Ermano Valente v. Secretary of Health and Human Services

733 F.2d 1037, 1984 U.S. App. LEXIS 22844
CourtCourt of Appeals for the Second Circuit
DecidedMay 3, 1984
Docket590, Docket 83-6282
StatusPublished
Cited by979 cases

This text of 733 F.2d 1037 (Ermano Valente v. Secretary of Health and Human Services) 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
Ermano Valente v. Secretary of Health and Human Services, 733 F.2d 1037, 1984 U.S. App. LEXIS 22844 (2d Cir. 1984).

Opinion

KEARSE, Circuit Judge:

The Secretary of Health and Human Services (“Secretary”) appeals from an order of the United States District Court for the Eastern District of New York, I. Leo Glasser, Judge, granting plaintiff Ermano Valente’s motion for judgment pursuant to §§ 205(g) and 1631(c)(3) of the Social Security Act, 42 U.S.C. §§ 405(g), 1383(c)(3) (1976 & Supp. V 1981), reversing-the Secretary’s decision requiring Valente to repay $19,-859.60 in overpayments received as Supplemental Security Income (“SSI”) benefits under the Social Security Act, id. §§ 301-1397f (the “Act”). The Secretary had found that Valente was not without fault in causing the overpayments and that requiring him to make repayment would not be against equity or good conscience and would not defeat the purposes of the Act. The district court reversed the decision of the Secretary, ruling that Valente was not at fault and that it would not be inequitable to permit him to keep the overpayments. On appeal, the Secretary argues that the district court’s order should be reversed and judgment entered in her favor because the court applied the wrong legal standard and because substantial evidence supports the Secretary’s decision. For the reasons below, we reverse and remand for further administrative proceedings.

I. BACKGROUND

Valente became disabled in 1975 and thereafter began receiving SSI disability benefits. In 1980, the Social Security Administration (“SSA”) determined that his disability had ceased in October 1976 and that from February 1977 to January 1980 Valente had received a total of $19,859.60 in “entitlement overpayments],” i.e., disability “benefit payments] ... to or on behalf of an individual who fails to meet one or more requirements for entitlement.” 20 C.F.R. § 404.510a (1983). SSA demanded repayment. Valente’s request that the Secretary waive recovery of the overpayments was denied initially and on reconsideration. Valente appealed this determination and was given a de novo hearing before an administrative law judge (“AU”).

A. The ALJ’s Decision

Valente did not appear at the hearing before the AU but was represented by his wife, who apparently had made all of the pertinent contacts with SSA. The facts as described by the AU on the basis of SSA’s file on Valente and testimony and exhibits presented by Mrs. Valente are as follows.

In August 1975, Valente filed an application for SSI benefits for himself, his wife, and his two children on the ground that he was disabled due to a heart condition. He and his family were awarded benefits, *1039 which they began to receive in 1975. Valente returned to work in February 1976. In April 1976 he informed SSA of his return to work, and on July 9, 1976, SSA sent him a letter (“July 1976 letter”) stating that his benefits would continue until September 1976 while he engaged in a nine-month trial work period to test whether he could work despite his impairment. The letter also stated that Valente would be contacted at the end of the trial work period and his case would be reviewed to determine whether he was “still disabled within the meaning of the law”; if Valente was found no longer disabled, his benefits would be terminated three months later, The last paragraph of the July 1976 letter began with the following advice:

If you have any questions about your claim, stop working, or need help in reporting, please telephone or visit any social security office. The people there will be glad to help you.

SSA did not contact Valente in September as promised, and the disability checks continued to arrive monthly. Valente continued working until June or July of 1977, when he once again became physically unable to work. He resumed full-time employment in October 1978 and remained employed at least until December 1980. Mrs. Valente notified SSA that Valente had again returned to work, but the Valentes heard nothing more from SSA. The checks kept coming.

Mrs. Valente testified that after Valente resumed working in 1978, she visited the local SSA office on two or three occasions and telephoned it monthly for six or seven months to inform SSA that Valente had again resumed working. She was able to give physical descriptions of the employees to whom she spoke in person, but had no record of the dates of her communications or the names of persons to whom she had spoken. She testified that these employees told her that her family was entitled to the benefits and that they should cash the checks, not return them. Mrs. Valente also testified that the reason she kept calling and visiting the SSA office was that she thought her family was not entitled to benefits when her husband was employed,

In October 1979, SSA sent Valente a questionnaire regarding his income. Based on b's resPonse> SSA concluded that Va*ente was no longer disabled, and on Febru1> 1980, it informed him that the last disability payment he had been entitled to receive was for the month of January 1977. February 15, 1980, SSA advised the Valentes that they had received overpay-meots for 35 months, totaling $19,859.60, which would have to be repaid. 1 There was no record in the SSA files of any other contact with the Valentes after the July 1976 letter regarding Valente’s trial work period.

The ALJ found that Valente’s disability had ceased in October 1976; that he had engaged in substantial gainful activity from February 1976 to June 1977 and from October 1978 until at least January 1980; and that Valente was not entitled to benefits beginning with the month of January 1977. 2 The AU found that Valente had been overpaid benefits in the total amount of $19,859.60 and that he was not without fault in causing the overpayments. The ALJ’S opinion stated as follows:

Since the claimant was aware that he was not entitled to his disability insuranee benefits once he became gainfully employed, his period of entitlement ended in January, 1977, three months after a nine month successful work attempt, The claimant was aware that he was not entitled to these benefits, but did continue to cash the checks, therefore, the Ad *1040 ministration cannot find that the claimant is without fault in causing the overpayment and, as described in section 204(b) of the Act, 3 waiver is denied and repayment is required.

(Decision of ALJ dated August 10, 1982 (“ALJ Decision”), at 3-4.) (footnote added)

The ALJ concluded that requiring repayment would not be against equity or good conscience and would not defeat the purposes of the Act. He therefore denied the request for waiver of repayment. The AU’s decision became the final decision of the Secretary.

B. The District Court’s Decision

Valente commenced the present action in the district court, contending that the Secretary’s decision was not supported by substantial evidence.

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Bluebook (online)
733 F.2d 1037, 1984 U.S. App. LEXIS 22844, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ermano-valente-v-secretary-of-health-and-human-services-ca2-1984.