# Petition for Writ of Certiorari — Benjamin v. Richardson

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## Record

- **Collection:** Supreme Court brief
- **Document type:** Petition for Writ of Certiorari
- **Published:** January 1, 1971
- **Citation:** 404 U.S. 986

## Text

SUBJECT INDEX

Page

Table of Cases and Other Citations............... ili
TEE ORCE CET. TECTER CCT TELE ETE 2
SE” 6i5 SkaGhb aad 26656 06SR 060 Soa sean Ces 3
Questions Presented for Review ................. 3
Statutes and Constitutional Provisions Involved... 4
SS GE ON GUD i vc bcccckcaceccsennen ans 4-7
Reasons for Granting Writ of Certiorari.......... 7-30

A. This Court Should Settle the Meaning of

Section 224 of the Social Security Act...... 7-18

1. A Michigan “Redemption” Settlement is
Not a Commutation of or a Substitute
for Periodic Payments ............... 7-9

2. The Secretary and the Lower Court
Limit “Lump Sum” in Section 224 to
Claimant’s Attorneys Fees and Past
SE IO snc cccchsdenkoandens 10-14

3. The Lower Court’s Construction of Sec-
tion 224 Conflicts with this Court’s Rules
of Statutory Construction and with the
Purposes of the Statute .............. 14-18

B. Section 224 of the Social Security Act is
Contrary to the Fifth Amendment of the
United States Constitution. This Court has
Other Cases involving these issues before it 18-26

1. Arbitrary Discrimination .............. 18-22

2. Impairment of Contractual Obligations

3. The Rights-Privilege Distinction of Flem-
ming v. Nestor, Upon Which the Lower

23.

Court Opinions in Lofty and in the In-

stant Case are Based, Has Been Aban-
doned by this Court ..................

C. The Secretary’s Failure to Apply Section
159 Of Public Law 90-248 in Computing
Claimant’s Earnings Presents Another Im-
portant Federal Question .................

Conclusion Of es Om oP ae REE ne eo a eeeeee

Appendix A: Opinions of Courts and Agencies....
Court of Appeals, Sixth Circuit ..............
PTT OTe TT TT TTT TET ET eT Te
SI TI 4 6 5 6.046605 ba cnnccecsencanins
Hearing Examiners ...........0sececeeeeees

EE Sha Vicccsannkeesganene bane der

SE UG bsU dG eeE Ra hWioneeked ba-shOuss bacedas

24-26

eee rn eee

ili

INDEX TO AUTHORITIES CITED

Table of Cases
Page
Bartley v. Richardson, Sup. Ct. No. 703, review
sought of 311 F. Supp. 876 (E.D. Ky., 1970). .18, 19, 31

Belcher v. Richardson, 8S. Ct. No. 1091, reviewing
317 F. Supp. 1294 (S.D. W. Va. 1970). .2, 18-20, 26, 31

Bolling v. Sharpe, 347 U.S. 497 (1954)............ 22

California Dept. of Human Resources Development
v. Java, — U.S. —, 39 Law Week 4481 (1971) 22

Daniel v. Goliday, 398 U.S. 73, (1970)............ 26
Davidson v. Gardner, 370 F. 2d 803 (6th Cir. 1967) 17
Delno v. Celebrezze, 347 F. 2d 159 (9th Cir. 1965) 17
Ewing v. Black, 172 F. 2d 331 (6th Cir. 1949).... 17

Flemming v. Nestor, 363 U.S. 603 (1960)........ 24-26
Fox v. Employment Sec. Commis., 379 Mich. 579
NEE | 4 ctb andes shaakeheeadanegaeeaaneusees 22
Goldberg v. Kelley, 397 U.S. 254 (1970).......... 26
Heikkila, v. Celebrezze, 222 F. Supp. 629 (N.D. Calif.
ER rere re Pm rye pat at ar ON mene 25
Helvering v. Davis, 301 U. S. 619 (1937)........... 14

