Kugler v. Secretary of Health & Human Services

646 F. Supp. 129, 1986 U.S. Dist. LEXIS 19151, 15 Soc. Serv. Rev. 613
CourtDistrict Court, E.D. New York
DecidedOctober 14, 1986
DocketNo. 83 CV 3098
StatusPublished

This text of 646 F. Supp. 129 (Kugler v. Secretary of Health & Human Services) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Kugler v. Secretary of Health & Human Services, 646 F. Supp. 129, 1986 U.S. Dist. LEXIS 19151, 15 Soc. Serv. Rev. 613 (E.D.N.Y. 1986).

Opinion

MEMORANDUM AND ORDER

PLATT, District Judge.

The issue in this case is whether the limit on attorneys’ fees under 42 U.S.C. § 406 in Social Security cases is based on the amount of retroactive disability benefits before or after the deduction under 42 U.S.C. § 1320a-6 for Supplemental Security Income benefits previously paid.

On November 2, 1985, the Secretary of Health and Human Services (the “Secretary”) awarded the plaintiff retroactive Supplemental Security Income (“SSI”) benefits, under Title XVI of the Social Security Act (the “Act”), 42 U.S.C. §§ 1381-83c, covering the period June 1982 through November 1985. In January 1986, the Secretary awarded the plaintiff, and his wife and children as auxiliary beneficiaries, a total of $36,912 in retroactive disability benefits, under Title II of the Act, 42 U.S.C. §§ 401-33, covering the period from September 1982 to December 1985.

SSI benefits are based, in part, on the needs of the claimant, and thus depend upon the claimant’s income. 42 U.S.C. § 1382(a) & (c)(1). See Wheeler v. Heckler, 787 F.2d 101, 103 (3d Cir.1986). For the purposes of calculating SSI payments, disability insurance benefits are considered income in the months in which they are [130]*130received. See Cuthbert v. Secretary, Department of Health & Human Services, 784 F.2d 1157, 1159 (4th Cir.1985). Thus, when a retroactive disability award covers the same period for which a claimant received SSI benefits, the claimant could potentially receive a windfall because the SSI payments were not originally calculated in light of the disability payments that should have been received. See S. Rep. No. 408, 96th Cong. 2d Sess. 78, reprinted in 1980 U.S. Code Cong. & Ad. News 1277, 1356. To prevent such a windfall, the Secretary reduces retroactive disability awards by the difference between the amount of SSI benefits the claimant actually received and the amount he would have received if the disability benefits had been timely paid. 42 U.S.C. § 1320a-6. In the present case, plaintiff's retroactive disability award covered a period for which he had already received SSI benefits. Therefore, the Secretary applied the section 1320a-6 offset procedure and reduced the retroactive disability award to $28,083.28.

The Social Security Act permits an attorney who represents a prevailing disability claimant in court or before the Social Security Administration to recover a fee of up to 25% of the benefits due his client. 42 U.S.C. § 406. The Secretary is authorized to withhold 25% of “past due benefits” to pay the attorney. 42 U.S.C. § 406(a). That is, the attorney’s fee comes directly out of the benefits payable to the claimant.

The Secretary has defined the term “past due benefits” for purposes of section 406 as “the total amount of benefits payable under Title II of the Act to all beneficiaries that has accumulated because of favorable administrative or judicial determination or decision.” 20 C.F.R. § 404.1703. The Secretary interprets the “amount payable” as “the amount of retroactive benefits less the amount of any deductions applicable.” 47 Fed.Reg. 4985, 4986 (1982). Therefore, the Secretary calculates attorneys’ fees under section 406 after offsetting prior SSI benefits under section 1320a-6. In the present case, plaintiff’s attorney claims fees of $9,144.60, representing 25% of the total Title II disability benefits awarded the plaintiff and dependent members of his family. The Secretary applied the offset procedures of 42 U.S.C. § 1320a-6 first, however, and withheld only $6,937.50. Plaintiff’s attorney claims that applying the offset procedure before calculating attorney’s fees violates 42 U.S.C. § 406.1

Since Congress “has entrusted the primary responsibility of interpreting a statutory term to the Secretary rather than to the Courts,” the Secretary’s implementation and interpretation of the term “past due benefits” deserves great deference. Detson v. Schweiker, 788 F.2d 372, 375 (6th Cir.1986), quoting Herweg v. Ray, 455 U.S. 265, 275, 102 S.Ct. 1059, 1066, 71 L.Ed.2d 137 (1982). Therefore, the Secretary’s interpretation will not be disturbed unless it is arbitrary and capricious and exceeds the Secretary’s statutory authority. Wheeler v. Heckler, 787 F.2d 101, 104 (3d Cir.1986).

Section 406 serves a dual purpose. First, it encourages lawyers to represent Social Security claimants by providing a procedure for ensuring payment for services; see Dawson v. Finch, 425 F.2d 1192, 1195 (5th Cir.), cert. denied, 400 U.S. 830, 91 S.Ct. 60, 27 L.Ed.2d 261 (1970). Second, by capping fees at 25% of past-due benefits, it ensures that the attorney’s fee will not consume the disability award. See Burnett v. Heckler, 756 F.2d 621, 625 (8th Cir.1985). The Secretary’s implementation of the statute is consistent with that goal. If attorneys’ fees were based on the gross amount, the fee could represent a substantial portion of the payment the claimant actually receives. See Cloyd v. Weinberger, 527 F.2d 1167 (6th Cir.1976) (reversing district court’s award based on gross benefits, which exceeded the claimant’s past-due benefits); [131]*131see also Burnett, 756 F.2d at 625-26. Furthermore, the amount offset under section 1320a-6 represents money the claimant would have received anyway, as SSI benefits, even if the attorney’s efforts failed to obtain Title II disability benefits for the claimant. Applying the offset before calculating fees prevents the attorney from receiving more than 25% of what the attorney’s efforts obtained for the claimant.

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Bluebook (online)
646 F. Supp. 129, 1986 U.S. Dist. LEXIS 19151, 15 Soc. Serv. Rev. 613, Counsel Stack Legal Research, https://law.counselstack.com/opinion/kugler-v-secretary-of-health-human-services-nyed-1986.