Gusky v. Astrue

954 F. Supp. 2d 180, 2013 U.S. Dist. LEXIS 92916, 2013 WL 3776257
CourtDistrict Court, W.D. New York
DecidedJuly 2, 2013
DocketNo. 10-CV-00919MAT
StatusPublished
Cited by5 cases

This text of 954 F. Supp. 2d 180 (Gusky v. Astrue) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Gusky v. Astrue, 954 F. Supp. 2d 180, 2013 U.S. Dist. LEXIS 92916, 2013 WL 3776257 (W.D.N.Y. 2013).

Opinion

DECISION AND ORDER

MICHAEL A. TELESCA, District Judge.

I. Introduction and Preliminary Matters

Joseph P. Gusky (“Gusky” or “Plaintiff”), through counsel, commenced an action, pursuant to 42 U.S.C. § 405(g), to review the final determination of Defendant Commissioner of Social Security that Plaintiff was not entitled to a waiver of the recovery of an overpayment of benefits. See Dkt. No. 1.

By Report and Recommendation (“the R & R”) dated February 28, 2012 (Dkt. No. 11), United States Magistrate Judge Leslie G. Foschio recommended that the decision of the Commissioner’s motion for judgment on the pleadings (Dkt. No. 6) be granted and Gusky’s motion for judgment on the pleadings be denied (Dkt. No. 8). See Dkt. No. 14 at p. 14. Plaintiff filed objections to the R & R on March 8, 2012 (Dkt. No. 12), and Defendant filed a Reply on March 21, 2012 (Dkt. No. 13).

This matter was transferred to the undersigned on June 24, 2013. Dkt. No. 14.

For the reasons set forth below, the R & R is accepted and adopted in its entirety. The decision of the Commissioner is affirmed and the Complaint (Dkt. No. 1) is dismissed.

II. Factual and Procedural Background

Plaintiff filed an application for disability benefits on February 20, 1998, was determined to be disabled under the meaning of the Act, and received disability benefits beginning April 1, 1995. Administrative Trans. [Tr.] 30, 43.

On March 22, 2004, the Social Security Administration (“SSA”) advised Plaintiff that upon review of his earnings records, SSA earnings records, and work information provided by his employers, the SSA had determined that Plaintiff performed substantial work activity beginning October 1998, that Plaintiffs nine month trial work period ended effective February 2000, and that Plaintiffs benefits would be terminated effective March 2003. Tr. 48-50. In correspondence dated April 2, 2004, the SSA advised Plaintiff that because the SSA did not stop Plaintiffs disability checks until April 2004, the SSA overpaid Plaintiff $13,854.70 in disability benefits and that Plaintiff was responsible to return the overpayment. Tr. 54. Plain[183]*183tiff attended a folder review conference on June 23, 2004 with a representative of the SSA, and told the SSA he believed he should not be responsible to repay the SSA the overpayment because he had misinterpreted the SSA rules regarding evaluation of work activity. Tr. 58. Plaintiff filed a request for waiver of repayment, and on August 4, 2004, Defendant denied Plaintiffs request for a waiver of repayment determining that Plaintiff “did not exercise reasonable care in making sure [he] understood SSA rules regarding substantial gainful activity and how SSA would evaluate [his] work [and that] [he] ha[s] the funds available to repay th[e] overpayment.” Tr. 60.

On September 2, 2004, Plaintiff requested a hearing before an Administrative Law Judge (“ALJ”), and a hearing was held on November 1, 2006, where Plaintiff appeared pro se and testified. Tr. 156-186. On November 14, 2006, the ALJ issued a decision, finding that although Plaintiff was without fault in causing and accepting the overpayment of benefits, his repayment of the benefits would not defeat the purpose of Title II of the Act, or be against equity and good conscience, and that waiver of recovery of the overpayment of benefits was not therefore warranted.1 Tr. 18-21. The ALJ’s decision became the final decision when the Appeals Council denied Plaintiffs request for review on February 23, 2007. Tr. 216.

Plaintiff then filed a civil action in this Court on April 25, 2007. See Gusky v. Astrue, 07-CV-00275A. On January 14, 2008, the Court, upon stipulation of both parties, remanded the case back to the Commissioner for proceedings in accordance with the fourth sentence of 42 U.S.C. § 405(g) of the Act.2 Tr. 233. On April 3, 2008, the Appeals Council directed that,

upon remand, the [ALJ] will provide [Plaintiff] an opportunity to submit additional evidence and testimony regarding his income and expenses to decide whether he has the ability to repay the overpayment without experiencing financial hardship, and will develop the record fully and consider and make findings concerning whether [Plaintiff] is entitled to waiver of recovery of the overpayment, or any portion thereof, applying the regulatory criteria.

Tr. 233-234.

On July 23, 2008, pursuant to Plaintiffs request, a hearing was held before an ALJ in Buffalo, New York, at which Plaintiff, represented by a legal assistant with Legal Services for the Elderly, Disabled, or Disadvantaged of WNY, Inc., appeared and testified. Tr. 356. On September 25, 2008, the ALJ issued a decision finding that although Plaintiff was without fault in causing and accepting the overpayment of disability benefits, recovery or adjustment [184]*184of the overpayment would not defeat the purpose of Title II or be against equity and good conscience, and therefore, waiver of overpayment was not warranted. Tr. 204-206. The ALJ found that Plaintiffs budget used to describe his income and expenses contained several errors or exaggerations, included only the Plaintiffs earnings from the City of Buffalo for 2004-2007, and did not include earnings information from Plaintiffs other employers or reference the Plaintiffs out of state pension. Tr. 204. On October 24, 2008, Plaintiff filed exceptions and a request for Appeals Council review. Tr. 328. By letter dated August 23, 2010, the Appeals Council advised Plaintiff that it had considered Plaintiffs exceptions to the ALJ’s September 25, 2008 decision, and had “also looked at all of the issues considered in the decision whether or not the [ALJ] ruled on them in [Plaintiffs] favor.” Tr. 194. After having done so, the Appeals Council advised that it intended to find Plaintiff was not without fault and, thus, would not be making any findings regarding whether Plaintiff is able to repay the overpayment. Tr. 194-197.

On September 7, 2010, Plaintiff filed exceptions with the Appeals Council that requested the Council not disturb the ALJ’s previous “without fault” determination, and that the Council reconsider the ALJ’s determination that Plaintiff was not entitled to a waiver of recovery of benefits. Tr. 346. Upon review of Plaintiffs exceptions, on September 10, 2010, the Appeals Council determined Plaintiff was not without fault in causing and accepting the overpayment of the disability benefits at issue, and that Plaintiff was therefore responsible for repayment of $13,854.70 in overpaid benefits. Tr. 193.

III. Discussion

After an R & R has been issued by a magistrate judge, a district court may “accept, reject, or modify, in whole or in part, the findings or recommendations made by the magistrate judge.” 28 U.S.C. § 636(b)(1). When a timely and specific objection has been made, the court is obligated to review the contested issues de novo. See Hynes v. Squillace, 143 F.3d 653

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954 F. Supp. 2d 180, 2013 U.S. Dist. LEXIS 92916, 2013 WL 3776257, Counsel Stack Legal Research, https://law.counselstack.com/opinion/gusky-v-astrue-nywd-2013.