Simmons v. Snider

645 A.2d 400, 165 Pa. Commw. 417, 1994 Pa. Commw. LEXIS 341
CourtCommonwealth Court of Pennsylvania
DecidedJune 28, 1994
StatusPublished
Cited by2 cases

This text of 645 A.2d 400 (Simmons v. Snider) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Simmons v. Snider, 645 A.2d 400, 165 Pa. Commw. 417, 1994 Pa. Commw. LEXIS 341 (Pa. Ct. App. 1994).

Opinion

CRAIG, President Judge.

We have before us a class action brought by Henry Simmons for the estate of Ethel Holloway and similarly situated claimants against the Department of Public Welfare (DPW) for reimbursement of attorneys’ fees incurred on DPW’s behalf by members of the class in the process of obtaining Supplemental Security Income (SSI) benefits under the Social Security Law, 42 U.S.C.A. 401 et seq. This is the third time that this court has ruled on a portion of this complex action. See Simmons v. Cohen, 111 Pa.Commonwealth Ct. 267, 534 A.2d 140 (1987), aff'd per curiam, 524 Pa. 583, 574 A.2d 600 (1987) (hereinafter Simmons I), and Simmons v. Cohen, 122 Pa.Commonwealth Ct. 70, 551 A.2d 1124 (1988) (hereinafter Simmons II).

Specifically, we are now asked by Simmons to grant his motion for complete summary judgment on the issues of (1) tolling the statute of limitation, and (2) the calculation of DPW’s liability based upon statistics and stipulations. Although we can grant summary judgment on the question of tolling the limitation period, we can grant only partial summary judgment on part of Simmons’ liability calculations.

[402]*402The root of this case is a compact signed in 1975 and effective March 1, 1975, between the federal Secretary of Health, Education and Welfare and the State of Pennsylvania, titled “Supplemental Security Income for the Aged, Blind, and Disabled” (the compact). Under this compact, the Secretary of Health, Education and Welfare, through the Social Security Administration (SSA), and DPW agreed to a system of reimbursements under which DPW makes interim assistance payments to Pennsylvania residents who have filed an appeal from a federal denial of SSI.

In the event that the resident succeeds on appeal, SSA will pay that recipient, in the form of a lump sum check, for every previous week that the recipient was eligible for SSI. However, SSA first sends that check to DPW, which reimburses itself out of the recipient’s SSI award for the amount of interim assistance DPW has provided. DPW then forwards the remainder of the SSI award to the recipient. SSA then sends periodic federal SSI payments to the recipient thereafter.

The dispute in this case stems from the compact’s silence on the question of whether DPW should reimburse to recipients that portion of their expenses in retaining legal counsel, for the SSI appeals process, which benefitted DPW by achieving the above-described reimbursement to DPW of the interim assistance paid by it.

The facts of this case, as set forth in Simmons II, are as follows:

In this case, certified as a class action by order of this court dated May 19, 1987
Just one week thereafter, on June 28, 1983, DPW adopted its ‘SSI Attorney’s Fee Reimbursement Policy’ [SSI Fee Policy] acknowledging that DPW would reimburse attorney’s fees to successful welfare recipients in SSI proceedings, but limiting reimbursement to those cases where ‘[t]he SSI award of record date is on or after April 1, 1983.’
Although DPW’s reimbursement policy, which excluded petitioner’s claim by setting a cutoff date just one month later than the date of her award, thus came into being a few days after her request in June of 1983, DPW displayed an unusual degree of bureaucratic indifference by not reaching a definitive denial decision on her request until more than a year later, on July 2, 1984. DPW rested its denial solely on the fact that the record date of the petitioner’s award antedated the cutoff date by one month.
Shortly after the denial letter, petitioner’s counsel, on September 7, 1984, requested a hearing from DPW on the matter. To that request, DPW did not bother to respond.
Finally, when DPW’s continuing silence for nearly a year indicated that no hearing would be forthcoming, the petitioner filed this action on August 14, 1985.

Id., at 72-73, 551 A.2d at 1125-26 (emphasis in original).

[403]*403When this case came before us on DPW’s motion for summary judgment in Simmons 1, we denied the motion. We held that: (1) this claim falls within this court’s original jurisdiction; (2) the Board of Claims does not have jurisdiction in this case because the dispute concerns statutory, not contractual, entitlements; (3) the proper statute of limitations in this action is the two-year period provided in § 5524(6) of the Judicial Code, 42 Pa.C.S. § 5524(6), which could not begin to run until Holloway was informed by DPW that her request for fees was denied because of the SSI Fee Policy; and (4) that if this court later determined that the SSI Fee Policy and non-reimbursement practice are illegal and constitute a failure by DPW to perform legally mandated, non-discretionary duties, then mandamus will lie to compel the performance of those duties and DPW will not be shielded by official immunity.

Then, in Simmons II, this court held that DPW, as a subrogee, has a common law obligation to reimburse the class members a proportionate share of the legal costs of appealing and winning a claim for SSI. This court went on to decide the following particular question:

Where DPW has a common law obligation to bear its proportionate share of the legal costs incurred by welfare recipients in recovering federal SSI awards, as to which DPW has subrogation liens for providing interim assistance, may DPW elect to limit its common law obligation only to those recipients who received their federal awards after a specific date selected by DPW for administrative or “policy” reasons?

Simmons II, at 71, 551 A.2d at 1125. The court held that “DPW, upon acknowledging its obligation to reimburse legal expense as a subrogee, [cannot], by the fiat of its memorandum [the SSI Fee Policy], declare its own statute of limitations with respect to that obligation, by simply announcing that awards then older than just three months could not qualify.” Id. at 80, 551 A.2d at 1129.

The parties have since attempted, unsuccessfully, to come to an agreement concerning the determination of the size of the class and the calculation of the amount owed by DPW.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Howard v. Mendez
304 F. Supp. 2d 632 (M.D. Pennsylvania, 2004)
Sharon Steel Corp. v. Workmen's Compensation Appeal Board
670 A.2d 1194 (Commonwealth Court of Pennsylvania, 1996)

Cite This Page — Counsel Stack

Bluebook (online)
645 A.2d 400, 165 Pa. Commw. 417, 1994 Pa. Commw. LEXIS 341, Counsel Stack Legal Research, https://law.counselstack.com/opinion/simmons-v-snider-pacommwct-1994.