Frederick W. WHITESIDE, Plaintiff-Appellee, v. SECRETARY OF HEALTH & HUMAN SERVICES, Defendant-Appellant

834 F.2d 1289, 1987 U.S. App. LEXIS 16243, 1987 WL 21237
CourtCourt of Appeals for the Sixth Circuit
DecidedDecember 11, 1987
Docket86-6109
StatusPublished
Cited by31 cases

This text of 834 F.2d 1289 (Frederick W. WHITESIDE, Plaintiff-Appellee, v. SECRETARY OF HEALTH & HUMAN SERVICES, Defendant-Appellant) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Frederick W. WHITESIDE, Plaintiff-Appellee, v. SECRETARY OF HEALTH & HUMAN SERVICES, Defendant-Appellant, 834 F.2d 1289, 1987 U.S. App. LEXIS 16243, 1987 WL 21237 (6th Cir. 1987).

Opinions

RYAN, Circuit Judge.

Defendant Secretary of Health and Human Services (the Secretary) appeals a decision of the district court permitting plaintiff Whiteside to retain social security benefits which the Secretary had previously determined were subject to deduction for an overpayment. The central issue is whether self-employment losses should be deducted from monthly wages in calculating monthly “excess wages” in a retiree’s “grace year,” as defined in 20 C.F.R. § 404.435 (1987), in order to determine whether the retiree’s benefits are subject to “deductions on account of work” under 42 U.S.C. § 403(b) and (f).

We conclude that the Secretary correctly construed the statute as not permitting the deduction of self-employment losses from monthly wages, and that the district court’s decision accordingly must be reversed. We also conclude that the question whether recovery of the overpayment should be waived has not been exhausted at the administrative level, and that a remand for an initial determination on waiver is in order.

[1291]*1291I.

Plaintiff Whiteside, an emeritus professor at the University of Kentucky College of Law, continued to teach after turning sixty-five, and did not immediately begin receiving social security benefits after his sixty-fifth birthday. At age sixty-six, however, he officially retired. His plans then were to work part-time. Accordingly, in January of 1979, he began to receive monthly retirement benefits, but he also began teaching one seminar at the College of Law, and making various expenditures in preparation for associating himself with a local law firm on a part-time basis.

The law practice did not produce income in 1979. For the seminar, however, White-side was paid $2,500 for work which extended from January till June. In June, Whiteside accepted an unanticipated offer of a full-time teaching position for the fall semester at Catholic University. Accordingly, he informed the Social Security Administration (the Administration) in August that he was temporarily returning to work full-time. At that time, an Administration claims representative led Whiteside to believe that he would be able to keep the benefits he had received from January until August. For the last four months of the year, no benefits were paid, and there is no dispute about the fact that Whiteside was not entitled to receive benefits then. He received $17,500 for work performed in the months September through December 1979. The only other income he had in 1979 was $200 for work for a continuing legal education program in July.

In 1982, the Administration advised Whiteside that there had been an overpayment of benefits of $2,627.60 in 1979. Whiteside appealed.

The key issue throughout this appeal has been whether Whiteside’s expenses for setting himself up in private practice, $827, should be deducted from his monthly wages for the first six months of 1979, in order to determine whether he made too much money to be entitled to keep the full benefit payments he received. Under the pertinent regulation, 20 C.F.R. § 404.430(d)(ii), Whiteside’s “monthly exempt amount” for 1979 was $375. Earnings over that amount would subject him to loss of benefits; earnings below that amount would entitle him to retain the full benefits he in fact received.

After a hearing, the (Administrative Law Judge) AU apportioned the $827 self-employment loss over all twelve months of 1979 and decided that this loss should be deducted from monthly wages for the purposes of the monthly exempt amount test. The ALJ also averaged the $2,500 White-side received for teaching the law seminar over the six months during which this work was performed. The pertinent calculations were:

1) Monthly wages of $416.67, January-June 1979;
2) Monthly self-employment loss of $68.91, January-December 1979; therefore,
3) Monthly earnings of $347.76, January-June 1979.

Because $347.76 is less than $375, White-side was entitled to keep the full amount of the benefits he received. The ALJ did not reach the issue of whether recovery of the overpayment should be waived, because he found that there was no overpayment.

The Appeals Council of the Administration thereafter reviewed this decision sua sponte and reversed, stating that there is no statutory or regulatory basis for deducting self-employment loss from monthly wages in this calculation. Thus, monthly earnings for the first six months of 1979 were found to be $416.67. Because this amount was over $375, the Appeals Council remanded for a determination of the exact amount of the overpayment and for an initial determination upon whether recovery of the overpayment should be waived.

Whiteside then brought this suit. A magistrate reviewed the record and decided that the ALJ was correct, and the Appeals Council wrong. The district court adopted this recommendation and reversed the Secretary’s decision on the ground that self-employment loss should be deducted from monthly wages.

[1292]*1292II.

The standard of review in this case has been much discussed but little analyzed. If this were a case in which the answer to the merits of the case appeared clearly in an agency’s regulations, and the question for the court was whether those regulations should be upheld as an appropriate fulfillment of the intent of the statute, review would generally be

limited to determining whether the Secretary has exceeded his statutory authority and whether the regulation is arbitrary and capricious.

Herweg v. Ray, 455 U.S. 265, 275, 102 S.Ct. 1059, 1066, 71 L.Ed.2d 137 (1982). However, in this case the dispute arises because neither the statute nor the appended regulations provide a clear answer to the issue raised by these unusual facts. Moreover, there has been no dispute about the initial findings of fact made by the AU; rather, the dispute is over the purely legal question of how the statute is properly interpreted. Substantial evidence review, the issue in Mullen v. Bowen, 800 F.2d 535 (6th Cir.1986) (en banc), is of no relevance to this inquiry.

Furthermore, the scope of this court’s review is not, as both parties have instructed the court, “de novo.” Although this court is not reviewing factual findings, but the application of legal principles, legal conclusions arrived at by an agency interpreting its organic statute are not without weight. As the Supreme Court explained:

The interpretation put on the statute by the agency charged with administering it is entitled to deference ... but the courts are the final authorities on issues of statutory construction. They must reject administrative constructions of the statute, whether reached by adjudication or by rulemaking, that are inconsistent with the statutory mandate or that frustrate the policy that Congress sought to implement.

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Bluebook (online)
834 F.2d 1289, 1987 U.S. App. LEXIS 16243, 1987 WL 21237, Counsel Stack Legal Research, https://law.counselstack.com/opinion/frederick-w-whiteside-plaintiff-appellee-v-secretary-of-health-human-ca6-1987.