Arlene M. Mattern v. F. David Mathews, Secretary of Health, Education and Welfare

582 F.2d 248, 1978 U.S. App. LEXIS 10388
Court of Appeals for the Third Circuit·Decided June 30, 1978·No. 77-1629·Published·Cited by 53 cases

Opinion

OPINION

JAMES HUNTER, III, Circuit Judge.

In this appeal we again examine the constitutionality of the procedures established by the Secretary of Health, Education and Welfare for recoupment of alleged overpayments under section 204 of the Social Security Act. 1 When this case was first present *250 ed to the district court, the administrative procedures were found to violate due process since they permitted an adjustment or reduction of social security payments without affording the beneficiary the right to a prior oral hearing. Mattern v. Weinberger, 377 F.Supp. 906 (E.D.Pa.1974). On review, we affirmed that decision with certain modifications. Mattern v. Weinberger, 519 F.2d 150 (3d Cir. 1975). The Supreme Court granted the Secretary’s petition for certiorari, and vacated and remanded the case for reconsideration in light of its decision in Mathews v. Eldridge, 424 U.S. 319, 96 S.Ct. 893, 47 L.Ed.2d 18 (1976). Mathews v. Mattern, 425 U.S. 987, 96 S.Ct. 2196, 48 L.Ed.2d 812 (1976). We remanded the case to the district court, which reversed its earlier ruling and held the existing procedures satisfied the requirements of due process. Mattern v. Mathews, 427 F.Supp. 1318 (E.D.Pa.1977). We reverse, since we do not believe that Eldridge and subsequent cases substantially alter the result in our original decision.

I. THE STATUTORY BACKGROUND AND REGULATIONS

Section 204 of the Social Security Act permits the Secretary to recover overpayments of benefits paid under Title II of the Act, 42 U.S.C. §§ 401 et seq., by withholding a portion of future benefits until the amount of the overpayment is recouped. Id. § 404(a). The right of recovery, however, is limited by section 204(b), id. § 404(b). That section provides that there may be no recoupment when the overpaid beneficiary is “without fault” 2 and the recoupment either would “defeat the purpose” of Title II of the Act 3 or would be “against equity and good conscience.” 4

*251 The Secretary’s regulations provide the procedure for recovery of overpayments made to recipients of old-age or disability benefits. First, an initial determination is made that an overpayment has occurred and that section 204(b) provides no basis for a “waiver” of recoupment (20 C.F.R. § 404.-905). All recipients subject to recoupment are then sent letters which set forth the reasons for the proposed recoupment, the availability of reconsideration of the determination of overpayment, the conditions for “waiver” under section 204(b), and the need to consult with a local Administration office within thirty days if the recipient feels that circumstances would justify reconsideration or “waiver” (Social Security Claims Manual § 5503; 20 C.F.R. § 404.907). Full benefits are paid during the thirty day period (Claims Manual § 5503.3).

Once a request for reconsideration or “waiver” and supporting documents have been filed, the Secretary may further delay recoupment until the case has been reconsidered (Claims Manual §§ 5503.3, 5503.5). If the Secretary adheres to his initial determination after the reconsideration (20 C.F.R. § 404.914), the claimant is so notified and benefits begin to be withheld. Only at that time, after benefits have been reduced, does the claimant have the right to an evidentiary de novo hearing (20 C.F.R. § 404.917). At the hearing, the beneficiary has the right to introduce oral testimony and to cross-examine witnesses. (20 C.F.R. §§ 404.917-404.934). A request for a hearing does not delay recoupment. While the record in this case is not clear, it appears that a delay of several months usually occurs between the time benefits are withheld and the first opportunity for a hearing. The hearing is first reviewable by the Appeals Council of the Social Security Administration (20 C.F.R. § 404.945) and then by a federal district court under section 205(g) of the Act, 42 U.S.C. § 405(g).

II. FACTS

The facts giving rise to this ease are fully described in our original opinion, 519 F.2d at 154-55. Briefly, the named plaintiff in this suit, Arlene Mattern, applied in 1971 for disabled widow’s benefits under 42 U.S.C. § 402(e)(l)(B)(ii), based on the social security earnings of her husband. Her application was approved and benefits were scheduled to begin in December 1971, after the statutory waiting period of six months. 5

In January and February of 1972, plaintiff received two. checks. She received her first regular benefits check in the amount of $119.30. Next, she received a special check for $1063.80 for benefits covering the period May to December, 1971. ' The latter check was erroneously issued.

The Social Security Administration contends that plaintiff was told to return the *252 special check in a letter dated January 28, 1972 and in a telephone conversation on that day. District office records also show that the plaintiff’s sister was told that plaintiff should return the special check. Plaintiff counters that the letter was ambiguous and was not understood to request the return of the $1063.80 check, and that she never received the phone calls. The check was never returned.

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Arlene M. Mattern v. F. David Mathews, Secretary of Health, Education and Welfare, 582 F.2d 248, 1978 U.S. App. LEXIS 10388 (3d Cir. 1978).

582 F.2d 248 (Arlene M. Mattern v. F. David Mathews, Secretary of Health, Education and Welfare) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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