Steinhardt v. Sullivan

752 F. Supp. 95, 1990 U.S. Dist. LEXIS 20784, 1990 WL 205191
CourtDistrict Court, S.D. New York
DecidedOctober 8, 1990
Docket89 Civ. 5383 (KTD)
StatusPublished
Cited by4 cases

This text of 752 F. Supp. 95 (Steinhardt v. Sullivan) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Steinhardt v. Sullivan, 752 F. Supp. 95, 1990 U.S. Dist. LEXIS 20784, 1990 WL 205191 (S.D.N.Y. 1990).

Opinion

ENDORSEMENT

KEVIN THOMAS DUFFY, District Judge.

Plaintiff, Nathan Steinhardt, brings this action pursuant to §§ 205(g) and 1631(c)(3) of the Social Security Act, as amended, 42 U.S.C. §§ 405(g) and 1383(c)(3), (“the Act”), asking the court to review a final determination of the defendant, Louis W. Sullivan, M.D., Secretary of Health and Human Services (“the Secretary”), which denied Stein-hardt a waiver of recovery of an overpayment of disability insurance benefits. The parties cross-move for judgment on the pleadings as per Fed.R.Civ.P. 12(c).

Steinhardt signed an application on March 26, 1981 to be appointed as representative payee for his wife, Anna Zucker-man Steinhardt, who was receiving disability insurance benefits. Transcript (“Tr.”) 98-101. Steinhardt’s wife died on August 20, 1981. Tr. 144. After his wife’s death, Steinhardt, as her representative payee, continued to receive disability insurance benefit checks on her behalf. Tr. 31. On September 18, 1986, Steinhardt was notified by the Social Security Administration (“S.S.A.”) that he had been overpaid by $28,695.80 in Social Security benefits received on behalf of his wife from August 1981, when she died, to July 1986. Tr. 52-53. After requesting that the S.S.A. reconsider, Steinhardt received an adjusted reduced notice for overpayment made to him in the amount of $27,858.00. Tr. 54-86. Steinhardt’s request for waiver was denied on February 25, 1988. Tr. 84-85, 90-91. Steinhardt then requested a hearing. On September 22, 1988, the case was considered de novo by Administrative Law Judge (“ALJ”) Michael P. Friedman before whom Steinhardt appeared with legal counsel. Tr. 25-45.

At the hearing, Steinhardt testified that he sent a death certificate to the Wilkes-Barre Data Operations Center for the Department of Health and Human Services on September 30, 1981. Tr. 29, 38. He claims to have been mislead by S.S.A. publications with respect to his obligation to report his wife’s death. Moreover, Steinhardt reports having completed only nine years of school and as such, he asks for a waiver of repayment averring that he innocently lacked the capacity to be cognizant of his duty to report the death of his wife. Tr. 43, 157-61. On October 18, 1988, the ALJ rendered his decision denying Steinhardt’s request for waiver of recovery of the overpayment. Tr. 13-18. Steinhardt was found to be not without fault in causing the overpayment, and thus, recovery of the overpayment was not waived. Tr. 18. The Appeals Council granted Steinhardt’s request for review of the ALJ’s decision. Tr. 150-52. After considering additional evidence adduced by Steinhardt, the Appeals Council affirmed the ALJ’s decision, finding no error of law was committed, and denied requests for further review. Tr. 4-10.

The issue at bar is whether there is substantial proof in the record to support the ALJ’s determination that Steinhardt was not without fault in accepting disability *97 payments made to him as representative payee for his wife after her death. According the Social Security Act, the Secretary has the authority to direct payment of benefits to a relative or some other person “for the use and benefit” of the beneficiary. 42 U.S.C. § 404(a)(1) (1982); 20 C.P.R. § 404.2035(b) and (d). In turn, the representative payee has a duty to notify the S.S.A. of “any event that will affect the amount of benefits the beneficiary receives or the right of the beneficiary to receive benefits” and “any change in circumstances that would affect performance of the payee’s responsibilities.” 20 C.P.R. § 404.2035(b) and (d).

Furthermore, the Act, in pertinent part, provides:

Whenever the Secretary finds that more or less than the correct amount of payment has been made to any person under this title, proper adjustment or recovery shall be made, under regulations prescribed by the Secretary, as follows:
(A) With respect to payment to a person of more than the correct amount, the Secretary shall decrease any payment under this title to which such overpaid person is entitled, or .shall require the amount in excess of the correct amount, or shall decrease any payment under this title payable to his estate or to any other person on the basis of the wages and self-employment income which were the basis of the payment to such overpaid person, or shall apply any combination of the foregoing.

42 U.S.C. § 404(a)(1) (1982). Since the representative payee is designated by the Secretary pursuant to Title II of the Act, the Secretary is empowered to recover overpayment from the payee directly through a refund. 42 U.S.C. §§ 404(a)(1)(A), 405(j)(1); 20 C.F.R. § 404.502(a)(1).

Where, however, the overpaid individual can show that: (1) he was “without fault” in causing the overpayment; and (2) recovery would defeat the purposes of Title II of the Act or demanding a refund would work against equity and good conscience, the Secretary is authorized to waive recovery. 42 U.S.C. § 404(b); 20 C.P.R. § 404.506. Steinhardt bears the ultimate burden of establishing that he meets both requirements of the waiver provision. See Valente v. Secretary of Health and Human Services, 733 F.2d 1037, 1042 (2d Cir.1984).

The Secretary denied Steinhardt a waiver of recovery based on a finding that Steinhardt was not without fault in accepting, as representative payee, his wife’s disability payments after her death. The Act provides that “the findings of the Secretary, as to any fact, if supported by substantial evidence, shall be conclusive ...” 42 U.S.C. § 405(g). If substantial evidence supports the Secretary’s determination, it must be upheld even if there is also substantial evidence for Steinhardt’s position. 1 See Baker v. Heckler, 730 F.2d 1147, 1150 (8th Cir.1984). Moreover, the court is not to decide the case de novo where the Secretary’s findings, as well as inferences and conclusions drawn therefrom, are conclusive. This is regardless whether the court’s independent analysis and that of the Secretary’s may differ. Parker v. Harris, 626 F.2d 225, 231 (2d Cir.1980); Rivera v. Harris,

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Bluebook (online)
752 F. Supp. 95, 1990 U.S. Dist. LEXIS 20784, 1990 WL 205191, Counsel Stack Legal Research, https://law.counselstack.com/opinion/steinhardt-v-sullivan-nysd-1990.