Kennedy v. Mendoza-Martinez, 372 U.S. 144 (1963) 25

Lofty v. Richardson, Sup. Ct. No. 1758, review
sought of 440 F. 2d 1144 (6th Cir. No. 20484,
SEE | sNkudedeaceeeshcedsawananes 2, 6, 7, 13, 19, 24, 31

1V

Miley v. Finch, — F. Supp. —, CCH Un. Ins. Reps.
Fedl. Para. 15,848 (‘2.D. Mich 1970).......... 12-14

Nebbia v. New York State, 291 U.S. 507 (1933).. 22
A. H. Phillips, Inc. v. Walling, 324 U.S. 490 (1945) 17
Porter v. Shibe, 158 F. 2d 68 (10th Cir. 1946).... 22
Quaker City Cab Co. v. Pennsylvania, 277 U.S. 389

CRUE... cavaWbbachece sucewéekensede¥eeseUunn 21, 22
Reynolds v. Gardne., 271 F. Supp. 676 (W.D. Va.

1966), aff'd 381 F. 2d 380 (4th Cir. 1967)...... 17
Rusk v. Cor*. 369 U.S. 367 (1962)........... ive “Se

St. Luke’s Hospital Assoc. of Cleveland, Ohio v.
United States, 333 F. 2d 157 (6th Cir. 1964).. 17

Sayers v. Gardner, 380 F. 2d 940 (6th Cir. 1967)... 14,15
Schwing v. United States, 165 F.2d 518 (3d Cir.

BOE carcedseneues scene sb0eeenerascssacees 17
Shapiro v. Thompson, 394 US. 618 (1969)........ 25
Sherbert v. Verner, 374 U.S. 398 (1963).......... 25
Slone v. Finch —- F. Supp. —, CCH Un. Inc. Rep.

Fedl. Para. 16,093 (S.D. Ohio, 1970).......... ll
Charles C. Steward Machine Co. v. Davis, 301 U.S.

3, BPR rer rt errr errr errr re le
Swann v. Adam, 385 U\S. 440 (1967)............. 25
United States v. American Trucking Ass’n, 310 U.S.

Se CE Wu ceWecwbesendhdnbecesabenees dees 16, 17
United States v. Brown, 381 US. 437 (1965)...... 25

United States v. Silk, 331 U.S. 704 (1947)......... 14,17

Vv
Page
Wehmeier v. W.E. Wood Co., 377 Mich. 176 (1965)
8, 9, 12, 13
Wells v. Rockefeller, 394 U.S. 542 (1969)........ 25

Wheeler v. Montgomery, 397 U. S. 280 (1970).... 26

Constitution, Statutes, Rules and Miscelianeous
Constitution of the United States:

Article I, Section 10.............ccceeeeeeees 98

ere DO a k.nn deen dkncncccnaascodsaas 7, 18-26

Fourteenth Amendment ..................... 22, 23
16A Corpus Juris Secundum, “Constitutional Law,”

Us Ge 6 ocak sc doeénnsakscassassnenstessanne 23
82 Corpus Juris Secundum, “Statutes,” Secs. 346

| Pree rr Perr rer oe. rrr ere rr re 61

Federal Rules of Civil Procedure:

BOE SD nc dO Svncndcvebenacaddaucadewadeos

SD POE a Sab ee nvkkened es dewasnedieakad 6
The Legal Process, Hart and Sacks (1957 Cam-

bridge Tentative Ed.) ...........cccccccceece 16
Public Law 90-248, Section 159 (1967)........ 3, 6, 7, 27-30

Social Security Act (42 U.S.C.A. Sees. 301 e¢ seq.):
Section 201(%) (42 U.S.C.A. See. 401(b)...... 19

Page

Section 202 (a) and (n) (42 U.S.C.A. Sec. 402
i Fer erere eT Peer reer ry eee 10, 17, 24
Section 205(g) (42 U.S.C.A. Sec. 405(g)...... 5
Section 215 (42 U.S.C.A. Sec. 415)............ 27
Section 223 (42 U.S.C.A. Sec. 423).......... 16, 23, 26
Section 224 (42 U.S.C.A. Sec. '424a) ...... 3, 5-7, 3-14,
16, 18-31

