PAMELA K. CHEN, District Judge.
Plaintiff Ling Chen ("Plaintiff") brings this action under 42 U.S.C. § 405(g), seeking judicial review of a determination by the Social Security Administration ("SSA") finding that Plaintiff was overpaid $11,029.00 in social security disability insurance benefits ("DIB") for the time period of December 2008 through May 2012. The Commissioner of the SSA ("Commissioner") moved for judgment on the pleadings (Dkt. 12); Plaintiff filed a response in opposition (Dkt. 20); and the Court held oral argument on March 7, 2017. At oral argument, the Court granted the Commissioner's motion from the bench, and noted that a written order would follow. This is that order.
In the five calendar years before 2008, Plaintiff Ling Chen's highest earnings in a single calendar year were $44,555.98, which she earned in 2005. (R. 82.)
At some point, the SSA determined that it was overpaying on Chen's DIB. By letter dated January 11, 2012, the SSA informed Chen that she was being overpaid as a result of the SSA (i) failing to apply an offset to Chen's DIB based on her receipt of workers' compensation benefits, and (ii) calculating her benefits based on an annual salary of $70,000, which she had earned for only a few months in 2008. (R. 21.)
On March 11, 2014, based on written submissions and hearing testimony, the ALJ issued a determination that Plaintiff had been overpaid, and was liable for the repayment of, $11,029.00 in disability insurance benefits. (R. 21-23.) Plaintiff timely appealed the ALJ's determination to the Appeals Council of the SSA, and, on January 30, 2015, the Appeals Council issued an order affirming the ALJ's determination that Plaintiff had been overpaid $11,029.00. (R. 7-8.) Importantly, however, the Appeals Council noted that the issue of waiver—i.e., whether Plaintiff was entitled under the Act to keep the overpaid amounts based on a doctrine of waiver—was not raised before the ALJ. (R. 7.)
On March 30, 2015, Plaintiff filed this action seeking review of the Appeals Council's order pursuant to 42 U.S.C. § 405(g). (Dkt. 1.) For the reasons that follow, the Commissioner's motion for judgment on the pleadings is GRANTED.
In reviewing an SSA determination finding an overpayment of disability insurance benefits, a federal district court must determine "whether the SSA's decision was supported by substantial evidence and based on a proper legal standard." Clark v. Comm'r of Soc. Sec., 143 F.3d 115, 118 (2d Cir. 1998). The term "substantial" does not require that the evidence be overwhelming, but rather that the evidence must be "more than a mere scintilla. It means such relevant evidence as a reasonable mind might accept as adequate to support a conclusion." Richardson v. Perales, 402 U.S. 389, 401 (1971) (quoting Consol. Edison Co. v. NLRB, 305 U.S. 197, 229 (1938)). In determining whether the Commissioner's findings were based on substantial evidence, "the reviewing court is required to examine the entire record, including contradictory evidence and evidence from which contradictory inferences can be drawn." Selian v. Astrue, 708 F.3d 409, 417 (2d Cir. 2013) (quoting Mongeur v. Heckler, 722 F.2d 1033, 1038 (2d Cir. 1983) (per curiam)). A district court's role in reviewing the Commissioner's final decision is limited, because "it is up to the agency, and not this court, to weigh the conflicting evidence in the record." Clark, 143 F.3d at 118. Thus, as long as "the [ALJ] applied the correct legal standard" and "the ALJ's findings are supported by evidence that a reasonable mind would accept as adequate, the ALJ's decision is binding on the court." Petre v. Comm'r of Soc. Sec., No. 13-CV-2657, 2015 WL 6971212, at *3 (E.D.N.Y. Nov. 20, 2015).
The Commissioner does not dispute that Plaintiff was entitled to receive disability insurance benefits from December 2008 through May 2012. Rather, the Commissioner argues that Plaintiff received an overpayment of $11,029.00 in DIB for the period December 2008 through May 2012. (USA Br. (Dkt. 13) 12-15.) Plaintiff asserts that she did not receive any such overpayment. (Pl.'s Aff. (Dkt. 20) at 5.)
