Oder v. Commissioner of Social Security

District Court, S.D. Ohio·Decided July 16, 2024·No. 1:19-cv-01093·Unknown

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO WESTERN DIVISION

KAREN O.,1

Plaintiff, Case No. 1:19-cv-1093 v. JUDGE DOUGLAS R. COLE COMMISSIONER OF SOCIAL Magistrate Judge Litkovitz SECURITY,

Defendant.

OPINION AND ORDER Before the Court is Magistrate Judge Litkovitz’s Report and Recommendation (R&R, Doc. 24). The R&R recommends that the Court grant Plaintiff Karen O.’s (KO) “Motion by Plaintiff’s Attorney for Fees Under the Social Security Act, 42 U.S.C. § 406(b)” (Doc. 21) pursuant to § 206 of the Social Security Act (SSA), 42 U.S.C. § 406(b). (Doc. 24, #1112). For the reasons briefly discussed below, the Court REJECTS the R&R (Doc. 24) and DENIES KO’s Motion (Doc. 21). BACKGROUND Attorney’s fees are somewhat complicated in social security cases, and even more so here. So, the Court lays some groundwork for how attorney’s fees generally work in the social security context before turning to the specific wrinkles that the facts of this case present.

1 In the interest of privacy, this Opinion and Order uses only the first name and the initial of the last name of the non-governmental party. A. Social Security Fees Generally In social security cases, attorneys for a claimant can sometimes receive fees under both the Equal Access to Justice Act (EAJA) and § 206(b)(1)(A) of the SSA, 42 U.S.C. § 406(b)(1)(A). The former statute requires the United States to pay fees to a

prevailing party in the cases to which it applies if the Government’s position was not “substantially justified.” Gisbrecht v. Barnhart, 535 U.S. 789, 796 (2002) (quoting 28 U.S.C. § 2412(d)(1)(A)). These fees are determined according to how many hours the attorney works multiplied by an hourly rate, which is almost always capped at $125 an hour. Id; 28 U.S.C. § 2412(d)(2)(A). And the amount the Court awards comes directly from the Government, not from any benefits award the client may have

received. In contrast to fees awarded under the EAJA, § 206(b)(1)(A) of the SSA provides federal courts the authority to award reasonable attorney’s fees in social security cases, but only when the court renders a favorable judgment for the claimant. 42 U.S.C. § 406(b)(1)(A). That fee is awarded “out of, and not in addition to,” past-due benefits, and may not exceed 25% of the total past due benefits awarded. Id. Further, a court may award these fees for work done only before the Court, not before the

Secretary. Horenstein v. Sec’y of Health & Hum. Servs., 35 F.3d 261, 262 (6th Cir. 1994) (en banc). In addition, Congress “harmonized” the dual fee structure to maximize the amount of past-due benefits a successful claimant receives without depriving the attorney of the larger of the two possible statutory fee awards. Gisbrecht, 535 U.S at 796. Specifically, the EAJA fees do not “stack” with fees awarded under § 206(b)(1)(A). Instead, when a claimant’s attorney has been awarded fees under both the EAJA and § 206(b)(1)(A), the attorney refunds the smaller of the two amounts back to the claimant—in other words, the EAJA fee award offsets the § 206 award so less of the

past-due benefits is used up by fees. Id. An example illustrates this latter point: Assume a successful claimant receives $100,000 in past-due benefits, that the attorney expended 100 hours in court accomplishing that end, and that he has a 25% contingency arrangement with the claimant. Under EAJA, the attorney is entitled to $12,500 (100 hours x $125 per hour), while under the contingency fee arrangement he is entitled to $25,000 (leaving the claimant with $75,000 of the $100,000 award). The attorney “refunds” the lesser

of the two (the $12,500 EAJA award in this example) to the claimant, so the claimant actually receives a total of $87,500, which represents the combination of $75,000 (i.e., the $100,000, less the $25,000 fee) plus the $12,500 EAJA award amount. Beyond that, unlike the case with the EAJA, as noted above § 206(b)(1)(A) provides for fees only when benefits are eventually awarded. This could happen either because (1) the court remanded the matter to the Social Security Administration (the

Administration) to award benefits, or (2) the court remanded for the Administration to conduct further proceedings to reconsider its earlier decision and the Administration then concluded that benefits were warranted. See SSA § 205(g); 42 U.S.C. § 405(g). Either way, the successful claimant’s attorney can then seek fees from the court for the work performed before that tribunal. Horenstein, 35 F.3d. at 262 (“For services performed in a federal court where the court awards benefits,2 the attorney fee award is limited to 25 percent of past-due benefits. [And] in cases where the court remands the case back to the Secretary for further proceedings, the court

will set the fee—limited to 25 percent of past-due benefits—for the work performed before it.” (emphasis added)); McGraw v. Barnhart. 450 F.3d 493, 503 (10th Cir. 2006) (“[A]n award of benefits made after a court-ordered remand is an award made ‘by reason of’ the court’s judgment.” (quoting SSA § 206(b)(1)(A), 42 U.S.C. § 406(b)(1)(A))).

B. KO’s Adjudication With that background on fee awards out of the way, turn to the facts here. On April 4, 2016, KO filed an application for Social Security Disability Insurance Benefits (DIB). (Doc. 9-2, #54). An Administrative Law Judge (ALJ) denied KO’s claim on December 13, 2018. (Id. at #67). After this adverse decision and the Appeals Council’s declining to review the ALJ’s determination, (id. at #31), KO sued in this Court. (Compl., Doc. 1). After she filed a Statement of Specific Errors (Doc. 11), the

parties agreed to remand the case to the Administration for reconsideration. (Doc. 16). On July 29, 2020, the Court granted the parties’ motion pursuant to the fourth sentence in § 205(g) of the SSA, 42 U.S.C. § 405(g). (Doc. 17). Achieving a sentence

2 To clarify, only the Administration that has authority to certify payment after a final decision of the Commissioner or final judgment of the Court. SSA § 205(i); 42 U.S.C. § 405(i). So even when a Court determines that all essential factual issues have been resolved and concludes that the claimant must be awarded benefits, the Court still remands the case back to the Administration for the payment to be made and certified. See, e.g., Mowery v. Heckler, 771 F.2d 966, 973 (6th Cir. 1985). four remand denoted KO had obtained “prevailing party” status for EAJA purposes, Kerr ex rel. Kerr v. Comm’r of Soc.

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Oder v. Commissioner of Social Security, (S.D. Ohio 2024).

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