision.
The RMA asserted that the meaning of the phrase “unless no
effective control measure exists” “is fixed in nature and not
dependent on individual circumstances. . . . [O]nce an effective
control measure is developed or found for an identified type of
disease or insect infestation, it immutably ‘exists’ within the
meaning of the regulations and insurance coverage for such disease
or insect infestation is no longer available under the Dollar Plan
policy.”
(AR 150.)
Petitioner, on the other hand, contended that
“the existence of an effective control measure is conditional in
nature. . . . [A] control measure that is effective under some
circumstance
may
not
be
considered
effective
under
other
circumstances . . . insurance coverage is available under the
Dollar Plan policy in cases in which control measures exist but
are proven ineffective based on individual circumstances.”
The Director adopted the RMA’s interpretation.
(Id.)
The Director
was unpersuaded that the rulemaking history supported petitioner’s
interpretation.
Loss
Adjustment
The Director also found that a provision in the
Manual
and
the
statement
made
by
a
RMA
representative did not support petitioner’s interpretation of the
provision because both related to the Guaranteed Production Plan,
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not the Dollar Plan at issue in this case. (AR 152-53.)
Director
found
no
error
in
the
RMA’s
determination
The
that
petitioner’s loss claims did not qualify for coverage under §
457.139, Para. 11(b)(1).
(AR 153.)
The Director reversed the
Administrative Judge’s decision, and reinstated the RMA’s decision
denying JPM’s indemnity claims because the losses were due to an
ineligible cause of loss.
(Id.)
E. Petition for Judicial Review
In its Petition for Judicial Review (Doc. #1), JPM asserts
that the final decision by the Director was unlawful because the
conclusions reached by the Director were arbitrary and capricious,
and the facts were not supported by any competent evidence or
testimony in the record.
More specifically, petitioner asserts
the following errors were made by the Director:
exceeded
his
scope
of
review
when
he
(1) the Director
determined
(a)
“it
is
reasonable for RMA to cover only those claims in which an insured
party is able to establish that it suffered crop losses directly
as a result of excess rain in the absence of any intervening cause
that is not identified in the policy,” and (b) that excess rain as
defined in the Dollar Plan policy did not cause JPM’s crop losses;
and (2) the Director’s interpretation of the phrase “unless no
effective control measure exists” contradicts a plain reading of
the provision in the Dollar Plan policy’s provision.
- 17 -
F. Report and Recommendation
The Magistrate Judge found that that the Director did not
exceed
his
scope
of
review,
and
recommended
upholding
Director’s interpretation of the Dollar Plan policy.
the
Ultimately,
the Magistrate Judge recommended that “the final agency decision
was not arbitrary, capricious, an abuse of discretion, or otherwise
not in accordance with law because the Director examined the
relevant data, articulated a satisfactory explanation for his
decision and came to a rational conclusion.”
(Doc. #30, p. 27.)
IV.
Petitioner
raises
four
specific
objections
(with
sub-
arguments) to the Report and Recommendation (Doc. #31).
All
matters subject to an objection are reviewed de novo.
A. Objections 1 and 2: Scope of Director’s Review; “Excess Rain”
Determination
The Court addresses the first two objections by JPM together,
since they both relate to the same overarching issue.
The Petition alleges that the Director exceeded the scope of
his review authority by determining that excess rain did not cause
the crop losses.
In recommending a finding that the Director did
not exceed his scope of review, the Report and Recommendation
states, without objection:
“JPM correctly argues the Director did
not dispute the AJ’s factual findings.”
(Doc. #30, p. 16.)
The
Report and Recommendation then continues with the objected-to
- 18 -
sentence:
legal
“Instead, as JPM concedes, the Director considered the
interpretation
of
the
Dollar
Plan
policy’s
provision:
whether ‘excess rain’ as defined in the policy caused JPM’s crop
losses.”
(Id.)
Petitioner
Director
did
provision,
objects
not
but
make
rather
to
a
this
legal
sentence,
made
arguing
interpretation
independent
supported by substantial evidence.
of
factual
that
the
the
policy
findings
not
Petitioner states that “[t]he
uncontradicted, substantial evidence in the record shows that the
proximate and primary cause of loss to JPM’s tomato crops was
excess rain, an insurable cause of loss under the policy,” Doc.
#31 at 12, and that the Administrative Judge made such a factual
finding, id. at 10-11.
