Edward P. McConnell v. Director, Office of Workers' Compensation Programs, United States Department of Labor

993 F.2d 1454, 1993 U.S. App. LEXIS 9510, 1993 WL 130526
CourtCourt of Appeals for the Tenth Circuit
DecidedApril 27, 1993
Docket92-9500
StatusPublished
Cited by15 cases

This text of 993 F.2d 1454 (Edward P. McConnell v. Director, Office of Workers' Compensation Programs, United States Department of Labor) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Edward P. McConnell v. Director, Office of Workers' Compensation Programs, United States Department of Labor, 993 F.2d 1454, 1993 U.S. App. LEXIS 9510, 1993 WL 130526 (10th Cir. 1993).

Opinion

TACHA, Circuit Judge.

Edward P. McConnell appeals a decision of the Benefits Review Board denying his claim for waiver of overpayment recovery. We exercise jurisdiction under 33 U.S.C. § 921(c) and affirm in part and reverse in part. 1

I.

In June, 1980, Edward McConnell filed a claim for benefits under the Black Lung Benefits Act, 30 U.S.C. §§ 901-945 (as amended). On August 6,1981, the Deputy Commissioner of the Department of Labor (“DOL”) approved McConnell’s claim and notified his employer, Kaiser Steel Corporation (“Kaiser”), of its liability for these benefits. Because Kaiser contested the claim, the Black Lung Disability Trust Fund (“Trust Fund”) began to pay “interim” benefits. On August 20, 1981, the Deputy Commissioner notified McConnell that he would receive from the Trust Fund a lump-sum $5,758.60 cheek for accrued benefits and a monthly $419.60 check thereafter. This letter, however, also ad *1456 vised McConnell of the provisional nature of Trust Fund payments:

These interim benefits are temporary, pending a final decision on your claim. If it is later determined by an Administrative Law Judge, the Benefits Review Board or a U.S. Court of Appeals that you are not eligible to receive these payments, an overpayment will exist and you may be responsible for repayment of all money received from the Black Lung Disability Trust Fund.

On November 10, 1982, an Administrative Law Judge (“ALJ”) awarded benefits after hearing the contested claim. Kaiser appealed to the Benefits Review Board which, on August 28, 1986, vacated the award and remanded the ease to the ALJ for reconsideration. On March 10, 1987, the ALJ determined on reconsideration that McConnell was not entitled to benefits and denied the claim. The ALJ’s decision denying benefits, which McConnell did not appeal, is now final.

On April 15, 1987, the DOL notified McConnell that the ALJ’s decision had resulted in an overpayment of black lung benefits totaling $37,360. After an informal conference on March 2, 1988, the Deputy Commissioner found that McConnell was without fault in the creation of the overpayment but nevertheless declined to waive repayment after concluding that repayment would not deprive McConnell of his ordinary and necessary income and that McConnell had not changed his position for the worse on account of receiving the benefits. Instead, the DOL ordered McConnell to repay the full amount of the benefits. On March 22, 1990, an ALJ affirmed the DOL’s order denying waiver and directed repayment at the rate of $525 per month. The Benefits Review Board affirmed the ALJ’s decision on November 13, 1991. This appeal followed.

II.

The Black Lung Benefits Act provides for the compensation by private employers of miners afflicted with pneumoconiosis. 30 U.S.C. §§ 901-945. In 1977, Congress created the Trust Fund in order to provide claimants with interim payments. See 26 U.S.C. § 9501. 2 Section 413(b) of the Black Lung Benefits Act authorizes the DOL to recover erroneous Trust Fund payments under the provisions set forth in § 204 of the Social Security Act, 42 U.S.C. § 404, which govern the recovery of Social Security “over-payments.” See 30 U.S.C. § 923(e). Section 204 specifically limits the recovery of over-payments from persons without fault:

In any case in which more than the correct amount of payment has been made, there shall be no [ ] recovery by the United States from ... any person who is without fault if such ... recovery would defeat the purpose of this subchapter or would be against equity and good conscience.

Id. § 404(b). Thus, when recovery of over-payments from a faultless beneficiary would defeat the purposes of the act or be against equity or good conscience, recovery of the overpayment is to be waived. Congress did not define the phrases “without fault,” “defeat the purposes of this subchapter,” or “against equity and good conscience.”

The Black Lung Benefits Act’s implementing regulations at 20 C.F.R. §§ 410.561a-.561h mirror the § 204 criteria contained in the Social Security Act’s implementing regulations at 20 C.F.R. §§ 404.506-.512. The Black Lung regulations begin by restating the statutory mandate:

There shall be no ... recovery in any case where an incorrect payment ... has been made with respect to an individual:
(a) Who is without fault, and
(b) ... recovery would either:
(1) Defeat the purpose of title IV of the
Act, or
(2) Be against equity and good conscience.

20 C.F.R. § 410.561a. The regulations then define the operative phrases. Section 410.-561c defines “defeat the purpose of title IV of the Act” as “to deprive a person of income required for ordinary and necessary living expenses,” id. § 410.561c, while § 410.561d defines “against equity and good conscience” *1457 to mean that the individual, because of the payment, has either “relinquished a valuable right” or “changed his position for the worse” on account of the benefits, id. § 410.561d. 3 Section 410.561d provides two examples of situations in which recovery would be against equity and good conscience, Id. 4 Finally, the regulations contain two deeming provisions that operate independently of §§ 410.-561b, 410.561c, and 410.561d. Section 410.-561h(a) provides that recovery is deemed to be against equity and good conscience when an individual is deemed to be without fault under § 410.561Í. Id. § 410.561h(a). In turn, § 410.561Í deems an individual to be without fault when he “accepts such overpay-ments because of reliance on erroneous information from an official source within the Administration ... with respect to the interpretation of a pertinent provision of the Act or regulations pertaining thereto.... ” Id. § 410.561Í.

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993 F.2d 1454, 1993 U.S. App. LEXIS 9510, 1993 WL 130526, Counsel Stack Legal Research, https://law.counselstack.com/opinion/edward-p-mcconnell-v-director-office-of-workers-compensation-programs-ca10-1993.