Section 303 (a)(1) (42 U.S.C.A. See. 503(a)(1)) 22

Supreme Court Rules:

Fe APPT Eee ST TTT eee CTT CTT Te 2
Title 28, U.S.C. Section 1254 (1)............eceee 3
2 U.S. Congressional & Administrative News, 1967 27, 28
U.S. Senate Hearings on H.R. 6675............... 20

Workmen’s Compensation Act of Michigan, Part
II, ‘Sec. 22 (Comp. Laws Sec. 412.22, Mich. Stat.
Be WU Se ns Aa keh edaee a eede aes 7-9

IN THE

Supreme Court of the United States

—— mw aw ew mr me “TERM, 1971
———
Supreme Court No, ...........00
Court of Appeals No. 20714
—~——

JOHNNEY BENJAMIN,
Petitioner,

ve

ELLIOTT RICHARDSON, SECRETARY OF HEALTH,
EDUCATION AND WELFARE,
Respondent.

—p—

PETITION FOR WRIT OF CERTIORARI
TO THE UNITED STATES COURT
OF APPEALS FOR THE
SIXTH CIRCUIT

a

To the Honorable, the Chief Justice of the
Umited States and the Associate Justices of

the Supreme Court of the Umted States: R

The petitioner, by his attorneys, prays that a Writ of
Certiorari issue to review the opinion and judgment of the
United States Court of Appeals for the Sixth Circuit en-
tered in this matter on April 29, 1971.

2

Petitioner asks that this Petition be considered along |
with that in Lofty v. Richardson, Supreme Court No. 1758.
The Petition in Lofty was filed on May 28, 1971. Counsel
for petitioner Lofty concurs with this request.

OPINIONS BELOW

Said opinion and judgment of the United States Court of
Appeals for the Sixth Circuit is not yet officially reported.
(See Appendix A, pp. 35-35). Petitioner, in accordance with
Rules 23" (a) and (i) also includes the following opinions
in Appendix A: 1. July 13, 1970 Order of District Court
Judge Damon Keith Denying Motion for Rehearing of
Plaintiff’s Motion for Summary Judgment,....F. Supp.
.... (E.D. Mich) (pp. 43-48); May 20, 1970 Memoranda
Opinion and Order of Judge Keith....F. Supp.... (35-
43); March 17, 1969 Decision of Appeals Council (48-53) ;
December 3, 1968 Decision of Hearing Examiner Fenster
(53-60) ; and April 12, 1968 Decision of Hearing Examiner
Ferguson (61-69)* Petitioner also therein includes the lower
Court opinion in the companion case of Lofty v. Richard-
son, Swpreme Court No. 1758 certiorari to 440 F. 2d 1144
(6th Cir. March 4, 1971) (70-84). Another companion case
is Belcher v. Richardson, Supreme Court No. 1091 appeal
from 317 F. Supp. 1294 (S.D. W. Va., 1970). This Court
agreed to hear Belcher on March 1, 1971.

1 Petitioner will herein usually be called “claimant.” Petitioner
was often referred to as “plaintiff’ befcre the District Court. Re-
spondent will usually be called “the Secretary.”

2 Petitioner only includes the portion of the first Hearing Ex-
aminer’s Decision relevant to the last question presented to this Court.
This portion shows claimant’s combined earning from two jobs (65).

JURISDICTION

The jurisdiction of this court is invoked under Title 28
U.S.C. Section 1254 (1).

QUESTIONS PRESENTED FOR REVIEW

1. Was the total ‘‘redemption” settlement received by
claimant a lump sum payment exempt under Section 224
(b) from the reduction provisions of Section 224(a) of
the Social Security Act?

