Ricketts v. Heckler

631 F. Supp. 818, 1986 U.S. Dist. LEXIS 30837
CourtDistrict Court, W.D. Virginia
DecidedJanuary 6, 1986
DocketNo. 84-0112-D
StatusPublished
Cited by1 cases

This text of 631 F. Supp. 818 (Ricketts v. Heckler) is published on Counsel Stack Legal Research, covering District Court, W.D. Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ricketts v. Heckler, 631 F. Supp. 818, 1986 U.S. Dist. LEXIS 30837 (W.D. Va. 1986).

Opinion

MEMORANDUM OPINION

KISER, District Judge.

I. Introduction

Before the Court for review is the Report and Recommendation, filed on September 17, 1985, of the United States Magistrate to whom the above-captioned social security matter was assigned. Plaintiff filed timely objections on September 30, 1985, to the Magistrate’s conclusions, and pursuant to 28 U.S.C. § 636(b)(1), the reviewing Court is charged with making a de novo determination of any portions of the Magistrate’s Report to which specific objection is made.

[819]*819II. Background

Plaintiffs action in this Court challenges a final decision by the Secretary of Health and Human Services denying Plaintiff a waiver of recovery of $5,559.29 of Title II benefits overpaid to her between 1979 and 1981. Under 20 C.F.R. § 404.506, and pursuant to 42 U.S.C. § 404, waiver of the Secretary’s right to recover overpayments will occur if the individual receiving them was without fault and such recovery would either “[d]efeat the purpose of title II ... or ... [b]e against equity and good conscience.” As the meaning of “fault” is explained in 20 C.F.R. § 404.507, an individual is not “without fault” if the overpayment resulted from the following:

(a) An incorrect statement made by the individual which he knew or should have known to be incorrect; or
(b) Failure to furnish information which he knew or should have known to be material; or
(c) With respect to the overpaid individual only, acceptance of a payment which he either knew or could have been expected to know was incorrect.

The Administrative Law Judge concluded that under Subsection (b) above, the Plaintiff was not without fault with regard to the overpayments she received.

The undisputed facts in this case show that from 1961 until March of 1979, Plaintiff had received social security benefits on account of her wage earner husband. On March 23, 1979, the husband died and five days later a statement of death and burial expenses executed by the funeral director was filed with the Social Security Administration (SSA). On March 27,1979, Plaintiff and her eldest son went to the local SSA office to report her husband’s death, and Plaintiff filled out an application for her to be selected as payee of benefits for her younger son. Her testimony, which was corroborated by her eldest son, was that an office employee told her she was entitled to a separate check as well even though Plaintiff informed the employee that she was working. In fact, Plaintiff told the employee that whatever benefits were coming should go to her son. Nevertheless, Plaintiff began receiving a separate check from that of her son and assumed that she was entitled to it.

III. Discussion

The controversy in this case centers on Plaintiff’s obligation to file annual reports of her earnings. On or about July 7, 1961, and October 2, 1961, Plaintiff had executed an application for wife’s insurance benefits and had checked off a block on the form to indicate that she agreed to file the annual report of earnings when required. The same section of the form, however, contains the following language: “A wife’s entitlement ends with the month before the month in which ... her husband dies she might then become entitled to widow’s benefits____” [emphasis in original]. Plaintiff had also checked off a block in which she agreed to inform the SSA of the occurrence of her husband’s death or other specified events. On March 27,1979, Plaintiff went to her local SSA office to comply with that requirement.

Plaintiff complied with her obligation to file annual earnings reports from 1961 until 1966. From 1967 until 1980 she failed to file earnings reports. Why she failed to file the reports is unclear. Nevertheless, it is clear that as of the month before her husband’s death, Plaintiff’s right to wife’s benefits ended. The focus of this Court’s inquiry must then be on the events of 1979 through 1981 and what Plaintiff knew or should have known her obligation to be during that period [a time when she was qualifying for widow’s benefits]. It is uncontradicted both from Plaintiff and her son’s testimony, as well as from documents submitted into the record, that Plaintiff received no information on her reporting obligation when she went to the SSA office in March of 1979. It is equally undisputed that as soon as Plaintiff was notified of the problem out of which the present case developed, Plaintiff filed 1980 and 1981 earnings reports.

Neither the Administrative Law Judge, the Magistrate, or the Plaintiff specifically [820]*820addressed the possible applicability of 20 C.F.R. § 404.510a to the present circumstances. That provision states in relevant part as follows:

A benefit payment under title II ... of the Act to or on behalf of an individual who fails to meet one or more requirements for entitlement to such payment or a benefit payment exceeding the amount to which he is entitled constitutes an entitlement overpayment. Where an individual ... accepts such overpayment because of reliance on erroneous information from an official source within the Social Security Administration ... with respect to the interpretation of a pertinent provision of the Social Security Act or regulations pertaining thereto ... such individual, in accepting such overpayment will be deemed to be “without fault”____

Moreover, 20 C.F.R. § 404.512(a) provides that “[i]n the situations described in ... 404.510a, adjustment or recovery will be waived since it will be deemed such adjustment or recovery is ‘against equity and good conscience.’ ”

In the case of Cucuzzella v. Weinberger, 395 F.Supp. 1288 (D.Del.1975), the court remanded a social security disability matter to the Secretary on several grounds. Among them was the Administrative Law Judge’s failure in light of 20 C.F.R. § 404.-510a to give any weight to testimony that a claims representative from the SSA had represented that plaintiff’s son would continue to receive benefits without reporting his employment and that he was considered permanently disabled. The court noted that although, strictly speaking, perhaps what the representatives said was not “information” in the § 404.510a sense, “the spirit of the regulation is that good-faith reliance on information obtained from the Social Security Administration ought at least to be considered in determining whether an individual is ‘without fault.’ ” Id. at 1295. The court further stated:

The regulations dealing with repayment presuppose that there will be situations in which improper payments are received and retained and the recipient is nevertheless not at fault.

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Cite This Page — Counsel Stack

Bluebook (online)
631 F. Supp. 818, 1986 U.S. Dist. LEXIS 30837, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ricketts-v-heckler-vawd-1986.