Tusson v. Bowen

675 F. Supp. 1032, 1987 U.S. Dist. LEXIS 12272, 1987 WL 30669
CourtDistrict Court, E.D. Louisiana
DecidedDecember 28, 1987
DocketCiv. A. 86-4073
StatusPublished
Cited by5 cases

This text of 675 F. Supp. 1032 (Tusson v. Bowen) is published on Counsel Stack Legal Research, covering District Court, E.D. Louisiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tusson v. Bowen, 675 F. Supp. 1032, 1987 U.S. Dist. LEXIS 12272, 1987 WL 30669 (E.D. La. 1987).

Opinion

MEMORANDUM OPINION

MENTZ, District Judge.

Plaintiff, John R. Tusson, is before this Court pro se. He filed an application for disability benefits on December 6, 1982 alleging disability due to mental and physical problems. The application was denied initially and on reconsideration. At Tus-son’s request, a de novo hearing was held in 1984 before an Administrative Law Judge (AU). After considering the evidence, .the AU found that Tusson was disabled since 1977 and entitled to a period of disability. The Appeals Council vacated the hearing decision and remanded for rehearing because the AU failed to address the issue of retroactivity.

Rehearing was held on February 5, 1986 at which Tusson and his son testified. The AU found that “[t]he evidence of record and the testimony at the hearing demonstrates that claimant’s mental impairment prevented him from filing an application from 1977 until the date of his filing in December 1982.” The AU awarded Tus-son a period of diability and disability benefits with a protective filing date of November 19, 1982, the date he first inquired about benefits. The AU also awarded Tusson retroactive benefits for twelve months prior to his protective filing date pursuant to 42 U.S.C. § 423(b).

Tusson sought administrative review by the Appeals Council complaining of the AU’s decision to limit his retroactive benefits to the twelve months prior to his protective filing date. The Appeals Council concluded that there was no basis for changing the AU’s decision and accordingly, the decision of the AU became the final decision of the Secretary, of which Tusson now seeks judicial review.

The parties submitted cross-motions for summary judgment to the Magistrate. Tusson argued that:

A person suffering from severe mental problems, which prevent him from making applications, should be given the opportunity of having his benefits begin at the same time that the disability began *1034 so that he is given equal protection under law as provided others, who although disabled but not to the point that they are unable to file, are capable of making an application with the administration.

The Magistrate recommended that the Court deny Tusson’s motion for summary judgment and enter judgment in favor of the Secretary. Tusson timely filed objections to the Magistrate’s Finding and Recommendation. The Court determined that oral argument was not necessary and took the matter under submission. The Government did not file a response. The Court has made a de novo review of the record and determined that summary judgment in favor of the Government is appropriate.

Retroactive benefits are limited by 42 U.S.C. § 423(b) to the twelve months prior to filing. That section reads in pertinent part as follows:

An individual who would have been entitled to a disability insurance benefit for any month had he filed application therefor before the end of such month shall be entitled to such benefit for such month if such application is filed before the end of the twelfth month immediately succeeding such month.

Section 423(b) unambiguously limits retroactive benefits to the twelve months prior to filing an application.

Although Tusson has not specifically raised the issue of whether the statute violates the Due Process Clause of the Fifth Amendment, the Court, in reading Tusson’s pro se complaint liberally, believes that the due process issue should be addressed. First, the Court must determine whether Tusson has a property interest entitled to constitutional protection under the Due Process Clause. While it is true that the Supreme Court has held that “the interest of an individual in continued receipt of these benefits is a statutorily created ‘property interest’ protected by the Fifth Amendment,” Mathews v. Eldridge, 424 U.S. 319, 96 S.Ct. 893, 47 L.Ed.2d 18 (1976) (emphasis added), this Court is unaware of any case that has found a vested property interest in a claimant, such as Tusson, who did not timely file for and never received the benefits in question. See Mitchell v. Harris, 496 F.Supp. 230, 233-34 (D.N.J.1980) (strict application of twelve-month limit to claimant, who delayed filing application for eight years due to ignorance of the availability of such benefits, did not deprive claimant of a property interest). Tusson’s “interest” in the retroactive benefits remains speculative and cannot be said to have accrued or vested.

Even assuming that Tusson’s interest in retroactive benefits is cognizable under the Due Process Clause, the twelvemonth limitation does not violate due process principles. The loss of retroactive benefits by an individual whose mental impairment prevents a timely application suggests unfairness, but a considered analysis reveals otherwise.

The issue of whether the twelve-month limit on retroactive benefits applies where the failure to file for benefits arises from mental impairment was recently addressed in Yeiter v. Secretary of Health & Human Services, 818 F.2d 8 (6th Cir.1987), cert. denied, — U.S. -, 108 S.Ct. 160, 98 L.Ed.2d 115. In Yeiter, the court found that 42 U.S.C. § 423(b) does not violate the Due Process Clause because some person acting in behalf of the mentally impaired person could have filed an application. An application for benefits can be filed not only by the claimant, but also by a guardian, a person responsible for the care of the claimant, or the manager or principle officer of an institution caring for the claimant. 20 C.F.R. § 404.612(c). The court assumed that “[a] person who is mentally incapacitated and totally unable to care for himself or herself will ordinarily be in the care of someone. That person responsible for the claimant’s care will have a strong incentive to file for benefits.” Yeiter, 818 F.2d at 10. See also Sweeney v. Secretary of H.E.W., 379 F.Supp. 1098 (E.D.N.Y.1974) (twelve-month limit on retroactive benefits applied to a claimant, who alleged physical incapacity to timely file, but who could have asked someone to file on his behalf). Ordinarily, a mentally impaired person will have a caretaker of some kind but, of *1035 course, that will not always be true. Indeed, in the case at bar, Tusson was not in the care of a guardian or some other person. He was capable of taking care of most of his needs, but relied on family members for special needs (a ninety year old aunt, a cousin, and his fifteen year old son were mentioned; Tusson was divorced in 1980). The record does not indicate that any of these family members were responsible for Tusson’s care.

The fact that some mentally impaired persons cannot rely on others to file their application does not render the twelvemonth limitation fundamentally unfair, arbitrary, or unreasonable.

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Bluebook (online)
675 F. Supp. 1032, 1987 U.S. Dist. LEXIS 12272, 1987 WL 30669, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tusson-v-bowen-laed-1987.