Krishnan, Narayanan v. Barnhart, Jo Anne B.

328 F.3d 685, 356 U.S. App. D.C. 147, 2003 U.S. App. LEXIS 9449, 2003 WL 21106259
CourtCourt of Appeals for the D.C. Circuit
DecidedMay 16, 2003
Docket01-5307
StatusPublished
Cited by35 cases

This text of 328 F.3d 685 (Krishnan, Narayanan v. Barnhart, Jo Anne B.) is published on Counsel Stack Legal Research, covering Court of Appeals for the D.C. Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Krishnan, Narayanan v. Barnhart, Jo Anne B., 328 F.3d 685, 356 U.S. App. D.C. 147, 2003 U.S. App. LEXIS 9449, 2003 WL 21106259 (D.C. Cir. 2003).

Opinion

Opinion for the Court filed by Circuit Judge ROGERS.

ROGERS, Circuit Judge:

The underlying issue in this case is whether a non-U.S. citizen applying for disability benefits under the Social Security Act has satisfied an exception to the general rule that alien beneficiaries cannot receive benefits if they have resided outside the United States for six consecutive calendar months, 42 U.S.C. §§ 402(t)(l)(A); 402(t)(4)(A-B) (2000). As the case comes to this court on appeal from a judgment affirming the denial of benefits following a remand to the Social Security Administration (“SSA”), it involves an unauthorized remand by the district court to an agency that failed to fulfill its regulatory responsibilities to assist the applicant. Notwithstanding these procedural errors, because the claimant has failed to make a prima facie showing that he was entitled to receive benefits, we affirm the judgment affirming the agency’s denial of benefits.

I.

The qualification for benefits at issue revolves around the claimant’s assertion *688 that he had worked the requisite time in qualified employment to come within an exception to the general ban on alien beneficiaries receiving benefits. Title II of the Social Security Act, 42 U.S.C. § 401 et seq., provides monthly insurance benefits to “qualified” individuals who the SSA determines are unable to work because of a disability. See also id. at § 423. Whether a person “qualifies” for benefits depends largely on whether he has acquired the requisite number of “quarters of coverage,” or “QCs.” See id. at § 413; 20 C.F.R. § 404.101(a) (2002). For calendar years since 1978, the number of QCs that a worker earns is based on a comparison of his total “covered” earnings to the amount designated in SSA’s regulations as sufficient to qualify for one QC during that year. 42 U.S.C. § 413; 20 C.F.R. §§ 404.140(c), 404.143(a); see also 20 C.F.R. Pt. 404, Subpt. B, App. Thus, a worker earns one QC if his total covered earnings equal the amount designated in the regulations as sufficient to qualify for one QC during that year, and a worker receives two QCs by earning twice the amount specified in the regulations for a single QC. 20 C.F.R. § 404.143(a). A worker cannot earn more than four QCs in any given year, id., but because the system is based on total annual earnings, an individual need not work the entire year to earn four QCs. For instance, a person could work for one quarter of the calendar year and earn four QCs if his covered earnings during that period were four times the amount required by regulation for one QC. Similarly, a person could earn two QCs if his covered earnings were twice the amount required for one QC whether he worked for three days or half of the year or for the full calendar year.

Importantly, only earnings that are “covered” under social security count toward the calculation of a worker’s QCs. See id. at §§ 404.1001, 404.1012. Work performed within the United States is generally covered, subject to a few exceptions. Id. at § 404.1004. The earnings of students who work as employees of the school they are attending, for example, are not “covered” under social security. Id. at § 404.1028. Likewise, on-campus work performed by foreign students attending school in the United States is excluded from employment that is covered for purposes of calculating QCs. Id. at § 404.1036.

Additional provisions of the Social Security Act apply to non-U.S. citizens attempting to receive disability insurance benefits. As pertinent here, § 402(t) of the Act provides that alien beneficiaries cannot receive benefits for any month that occurs after they have been outside the United States for six consecutive calendar months. 42 U.S.C. § 402(t)(l)(A); see also 20 C.F.R. § 404.460(a). This so-called “nonpayment provision” has two relevant exceptions: An alien beneficiary who has accrued at least forty QCs, or who has resided in the United States for a period totaling at least ten years, is eligible for benefits regardless of his absence from the United States. 42 U.S.C. § 402(t)(4)(A-B); see also 20 C.F.R. § 404.460(b)(2)(I). These two exceptions to the nonpayment provision do not apply, however, if the beneficiary is a citizen of a foreign country that has a social insurance or pension program of general application, 42 U.S.C. § 402(t)(2), or if the beneficiary resides in a foreign country to which the mailing of U.S. government benefits is prohibited, 42 U.S.C. § 402(t)(10).

An individual who is certified as disabled by the SSA, pursuant to 42 U.S.C. § 421, must file an application to receive benefits. 20 C.F.R. § 404.603. As part of the application, the claimant must provide the SSA with evidence of eligibility. Id. at § 404.704. By definition, evidence is “any record, document, or signed statement that *689 helps to show whether [the claimant is] eligible for benefits.” Id. at § 404.702. With regard to proof of a claimant’s earnings, however, the only conclusive evidence is an official statement of earnings provided by the SSA, 20 C.F.R. § 404.803, which maintains an earnings record for each person whose employment is covered under the social security program. 42 U.S.C. § 405(c)(2)(A). (If there is an error in the earnings record, it may be corrected pursuant to 20 C.F.R. § 404.822.) A claimant, or his legal representative, can obtain, on request, a copy of the claimant’s official SSA earnings statement from the agency free of charge. See 42 U.S.C. §§ 405(c)(2)(a), 1320b-13(a)(3)(A-C); 20 C.F.R.

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Bluebook (online)
328 F.3d 685, 356 U.S. App. D.C. 147, 2003 U.S. App. LEXIS 9449, 2003 WL 21106259, Counsel Stack Legal Research, https://law.counselstack.com/opinion/krishnan-narayanan-v-barnhart-jo-anne-b-cadc-2003.