JPM argues that the offending sentence in
the Report and Recommendation fails to recognize that the Director
was
improperly
making
a
finding
interpretation of a policy term.
of
fact
and
not
a
legal
(Id.)
Similarly, the second objection is to the magistrate judge’s
recommended finding that “the Director did not exceed his scope of
review in deciding that excess rain was not the cause of JPM’s
crop losses.” (Doc. #30, p. 17.)
Again, petitioner asserts that
the Director improperly turned a question of fact into a new
definition of “excess rain.”
(Doc. #31, pp. 13-15.)
Both objections are overruled.
Despite arguments to the
contrary, the record establishes that the Administrative Judge did
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not make a factual finding that the crop losses were caused by
“excess rain” within the meaning of the policy.
The Director
properly accepted the factual determinations of the Administrative
Judge, and determined that these circumstances did not qualify as
“excess rain” as that phrase is defined in the regulation.
The Administrative Judge began her Appeal Determination by
noting that the RMA had denied petitioner’s claims based upon its
determination that JPM’s loses “were due to uninsurable causes of
loss; specifically, late blight and Tomato Yellow Leaf Curl (YLC)
Virus.”
(AR 89.)
The Administrative Judge then stated that
petitioner argued that “late blight and Tomato YLC Virus were
secondary to its primary cause of loss of excess rain, which is an
insurable cause of loss.
Appellant argues that despite its use
of control measures, the rainy weather conditions made the virus
and disease conducive in spreading over its winter and spring
plantings.”
(Id.)
before
was
her
The Administrative Judge stated that the issue
“whether
the
Agency
followed
its
rules
and
regulation when it denied Appellant’s 2015 indemnity claim for
losses
to
its
fresh
market
tomato
crop.”
(AR
90.)
The
Administrative Judge concluded that the RMA had not done so, and
that its adverse decision was “erroneous.”
(AR 102.)
Other than citing excess rain as a basis for coverage, the
Administrative Judge did not cite to the regulatory definition of
“excess rain,” or discuss its meaning, or state that the facts
- 20 -
fell within the definition.
Petitioner relies upon a single
sentence in the fourteen page Appeal Determination for its position
that the Administrative Judge made a factual finding of “excess
rain.”
To support her finding that the RMA failed to consider all
the facts, the Administrative Judge stated:
“The Agency dismissed
the weather events supported by Appellant’s experts showing that
excess rain, excess moisture, and other weather events [] came
before the onset of disease on Appellant’s farm.”
(AR 97.)
But
saying that the RMA failed to consider such evidence does not mean
the Administrative Judge found the evidence satisfied the Policy
definition of “excess rain”, or that it caused the loss.
The Administrative Judge found that the agency “erred” in
finding the crop losses were caused by disease.
Concluding an
agency erred in finding disease was the cause is not the equivalent
of a finding that excess rain was the cause of the losses.
Indeed,
the Administrative Judge was precise in her findings, which did
not include a finding of excess rain as the direct cause of the
crop losses.
What the Administrative Judge did find, however, was
that disease, made uncontrollable because of rainfall, caused the
loss.
See (AR 96, ¶ 19) (“Appellant did everything within its
control to conquer these problems; however, the combination of
disease was overwhelming, and the rainfall was a significant part
of this late blight pressure.”); (AR 99) (“Appellant responded
promptly with the appropriate fungicides to control late blight
- 21 -
but despite this, Appellant was unable to control the disease due
to the weather conditions.”); (Id.) (“Despite Appellant’s efforts,
the disease took over and crippled its farm.
Based on the record,
the rainy weather conditions made Appellant’s use of control
measures ineffective causing disease to spread over its tomato
crop.”).
In the appeal to the Director, JPM again asserted that “excess
rain” was the cause of its losses.
The Director properly accepted
the findings of the Administrative Judge, looked to the regulatory
definition
of
“excess
rain”
(“[a]n
amount
of
precipitation
sufficient to directly damage the crop,” 7 C.F.R. § 457.139, Para.
1.), and concluded that the rain did not directly damage JPM’s
crop and therefore the loss was not caused by “excess rain” within
the meaning of the regulations.
The Director made no error in
this regard.
Contrary to JPM’s current argument (Doc. #31, pp. 12-13), the
Administrative Judge made no finding regarding whether JPM had
engaged
in
recommended
farming
practices.