2. Assuming arguendc that claimant’s total ‘“‘redemp-
tion” settlement was not exempt under Section 224 (b) of
said Act, should the Secretary have allocated part of claim-
ant’s lump sum settlement to future medical expenses
rather than strictly limiting claimant’s lump sum settle-
ment to substitute for weekly payments, past medical ex-
penses and attorneys fees?

3. Does Section 224 of the Act, as construed by the Sec-
retary, deprive claimant of property without due process
of law in that it arbitrarily discriminates against workmen’s
compensation claimant who has paic into the trust fund
the same amount of money as other claimants and by effec-
tively nullifying claimant’s private settlement agreement.

4, May the Secretary fail to apply Section 159 of Public
Law 90-248 in computing the earning of claimant, who had
been working two jobs when injured?

STATUTES AND CONSTITUTIONAL PROVISIONS
INVOLVED

Section 224 of the Social Security Act [Title 42, U.S.C.
Section 424a], Section 159 of Public Law 90-248, and the
Fifth Amendment to the Constitution of the Nuited States.
The relevant portions of the Statute are included in Ap-
pendix B.

STATEMENT OF THE CASE

Claimant was shot in the back on April 20, 1966 while
employed by the Log Cabin Bar in Detroit, Michigan.
(53, 65) He received Workmen’s Compensation bene-
fits from April 20, 1966 through April 1, 1967, which in-
‘cluded weekly payments of $58.13 and furnishing of hos-
pital and medical care. The benefits received by plaintiff
were voluntarily paid by his employer’s Workmen’s Com-
pensation insurer, and no determination of his employer’s
liability for such benefit was ever made under the Michi-
gan Workmen’s Compensation Act. (56)

A dispute arose between claimant and his employer’s
insurer over the correct amount of his weekly compensa-
tion payment, and claimant filed an application for ad-
justment of claim with the Workmen's Compensation De-
partment. While his application was pending, claimant’s
weekly benefits were terminated by his employer’s in-
surer. The employer’s insurer filed an Answer to claim-
ant’s application denying all liability. Settlement nego-
tiations were then carried on between aitorneys for the
parties. Thereafter, on September 7, 1967, the Michigan
Workmen’s Compensation Department approved a “re-
demption” settlement agreement entered into by the claim-

ae i

4)

ant and his employer’s insurer providing for the lump
sum payment to him of $10,000.00. On September 27, 1967,
payments were made by the employer’s insurer pursuant
to said redemption agreement, (53, 56, 57)

Claimant was working two jobs when shot. (65) His
regular day-time job was at a car dealer’s and he also
worked evenings at the bar. His combined monthly earn-
imgs at his two occupations before his jury were $709.00.
(65) The monthly combination of full workmen’s com-
pensation and Social Security disability benefits would be
only $372.90.

Claimant was found to be disabled in the decision of
Hearing Examiner Milton C. Ferguson on April 12, 1968
(69) He thereupon became entitled to benefits on his
application for a period of disability and for disability
insurance benefits. Thereafter, his disability benefits were
reduced because of the receipt of Workmen’s Compensa-
tion benefits. The reduction was predicated on Section 224
of the Act (85-89) Claimant sought review of the reduction
in his benefits. Examiner Fenster fownd in part:

“.. . this lump sum award had all the earmarks

of a settlement of a lawsuit rather than a substitute
for periodic payments.” (58; emphasis ours)

The Examiner concluded that claimant was entitled to
his full benefits without reduction. (60)

Thereafter, the Social Security Administration Appeals
Council on its own motion reversed the decision of Hear-
ing Examiner Fenster, and applied the reduction provi-
sions of Section 224. (48-53)

Although evidence of claimant’s two jobs and of his
combined earnings was presented to the Appeals Council,
it did not recompute claimant’s average monthly earnings

6

from and after February 1, 1968, as required by Section
159 of Public Law 90-248.

The decision of the Appeals Council became the final
decision of the Secretary subject to review under Section
205 (g) of the Act. [Title 42, U.S.C. Sec. 405(g¢)] Claim-
ant brought an action in the District Court against the Sec-
retary challenging the decision that his disability benefits
were subject to reduction pursuant to Section 224. Claim-
ant’s action further challenged the Secretary’s failure to
apply Section 159 of Public Law 90-248 in computing
plaintiff’s earnings.

