La Morder v. Sullivan

759 F. Supp. 778, 1990 U.S. Dist. LEXIS 18564, 1990 WL 274507
CourtDistrict Court, M.D. Florida
DecidedDecember 6, 1990
DocketNo. 90-316-CIV-T-15C
StatusPublished
Cited by1 cases

This text of 759 F. Supp. 778 (La Morder v. Sullivan) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
La Morder v. Sullivan, 759 F. Supp. 778, 1990 U.S. Dist. LEXIS 18564, 1990 WL 274507 (M.D. Fla. 1990).

Opinion

ORDER

CASTAGNA, District Judge.

THIS CAUSE came on for consideration upon the filing of a petition for review of the decision of the Secretary of Health and Human Services. This matter was considered by the Magistrate, pursuant to the general order of assignment, who has filed her report recommending that the decision of the Secretary denying benefits be affirmed and the case dismissed.

Upon consideration of the report and recommendation of the Magistrate, and upon the court’s independent examination of the file, the Magistrate’s report and recommendation is adopted and confirmed and made a part hereof.

Accordingly, it is ORDERED:

(1) The decision of the Secretary reducing disability benefits due to plaintiff’s receipt of workers’ compensation benefits during the period December 1986 through February 1988 is AFFIRMED.

(2) The case is dismissed. Each party to bear its own fees and expenses.

DONE and ORDERED.

REPORT AND RECOMMENDATION

ELIZABETH A. JENKINS, United States Magistrate.

Plaintiff brings this action pursuant to the Social Security Act (the Act) as amended, Title 42, United States Code, Section 405(g) to obtain judicial review of a final decision of the Secretary of Health and Human Services (the Secretary) reducing disability benefits due to plaintiff’s receipt of workers’ compensation benefits during the period December 1986 through February 1988.1

Plaintiff proceeds in this action pro se. Oral argument has been held.

In an action for judicial review, the reviewing court must affirm the decision of the Secretary if it is supported by substantial evidence in the record as a whole. 42 U.S.C. § 405(g). Substantial evidence is “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion”. Bloodsworth v. Heckler, 703 F.2d 1233, 1239 (11th Cir.1983). If an error of law was committed by the Secretary, the case must be remand[780]*780ed to the Secretary for application of the correct legal standard. McDaniel v. Bowen, 800 F.2d 1026, 1029-30 (11th Cir.1986).

I

This case presents little disagreement as to the material facts. The controlling issues involve interpretation of Social Security statutory provisions construing the circumstances in which disability benefits may be offset by receipt of benefits from other sources, including workers’ compensation benefits.

On February 5, 1987, plaintiff applied for disability insurance benefits and on January 15, 1988, the plaintiffs daughter applied for child’s insurance benefits based upon her father’s earnings record. (T 47-50; 51-55). On February 3, 1988, the Secretary determined that plaintiff was disabled beginning June 10, 1986. (T 56). In a notice of award letter dated May 5, 1988, petitioner was advised that his disability benefits which were scheduled to commence in December 1986 would be reduced due to plaintiff’s receipt of workers’ compensation benefits during the period December 1986 through February 1988. The letter also advised that beginning March 1988, plaintiff and his daughter would receive the full amount of benefits due. (T 57-S8).2

On August 2,1988, the Secretary notified plaintiff that the reduction in benefits had been reviewed and was found to be correct. (T 63-65). Plaintiff and his daughter thereafter requested a hearing before an Administrative Law Judge (ALJ) which was held on January 27, 1989. (T 16-46; 67-68). Plaintiff and his spouse, his designated representative, appeared at the hearing. On May 13, 1989, the AU entered a written decision affirming the reduction of benefits and the determination of the appropriate offset. (T 7-11). The decision of the ALJ was affirmed by the Appeals Counsel on January 16, 1990. (T 2-3).

The Secretary’s computation resulted in a finding that plaintiff and his daughter would be entitled to only cost-of-living increases in Social Security benefits for the period December 1986 through February 1988 due to plaintiff’s receipt of workers’ compensation benefits during that period.

II

Congress has determined that disability benefits which may be awarded under the Social Security Act should be reduced, in certain instances, where the claimant is also receiving workers’ compensation benefits. 42 U.S.C. § 424a. The purpose of section 424a is to guard against a disabled worker receiving more in total benefits than his pre-disability take home pay. If an offset was not required, it might reduce a worker’s incentive to return to work, impede rehabilitation efforts and erode state workers’ compensation programs. See Freeman v. Harris, 625 F.2d 1303, 1306 (5th Cir.1980).

The determination of the exact amount of offset and benefits reduction involves a complex formula best explained by simply quoting the statute.

Section 424a provides that during any months in which the claimant is entitled to social security benefits and also entitled to worker’s compensation benefits, the total of his disability benefits:

... shall be reduced (but not below zero) by the amount by which the sum of—
(3) such total of benefits under Sections 223 and 202 of this title for such month, and
(4) such periodic benefits payable (and actually paid) for such month to such individual under such laws or plans, exceeds the higher of—
(5) 80 per centum of his “average current earnings”, or
(6) the total of such individual’s disability insurance benefits ... prior to reduction under this section ....
Section 424a further provides:
For the purposes of clause (5), an individual’s average current earnings means the largest of (A) the average monthly wage (determined under Section 215(b) of this title as in effect prior to January [781]*7811979) used for purposes of computing his benefits under Section 223 of this title, (B) one sixtieth of the total of his wages and self-employment income (computed without regard to the limitations specified in Sections 209(a) and 211(b)(1) of this title) for the five consecutive calendar years after 1950 for which such wages and self-employment income were highest, or (e) one-twelfth of the total of his wages and self-employment income ... for the calendar year in which he had the highest such wages and income during the period consisting of the calendar year in which he became disabled ... and the five years preceding that year.
* * * * * sfc
(d) Exception.

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Related

La Morder v. Sullivan
964 F.2d 1146 (Eleventh Circuit, 1992)

Cite This Page — Counsel Stack

Bluebook (online)
759 F. Supp. 778, 1990 U.S. Dist. LEXIS 18564, 1990 WL 274507, Counsel Stack Legal Research, https://law.counselstack.com/opinion/la-morder-v-sullivan-flmd-1990.