Both
JPM
and
the
Director had previously noted the lack of such a finding by the
Administrative Judge.
(AR 146.)
The Director did not review any
such issue, so it formed no part of his determination. (AR 153.)
Petitioner
also
argues
that
the
Director
erred
in
interpreting the meaning of the term “excess rain” because 7 C.F.R.
§ 400.768(a) precludes the Director from interpreting terms in a
- 22 -
specific
factual
situation
or
case.
(Doc.
#31,
pp.
13-14.)
Petitioner is incorrect.
The
FCIC
has
prescribed
regulations
and
criteria
“for
obtaining a final agency determination of the interpretation of
any
provision
thereunder.”
of
the
Act
or
the
regulations
7 C.F.R. § 400.765(a).
promulgated
A requester submits a
written request which comports with certain requirements.
C.F.R. § 400.767.
7
“Requesters may seek interpretations of those
provisions of the Act and the regulations promulgated thereunder
that are in effect for the crop year in which the request under
this subpart is being made and the three previous crop years.”
C.F.R. § 400.765(b).
7
“All final agency determinations issued by
FCIC, and published in accordance with § 400.768(f), will be
binding on all participants in the Federal crop insurance program.”
7 C.F.R. § 400.765(c).
The FCIC, however, “will not interpret any
specific factual situation or case.”
7 C.F.R. § 400.768(a).
JPM
did not make any such request, and this case does not involve any
such request, so these regulations are simply inapplicable.
See
Davis v. Producers Agric. Ins. Co., 762 F.3d at 1284-85.
In contrast, the administrative appeal process of an agency
decision
contains
specific
determinations
appellate
Judge.
capacity
no
such
restrictions,
and
the
when
by
reviewing
a
Director
decision
by
indeed
an
acting
requires
in
his
Administrative
“In making a determination on the appeal, Hearing Officers
- 23 -
and the Director shall ensure that the decision is consistent with
the laws and regulations of the agency, and with the generally
applicable interpretations of such laws and regulations.”
7
C.F.R. § 11.10(b).
Petitioner also argues the Director inserted an arbitrary
quantitative measure into his interpretation of “excess rain”.
(Doc.
#31,
p.
14.)
This
is
incorrect.
The
Director’s
determination makes no reference to a quantitative amount which is
necessary for rain to be “excess”, but instead focuses on the
“directly” requirement of the regulatory definition.
Petitioner further argues that the record does not support
the Director’s statement that the RMA representative was confusing
the Dollar Plan policy with the Guaranteed Production Plan.
# 31, p. 15.)
(Doc.
The Court finds that the Director’s discussion of
the Guaranteed Production Plan (AR 152-53) was supported by the
administrative record, and reasonable inferences from the record.
Finally,
petitioner
argues
that
the
Report
and
Recommendation’s position that an employee or loss adjustor cannot
waive or modify the terms of the policy does not address the value
or circumstance of their comment, which both persons felt was
important enough to memorialize in a report.
At the least,
petitioner argues, the comment is indicative of the indemnity
history of the Dollar Plan policy archived on the RMA website.
(Doc. #31, p. 15.)
- 24 -
The statements in the Report and Recommendation are correct.
The opinions of employees or adjustors as to the meaning of
regulations are neither binding upon the agency nor relevant to an
inquiry as to the legal meaning of a regulation.
Federal Crop
Ins. Corp. v. Merrill, 332 U.S. 380 (1947); OPM v. Richmond, 496
U.S.
414
(1990).
Neither
had
the
authority
to
speak
authoritatively as to the meaning of the regulations, and neither’s
opinion is material to the indemnity history of the Dollar Plan
policy.
The
opinions
have
no
value
towards
the
proper
interpretation of the regulation or its reasonableness.
After de novo review, the Court overrules all objections and
arguments in Objections 1 and 2.
The Appeal Determination of the
Director holding that the crop losses were not caused by “excess
rain” within the meaning of the regulation is affirmed.
B. Objections 3 and 4: Agency Interpretation of “No Effective
Control Measure Exists” Regulation; Loss Adjustment Manual
Both Objection 3 and 4 relate to the Director’s interpretation
of the phrase “no effective control measure exists” as it pertains
to disease as a cause of loss.
Director’s
interpretation
Petitioner contends that the
violates
the
plain
meaning
of
the
regulation and that the Director made a variety of errors in
reaching his position.