Claimant and the Secretary both Moved for Summary
Judgment. The District Court, on May 28, 1970, denied
claimant’s Motion and granted the Secretary’s Motion
for Summary Judgment. (35-43)

Claimant, pursuant to Rules 52 (b) and 59 (a)(2) of
the Federal Rules of Civil Procedure, Moved the District
Court tc amend its Findings and Judginent and for a New
Hearing. The Court, on July 15, 1970, denied claimant’s
said Motion and denied his request for Oral Argument.
(43-48)

Claimant then appealed to the Court of Appeals. That
Court, on April 12, 1971, in a Per Curiam Order, affirmed
the District Court’s judgment. (33-35)

The Secretary had contended that the lump sum exemp-
tion provision of Section 224 (b) was limited to medical
expenses and to legal fees. The Court of Appeals held
that a Michigan ‘‘redemption” settlement always consti-
tutes in part a commutation of periodic compensation pay-
ments. The Court held that claimant’s Social Security bene-
fits may be reduced by his entire lump sum Workmen’s
Compensation settlement, except for the unpaid medical
expenses and attorneys fees, which the Secretary had de-
ducted. The Court did not attribute any of ciaimant’s set-

7

tlement to future medical expenses, saying that claimant
had not proven the amount of said future expenses.

The lower Courts rejected claimant’s constitutional ar-
guments, basing their decisions on Lofiy v. Richardson, pe-
tition for certiorari pending before this Court in Case No.
1738. (440 F.2d 1144, 1971, and 325 F. Supp. 285, 1970)

The Court of Appeals ignored the Secretary’s failure to
recompute claimant’s earnings, because of his second job,
as required by Scction 159 of Public Law 90-248.

REASONS FOR GRANTING WRIT OF CERTIORARI

Important Federal Questions are Presented By The
Lower Court’s Construction of Section 224 of the Social
Security Act, Important Constitutional Questions aze
Presented by Said Section 224 Itself, and This Court
is Considering Cases Involving The Constitutional
Questions

A. This Court Should Settle the Meaning of Section
224 of the Social Security Act.

These Statutory construction issues were present but
were not litigated in Lofty, supra.‘'The only question pre-
sented to this Court in Lofty is similar tu Petitioner’s
question No. 3, supra.

1. A Michigan “Redemption” Settlement is Not a
Commutation of or a substitute for Periodic Pay-
ments,

The Michigan Workmen’s Compensation Act allows a
commutation of or a substitute for periodic payments by
means of a “lump sum advance;” Part II, Section 22 of the
Act provides in part:

8
“. . . [S]Jaid compensation commission may at
any time direct in any case, if special circumstance
be found which in its judgment require the same,
that the deferred payments due under this Act be
commuted on the present worth thereof at 5 per
cent per annum to 1 or more lump sum payments.”
(Mich. ‘Comp. Laws, Sec. 412.22; Mich. Stats. Ann.
Sec. 17.172)

Had claimant received a “lump sum advance’’ pursuant
to the above statutory provision the Secretary would have
acted correctly in applying the reduction because the
‘‘luamp sum advance” would have been a commutation of,
or a substitute for, periodic payments.

However, under Michigan law the payment recewed by
claimant was not a commutation of, or a substitute for,
perwdtc payments; claimant received a lump sum by way
of a ‘‘redemption” settlement which is an entirely different
concept under Michigan law.

With respect to a ‘‘redemption” the Michigan Work-
men’s Compensation Act provides in Part II, Section 22
as follows:

“(Any liability resulting from an injury] may be
redeemed by the payment of a lump sum by agree-
ment of the parties, subject to the approval of the
commission, . . .” (M.§. A. 17.172).

