Claudia Frost v. Caspar Weinberger, as Secretary of United States Department of Health,education and Welfare

515 F.2d 57, 20 Fed. R. Serv. 2d 117, 1975 U.S. App. LEXIS 15088
CourtCourt of Appeals for the Second Circuit
DecidedApril 17, 1975
Docket547, Docket 74-2020
StatusPublished
Cited by127 cases

This text of 515 F.2d 57 (Claudia Frost v. Caspar Weinberger, as Secretary of United States Department of Health,education and Welfare) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Claudia Frost v. Caspar Weinberger, as Secretary of United States Department of Health,education and Welfare, 515 F.2d 57, 20 Fed. R. Serv. 2d 117, 1975 U.S. App. LEXIS 15088 (2d Cir. 1975).

Opinion

FRIENDLY, Circuit Judge:

This appeal displays a new facet in the developing law of due process with respect to administrative action by the welfare state. Whereas such controversies have typically involved disputes between the Government on the one hand and a citizen or class of citizens on the other, here the ultimate conflict is between two categories of citizens and the Government’s interest is to pay the right one. Before reaching the problem of what due process requires in this context, we must traverse a procedural thicket.

I. The Statutory Background and the Regulations in Controversy.

Pursuant to 42 U.S.C. §§ 402(d)(1), (d)(2), and (g)(1), the dependent children and the spouse, see Weinberger v. Weisenfeld, - U.S. -, 95 S.Ct. 1225, 43 L.Ed.2d 514 (1975) of an individual who died as fully insured under the Social Security Act, 42 U.S.C. § 414(a), are each entitled to a monthly payment for a specified period equivalent generally to three-quarters of the primary insurance amount of the decedent. In no case, however, may the total benefits to a family exceed a specified maximum, 42 U.S.C. § 403(a), set out in the table accompanying 42 U.S.C. § 415(a).

Prior to 1965 the only children eligible for benefits pursuant to 42 U.S.C. §§ 402(d)(1) and (d)(2) were children who could inherit from the decedent pursuant to applicable state law or whose parents had participated in a ceremony which would have resulted in a valid marriage except for one of two specified legal impediments. 42 U.S.C. §§ 416(h)(2)(A) & (B), 402(d)(3). In 1965 Congress amended the Act to include other illegitimate children, Social Security Amendments of 1965, Pub.L.No.89—97, § 339(a), 79 Stat. 409, where, inter alia, the decedent wage earner, before his death, acknowledged paternity in writing, was decreed by a court to have been the father, or was ordered by a court to contribute support to the child because of paternity. This was codified as 42 U.S.C. § 416 (h)(3)(C)(i). 1

Congress again amended the Act in 1968, Social Security Amendments of 1967, Pub.L.No.90—248, § 163(a)(1), 81 Stat. 872, 2 to deal with the situation, ap *59 parently not contemplated by the 1965 legislation, where the inclusion of illegitimate children would raise the total above the statutory maximum. 3 The 1968 amendment provided that when the total benefits would exceed the maximum, any reduction should first occur in the benefits payable to children made eligible by the 1965 amendments; the effect of this was to exclude these illegitimate children altogether when the benefits payable to the widow and other children reached the maximum. 4 This provision was held unconstitutional in Griffin v. Richardson, 346 F.Supp. 1226 (D.Md.) (three-judge court), summarily affirmed per curiam, 409 U.S. 1069, 93 S.Ct. 689, 34 L.Ed.2d 600 (1972), 5 on the ground that the discriminatory classification in it served no legitimate state interest and was thus violative of the due process rights of the class of illegitimate children who were plaintiffs in that suit.