The regulation at issue provides:
(b) In addition to the causes of loss excluded
in section 12 of the Basic Provisions, we will
- 25 -
not insure against any loss of production due
to:
(1) Disease or insect infestation, unless no
effective control measure exists for such
disease or insect infestation;
. . . .
7 C.F.R. § 457.139, ¶ 11(b)(1).
Phrased in the affirmative, the
Dollar Plan policy will insure against any loss of production due
to disease or insect infestation for which no effective control
measure exists.
Identical provisions exist for fresh market
pepper crops, 7 C.F.R. § 457.148, Para. 11(b)(1), and nursery
crops,
7
regulation
C.F.R.
was
§
457.162,
issued
Para.
utilizing
11(b)(1).
the
Because
this
“notice-and-comment”
procedure, it has the force and effect of law.
Perez v. Mortgage
Bankers Ass’n, 135 S. Ct. 1199, 1203 (2015).
Unlike the “excess rain” regulation, the phrase “no effective
control measure exists” is not further defined in the regulation.
The Director adopted the agency position that the phrase “no
effective control measure exists” was “fixed in nature and not
dependent on individual circumstances. . . . once an effective
control measure is developed or found for an identified type of
disease or insect infestation, it immutably ‘exists’ within the
meaning of the regulations and insurance coverage for such disease
or insect infestation is no longer available under the Dollar Plan
policy.”
(AR 150.)
Finding it undisputed that late blight and
- 26 -
Tomato Yellow Leaf Curl Virus were not new diseases and were wellunderstood
diseases
that
can
be
controlled
with
available
chemicals (AR 151), the Director found there was no covered loss
under the disease provision of the Dollar Plan policy.
As the Magistrate Judge correctly stated, the Director held
that “once an effective control measure for a type of disease or
insect
infestation
infestation
no
provision.”
is
longer
Magistrate
(Doc.
#30,
Judge’s
interpretation
of
developed,
qualifies
p.
for
18.)
portion
disease
coverage
or
objects
to
the
of
uphold
the
Dollar
insect
under
Petitioner
recommendation
this
such
this
to
the
Director’s
Plan
policy
regulation.
Petitioner objects to the Magistrate Judge’s statement that
the
“issue
here
is
the
agency’s
interpretation
of
its
own
regulations, not a question of insurance contract interpretation
as characterized by JPM.”
(Doc. #30, p. 21; Doc. #31, p. 15.)
The objected-to sentence in the Report and Recommendation is quite
accurate.
The Dollar Plan policy is not the usual contract subject
to the usual rules of contract construction.
Rather, it is an
agreement whose terms are largely mandated by federal regulation,
and it is the meaning of two such regulations which is at the heart
of this case.
By law, state or local laws or rules do not apply
to the extent they are inconsistent with the regulations of the
FCIC.
7
U.S.C.
§
1506(l).
Petitioner’s
- 27 -
objection
to
this
sentence in the Report and Recommendation is overruled.
The issue
is indeed the propriety of the agency’s interpretation of its own
regulation.
To determine the meaning of a regulation, the first step is
to determine whether the language “has a plain and unambiguous
meaning by referring to the language itself, the specific context
in which that language is used, and the broader context of the
statute as a whole.”
Sec. & Exch. Comm'n v. Levin, 849 F.3d 995,
1003 (11th Cir. 2017).
If the regulation's meaning is plain and
unambiguous, there is no need for further inquiry. Id.
The
Court
concludes
that
the
meaning
of
the
phrase
“no
effective control measure exists” is not plain and unambiguous.
Both sides have proffered competing meanings which are plausible,
but
not
compelled,
regulation
provides
by
no
the
language
further
of
the
definition,
regulation.
the
text
The
itself
provides no more definitive reading, the context of the phrase
does not point to a plain meaning, and the broader context of the
regulation, and the similar regulations in which the phrase is
used, do not compel any particular meaning.
When a regulation is ambiguous, the agency’s interpretation
of its own regulation is entitled to deference.
Auer v. Robbins,
519 U.S. 452, 461 (1997)); Sec'y, United States DOL v. Action Elec.
Co., 868 F.3d 1324, 1329 (11th Cir. 2017). “In situations in which
the meaning of [regulatory] language is not free from doubt, the
- 28 -
reviewing court should give effect to the agency’s interpretation
so
long
as
it
is
‘reasonable,’
that
is,
so
long
as
the
interpretation sensibly conforms to the purpose and wording of the
regulations.”
