Margaret West, V. State Of Wa, Dept Of L & I

Court of Appeals of Washington·Decided October 31, 2023·No. 58180-9·Unpublished

Opinion

Filed

Washington State

Court of Appeals

Division Two

October 31, 2023

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON

DIVISION II

MARGARET WEST AND No. 58180-9-II HAROLD R. LONG,

Appellants,

v. UNPUBLISHED OPINION

DEPARTMENT OF LABOR AND INDUSTRIES OF THE STATE OF WASHINGTON,

Respondent.

MAXA, J. – Margaret West and Harold Long appeal the superior court’s order affirming the reductions made to their workers’ compensation disability benefits by the Department of Labor and Industries (DLI). West and Long sustained injuries while working and received disability benefits from DLI. But once they began receiving social security retirement benefits after reaching retirement age, DLI reduced their disability benefits based on RCW 51.32.225.

42 U.S.C § 424a(a) provides that if a person has not yet reached retirement age and is entitled to receive both social security disability benefits and disability benefits under a state workers’ compensation plan, the person’s social security benefits will be reduced. However, 42 U.S.C. § 424a(d) expressly allows states to adopt a “reverse offset” – reducing workers’ compensation benefits by the amount of social security disability benefits. Section 424a(d) makes no mention of reverse offsets for social security retirement benefits. But RCW

51.32.225(1) provides that for a person receiving workers’ compensation benefits for temporary or permanent disability, DLI shall reduce that compensation by the amount of social security retirement benefits payable to that person.

The superior court ruled that the federal statute did not preempt RCW 51.32.225(1) and affirmed DLI’s reductions of West and Long’s disability benefits. West and Long argue that 42 U.S.C. § 424a preempts RCW 51.32.225(1).

We hold that 42 U.S.C. § 424a does not preempt state law in the area of reverse offsets for social security retirement benefits. Accordingly, we affirm the superior court’s order.

FACTS

West was born in 1955. In March 2018, she sustained multiple injuries during the course of her employment. West was 63 years old at the time she sustained her injuries.

West filed a claim with DLI for time loss compensation benefits based on her disability, which DLI approved. In April 2019, West became eligible for social security retirement benefits. DLI issued an order that reduced West’s disability benefits by the amount of her social security retirement benefits, effective July 1, 2019. And DLI assessed an overpayment in the amount of $4,544.80.

Long was born in 1951. In May 2012, he injured his lower back during the course of his employment. Long was 61 years old at the time of his injury.

Long filed a claim with DLI for time loss compensation benefits based on his disability, which DLI approved. In January 2015, Long became eligible for social security retirement benefits. DLI issued an order that reduced Long’s disability benefits by the amount of his social security retirement benefits, effective January 1, 2017. And DLI assessed an overpayment in the amount of $13,073.40.

West and Long separately protested DLI’s orders. DLI affirmed both of the initial orders.

West and Long separately appealed DLI’s decisions before the Board of Industrial Insurance Appeals (BIIA), seeking a determination that DLI did not have the authority to reduce their time loss compensation benefits by the amount of their social security retirement benefits. At the BIIA, the two appeals were consolidated.

The BIIA judge found that DLI was authorized to reduce the time loss compensation by the amount of social security retirement benefits based on RCW 51.32.225 and granted judgment as a matter of law in favor of DLI. The BIIA judge issued a proposed decision and order affirming the initial DLI orders. West and Long filed a petition for review, but the BIIA denied the petition and adopted the proposed decision and order as its final order.

West and Long appealed the BIIA’s final order to the superior court. The court affirmed the BIIA’s final order that adopted DLI’s initial orders for West and Long.

West and Long appeal the superior court’s order.

ANALYSIS

A. STANDARD OF REVIEW The Industrial Insurance Act (IIA), chapter 51.04 RCW, governs judicial review of workers’ compensation decisions. Smith v. Dep’t of Lab. & Indus., 22 Wn. App. 2d 500, 506, 512 P.3d 566, review denied, 200 Wn.2d 1013 (2022). Under the IIA, we review the superior court’s decision and not the BIIA’s order. Id.; RCW 51.52.140.

We review summary judgment orders de novo. Sartin v. Est. of McPike, 15 Wn. App. 2d 163, 172, 475 P.3d 522 (2020). Summary judgment is appropriate if there are no genuine issues of material fact and the moving party is entitled to judgment as a matter of law. Id.; CR 56(c).

In addition, the superior court’s construction of a statute is a question of law, which we review de novo. Smith, 22 Wn. App. 2d at 506. B. STATUTORY OVERVIEW 1. Federal Law Under the Social Security Act of 1935 (SSA), title 42 U.S.C. chapter 7, a person reaches early retirement age at 62 and any person who turned 62 between December 31, 2004 and January 1, 2017 or December 31, 2016 and January 1, 2022, reaches retirement age at 66 years old. 42 U.S.C. § 416(l)(1)-(2). Under 42 U.S.C. § 423(a), an insured person is entitled to social security disability insurance benefits if they (1) have not reached retirement age, (2) have filed an application for disability insurance benefits, and (3) are under a disability. 42 U.S.C. § 402 covers old age (retirement) and survivor’s insurance benefit payments.

In 1965, the federal government passed legislation implementing a federal offset program to avoid discouraging workers who were receiving both federal and state benefits from returning to work. Harris v. Dep’t of Lab. & Indus., 120 Wn.2d 461, 466-67, 843 P.2d 1056 (1993). 42 U.S.C § 424a(a) provides that if a person has not yet reached retirement age and is entitled to receive both § 423 disability benefits and disability benefits under a state workers’ compensation plan, the total of their § 423 disability and § 402 retirement/survivor’s benefits will be reduced if the total federal and state disability benefits exceed the higher of (1) 80 percent of their salary or (2) the total of their § 423 and § 402 benefits.

Section 424a(d) states an exception to the § 424a(a) offset. Under § 424a(d), the § 424a(a) reduction will not be applied if a state workers’ compensation law provides that workers’ compensation benefits will be reduced by the amount of social security disability benefits the person is entitled to receive. This exception allows states to create a “reverse offset”

for social security disability benefits. Harris, 120 Wn.2d at 469. The purpose of this exception is to avoid a double offset by federal and state governments. Id.

Section 424a(d) allows states to enact a reverse offset for social security disability benefits, but that subsection does not reference a reverse offset for social security retirement benefits.

42 U.S.C. § 403(b) uses an earnings test to reduce a person’s social security benefits if the person is still working and receiving income when receiving those benefits. The Senior Citizens’ Freedom to Work Act of 2000 eliminated this reduction for people who reach retirement age. Pub. L. 106-182, §§ 2 to 4(a), 114 Stat. 198, 199 (2000); see 42 U.S.C. § 403(f)(8)(E).

2. State Law Washington enacted a reverse offset provision for disability compensation in 1975, which reduces a state worker’s disability compensation benefits if they are receiving social security benefits. Harris, 120 Wn.2d at 467. RCW 51.32.220(1) states,

For persons receiving compensation for temporary or permanent total disability pursuant to the provisions of this chapter, such compensation shall be reduced by an amount equal to the benefits payable under the federal old-age, survivors, and disability insurance act as now or hereafter amended not to exceed the amount of the reduction established pursuant to 42 U.S.C. Sec. 424a.

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