Nonah L. HIGHFILL, Appellant, v. Otis R. BOWEN, Secretary, Department of Health and Human Services, Appellee

832 F.2d 112, 1987 U.S. App. LEXIS 14203, 19 Soc. Serv. Rev. 403
CourtCourt of Appeals for the Eighth Circuit
DecidedOctober 27, 1987
Docket86-2437
StatusPublished
Cited by27 cases

This text of 832 F.2d 112 (Nonah L. HIGHFILL, Appellant, v. Otis R. BOWEN, Secretary, Department of Health and Human Services, Appellee) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eighth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nonah L. HIGHFILL, Appellant, v. Otis R. BOWEN, Secretary, Department of Health and Human Services, Appellee, 832 F.2d 112, 1987 U.S. App. LEXIS 14203, 19 Soc. Serv. Rev. 403 (8th Cir. 1987).

Opinion

McMILLIAN, Circuit Judge.

Nonah L. Highfill appeals from a final judgment entered in the District Court for the Eastern District of Arkansas affirming the decision of the Secretary of Health and Human Services (Secretary) denying her claim for a period of disability and disability insurance. Highfill v. Brown, No. LRC-85-698 (E.D.Ark. Oct. 30, 1986). For reversal, Highfill argues that (1) the Secretary was estopped from determining that she was not fully and currently insured for disability insurance benefits by a prior inconsistent decision on the same issue, (2) the Secretary erroneously excluded wages earned in domestic work, and (3) she was deprived of a full and fair hearing because of a lack of counsel. For the reasons discussed below, we reverse and remand.

Highfill applied for disability insurance benefits in March 1984. Her application listed “Lynn Whalin (dtr.)” as her employer, with “babysitting” noted parenthetically, and wages of $25 per week. The Secretary denied the application on the basis that Highfill had insufficient quarters of coverage and earnings to meet the insured status requirement.

After receiving information that Highfill had had problems with her social security number, her application was reconsidered. During this process,' the agency obtained the following documents: (1) Highfill’s W-2 form for 1983, showing “Linnie C. Whalin, the Nu-Lok” as employer and $87.08 social security tax withheld; (2) Highfill’s statement certifying that she had worked for her daughter since 1978, and (3) a “Statement of Employer” showing High-fill’s occupation as “babysitter,” the business name of the employer as “Linnie C. Whalin- The Nu-Lok,” the nature of the business as “beauty shop,” and “Linnie C. Whalin (Owner)” as the name and title of the employer. The agency decided that Highfill met the earnings requirement and proceeded with a medical evaluation. See In re Highfill, No. 431-38-3309, slip op. at 2 (Feb. 19, 1985) (decision of the AU). The *114 application for benefits was denied on the basis that there was no disability. Id. Highfill then requested a hearing before an administrative law judge (AU) on the unfavorable disability determination.

At the hearing on November 19, 1984, Highfill appeared with her daughter, Lynn Whalin. In response to the AU’s questioning, Highfill acknowledged her right to be represented by an attorney but stated that she could not afford such representation. She further stated that she “really didn’t know how to go about” obtaining free legal services although she knew that such services existed. She stated that she was willing to proceed without an attorney.

The AU indicated that the purpose of the hearing was to consider whether High-fill was able to engage in substantial work activity. The AU focused on Highfill’s medical history and physical condition but also questioned her briefly regarding her most recent employment as a babysitter for Whalin’s children.

Highfill testified that Whalin had paid social security taxes on her weekly wages for six years from 1978 to 1984. When Whalin asked the AU about the propriety of paying these taxes, the AU responded he was not familiar with the requirements and was interested only in determining whether Highfill was disabled.

The AU conducted a supplemental hearing on November 20, 1984, to obtain further evidence on Highfill’s “work activity as a babysitter.” Responding to questions concerning her babysitting, Highfill testified that she babysat for Whalin’s children in her own home because Whalin was employed and the daycare center did not provide adequate care.

In a decision dated February 19, 1985, the AU formulated the issue as “whether the claimant’s earnings record may be credited with wages for her earnings as a babysitter in the employ of her daughter during the years 1978 through 1984.” Decision of the AU, slip op. at 1. The AU noted that a babysitter caring for another’s child in the babysitter’s home is generally not considered to be an employee because of the absence of direction and control indicative of an employer-employee relationship. Id. at 3. The AU further noted that under 20 C.F.R. § 404.1015, “services of a domestic nature (such as babysitting) performed by a parent as an employee of his or her son or daughter, but not in the private home of the son or daughter ... are excluded in computing quarters of coverage and earnings.” Id. at 2. The AU found that High-fill’s work activity as a babysitter was excluded from covered employment and that she therefore failed to establish insured status for disability benefits. Id.

Highfill obtained the assistance of an attorney in March 1985, and requested the Appeals Council to review the AU’s decision. She also submitted additional information: (1) W-2 forms for the years 1978 through 1984 showing “Linnie C. Whalin, The Nu-Lok” or “The Nu-Lok” as her employer and social security tax withhold-ings for each year and (2) a statement of Linnie Whalin, as owner of the Nu-Lok, that Highfill was employed to “care for [her] children as [she] had started a new business and [Highfill] was able to keep them at a much lower rate” than a daycare center would have charged. The Appeals Council denied review and the AU’s decision became the final decision of the Secretary.

Highfill then sought review in federal district court. She argued that she was employed by the Nu-Lok, a business owned by a partnership of her daughter and her son-in-law, and thus her employment as a babysitter should not have been excluded.

The district court, adopting the findings and recommendations of the magistrate, concluded that the Secretary’s decision was supported by substantial evidence on the record as a whole. Highfill v. Bowen, No. LR-C-85-698, slip op. at 4. The court held that Highfill’s babysitting work was excluded as employment under 20 C.F.R. § 404.1015(a)(3), which excludes “nonbusiness work” performed as an employee of the applicant’s son or daughter. “Nonbusiness work” is defined in § 404.1059(a)(3) as services which do not promote or advance the trade or business of the employer. The district court concluded that there was no *115 evidence that the Nu-Lok was a corporation and thus Highfill’s employment did not come within the exception of § 404.1015(b). Id. This appeal followed.

Highfill first contends that the principles of waiver, collateral estoppel, and administrative res judicata prevent the Secretary from reconsidering whether she met the earnings requirement and was insured for disability benefits. This argument is without merit. Under 20 C.F.E. § 404.-921(a) (1986), a reconsidered determination is not binding if, as in this case, a party to the reconsideration makes a timely request for a hearing before an AU and the AU renders a decision. Further, § 404.946(a) provides that the AU may reexamine a favorable determination if evidence presented during the hearing calls the determination into question.

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Bluebook (online)
832 F.2d 112, 1987 U.S. App. LEXIS 14203, 19 Soc. Serv. Rev. 403, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nonah-l-highfill-appellant-v-otis-r-bowen-secretary-department-of-ca8-1987.