Robinson ex rel. Virgies v. Shalala

34 F.3d 665, 1994 U.S. App. LEXIS 24239
CourtCourt of Appeals for the Eighth Circuit
DecidedSeptember 8, 1994
DocketNo. 93-3463
StatusPublished
Cited by5 cases

This text of 34 F.3d 665 (Robinson ex rel. Virgies v. Shalala) 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
Robinson ex rel. Virgies v. Shalala, 34 F.3d 665, 1994 U.S. App. LEXIS 24239 (8th Cir. 1994).

Opinion

LOKEN, Circuit Judge.

Dianne Robinson, on behalf of her son, DeMarcus Virgies, appeals a district court1 judgment affirming the denial of her application for child survivor benefits under the Social Security Act. Concluding that David Virgies, the deceased wage earner, did not contribute to the support of DeMarcus within the meaning of 42 U.S.C. § 416(h)(3)(C)(ii), we affirm.

DeMarcus Virgies was born on October 15, 1980. David Virgies and Robinson never married. Virgies died in February 1982, and Robinson filed an application for child surviv- or benefits on behalf of DeMarcus. Her application was denied by an administrative law judge in July 1983. In July 1987, Robinson filed the present application, submitting new evidence on the issue of paternity. After a hearing, the ALJ granted benefits, concluding that there was sufficient proof of paternity and that Virgies “regularly and substantially supported DeMarcus ... ‘as best he could.’ ” The ALJ also reopened the agency’s earlier denial, so that the award of benefits would date from Robinson’s initial application.

The Appeals Council granted review and denied the application for benefits. It found Robinson’s proof of paternity unpersuasive and further found that, before he died, Vir-gies did not make “regular and substantial” contributions to DeMarcus’s support, as required by the Secretary’s regulations. Finally, the Council ruled that there was no basis for reopening the 1982 application under the governing regulation, 20 C.F.R. § 404.-988(c)(8).

Robinson petitioned the district court to review the Appeals Council decision, which is a final agency action. See Browning v. Sullivan, 958 F.2d 817, 822 (8th Cir.1992). That court granted summary judgment, concluding that there is substantial evidence to support the Appeals Council determination that Virgies made neither regular nor substantial contributions to DeMareus’s support. Robinson appeals, attacking all three prongs of the Appeals Council’s decision. Like the district court, we do not reach the paternity and reopening issues.

Unable to satisfy the alternative statutory criteria for child survivor benefits, Robinson must prove that DeMarcus qualifies under 42 U.S.C. § 416(h)(3)(C)(ii), which provides that an applicant is deemed to be the child of the insured if:

(ii) such insured individual is shown by evidence satisfactory to the Secretary to have been the mother or father of the applicant, and such insured individual was living with or contributing to the sup[667]*667port of the applicant at the time such insured individual died.

(Emphasis added.) The Secretary’s regulations expand upon the statutory phrase “contributing to the support of the applicant”:

(2) Contributions must be made regularly and must be large enough to meet an important part of your ordinary living costs. Ordinary living costs are the costs for your food, shelter, routine medical care, and similar necessities. If the insured person only provides gifts or donations once in a while for special purposes, they will not be considered contributions for your support. Although the insured’s contributions must be made on a regular basis, temporary interruptions caused by circumstances beyond the insured person’s control, such as illness or unemployment, will be disregarded unless during this interruption someone else takes over responsibility for supporting you on a permanent basis.

20 C.F.R. § 404.366(a)(2). “The purpose of the ‘regular and substantial’ regulation is to prevent the child from reaping a windfall by virtue of the death of a father whose contribution to the child’s support would not have been as large as that provided by the child’s survivor benefits.” Bennemon ex rel. Williams v. Sullivan, 914 F.2d 987, 990-91 (7th Cir.1990).

Robinson argues that, because Virgies was stricken with cancer and unemployed in the year prior to his death, the Appeals Council erred in rigidly applying the “regular and substantial” requirement in the regulations. She notes that the regulation recognizes an exception for temporary illness and unemployment and urges us to adopt the test followed in the Third, Fourth, and Sixth Circuits:

[T]he [proper] test ... is whether contributions regular and substantial in relation to the wage earner’s income and the child’s needs were made.... The purpose of the Act cannot be furthered by applying a test of substantiality ... in the abstract because the loss of small, regular contributions to a poor family would cause the economic dislocation the Act seeks to prevent.

Jones v. Harris, 629 F.2d 334, 336 (4th Cir.1980), followed in McNeal v. Schweiker, 711 F.2d 18, 21 (3d Cir.1983), and Parker v. Schweiker, 673 F.2d 160, 163 (6th Cir.1982).2

Although the Secretary follows these decisions in cases arising in the Third, Fourth, and Sixth Circuits, she has refused to adopt this standard: “[w]hen evaluating contributions to support, SSA attaches little relevance to the worker’s financial circumstances; it assesses contributions in terms of the child’s needs and the extent to which they were met by the worker’s contributions.” Acq. Rulings 86-13(3), 86-14(4), 86-15(6), reported in West’s Social Security Reporting Service, Rulings 1983-1991, at 884-91 (1992). Here, responding to Robinson’s citation of Jones, McNeal, and Parker, the Appeals Council stated:

[T]he Administration is not required to apply these decisions. In the Eighth Circuit where DeMarcus lives, 20 CFR 404.-366 applies and requires that contributions for support be regular and substantial.

On appeal, the Secretary urges us to affirm the Appeals Council’s statement of the “regular and substantial” test.

We faced this legal issue once before but did not decide it. In Jones ex rel. Carr v. Bowen, 829 F.2d 647 (8th Cir.1987), the impoverished wage earner’s “only contributions to his children’s support was the candy he gave them during his twice monthly visits.” Id. at 648. After noting the applicant urged us to adopt the Third, Fourth, and Sixth Circuit test, we held that “[a] bimonthly gift of candy does not constitute support, even under appellant’s test.” Id.

As in Jones,

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Robinson v. Shalala
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34 F.3d 665, 1994 U.S. App. LEXIS 24239, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robinson-ex-rel-virgies-v-shalala-ca8-1994.