Ruppert v. Bowen

871 F.2d 1172
CourtCourt of Appeals for the Second Circuit
DecidedMarch 29, 1989
DocketNos. 495, 563, Dockets 88-6018, 88-6176
StatusPublished
Cited by11 cases

This text of 871 F.2d 1172 (Ruppert v. Bowen) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ruppert v. Bowen, 871 F.2d 1172 (2d Cir. 1989).

Opinion

OAKES, Chief Judge:

Eleven appellants challenge the method used by the Social Security Administration (SSA) to calculate their benefits under the Supplemental Security Income (SSI) program, which provides income to the elderly, blind, and disabled.1 They appeal a decision of the United States District Court for the Eastern District of New York, Leonard D. Wexler, Judge, and we assume familiarity with Judge Wexler’s detailed opinion. Ruppert v. Secretary, HHS, 671 F.Supp. 151 (E.D.N.Y.1987). There, Judge Wexler considered a variety of arguments presented by the appellants and by other plaintiffs who did not appeal because they were successful before him. The disputes here are centered around the valuation of food, clothing, and shelter that SSI recipients’ family members provided them. We affirm in large part. We will present an overview of the regulatory framework and of each appellant’s factual situation before addressing in detail the legal questions.

A. The Regulatory Framework

The SSI program is authorized by the labyrinthian provisions of Title XVI of the Social Security Act, 42 U.S.C. §§ 1381-1383c (1982 & Supp. IV 1986). Section 1382(a) defines “eligible individual” as someone who is aged, blind, or disabled and whose income and resources are less than amounts specified. An eligible individual’s yearly income cannot exceed the federal benefit rate, and her resources cannot exceed other specified amounts, which vary depending on whether she lives with a spouse, whether the spouse is eligible, and the year in question. For example, the maximum resource amount is now $3,000 for an eligible person living with an ineligible spouse. 42 U.S.C. §§ 1382(a)(1)(B), 1382(a)(3)(A) (Supp. IV 1986). The benefit is payable at a fixed annual rate which is reduced by the amount of other income the individual receives, id. § 1382(b), although certain types of income are excluded from consideration, id. § 1382a(b). The benefit in 1986 was $336 per month, 20 C.F.R. § 416.410, although the benefit is subject to cost-of-living increases, 42 U.S.C. § 1382f, and may well be higher today.

Section 1382a defines “income” to include both earned and unearned income, and it defines “unearned income” to include “support and maintenance furnished in cash or in kind.” 42 U.S.C. §§ 1382a(a); 1382a(a)(2)(A). The receipt of support in kind affects benefit calculations in one of two ways. If an individual receives both food and shelter from someone in whose household she lives, the “one-third reduction rule” applies. The recipient’s benefit payments are reduced because she is regarded as having income equal to one-third of the federal benefit rate in addition to that received from any other source. Id. § 1382a(a)(2)(A); 20 C.F.R. §§ 416.1130(c), 416.1131. Someone who does not pay a pro rata share of her household’s expenses is considered to be living in someone else’s “household.” 20 C.F.R. §§ 416.1132-.1133. When the one-third reduction rule applies, any contributions the SSI recipient makes toward household expenses are ignored, unless, of course, those payments equal a pro rata share of the household’s expenses, in which case the one-third reduction rule would not apply at all. Id. § 416.1133.

[1175]*1175If an individual receives in-kind support without meeting the terms of the one-third reduction rule, SSA applies what may be called the “presumed maximum value” (PMV) rule. Id. § 416.1130(c). The PMV is one-third of the federal benefit rate plus the “general income exclusion,” which is $20 per month. Id. §§ 416.1140, 416.-1124(c)(12); 42 U.S.C. § 1382a(b)(2)(A) (Supp. IV 1986). The recipient is assumed to have additional income equal to the PMV. 20 C.F.R. § 416.1140. When the PMV rule is used, however, the recipient has the opportunity to prove that the actual value of the support is less than its presumed value. Id. § 416.1140(a)(2). Actual value is defined as the current market value or the amount paid by the provider for the item. Id.

The threshold for application of the two valuation rules, one-third reduction and PMV, is a determination that the recipient received “in-kind support and maintenance.” The regulations explain:

In-kind support and maintenance means any food, clothing, or shelter that is given to you or that you receive because someone else pays for it.... You are not receiving in-kind support and maintenance in the form of room or rent if you are paying the amount charged under a business arrangement. A business arrangement exists when the amount of monthly rent required to be paid equals the current market rental value....

Id. § 416.1130(b). When someone pays less than market value for food, clothing, or shelter and the PMV rule applies, she has “in-kind support and maintenance” income equal to the PMV amount, or whatever lesser amount she can prove to be the actual value of the bargain. No matter how much support the recipient receives, however, the PMV is the maximum that can be deducted from her benefits.

There is a special rule for recipients in the three states within the jurisdiction of the Court of Appeals for the Seventh Circuit, which decided Jackson v. Schweiker, 683 F.2d 1076 (1982):

In the States in the Seventh Circuit (Illinois, Indiana, and Wisconsin), a business arrangement exists when the amount of monthly rent required to be paid equals or exceeds the presumed maximum value described in § 416.1140(a)(1). In those States, if the required amount of rent is less than the presumed maximum value, we will impute as in-kind support and maintenance, the difference between the required amount of rent and either the presumed maximum value or the current market value, whichever is less.

20 C.F.R. § 416.1130(b). Since the “presumed maximum value described in § 416.1140(a)(1)” is one-third of the federal benefit rate ($336 in 1986) plus $20, i.e., $132 per month in 1986, an SSI recipient in the Seventh Circuit could not have imputed income from below-market rent unless her actual rent was quite low.

B. The Factual Setting

There follows (in alphabetical order) a brief description of the individual appellants’ situations as they existed when evaluated by the SSA:

Rose Faicco and her now deceased husband, Edward Faicco, were both over age sixty-five.

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Ruppert v. Bowen
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Bluebook (online)
871 F.2d 1172, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ruppert-v-bowen-ca2-1989.