James R. Worley v. Patricia Roberts Harris, Secretary of the Department of Health, Education and Welfare

666 F.2d 417, 1982 U.S. App. LEXIS 22366
CourtCourt of Appeals for the Ninth Circuit
DecidedJanuary 25, 1982
Docket80-3224
StatusPublished
Cited by15 cases

This text of 666 F.2d 417 (James R. Worley v. Patricia Roberts Harris, Secretary of the Department of Health, Education and Welfare) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
James R. Worley v. Patricia Roberts Harris, Secretary of the Department of Health, Education and Welfare, 666 F.2d 417, 1982 U.S. App. LEXIS 22366 (9th Cir. 1982).

Opinion

KILKENNY, Circuit Judge:

Appellant brought an action under 42 U.S.C. § 405(g) to obtain judicial review of a final decision of the Secretary of Health, Education & Welfare. The district court dismissed the action, finding that the Secretary had correctly applied the law and that there was substantial evidence to support the Secretary’s decision. We affirm.

FACTUAL BACKGROUND

Appellant is now 62 years old. He injured his back in October, 1973, while working for a construction company. The Oregon Workers’ Compensation Board (Board) awarded appellant temporary-total disability benefits, which were paid periodically starting in December, 1973. When appellant recuperated from back surgery, his doctor released him for work and he returned to his former job in May, 1974. The Board later converted his compensation benefits to the permanent-partial category in the same amount.

In November of 1974, while working around his home, appellant reinjured his back. This aggravation of the earlier back injury necessitated further surgery. Appellant has not worked since November, 1974.

In February, 1975, appellant applied for Social Security disability benefits, alleging an onset date of November, 1974. In his application, appellant listed the amount of his continuing Workers’ Compensation payments, which the Board had once again converted to the temporary-total category. When appellant’s claim was approved on reconsideration in August, 1975, payment of his benefits was computed under 42 U.S.C. § 424a, the “workmen’s compensation offset” provision for reducing Social Security disability benefits.

Meanwhile, United Pacific Insurance, the compensation carrier for appellant’s employer, disputed its liability for the results of the November, 1974, injury as not being work-related. This dispute ended in July, 1977, when all parties signed a stipulation and order, which was approved by the Board. Under its terms, the carrier paid appellant a lump-sum of $33,000.00.

When this lump-sum payment was reported to the Social Security Administration, a recomputation of appellant’s disability benefits, pursuant to 42 U.S.C. § 424a(b), prorated the lump-sum over the years remaining before appellant attained age 62, the statutory limit for imposing the offset. This resulted in a further reduction of appellant’s disability benefits. Appellant objected and, when a reconsideration determination approved the offset-reduction, sought a hearing before an Administrative Law Judge (ALJ).

Appellant and his attorney appeared at a hearing in June, 1978. The ALJ’s decision upheld the action prorating the lump-sum compensation payment and offsetting it against the disability benefits. Appellant argued that he had relied on statements from the local Social ■ Security office that such a lump-sum payment would not reduce his disability benefits. The ALJ rejected this argument. Appellant also contended *420 that his wife had some interest in the lump-sum payment. The AU deducted $1,000.00 and authorized the offset to be calculated on an amount of only $32,000.00.

The Appeals Council affirmed the ALJ’s decision except as to the “spousal deduction” of $1,000.00. The final decision of the Secretary found that the entire $33,000.00 lump-sum workers’ compensation award must be prorated and offset against appellant’s disability benefits until appellant attained the age of 62.

DISCUSSION

I.

Although a reviewing court must uphold the ALJ’s findings of fact when they are based on substantial evidence, the court has a broad scope of review in determining whether the Secretary applied the proper standard of law. Benitez v. Califano, 573 F.2d 653, 655 (CA9 1978).

The Social Security Act provides for reduction of a disability beneficiary’s Social Security payments for any month in which “such individual is entitled for such month, under a workmen’s compensation law or plan of the United States or a State, to periodic benefits for a total or partial disability .... ” 42 U.S.C. § 424a(a). The Act further provides that:

“If any periodic benefit under a workmen’s compensation law or plan is payable on other than a monthly basis (excluding a benefit as a lump sum except to the extent that it is a commutation of, or a substitute for, periodic payments), the reduction under this section shall be made at such time or times and in such amounts as the Secretary finds will approximate as nearly as possible the reduction prescribed by subsection (a) of this section.” [Emphasis added] 42 U.S.C. § 424a(b).

Appellant contends that the lump-sum payment made to him under the 1977 stipulation agreement was not “a commutation of, or substitute for, periodic payment” within the meaning of the statute and that, therefore, the Secretary erred in prorating and offsetting it against his disability benefits. In the alternative, he argues that these offset provisions violate the Due Process Clause of the Fifth Amendment.

Appellant contends that the 1977 stipulation was a private agreement outside of the sphere of the workers’ compensation system and outside of the scope of 42 U.S.C. § 424a. His attempted distinction is merit-less. Appellant simply ignores the context in which the stipulation arose. Appellant’s employer’s insurance carrier had been paying him periodic compensation benefits for his October, 1973, industrial injury. Appellant claimed an aggravation of that injury in November of 1974. The carrier disputed its further liability. The parties reached a compromise evidenced by the stipulation agreement. Clause 4 of the stipulation states that it was executed “to compromise and settle the claim and all contentions therein involved” by “the carrier paying $33,000 to claimant in a lump sum by way of a disputed claim in lieu of any further benefits.” [Emphasis added] Regardless of how this amount was determined, appellant clearly intended to surrender his claim to future periodic payments in return for the payment of this lump-sum.

We hold that the record adequately supports the findings of the lower court that the lump-sum payment was a “substitute for” any periodic payments to which appellant would have been entitled had he been able to establish that his continuing back problems were the result of his original on-the-job injury. The lump-sum payment was within the scope of 42 U.S.C. § 424a, and, therefore, it was not error for the Secretary to prorate and offset it against appellant’s disability benefits.

Appellant’s constitutional argument is completely without merit.

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

Related

Justus v. Shalala
817 F. Supp. 29 (W.D. Virginia, 1993)
Aquino v. Tinian Cockfighting Board
3 N. Mar. I. 284 (Sup. Ct. of the Comm. of the N. Mariana Islands, 1992)
Rodlin v. Secretary of Health and Human Services
750 F. Supp. 146 (D. New Jersey, 1990)
Altobella v. Bowen
668 F. Supp. 1134 (N.D. Illinois, 1987)
Sederquist v. Tahoe Regional Planning Agency
652 F. Supp. 341 (D. Nevada, 1987)
MacQuarrie v. Secretary of Health & Human Services
639 F. Supp. 1357 (D. Massachusetts, 1986)
Hatch v. Heckler
626 F. Supp. 1367 (N.D. California, 1986)
United States v. Intercon Leasing, Inc.
617 F. Supp. 323 (S.D. Florida, 1985)
Emery Mining Corporation v. Secretary Of Labor
744 F.2d 1411 (Tenth Circuit, 1984)
Emery Mining Corp. v. Secretary of Labor
744 F.2d 1411 (Tenth Circuit, 1984)

Cite This Page — Counsel Stack

Bluebook (online)
666 F.2d 417, 1982 U.S. App. LEXIS 22366, Counsel Stack Legal Research, https://law.counselstack.com/opinion/james-r-worley-v-patricia-roberts-harris-secretary-of-the-department-of-ca9-1982.