Weatherby v. Sullivan

942 F.2d 639, 91 Cal. Daily Op. Serv. 6569, 91 Daily Journal DAR 10116, 1991 U.S. App. LEXIS 18795, 1991 WL 155851
Court of Appeals for the Ninth Circuit·Decided August 19, 1991·No. No. 90-35477·Published·Cited by 1 cases

Opinion

ALARCON, Circuit Judge:

Cherie L. Tatarka, natural mother and guardian ad litem of claimants, Jocelyn and Jessica Weatherby, seeks review of the district court’s order affirming the Secretary of Health and Human Services’ (Secretary) decision to deny surviving child’s social security insurance benefits to her dependent children, following the death of their stepfather.

We must decide two questions in this case:

First. Are dependent children entitled to benefits pursuant to 42 U.S.C. § 402(d)(1)(C)(ii) (1990) if, at the time of their stepfather’s death

(1) they are temporarily living with their mother in a separate residence as a result of a marital dispute;
(2) their stepfather did not provide at least one half of their support during the marital separation; and
(3) their stepfather did not exercise parental control and authority during the marital separation.

Second. Does the undisputed evidence in the record show that the marital separation was temporary?

We reverse because we conclude that (1) a temporary marital separation comes within the exception set forth in 20 C.F.R. § 404.366(c) (1990) to the “living with” a stepparent requirement of 42 U.S.C. § 402(d)(4) (1990), and (2) Mrs. Tatarka met her burden of proof.

I

PERTINENT FACTS AND PROCEDURAL POSTURE

The facts are not in dispute. Mrs. Tatar-ka married Mr. Tatarka on September 27, [641]*6411985. Mrs. Tatarka, Jocelyn and Jessica, her children by a previous marriage, and Mr. Tatarka lived together in the family residence in Grants Pass, Oregon, for approximately 11 months.

On August 3, 1986, Mrs. Tatarka asked her husband for money to get her dog clipped. An argument ensued over his claim that she spent too much money. Mrs. Tatarka took the children and sought temporary shelter in her mother’s home in the same city. She took no extra clothing with her. Mrs. Tatarka testified that she “didn’t plan on leaving [her] home at that time.” That evening, Mrs. Tatarka returned to her home to pack “some clothes for overnight and some pajamas.” She told Mr. Tatarka that she was going to her mother’s residence because she “needed to think about what was happening.” Mrs. Tatarka told her husband she “would be in touch with him.”

Mrs. Tatarka left her personal belongings and “bathroom things,” including her rollers. Mrs. Tatarka testified: “Everything I owned I left. It was my home.”

Mrs. Tatarka and the children resided at her mother’s home until Mr. Tatarka’s death on December 12, 1986. In the four months between the separation and his death, Mrs. Tatarka had frequent contact with her husband. She testified that they “talked to each other a lot on the phone.” They went out to dinner several times. They watched television or had a bottle of wine together in their home. Occasionally, she spent the night.

Beginning in October 1986, Mr. and Mrs. Tatarka attended marriage counseling sessions with a professional counselor at Mr. Tatarka’s suggestion. He told Mrs. Tatar-ka that “he wanted to keep the marriage together.”

Mrs. Tatarka testified that she agreed to seek counseling because she wanted to keep the marriage alive. Just prior to her husband’s death, she told him:

I was regaining, I needed, I could not go back into the marriage as I was right then, because I was trying to get a little self-confidence back. And before I could help our marriage I had to help myself.
And I told him that as soon as I felt stronger and I felt more sure about myself, then I was ready to tackle our marriage.

Mrs. Tatarka did not “have a desire to file for a divorce” before her husband’s death. Mr. Tatarka did not indicate that he intended to file for a divorce. Instead, he “[a]lways” told Mrs. Tatarka he wanted to reconcile.

During their separation, Mr. Tatarka paid for the counseling sessions by check and gave Mrs. Tatarka cash to pay for groceries, gasoline, school clothes, Jocelyn’s piano lessons, Jessica’s braces, and winter coats for the children. Mrs. Tatar-ka did not pay rent to her mother.

On January 9, 1987, following Mr. Tatar-ka’s death on December 12, 1986, Mrs. Tatarka filed an application for child insurance benefits for her daughters, as dependent stepchildren of an insured individual. The application was denied on April 14, 1987, by the Social Security Administration (SSA) on the ground that Mrs. Tatarka had failed to show that her children had been receiving support for the 12-month period ending on the date Mr. Tatarka died. Mrs. Tatarka filed a request for reconsideration. She argued that Mr. Tatarka contributed more than one-half of each child’s support. The SSA denied the request for reconsideration. The SSA explained that the request was denied because Mr. Tatarka’s cash contributions were less than one-half of the support received for the children after the separation.

Mrs. Tatarka next sought a hearing before an administrative law judge (ALJ). An ALJ conducted a hearing on September 13, 1988. Mrs. Tatarka testified and submitted documentary evidence. Mrs. Tatar-ka’s attorney argued that her children were entitled to receive child’s insurance benefits because Mr. and Mrs. Tatarka were only temporarily separated at the time of his death. The AU denied the application because the record showed that Mr. Tatarka had not provided over one-half of the support of the children. The AU also stated that:

[642]*642the issue in the instant case is not the intent of the parties (to a marriage) to resume living together, or the specific nature of the separation itself, but rather is confined to the issue of the amount of support provided by the deceased wage earner during a separation of the parties.

The Appeals Council reviewed the decision of the AU at Mrs. Tatarka’s request. The Appeals Council concluded that the evidence was insufficient to show that the children were living with Mr. Tatarka at the time of his death or that they received one-half of their support from him during the separation. The Appeals Council construed 20 C.F.R. § 404.366(c) as requiring that the insured exercise parental control during a temporary separation. The decision of the Appeals Council became the final decision of the Secretary. Mrs. Tatar-ka filed this action in the district court for a review of the Secretary’s decision.

The district court affirmed the Secretary’s decision. The district court ruled that “children can be assumed to be living with the insured if the insured has the right to exercise parental control and authority over the children’s activities and that a separation is temporary and the insured and claimant expect to live together in the same place after the separation.” The district court found that “substantial evidence exists for the finding that the claimant did not expect to live with the insured.” The district court also concluded that the evidence was insufficient to demonstrate that Mr.

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Weatherby v. Sullivan, 942 F.2d 639, 91 Cal. Daily Op. Serv. 6569, 91 Daily Journal DAR 10116, 1991 U.S. App. LEXIS 18795, 1991 WL 155851 (9th Cir. 1991).

942 F.2d 639 (Weatherby v. Sullivan) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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