LE FEVRE BY AND THROUGH LE FEVRE v. Sullivan

785 F. Supp. 1402, 1991 U.S. Dist. LEXIS 20333, 1991 WL 324144
CourtDistrict Court, C.D. California
DecidedNovember 20, 1991
DocketCV 90-6783 (T)
StatusPublished

This text of 785 F. Supp. 1402 (LE FEVRE BY AND THROUGH LE FEVRE v. Sullivan) is published on Counsel Stack Legal Research, covering District Court, C.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

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LE FEVRE BY AND THROUGH LE FEVRE v. Sullivan, 785 F. Supp. 1402, 1991 U.S. Dist. LEXIS 20333, 1991 WL 324144 (C.D. Cal. 1991).

Opinion

MEMORANDUM OPINION

TASSOPULOS, United States Magistrate Judge.

Plaintiff has filed a Motion for Summary Judgment seeking to reverse the decision of the defendant denying her application for child’s insurance benefits. Defendant, the Secretary of Health and Human Services, has filed a Cross Motion for Summary Judgment seeking affirmance of his decision denying plaintiff’s application for benefits.

The parties filed a Consent to Proceed Before a United States Magistrate, pursuant to the provisions of 28 U.S.C. § 636(c), on March 21, 1991.

STATEMENT OF ADMINISTRATIVE PROCEEDINGS

Plaintiff, Jeannie Le Fevre, filed an application for child’s insurance benefits on behalf of her daughter, Karissa P. Le Fevre, on April 19, 1988, alleging that Kar-issa was the natural child of wage earner Mohammad Hashem Zubin, who died on March 16, 1987. (Administrative Record, hereinafter “A.R.”, pages 33-38). Plaintiff’s application was denied initially (A.R. 41-42) and upon reconsideration (A.R. 47-53). Plaintiff requested an administrative hearing (A.R. 54-55) which was held on March 1, 1990 (A.R. 23-32) before an Administrative Law Judge (hereinafter “AU”).

The AU issued a recommended decision on April 23, 1990. (A.R. 9-14). The AU concluded that the evidence of record established that plaintiff is the natural child of the wage earner pursuant to 20 C.F.R. § 404.355(c) (1990), and, therefore, entitled to child’s insurance benefits on the record of the wage earner. (A.R. 9-14). Specifically, the AU found that while plaintiff was not the insured’s natural child under sections (a), (b), and (d) of the regulation, she was the natural child under the AU’s interpretation of section (c). (A.R. 12-13). Section (c) requires written acknowledgment from the wage earner that the child is his or her own child. 20 C.F.R. § 404.-355(c) (1990). While such written acknowledgment from the wage earner was not in the record, statements from the wage earner’s widow, brother, and cousin were in the record. These witnesses stated that the wage earner had told them that he had a child, and that the plaintiff was his child by Jeannie Le Fevre. The AU found this evidence compelling, particularly the statement from the wage earner’s widow constituted a statement against interest because her child would have to share child’s insurance benefits with Karissa if she were found eligible for benefits. (A.R. 13). The AU concluded that these statements constituted sufficient acknowledgment by the wage earner, and deemed the requirements of section (c) satisfied.

Pursuant to its review powers, the Social Security Appeals Council notified plaintiff that it would be reviewing the AU’s decision. (A.R. 110-111). The Appeals Council rendered a decision on October 15, 1990 rejecting the AU’s recommended decision *1404 and finding, inter alia, that written statements by third parties regarding the deceased wage earner’s oral acknowledgment of paternity to them did not constitute written acknowledgment of paternity within the meaning of the Social Security Act. Therefore, the Appeals Council concluded that plaintiff was not the natural child of the wage earner under the Social Security Act and, correspondingly, not entitled to child’s insurance benefits based on the wage earner’s records. (A.R. 3-8). The Appeals Council also found that under the laws of the State of California, there was no evidence that Karissa could inherit personal property from the wage earner.

STANDARD OF REVIEW

The Secretary’s denial of benefits should only be disturbed if it is not supported by proper legal standards or the substantial evidence of record. Keyes v. Sullivan, 894 F.2d 1053 (9th Cir.1990). Substantial evidence is more than a mere scintilla but less than a preponderance. Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842 (1971); Desrosiers v. Secretary of Health and Human Services, 846 F.2d 573, 576 (9th Cir.1988). Substantial evidence means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Richardson, 402 U.S. at 401, 91 S.Ct. at 1427. The Court is required to review the record as a whole and consider both adverse and supporting evidence. Hammock v. Bowen, 879 F.2d 498, 501 (9th Cir.1989).

DISCUSSION

The record in this case reveals that the wage earner, Mohammad Hashem Zubin, a native of Afghanistan who emigrated to the United States in 1983, began a relationship with plaintiff, Jeannie Le Fevre, in 1983. When plaintiff became pregnant, the wage earner refused to support the child and urged her to abort. Plaintiff refused and a child, Karissa, was born on August 11, 1984. The statements of plaintiff reveal that she did not name the wage earner as the father of the child on Karissa’s birth certificate because she did not want him to use that information for immigration residency purposes or to gain custody of the child. The wage earner died on March 16, 1987 from a shotgun suicide.

In support of her application for child’s insurance benefits, plaintiff has submitted the results of DNA testing of the child and the wage earner which shows that the wage earner, Mohammad Hashem Zubin, is the father of the applicant. (A.R. 70). In addition, plaintiff has submitted statements from the wage earner’s wife (A.R. 65), brother (A.R. 58), cousins (A.R. 60-61), and mother (A,R. 98-102), that during his lifetime he acknowledged to them that Karissa LeFevre, the applicant herein, was his child. The record also contains statements from Jeannie Le Fevre’s father (A.R. 62-64) and mother (A.R. 59) stating that Mohammed Zubin was the father of their granddaughter, Karissa.

The general criteria for entitlement to child’s insurance benefits are found under 42 U.S.C. § 402(d)(1). The statute provides that every “child” of an individual who dies fully insured under the Social Security Act is entitled to child’s insurance benefits if the child is unmarried, under the age of 18, and was dependent upon the insured at the time of the insured’s death. Dependency is presumed if the insured is living with or contributing to the support of the child. 42 U.S.C. § 402(d)(3). If the presumption does not apply, 42 U.S.C. § 416(h)(2) sets forth alternative rules for the determination of family status. 1

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785 F. Supp. 1402, 1991 U.S. Dist. LEXIS 20333, 1991 WL 324144, Counsel Stack Legal Research, https://law.counselstack.com/opinion/le-fevre-by-and-through-le-fevre-v-sullivan-cacd-1991.