This decision made it necessary for the Social Security Administration (SSA) to revise its procedures, under authority of 42 U.S.C. § 405(a), for handling cases where the addition of children claiming to be entitled to benefits under the 1965 amendments would result in exceeding the statutory maximum, the validity of which has not been questioned. Cf. Dandridge v. Williams, 397 U.S. 471, 483-87, 90 S.Ct. 1153, 25 L.Ed.2d 491 (1970). The revised procedures, incorporated into the SSA Claims Manual, were designed to permit the reworking of all claims “as though the [1968] provision had never been enacted,” Claims Manual T305, and to provide all beneficiaries whose benefits were going to be reduced with “a detailed explanation of the reason for the reduction.” Id. T308(b). Beneficiaries whose benefits were to be reduced must be notified prior to the reduction, id. T315, by an SSA Reviewing Office, which would process the award for the newly entitled illegitimate child but would “diary” the case for 45 days and not effectuate a benefit check reduction until the operating month after the processing of any protest filed within that period. Id. T310(c). The notice explained that a “recent court decision” required equality of treatment for all children of a wage earner who died fully insured and that, as a result, the monthly benefits of the beneficiaries named in the notice had to be reduced to an amount specified in order to pay benefits to other named children who qualified under 42 U.S.C. § 416(h)(3). The notice was to specify under which subsection of 42 U.S.C. § 416(h)(3) these children qualified and show the “exact basis” for that determination. The notice further invited the beneficiary or his representative to submit any evidence within 30 days to prove that the illegitimate children do not qualify or that, for some other reason, the benefits of the beneficiary should not be reduced. Claims Manual T315.

If, based upon this notice, the beneficiary visited an SSA District Office, he was given a complete explanation for *60 the action and had the right to inspect the original evidence upon which the SSA determined that a child was entitled to participate in the benefits under 42 U.S.C. § 416(h)(3). If that evidence was not immediately available, the District Office was to send for it. If the beneficiary nevertheless elected to protest and to offer evidence to dispute the validity of the determination of new entitlement, the District Office was to prepare a report describing the contact between the beneficiary and District Office personnel and to forward that along with the evidence submitted to the Reviewing Office, which would determine “whether [the] evidence casts doubt on the original determination.” Id. T308(b).

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Laflamme v. Carpenters Local 370 Pension Plan
212 F.R.D. 448 (N.D. New York, 2003)
German v. Federal Home Loan Mortgage Corp.
168 F.R.D. 145 (S.D. New York, 1996)
United States Trust Co. of New York v. Alpert
163 F.R.D. 409 (S.D. New York, 1995)
Avagliano v. Sumitomo Shoji America, Inc.
614 F. Supp. 1397 (S.D. New York, 1985)
Reed v. Heckler
756 F.2d 779 (Tenth Circuit, 1985)
James Sutton, Jr. v. City of Milwaukee
672 F.2d 644 (Seventh Circuit, 1982)
Plummer v. Chemical Bank
668 F.2d 654 (Second Circuit, 1982)
Marcera v. Chinlund
91 F.R.D. 579 (W.D. New York, 1981)
Calkins v. Blum
511 F. Supp. 1073 (N.D. New York, 1981)
Ellis v. Blum
643 F.2d 68 (Second Circuit, 1981)
Swan v. Stoneman
635 F.2d 97 (Second Circuit, 1980)
Bizjak v. Blum
490 F. Supp. 1297 (N.D. New York, 1980)
Yearsley v. Scranton Housing Authority
487 F. Supp. 784 (M.D. Pennsylvania, 1979)
Wright v. Califano
603 F.2d 666 (Seventh Circuit, 1979)
Polyvend, Inc. v. Puckorius
395 N.E.2d 1376 (Illinois Supreme Court, 1979)
Holley v. Lavine
605 F.2d 638 (Second Circuit, 1979)

Cite This Page — Counsel Stack

Bluebook (online)
515 F.2d 57, 20 Fed. R. Serv. 2d 117, 1975 U.S. App. LEXIS 15088, Counsel Stack Legal Research, https://law.counselstack.com/opinion/claudia-frost-v-caspar-weinberger-as-secretary-of-united-states-ca2-1975.