Wheeler v. United States

27 Fed. Cl. 756, 1993 U.S. Claims LEXIS 290, 1993 WL 84462
CourtUnited States Court of Federal Claims
DecidedFebruary 12, 1993
DocketNo. 92-440C
StatusPublished
Cited by2 cases

This text of 27 Fed. Cl. 756 (Wheeler v. United States) is published on Counsel Stack Legal Research, covering United States Court of Federal Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wheeler v. United States, 27 Fed. Cl. 756, 1993 U.S. Claims LEXIS 290, 1993 WL 84462 (uscfc 1993).

Opinion

[757]*757ORDER

MOODY R. TIDWELL, III, Judge:

This case is before the court on defendant’s motion to dismiss. Plaintiff contended that defendant’s interpretation of 10 U.S.C. § 1072(2)(G)(ii) regarding her dependency status violated the intention of Congress, and that defendant’s regulation which prohibits appeal of dependency determinations violated her Due Process rights under the Fifth Amendment. Defendant challenged plaintiffs’ complaint based on a lack of subject matter jurisdiction and failure to state a claim.

I. Facts

Plaintiff, Phoenix W. Wheeler, is the unremarried former spouse of a retired member of the United States Air Force, Charles E. Whitsett, Jr. Plaintiff was married to Mr. Whitsett for twenty-five years, from 1958-1983. They were married for nineteen of the twenty years Mr. Whitsett served in the military. When plaintiff and Mr. Whitsett divorced in 1983, she purchased an in-hospital benefit policy that was offered as a conversion plan from her former husband’s employer-sponsored group health plan. By converting from her former husband’s employer-sponsored group health plan, plaintiff avoided the customary requirements of listing pre-existing conditions and providing evidence of her health status on the application.

On January 1, 1985, 10 U.S.C. § 1072(2) was amended by the Department of Defense Authorization Act of 1985, Pub.L. No. 98-525, 98 Stat. 2492, to add paragraph (G). This amendment broadened the definition of “dependents” who are eligible to obtain health care from the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). As amended, paragraph (G) defines “dependent” to include:

a person who (i) is the unremarried former spouse of a member or former member [of a uniformed service] who performed at least 20 years of service ... and on the date of the final decree of divorce ... had been married to the member or former member for a period of at least 20 years, at least 15 of which ... were during the period the member or former member performed [his or her] service ..., and (ii) does not have medical coverage under an employer-sponsored health plan.

10 U.S.C. § 1072(2)(G) (1988).

Plaintiff obtained health care from CHAMPUS as an unremarried former spouse on several occasions beginning in 1985 and continuing through 1987. On January 20,1988, plaintiff was advised that she was ineligible for CHAMPUS benefits because of her medical coverage under her former spouse’s employer-sponsored health plan.1 The Government has since sought to recoup the amounts it paid to plaintiff. On March 18, 1991, in response to letters from plaintiff’s attorney, defendant wrote to plaintiff indicating that defendant’s regulations state that denial of eligibility for CHAMPUS benefits is not an appealable issue. See 32 C.F.R. § 199.10(a)(6)(iii)(A) (1992). However, the letter did indicate that plaintiff’s case was reviewed by the Department of Defense Office of General Counsel.

In May 1991, plaintiff filed a class action lawsuit in the United States District Court for the District of Arizona, Phoenix W. Wheeler v. Richard Cheney, No. 91-244.2 The district court transferred the case to this court on February 20, 1992. In her amended complaint, filed July 27, 1992, plaintiff challenged the decision by the Secretary of Defense that she was ineligible for CHAMPUS benefits between January 1, 1985 and December 31, 1988, as well as the absence of formal appeal rights for such a determination. Specifically plaintiff complained that (1) defendant’s construction of 10 U.S.C. § 1072(2)(G)(ii), which precluded plaintiff from eligibility for CHAMPUS benefits because she had purchased a [758]*758conversion plan from her former husband’s employer-sponsored group health plan, violated the intention of Congress, exceeded statutory authority, and was arbitrary and capricious; and (2) defendant’s regulations which state that eligibility for CHAMPUS benefits is not an appealable issue violated her rights to procedural fairness under the Due Process Clause of the Fifth Amendment. Plaintiff also requested declaratory and injunctive relief for a class of similarly situated individuals. Defendant responded by filing this motion requesting that the court dismiss plaintiff’s complaint for failure to state a claim under RCFC 12(b)(4), or, in the alternative, that those portions of plaintiff’s complaint requesting prospective declaratory or injunctive relief be dismissed for lack of subject matter jurisdiction under RCFC 12(b)(1).

II. Discussion

When considering a motion to dismiss, “whether on the ground of lack of jurisdiction over the subject matter or for failure to state a cause of action, unchallenged allegations of the complaint should be construed favorably to the pleader.” Hamlet v. United States, 873 F.2d 1414, 1416 (Fed.Cir.1989) (citing Scheuer v. Rhodes, 416 U.S. 232, 236, 94 S.Ct. 1683, 1686, 40 L.Ed.2d 90 (1974)). A complaint may only be dismissed when it is “beyond doubt that the plaintiff can prove no facts which would entitle him [or her] to relief.” Id. (citing Conley v. Gibson, 355 U.S. 41, 45-46, 78 S.Ct. 99, 101-02, 2 L.Ed.2d 80 (1957)). Because the motion papers are based exclusively on materials in the pleadings, disposition under RCFC 12(b)(4) is appropriate.

Plaintiff, in her complaint sought judicial review of the Secretary of Defense’s determination that she was not a dependent within the definition of 10 U.S.C. § 1072(2). Specifically plaintiff challenged the dependency determination based upon an alleged improper interpretation of the eligibility provision for former spouses regarding employer-sponsored health care. See 10 U.S.C. § 1072(2)(G)(ii). However, pursuant to 10 U.S.C. § 1084, this court may not review the Secretary’s determination of dependency. Section 1084 reads:

A determination of dependency by an administering Secretary under this chapter is conclusive. However, the administering Secretary may change a determination because of new evidence or for other good cause. The Secretary’s determination may not be reviewed in any court or by the General Accounting Office, unless there has been fraud or gross negligence.

10 U.S.C. § 1084 (1988). The unambiguous language of the statute indicates that Congress did not intend for courts to second-guess dependency determinations absent fraud or gross negligence. See United States v. Johnson,

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

Related

Cite This Page — Counsel Stack

Bluebook (online)
27 Fed. Cl. 756, 1993 U.S. Claims LEXIS 290, 1993 WL 84462, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wheeler-v-united-states-uscfc-1993.