Melissa Cohan v. Comm'r of Soc. Sec.

Court of Appeals for the Sixth Circuit·Decided February 3, 2020·No. 19-3453·Unpublished

Opinion

NOT RECOMMENDED FOR PUBLICATION File Name: 20a0076n.06

Case No. 19-3453

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

FILED

Feb 03, 2020

MELISSA COHAN, )

DEBORAH S. HUNT, Clerk

)

Plaintiff-Appellant, )

) ON APPEAL FROM THE UNITED v. ) STATES DISTRICT COURT FOR ) THE SOUTHERN DISTRICT OF COMMISSIONER OF SOCIAL SECURITY, ) OHIO )

Defendant-Appellee. )

)

BEFORE: SUHRHEINRICH, DONALD, and MURPHY, Circuit Judges.

BERNICE BOUIE DONALD, Circuit Judge. In January 2006, following the death of her husband, Plaintiff-Appellant Melissa Cohan (“Cohan”) applied for and was awarded mother’s insurance benefits under Title II of the Social Security Act (“the Act”). At the time she submitted her application for mother’s benefits, Cohan was not employed. After receiving monthly benefits for one year, Cohan sought employment and began earning an income that exceeded the yearly earnings limit on her benefits, resulting in an overpayment. Cohan requested a waiver of the overpayment recovery, which the Defendant-Appellee Commissioner of Social Security (“Commissioner”) denied. Pursuant to 42 U.S.C. § 405(g), Cohan sought judicial review of that decision in the district court, which affirmed the Commissioner’s decision to seek recovery of the overpayment. Cohan now appeals, asserting primarily that recovery of the overpayment defeats

the purpose of the Act and goes against equity and good conscience, thereby entitling her to a waiver of the overpayment under 42 U.S.C. § 404(b)(1). We AFFIRM.

Under the Act, mother’s and father’s benefits are available to the surviving spouse of a decedent who was fully or currently insured at the time of their death if the surviving spouse, among other requirements, has a child of the decedent in their care under the age of sixteen. 20 C.F.R. § 404.339. This monthly benefit is subject to an annual earnings limit, meaning the amount of benefits a claimant receives each month may be reduced if the claimant’s income surpasses the applicable earnings limit for the year in which the benefits are received. Id. § 404.342 (incorporating by reference id. §§ 404.304, 404.415); see also 42 U.S.C. § 403(a)-(b).

On January 24, 2006, Cohan submitted an application to the Social Security Administration (“SSA”) for mother’s insurance benefits pursuant to the Act. Cohan’s application for mother’s benefits included the following provisions:

I understand that SSA will use the earnings reported to SSA by my employer(s) and my self-employment tax return (if applicable) as the report of earnings required by law, to adjust benefits under the earnings test. I also understand that it is my responsibility to ensure that the information I give SSA concerning my earnings is correct. I also understand that I must furnish additional information as needed when my benefit adjustment is not correct based on the earnings on my record.

....

My reporting responsibilities have been explained to me.

Admin. R. 489. On January 29, 2006, the SSA issued an award notice to Cohan informing her that she was entitled to receive $1,382.00 in monthly mother’s benefits. Additionally, the award notice stated:

Work and Earnings Affect Payments The monthly earnings test applies only to 1 year. That year is the first year a beneficiary has a non-work month after entitlement to Social Security benefits. Our records show that you had or will have at least one non-work month in 2006. If you

ever go to work, we will pay benefits for each year based on your work and earnings for that year.

....

Your Responsibilities Your benefits are based on the information you gave us. If this information changes, it could affect your benefits. For this reason, it is important that you report changes to us right away.

We have enclosed a pamphlet . . . [that] tells you what must be reported and how to report. Please be sure to read that part of the pamphlet which explains how work could change payments.

Admin. R. 494-95. In 2006, Cohan received $15,202.00 in mother’s benefits payments.

Cohan was not employed when she applied for and was awarded benefits in January 2006.

In February 2007, however, Cohan began working for the City of Worthington and earning an annual income of $31,778.00. Cohan asserts that she reported her employment status change during an in-person visit to her local SSA office. During this visit, Cohan claims that she completed a tax withholding form and was informed that she did not need to complete any additional paperwork to report her income change. A. 2007 Overpayment On July 15, 2008, Cohan received a letter from the SSA informing her that, due to her 2007 earnings, she had received an overpayment of benefits. The letter notified Cohan that the SSA had overpaid her $9,405.00 in 2007. The letter also explained that, to recover the money Cohan owed the SSA, the agency planned to begin withholding Cohan’s benefits payments in September 2008, and that Cohan would begin receiving benefits again in April 2009. Additionally, the letter

detailed how the overpayment was calculated,1 instructed Cohan to report any changes in her income or employment status to the SSA, and informed Cohan that she could appeal the SSA’s overpayment decision or seek a waiver of the overpayment recovery.

In a letter dated September 2, 2008, the SSA reminded Cohan that, due to the overpayment she received in 2007, she would not receive benefits payments for September 2008 through February 2009, that she would receive a partial payment of her March 2009 benefits, and that her full monthly benefits payments would resume beginning with her April 2009 benefits payment. Cohan did not appeal the overpayment decision or seek a waiver of the overpayment recovery for the 2007 overpayment. Accordingly, Cohan did not receive any benefits payments for the months of September 2008 through February 2009. B. 2008 Overpayment On August 20, 2009, the SSA sent Cohan another letter explaining that, because Cohan had earned more than the earnings limit for 2008,2 Cohan owed the agency $13,193.00 in overpaid benefits for 2008. Further, the letter explained that the SSA would begin withholding Cohan’s benefit payments beginning in October 2009 to recover the 2008 overpayment and that Cohan would begin receiving benefits payments again in July 2010. Again, the agency reminded Cohan

1 Specifically, the letter stated:

The earnings limit for 2007 is $12,960.00. If you work and earn over the allowed amount for the year, we withhold $1 in benefits for every $2 you earn above the limit. We have enclosed a worksheet to show how we applied the earnings limit to your earnings to figure your benefits.

Admin. R. 45. 2 As noted in the SSA’s letter, the earnings limit for 2008 was $13,560.00 and Cohan’s employer reported that Cohan had earned $39,946.00.

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