Stephanie Steigerwald v. Comm'r of Soc. Sec.

48 F.4th 632
CourtCourt of Appeals for the Sixth Circuit
DecidedSeptember 9, 2022
Docket21-3023
StatusPublished
Cited by7 cases

This text of 48 F.4th 632 (Stephanie Steigerwald v. Comm'r of Soc. Sec.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Stephanie Steigerwald v. Comm'r of Soc. Sec., 48 F.4th 632 (6th Cir. 2022).

Opinion

RECOMMENDED FOR PUBLICATION Pursuant to Sixth Circuit I.O.P. 32.1(b) File Name: 22a0210p.06

UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT

┐ STEPHANIE L. STEIGERWALD, │ Plaintiff-Appellee, │ > No. 21-3023 │ v. │ │ COMMISSIONER OF SOCIAL SECURITY, │ Defendant-Appellant. │ ┘

Appeal from the United States District Court for the Northern District of Ohio at Cleveland. No. 1:17-cv-01516—James S. Gwin, District Judge.

Argued: October 28, 2021

Decided and Filed: September 9, 2022

Before: MOORE, KETHLEDGE, and DONALD, Circuit Judges.

_________________

COUNSEL

ARGUED: Dennis Fan, UNITED STATES DEPARTMENT OF JUSTICE, Washington, D.C., for Appellant. William Escobar, KELLEY, DRYE & WARREN LLP, New York, New York, for Appellee. ON BRIEF: Dennis Fan, Charles W. Scarborough, UNITED STATES DEPARTMENT OF JUSTICE, Washington, D.C., for Appellant. John H. Ressler, ROOSE & RESSLER, Lorain, Ohio, Ira T. Kasdan, Bezalel A. Stern, KELLEY, DRYE & WARREN LLP, Washington, D.C., Joseph A. Boyle, KELLEY DRYE & WARREN LLP, Parsippany, New Jersey, for Appellee. Neil H. Good, THE GOOD LAW GROUP, Palatine, Illinois, for Amicus Curiae.

MOORE, J., delivered the opinion of the court in which DONALD, J., joined. KETHLEDGE, J. (pp. 16–17), delivered a separate dissenting opinion. No. 21-3023 Steigerwald v. Comm’r of Soc. Sec. Page 2

OPINION _________________

KAREN NELSON MOORE, Circuit Judge. The Social Security Administration (SSA) failed to perform a statutorily obligated duty to pay claimants the total amount of benefits to which they are entitled. To ensure that claimants receive the entirety of these benefits, Congress enacted two provisions in the Social Security Act: a judicial-review provision to keep the agency honest and an attorney-fees provision to incentivize lawyers to represent claimants. Because the SSA may not hide behind these statutory provisions merely because it erred at the end, rather than at the beginning, of the benefits-award process, we affirm the judgment of the district court.

I. BACKGROUND

As the district court in this case rightly noted, “[t]he mechanics of the alleged underpayment are fairly byzantine,” so we provide a summary for clarity. Steigerwald v. Berryhill, 357 F. Supp. 3d 653, 654 (N.D. Ohio 2019). The SSA awards a claimant a certain amount of benefits, which a claimant may challenge through a series of procedural steps that involve a hearing before an Administrative Law Judge. See Smith v. Berryhill, 139 S. Ct. 1765, 1772 (2019). Those benefits are awarded pursuant to Title II of the Social Security Act, 42 U.S.C. § 401–434, which provides individuals with disability benefits, and Title XVI of the Social Security Act, 42 U.S.C. § 1381–1385, which provides individuals with need-based supplemental security income.

A claimant’s income impacts eligibility for and the amount of Title XVI benefits, and any disability benefits that a claimant receives under Title II are considered income under Title XVI. See 42 U.S.C. § 1382(a)–(b); 1382a(a)(2)(B). Accordingly, when a claimant applies for and receives monthly Title II and Title XVI benefits concurrently, the SSA reduces a claimant’s monthly Title XVI benefits by any Title II benefits received during those same months. See id. No. 21-3023 Steigerwald v. Comm’r of Soc. Sec. Page 3

The same principles apply when a claimant retroactively receives past-due Title II benefits, or “benefits that accrued before a favorable [SSA] decision.” Culbertson v. Berryhill, 139 S. Ct. 517, 520 (2019). When a claimant receives past-due Title II benefits, the SSA adjusts any need-based Title XVI award to account for the claimant’s additional award of past-due Title II disability income. See 42 U.S.C. § 1320a-6(a). In applying this adjustment, the SSA reduces a portion of a claimant’s total past-due benefits because any past-due Title II payments would have increased the claimant’s income in the same months that Title XVI benefits were due. See id. Congress enacted the statutory provision governing this process to prevent a windfall to the claimant merely because the claimant obtained past-due Title II income in one lump sum rather than in monthly payments. See S. Rep. No. 96-408, at 78 (1979). The SSA calls this adjustment the “windfall offset calculation.”

When a claimant hires a representative, such as an attorney, to assist in obtaining past- due benefits before the SSA, an additional wrinkle complicates the SSA’s benefit calculations. A claimant may elect to pay the representative fees out of the award of past-due benefits. See 42 U.S.C. § 406(a); § 1383(d)(2). Sometimes, the SSA awards the representative fees after it has already performed the windfall offset, i.e. reduced the award of past-due benefits to account for a claimant’s Title II income. See Social Security Program Operations Manual System (POMS), SI 02006.200 § A.4, available at https://go.usa.gov/xs92e. But because the representative-fee award is paid out of and reduces the claimant’s award of past-due benefits, the representative-fee award reduces the claimant’s income. See 42 U.S.C. § 1320a-6(a). The claimant’s reduction, or “subsequent change[],” in income consequently causes the claimant’s need-based Title XVI benefits amount to increase in some cases. See 20 C.F.R. § 404.408(b)(d). Therefore, after the SSA takes representative fees out of a claimant’s past-due benefits, the SSA is supposed to perform the windfall offset recalculation again and award the claimant any difference in benefits. See 42 U.S.C. § 1383(b)(1)(A); 20 C.F.R. § 416.1123(b)(3); POMS SI 02006.200 § A.1. This case originated from the SSA’s failure to perform this second windfall-offset calculation, known as the “Subtraction Recalculation,” for the classes of claimants who sought relief. When applied to many claimants, this difference can amount to a substantial sum. No. 21-3023 Steigerwald v. Comm’r of Soc. Sec. Page 4

Fees that attorneys or representatives recover for their work in proceedings before the SSA under 42 U.S.C. § 406(a) (such as the fees that provide the impetus for the Subtraction Recalculation) are distinct from fees that attorneys recover for their efforts in litigating in federal court, which are governed by 42 U.S.C. § 406(b). Gisbrecht v. Barnhart, 535 U.S. 789, 794 (2002) (“The statute deals with the administrative and judicial review stages discretely: § 406(a) governs fees for representation in administrative proceedings; § 406(b) controls fees for representation in court.”). In this appeal, Class Counsel seek to recover the latter type of fees.

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