DONETTA W. AMBROSE, Senior District Judge.
Pending before the Court are Cross-Motions for Summary Judgment. [ECF Nos. 6, 11]. Both parties have filed Briefs in Support of their Motions. [ECF Nos. 8, 12]. After careful consideration of the submissions of the parties, and based on my Opinion set forth below, I am granting Plaintiff's Motion for Summary Judgment and denying Defendant's Motion for Summary Judgment.
Plaintiff, representative payee of his daughter Mallory, a minor, has brought this action on Mallory's behalf for review of the final decision of the Commissioner of Social Security ("Commissioner") denying his request for a waiver of recovery of an overpayment of Disability Insurance Benefits ("DIB") under Title II of the Social Security Act ("Act"). In or around November 2005, Mallory was awarded auxiliary benefits when her mother Jodi L. Barone (formerly Cameron)
The parties have filed Cross-Motions for Summary Judgment. [ECF Nos. 6 & 11]. The issues are now ripe for my review.
The standard of review in social security cases is whether substantial evidence exists in the record to support the Commissioner's decision.
Title II of the Act requires the Commissioner to seek recovery of any overpayment of benefits made to an individual. 42 U.S.C. § 404(a)(1). An overpayment is the difference between the amount paid to the overpaid individual and the amount of payment to which the individual actually was entitled. 20 C.F.R. § 404.504. The Commissioner, however, will waive recovery of an overpayment of benefits when: (a) the overpaid individual was without fault in connection with the overpayment; and (b) recovery of such overpayment would either defeat the purpose of Title II or be against equity and good conscience. 42 U.S.C. § 404(b)(1); 20 C.F.R. § 404.506(a). These provisions apply to representative payees as well as individual claimants.
Applying the framework set forth above, the ALJ found that Plaintiff, as the representative payee, was not at fault in causing the overpayment. [ECF No. 4-2, at 13]. He further concluded, however, that recovery of the overpayment from Plaintiff, as representative payee, (1) would not defeat the purpose of Title II of the Act because the recovery would not deprive him of income needed for ordinary and necessary living expenses; and (2) would not be against equity and good conscience.
Recovery of an overpayment is against equity and good conscience if an individual changed his or her position for the worse or relinquished a valuable right because of reliance upon a notice that a payment would be made or because of the overpayment itself; or, was living in a household separate from the overpaid person at the time of overpayment and did not receive the overpayment. 20 C.F.R. § 404.509(a). The individual's financial circumstances are not material to a finding of "against equity and good conscience."
Below, Plaintiff argued that recovery of the overpayment would be against equity and good conscience because he relinquished his right to child support payments he had been receiving from Mallory's mother. Specifically, Plaintiff's petition for child support was dismissed in March 2009 due to his receipt of the derivative social security benefits on behalf of Mallory and her sister. [ECF No. 4-4, at 127-130]. Upon learning of the overpayment in February 2015, Plaintiff sought and obtained reinstatement of child support for Mallory going forward, but, under the child support laws, was not able to receive any retroactive support payments.
The ALJ's reasoning is flawed for at least two reasons. First, it is irrelevant that Plaintiff's support petition was dismissed in 2009, before the overpayments began in May 2011. It is undisputed that the reason Plaintiff was denied child support payments was Mallory's receipt of derivative disability benefits. The ALJ further accepted Plaintiff's testimony that he did not know his ex-wife had begun working and, thus, did not learn of the overpayment until the Administration informed him of such. Simply because the disability benefits were legitimate at the time the support application initially was denied does not alter the fact that Plaintiff gave up his right to obtain child support due to his receipt of those disability benefits, and that he would have been entitled to child support during the time of the overpayment had his ex-wife been honest about her work status. There is no reason to fault Plaintiff for failing to reapply for benefits at the time of an overpayment he knew nothing about. Second, the ALJ's denial of the waiver because Plaintiff had the ability to repay and did not have to spend monthly income and savings when receiving the funds inexcusably ignores the plain language of the regulation that an individual's financial circumstances are not material to a finding of "against equity and good conscience."
Because the unequivocal facts show that Plaintiff was not at fault in causing the overpayment and recovery of the remaining overpayment from Plaintiff would be against equity and good conscience under the applicable regulations, the ALJ's decision denying waiver of the overpayment is not supported by substantial evidence and must be reversed.
AND NOW, this 4