Anderson v. Berryhill

District Court, D. Minnesota·Decided September 26, 2018·No. 0:17-cv-05572·Unknown

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF MINNESOTA

Dean A., Case No. 17-cv-5572 (TNL)

Plaintiff,

v. ORDER

Nancy A. Berryhill, Deputy Commissioner for Operations, performing the duties and functions not reserved to the Commissioner of Social Security,

Defendant.

Stephanie M. Balmer1, Falsani, Balmer, Peterson & Balmer, 1200 Alworth Building, 306 West Superior Street, Duluth, MN 55802 (for Plaintiff); and

Pamela Marentette, Assistant United States Attorney, United States Attorney’s Office, 300 South Fourth Street, Suite 600, Minneapolis, MN 55415; and Tracey Wirmani, Social Security Administration, Office of the General Counsel, 1301 Young Street, Suite A702, Dallas, TX 75202 (for Defendant).

I. INTRODUCTION This matter is before the Court on Defendant Nancy A. Berryhill’s (“the Commissioner”) Motion to Dismiss (ECF No. 7), seeking dismissal of this matter for lack of subject matter jurisdiction under Fed. R. Civ. P. 12(b)(1). The parties have consented

1 Prior to appearance of attorney Balmer on April 17, 2018, Plaintiff was represented by attorney Sean M. Quinn, who appears to have been with the same law firm. (ECF No. 15; see, e.g., Compl., ECF No. 1; Aff. of Sean M. Quinn, ECF No. 12.) Unless otherwise specified, references to actions taken by counsel refer to actions taken by attorney Quinn. to a final judgment from the undersigned United States Magistrate Judge in accordance with 28 U.S.C. § 636(c), Fed. R. Civ. P. 73, and D. Minn. LR 72.1(c). II. BACKGROUND2

A. Overpayment of SSI In 1995, Plaintiff began receiving Supplemental Security Income (“SSI”). (Decl. of Cristina Prelle ¶ 3(a), ECF No. 10.) Plaintiff was incarcerated from October 2011 to September 2012. (ALJ Decision at 2-3, Ex. 3 to Prelle Decl., ECF No. 10-3.3) Inmates of public institutions are not eligible for SSI during the months in which they are

incarcerated. See 42 U.S.C. § 1382(e)(1)(A); 20 C.F.R. §§ 416.201, .211, .1325. Plaintiff failed to notify the Social Security Administration (“SSA”) of his incarceration. (ALJ Decision at 3-4.) In October 2013, the SSA mailed Plaintiff a letter informing him that he had been overpaid benefits in the amount of $7,141.39 based on his incarceration. (Prelle Decl. ¶ 3(a); Ex. 1 to Prelle Decl., ECF No. 10-1.) This letter informed Plaintiff

that if he disagreed with the decision he could ask for a waiver, an appeal, or both. (Ex. 1 at 1 to Prelle Decl.) The letter further informed Plaintiff that he had “60 days to ask for an appeal” and to do so he “must fill out a form called ‘Request for Reconsideration.’” (Ex. 1 at 2 to Prelle Decl.)

2 The Court has construed the Commissioner’s motion to be a factual, rather than facial, attack on the existence of subject matter jurisdiction. “In a factual attack, the existence of subject matter jurisdiction is challenged in fact, irrespective of the pleadings, and matters outside the pleadings, such as testimony and affidavits, are considered.” Branson Label, Inc. v. City of Branson, 793 F.3d 910, 914-15 (8th Cir. 2015) (quotation omitted); accord Osborn v. United States, 918 F.2d 724, 729-30 & n.6 (8th Cir. 1990). Both parties have submitted materials in support of their respective positions and the Court may consider such materials without converting the Commissioner’s motion into one for summary judgment. Osborn, 918 F.2d at 729-30. 3 This document is nearly identical to Exhibit 1 to the affidavit of Plaintiff’s counsel. (Compare ALJ Decision with Ex. 1 to Aff. of Sean M. Quinn, ECF No. 12-1.) The only difference is the exhibit submitted by Plaintiff included an exhibit list. To avoid confusion, the Court will cite only to one document. 1. Reconsideration of Overpayment Plaintiff filed a timely request for reconsideration. (ALJ Decision at 1; see Ex. 2