The rate at which Plaintiff was entitled to DIB is based on her annual earnings and governed by the Act. (Dkt. 13.) The Act provides that an individual's disability insurance benefit for a given month shall be equal to the individual's "primary insurance amount." 42 U.S.C. § 423(a)(2)(B). The Act and related regulations define a person's "primary insurance amount" based on three computation methods that incorporate a person's "average indexed monthly earnings" ("AIME"). 42 U.S.C. §§ 415(a)(1)(A) & (B)(ii); 20 C.F.R. § 404.204(b)(1). "An individual is entitled to the highest primary insurance amount that can be computed, considering all possible computation methods." Petre v. Comm'r of Social Sec., 2015 WL 6971212, at *3 (E.D.N.Y. Nov. 9, 2015) (citing 20 C.F.R. § 404.204(a)).
Furthermore, where an individual is receiving both workers' compensation benefits under State law and DIB under the Act, the Act directs the SSA to apply an offset to the individual's DIB to account for the workers' compensation payments the person has received. 42 U.S.C. § 424a(a). Specifically, the Act provides that an individual's monthly disability insurance benefit shall be reduced by the amount by which the individual's total disability payments
In the proceedings below, the SSA determined that Plaintiff's "average current earnings" ("ACE") was largest under the third prong of 20 C.F.R. § 404.408(c)(3), which computes an individual's ACE by calculating one twelfth (1/12) of the individual's highest earnings in a single calendar year in the five years preceding the year in which the person was disabled ("third prong of § 404.408(c)(3)"). (R. 82.) When applying this one-twelfth method, the SSA used Plaintiff's earnings in 2005 ($44,555.98), which yielded an ACE value of $2,969.60. (R. 82.) The SSA then used that ACE of $2,969.60 to determine that Plaintiff had been overpaid $11,029.00 in DIB during the period of December 2008 through May 2012 by virtue of her receiving both workers' compensation benefits under New York law and DIB under the Act. (R. 22; R. 7-8.)
In this action, Plaintiff challenges the SSA's determination of overpayment on a single narrow ground based on the SSA's calculation of Plaintiff's DIB under the third prong of § 404.408(c)(3).
As the Court explained in oral argument, however, there simply is no statutory or regulatory basis for Plaintiff's proposed method of calculating her average current earnings, however intuitive her method may be. To the contrary, the plain terms of the regulation establish that the SSA's method of determining Plaintiff's average current earnings—i.e., by calculating one twelfth of Plaintiff's highest earnings in a single calendar year in the five years preceding the year in which the person was disabled—was correct. 20 C.F.R. § 404.408(c)(3) (emphasis added). Based on the SSA's application of the third prong of § 404.408(c)(3), the Court finds that there is substantial evidence to support its calculation of overpayment to Plaintiff in the amount of $11,029.00. Accordingly, the Court grants the Commissioner's motion for judgment on the pleadings.
Before concluding, the Court takes a moment to remind Plaintiff, who is proceeding pro se, of two points that were raised during oral argument.
First, neither the SSA's determinations below nor this Court's order addressed the issue of whether the SSA should waive its right to recover the overpaid amounts. Indeed, as the Commissioner explained in a letter filed on the docket in this case, an overpaid recipient of DIB "can request a waiver of recovery of all or part of an overpayment of disability insurance benefits at any time." (Dkt. 24 at 2 (citing SSA Program Operations Manual System GN § 02250.310.1.A).) The request should be made in writing using Form SSA-632-BK and filed at the recipient's local SSA office. (Id.) To the extent Plaintiff believes she qualifies for a waiver of recovery of the overpaid amounts, the proper procedure would be to seek that waiver from the SSA.
Second, this order is limited to affirming the SSA's determination that Plaintiff was overpaid $11,029.00 in DIB as a result of (i) failing to apply an offset to Chen's DIB based on her receipt of workers' compensation benefits, and (ii) calculating her benefits based on an annual salary of $70,000. This Court expresses no opinion on whether the SSA, in the months and years since making its determination of overpayment, has deducted too much money from Plaintiff's ongoing disability insurance payments in order to recover the overpaid amounts. To the extent Plaintiff believes the SSA has over-collected in that regard, she should raise that issue with the SSA in the first instance.
For the reasons stated above, the Court GRANTS the Commissioner's motion for judgment on the pleadings. The Clerk of Court is respectfully requested to close this case.
SO ORDERED.