Martin v. Occupational Safety & Health Review
Comm'n, 499 U.S. 144, 149–51 (1991) (internal citations omitted).
“It is well established that an agency's interpretation need not
be the only possible reading of a regulation—or even the best one—
to prevail.” Decker v. Northwest Envtl. Def. Ctr., 568 U.S. 597,
613 (2013).
The agency has not interpreted the regulation in a legislative
rule after notice-and-comment procedures, and has not issued an
interpretative rule, i.e., a rule “issued by an agency to advise
the public of the agency’s construction of the statutes and rules
which it administers.”
omitted).
Obviously,
interpretations.
interpretation
Perez, 135 S. Ct. at 1204 (citation
no
deference
is
due
to
nonexistent
But deference is generally due to an agency’s
of
a
regulation
made
during
an
administrative
proceeding, Martin, 499 U.S. at 157; Action Elec. Co., 868 F.3d at
1331.
Here,
it
is
clear
from
the
record
that
during
the
administrative process the agency advanced the interpretation of
the
regulation
ultimately
adopted
by
the
Director.
Indeed,
petitioner accurately summarized the agency’s position in its
appeal request to the Director:
“The Agency argues that once a
control measure is deemed to be effective for (in this case) white
- 29 -
fly transmitted tomato yellow leaf curling virus and/or late blight
in any given year, then white fly transmitted tomato yellow leaf
curling virus and/or late blight can never, under any circumstances
be an insured cause of loss.”
(AR 123.)
The Court concludes that the RMA’s interpretation of this
regulation is reasonable because it sensibly conforms to the
purpose and wording of the regulation.
While not the only possible
interpretation, it is a reasonable interpretation, and therefore
defining
the
phrase
in
the
manner
found
by
the
Director
is
affirmed.
The Director relied primarily on the regulatory history for
this particular regulation, addressing an amendment promulgated in
1996-97.
As the Report and Recommendation accurately summarizes,
. . . On December 30, 1996, the FCIC proposed
specific crop provisions for the Dollar Plan
policy, which excluded coverage for disease or
insect infestation. Dollar Plan Provisions, 61
Fed. Reg. 68,682-01, 68,686 (proposed Dec. 30,
1996). In response to this proposed rule, the
crop insurance industry submitted one comment
seeking
to
remove
disease
and
insect
infestation as uninsured causes of loss.
Dollar Plan Provisions, 62 Fed. Reg. at
14,777.
The industry “suggested disease and
insects should be an insured cause of loss if
a producer exhausts all reasonable means to
protect the crop. This would provide coverage
for new diseases and insects that cannot
presently be controlled by the chemicals that
are available.” Id. The FCIC responded
“coverage should be available for damage due
to disease and insect infestation for which no
- 30 -
effective
control
measure
exists.”
Id.
Accordingly, the FCIC amended the proposed
provision to state that disease or insect
infestation is not covered, unless “no
effective control measure exists for such
disease or insect infestation.” Id.; see 7
C.F.R. § 457.139.
(Doc. #30, pp. 18-19.)
As the Magistrate Judge correctly stated:
“The Director found this history does not support JPM’s position
that the provision is designed to cover ‘a loss caused by a disease
for which available chemicals were not effective due to specific
weather conditions.’”
(Id. p. 19.)
The Director made a fair
reading of the relatively sparse regulatory history.
Deference to an agency’s interpretation of its own ambiguous
regulation, however, is not always warranted.
justified,
for
example,
when
the
No deference is
interpretation
is
“plainly
erroneous or inconsistent with the regulation”, “there is reason
to suspect that the agency’s interpretation does not reflect the
agency’s fair and considered judgment on the matter in question,”
when the interpretation conflicts with a prior interpretation, or
the interpretation is nothing more than a “convenient litigating
position”
or
a
“post
hoc
rationalization.”
Christopher
v.
SmithKline Beecham Corp., 567 U.S. 142, 154-55 (2012) (citations
omitted.)
Petitioner makes several arguments as to the interpretation
and
the
reasonableness
interpretation.
of
the
Petitioner
agency’s
argues
- 31 -
(and
that
the
Director’s)
the
Director’s
interpretation is undermined by payment data in the agency’s own
website, which shows payments for disease and insect infestation
causes of loss.