at 1 to Prelle Decl., ECF No. 10-2.) In February 2014, the SSA mailed Plaintiff a letter informing him that his request for reconsideration was denied. (Ex. 2 at 1 to Prelle Decl.; see ALJ Decision at 1; Prelle Decl. ¶ 3(b).) The letter explained that Plaintiff was “not entitled to receive SSI while in Jail” and, “[b]ecause of [his] failure to report [his] incarceration, [he was] overpaid $7[,]141.39.” (Ex. 2 at 1 to Prelle Decl.) The letter informed Plaintiff that if he disagreed with the decision he could request a hearing before

an administrative law judge (“ALJ”) and that he had “60 days to ask for a hearing.” (Ex. 2 at 1 to Prelle Decl.) Plaintiff timely requested a hearing before an ALJ. (ALJ Decision at 1; see Prelle Decl. ¶ 3(c).) 2. ALJ Decision Regarding Overpayment The ALJ held a hearing in April 2015. (ALJ Decision at 1.) In September 2015,

the ALJ found that Plaintiff had been overpaid SSI benefits for the time he was incarcerated.4 (See generally ALJ Decision.) The notice accompanying the ALJ’s decision informed Plaintiff that if he disagreed with the decision, he could “file an appeal with the Appeals Council,” and that the appeal must be filed within 60 days. (Notice of Decision Unfavorable at 1, Ex. 3 to Prelle Decl., ECF No. 10-3.)

Plaintiff did not appeal the ALJ’s decision. (See Prelle Decl. ¶ 3(c); Quinn Aff. ¶¶ 7, 18; Ex. 2 at 1 to Quinn Aff., ECF No. 12-2.) Instead, Plaintiff conceded that there

4 The ALJ reduced the amount of overpayment to $6,932. (ALJ Decision at 6-7.) The ALJ found that “because [Plaintiff] was not incarcerated through the entire months of October 2011 and September 2012, [he] was actually overpaid benefits for the period of November 2011 through August 2012,” and “the amount of the overpayment is more accurately described as being $6[,]932 instead of $7[,]141.39.” (ALJ Decision at 6-7.) was an overpayment and sought waiver of the overpayment. (Ex. 2 at 1 to Quinn Aff. (“Rather than appeal the decision we have elected to file waiver now.”); see Quinn Aff.

¶¶ 7, 9.) B. Request for Waiver In October 2015, Plaintiff filed a request for waiver of the collection of the overpayment. (Quinn Aff. ¶ 9; Prelle Decl. ¶ 3(d); see generally Ex. 2 to Quinn Aff.) The SSA denied Plaintiff’s request for waiver via letter. The SSA sent Plaintiff two letters, both dated February 24, 2016. (Quinn Aff. ¶¶ 10, 20.) While both letters denied

Plaintiff’s request for waiver, the letters provided different instructions as to what Plaintiff should do if he disagreed with the SSA’s decision. One letter instructed Plaintiff to seek reconsideration if he disagreed with the SSA’s decision while the other letter instructed him to ask for a hearing before an ALJ. 1. Reconsideration Letter

In the letter provided by the Commissioner, the SSA stated that records showed that the waiver request Plaintiff filed in October 2015 was “a duplicate of an earlier request filed 12/09/2013.” (Ex. 4 at 1 to Prelle Decl., ECF No. 10-4.) This letter explained that “[s]ince there [we]re no new issues and this is a duplicate request, the decision [the SSA] made on the earlier request still applies.” (Ex. 4 at 1 to Prelle Decl.)

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