Patrick J. Birgen, V Department Of Labor And Industries

Court of Appeals of Washington·Decided April 7, 2015·No. 45692-3·Published

Opinion

FILED

COURT OF APPEALS

olvislom II

2015 APR - 7 AM 9: 20 STATE OF WASHINGTON

BY

IN THE COURT OF APPEALS OF THE STATE OF WASHINGTON DIVISION II

PATRICK J. BIRGEN, No. 45692 -3 - I1

Appellant,

v.

PUBLISHED OPINION

DEPARTMENT OF LABOR AND INDUSTRIES OF THE STATE OF WASHINGTON,

Respondent.

MAxA, P. J. — Patrick Birgen appeals the superior court' s order affirming a Board of Industrial Insurance Appeals ( Board) decision that the Department of Labor and Industries ( DLI) properly calculated the amount by which his workers' compensation disability benefits must be offset by his federal social security benefits. Under RCW 51. 32.220, a claimant' s workers' compensation disability benefits must be reduced by the amount that person receives in social security benefits or by an amount calculated under 42 U. S. C. § 424a( a), whichever is less. The

amount of the offset under 42 U. S. C. § 424a(a) generally is the amount by which a claimant' s combined monthly disability and social security benefits exceed 80 percent of the claimant' s average current earnings," which usually is one -twelfth of the claimant' s highest annual earnings during the year of disability or the preceding five years.

DLI calculated Birgen' s offset under 42 U. S. C. § 424a( a) based on his 1983 earnings.

Birgen argues that DLI was required to adjust his 1983 earnings to present value – i. e., 2012

45692 -3 -I1

dollars —when calculating his offset. He claims that this present value adjustment would have lowered the amount of the offset. Both the Board and the superior court rejected this argument. We agree with the Board and the superior court, and hold that RCW 51. 32. 220 and 42 U. S. C. § 424a(a)( 8) unambiguously require that the offset for social security benefits be calculated using Birgen' s unadjusted 1983 income. Accordingly, we affirm the Board and the superior court.

FACTS

Birgen sustained an industrial injury in 1984 and filed a workers' compensation claim.

DLI allowed his claim, and ultimately determined that he was permanently and totally disabled as of July 1991. As a result, Birgen was entitled to receive monthly workers' compensation benefits for the remainder of his life. By 2012, those disability payments were $2, 911. 42 per month.

In 2012, DLI learned Birgen also was receiving social security benefits of $830 per month. It issued an order offsetting Birgen' s workers' compensation benefits by that amount, resulting in a new monthly disability payment of $2, 081. 42. The order states that the offset was based on Birgen' s social security payments of $830 and his highest year earnings of $30,965 for 1983. 1 Birgen requested that DLI reconsider its order. After reconsidering the order, DLI determined it was correct and affirmed the order.

Birgen filed an appeal with the Board and the case was assigned to an industrial appeals judge ( IAJ). Birgen did not dispute on appeal that his social security offset should be based on

1 Presumably, DLI followed RCW 51. 32.220 and calculated the amount of the offset under 42 U. S. C. § 424a( a) based on the $ 30, 965 earnings and compared that to Birgen' s social security payments of $830. DLI apparently found that Birgen' s monthly social security benefit was the lesser number, and reduced Birgen' s workers' compensation benefits by $ 830.

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his 1983 earnings. Instead, he argued that DLI should have adjusted the amount of his 1983 earnings to their present value in calculating the offset. Birgen filed a motion for summary judgment on this issue. The IAJ ruled that DLI was not required to adjust Birgen' s 1983

earnings to present value, and that DLI was entitled to summary judgment even though it did not file a cross motion.

Birgen appealed to the Board. The Board affirmed DLI' s order, ruling that DLI correctly calculated Birgen' s social security offset. Birgen appealed to the superior court, which affirmed the Board' s order and decision.

Birgen appeals.

ANALYSIS

A. STANDARD OF REVIEW

The Administrative Procedure Act (APA), chapter 34. 05 RCW, governs judicial review

of the Board' s decision in a workers' compensation case. RCW 51. 52. 140; see Eastwood v.

Dep 't of Labor & Indus., 152 Wn. App. 652, 657, 219 P. 3d 711 ( 2009). We review the agency record rather than the trial court record. Eastwood, 152 Wn.2d at 657. We review the Board' s findings of fact for substantial evidence, which is evidence sufficient to persuade a fair -minded person of the declared premise. Id. We review the Board' s legal conclusions de novo, but we

give " substantial weight to the agency' s interpretation when the subject area falls within the agency' s area of expertise." Dep' t of Labor & Indus. v. Mitchell Bros. Truck Line, 113 Wn. App. 700, 704, 54 P. 3d 711 ( 2002). On appeal, "[ t] he burden of proving that the agency action was invalid ... lies with the party challenging the action." Mader v. Health Care Muth., 109 Wn.

App. 904, 911, 37 P. 3d 1244 ( 2002), reversed in part on other grounds, 149 Wn.2d 458 ( 2003).

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B. CALCULATING THE SOCIAL SECURITY OFFSET

Birgen challenges DLI' s calculation of his social security offset. He argues that under 42 U. S. C. § 424a( a) the term " average current earnings" is ambiguous because the term fails to state

whether the DLI must adjust a claimant' s wages for inflation. We hold that 42 U. S. C. § 424a( a)

is not ambiguous and affirm the Board and the superior court.2 1. Legal Principles

Under RCW 51. 32. 220, a claimant' s workers' compensation disability benefits must be

reduced by the amount that person receives in social security benefits or by an amount calculated

3

under 42 U. S. C. § 424a( a), whichever is less. 42 U. S. C. § 424a( a)( 2) -( 6) provides that the

amount of the offset is the amount by which a person' s combined monthly disability and social

2 Birgen assigns error to the Board' s determination that DLI was entitled to summary judgment even though it had not filed a cross motion for summary judgment. Birgen fails to support this assignment of error with argument as required by RAP 10. 3( a)( 6). Skagit County Pub. Hosp. Dist. No. 1 v.

Dep' t of Revenue, 158 Wn. App. 426, 440, 242 P. 3d 909 ( 2010). Accordingly, we decline to consider this argument further.

3 The record is unclear on whether Birgen received social security disability or social security retirement benefits under 42 U. S. C. § 424( a)( a). Because he received a type of social security benefit, DLI is authorized by either RCW 51. 32. 220 ( social security disability benefits) or RCW 51. 32. 225 ( social security retirement benefits) to offset Birgen' s workers' compensation benefits. The parties recognized that our analysis would not differ under either statute. For clarity, we refer only to RCW 51. 32.220 but recognize that our analysis would be the same under RCW 51. 32. 225.

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security benefits exceed 80 percent of that person' s " average current earnings ". ` 4 42 U.S. C. § 424a(a)( 8) defines " average current earnings" as the largest of three different amounts, which in most situations is one -twelfth of the person' s highest annual earnings in the year of disability or in the preceding five years.

Using Birgen' s 1983 earnings without adjustment for present value results in an amount calculated under 42 U. S. C. § 424a( a) that is greater than the $ 830 he received in social security benefits. Birgen claims that if his 1983 earnings were increased to present value, the amount of

the offset under 42 U. S. C. § 424a( a) would be lower than $830.

2. Adjustment of Average Current Earnings to Present Value

Birgen argues that 42 U. S. C. § 424a( a)( 8)' s definition of "average current earnings" is

ambiguous with respect to whether a claimant' s highest annual earnings should be adjusted to present value. We disagree.

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