Petitioner asserts that the administrative record
establishes that 175 indemnities were paid in the region from 2004
through 2016 under the same policy, and 45 indemnities were paid
for losses caused by disease and insects (i.e., over 25%).
#31, pp. 15-20.)
(Doc.
Petitioner argues that this payment history
suggests “a post-hoc contrived rationale for the denial” of its
claims, which undermines the validity and reasonableness of the
agency’s interpretation of its regulation, and does not “reflect
the
agency’s
question.”
fair
and
considered
judgment
on
the
matter
in
(Doc. #31, p. 19) (quoting Talk Am, Inc. v. Mich. Bell
Tel Co., 564 U.S. 50, 59 (2011)).
There are several problems with this argument.
First, the
Dollar Plan policy at issue here was only effective for the 2013
and succeeding crop years.
7 C.F.R. § 457.139.
Thus, data from
2004 through parts of 2012 cannot literally be for the same policy.
Second,
the
data
reflect
payments
made
by
private
insurance
companies, which were reported to the MRA using codes which did
not identify the specific disease at issue and did not distinguish
between disease loss and insect infestation loss.
Thus, there is
no record evidence that a private insurance company paid for the
two diseases at issue in this case at a time when the diseases
were effectively controlled.
Additionally, even such payments
- 32 -
would not necessarily establish that the Director’s interpretation
of the regulation was erroneous, only that a claim was erroneously
paid by a private insurer without discovery or remediation by the
RMA.
Petitioner
also
argues
that
this
payment
history
is
inconsistent the FCIC’s obligation to establish standards “to
ensure that all claims for losses are adjusted, to the extent
practicable, in a uniform and timely manner.”
7 U.S.C. § 1508(j).
Petitioner asserts that the RMA’s refusal to acknowledge the
payment history summarized above is capricious and a violation of
FCIA.
As discussed above, however, the payment history record is
not such that the decision by the Director is rendered capricious
or a violation of FCIA.
Petitioner also objects to the Report and Recommendation’s
endorsement of the Director’s position that paragraph 281A of the
Loss Adjustment Manual (LAM) does not apply to the Dollar Plan,
asserting
that
the
substantial evidence.
Director’s
position
is
not
supported
by
Petitioner argues that the Manual itself
and a cross-reference to the Loss Adjustment Standards Handbook
demonstrates that the Director’s interpretation was erroneous and
that the LAM was applicable to the Dollar Plan policy.
Petitioner
asserts that the Director’s position that the LAM paragraph did
not apply to the Dollar Plan was the cornerstone of his erroneous
interpretation of the regulation.
(Doc. #31, pp. 20-22.)
- 33 -
What governs this case is the regulation, not an internal
manual.
The Director did not interpret the meaning of the Loss
Adjustment Manual, but rather determined its (non)applicability to
the Dollar Plan.
Further, the decision to ignore petitioner’s
interpretation of the Loss Adjustment Manual and its application
is consistent with guidance from the Loss Adjustment Manual itself,
which specifically provides that the Dollar Plan takes precedence
over the Loss Adjustment Manual.
(Doc. #36, p. 5.)
After a careful and complete de novo review of the findings
and recommendations, the Court adopts as set forth above the Report
and Recommendation of the magistrate judge and overrules the
objections.
For the reasons set forth above, the Director Review
Determination is affirmed.
Accordingly, it is now
ORDERED:
1. The Report and Recommendation (Doc. #30) is hereby adopted
and incorporated herein to the extent set forth above.
2. Petitioner's
Rule
72(b)
Objections
(Doc.
#31)
are
overruled.
3. Petitioner’s Request for Oral Argument (Doc. #22) is denied
as the Court finds that oral argument is not warranted,
and a decision can be made on the papers.
4. Petitioner’s Motion for Summary Judgment (Doc. #22) is
denied.
- 34 -
5. Respondent's Cross-Motion to Uphold the RMA’s Final Agency
Determination (Doc. #26) is granted.
6. The Clerk shall enter judgment in favor of respondent and
against
petitioner
Determination,
affirming
terminate
all
the
Director
pending
Review
motions
and
deadlines, and close the file.
DONE and ORDERED at Fort Myers, Florida, this
March, 2018.
Copies:
Hon. Carol Mirando
All Parties of Record
- 35 -
6th
day of
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