The difference between the ‘‘redemption” under Michigan
law and the “lump sum advance” include the following:

(1) The “redemption” constitutes a settlement in full
of all rights of claimants of actual and possible liability of
employers in regard to not only weekly benefits, but medi-
cal and hospital expenses, cost of nursing care and reha-
bilttation through vocational training, as well, for his en-
tire life. Wehmeter v. W. E. Wood Co., 377 Mich. 176, 139

9

N. W. 2d 733 (1966). In contrast, the ‘‘lump sum advance”
covers weekly benefits only and is a commutation of substi-
tute for such periodic benefits.

(2) The “redemption” is like an out of court settle-
mest of a contested claim; the amount agreed upon is a
negotiated compromise and considers many factors, in-
cluding the question of liability. In contrast, the ‘‘lump
sum advance” is directly and solely a commutation of de-
ferred weekly benefits based on their present worth at 5%
per year;

(3)' The ‘‘redemption”, when approved, allows attor-
ney fees of up to 15% of the amount of the settlement under
Michigan Workmen’s Compensation rules; in contrast, the
attorney fee in connection with the lump sum advance is
entirely discretionary with the Hearing Referee who con-
siders it; in practice either no fee is allowed or a mere
nominal fee is permitted.

The Michigan Supreme Court, in Wehneicr v. W. E.
Wood Co., supra held that a ‘‘redemption’’ settlement,
under Michigan law, was not the same as a “‘lump sum ad-
vance” of weekly Workmen’s Compensation payments. The
Court of Appeals, while purporting to rely upon Weh-
meter, supra, holds that a Michigan redemption settle-
men is always at least in part a “commutation of, or sub-
stitute for, periodic payments” for purposes of Sections
224(a) and (b) of the Social Security Act. (34) Thus,
the Court of Appeals’ construction of Michigan law con-
flicts with the holding of the highest Court of Michigan.

The decisions of the Secretary and the Court of Ap-
peals are contrary to and, in effect, nullify the specific
language of Subsection 224(b). If this lump sum redemp-
tion settlement is a ‘‘commutation of” or a “substitute
for” periodic payments, then any lump sum would be.
This, in effect, nullifies the ‘lump sum proviso.”

10

2. The Secretary and the Lower Court Limit
“Lump Sum” in Section 224 to Claimant’s At-

torneys Fees and Past Medical Expenses

The Court of Appeals, in this case accepted the Secre-
tary’s argument that the ‘‘lump sum” exception be limited
to claimant’s attorneys fees and medical payments. This
argument is faulty. If Congress had so intended to limit
‘lump sum,” then it could easily have said so. Other sta-
tutes, such as the Michigan Workmen’s Compensation Act,
specifically deal with medical payments. Furthermore,
‘*Iump sum” is broader than the meaning suggested by the
Secretary in other parts of the Social Security Act. (See,
e.g., Sec. 202(n)(1)(c} in regard to ‘‘lump sum death pay-
ment.”’)

The mischief inherent in the Court’s Order is apparent
from its conclusion that a Michigan redemption settle
ment “aiways constitutes m part a commutation of perio-
dic payments.” (34) That means that the lump sum ex-
ception is written out of the Act for all Michigan workers.

Petitioner submits that the Court errs by holding that
part of cvery Michigan redemption settlement is a substi-
tute for periodic payments. But assuming arguendo that
the Court is correct, this cannot justify the Court’s con-
clusion that claimant’s entire redemption settlement (less
attorneys fees and past medical expenses) should be
treated as a commutation of or substitute for periodic
payments. The lower Court holds claimant responsible
for not having proven what part of his redemption settle-
ment was made up of future medical expenses, thereby
also winning exclusion of them from the reduction com-
putation. This would have required claimant over a year
after the settlement was consummated and when claimant

11

appeared before the Hearing Examiner or two years later’
when the matter came before the District Court, to show
what part of the settlement was apportioned to future
medical expenses. Such an undertaking would have been
sheer deception and pure speculation because the nature
of this redemption settlement precludes an apportion-
ment by the weekly payments and medical expenses.

Other Courts place this burden on the Secretary. The
identical issue was involved in Slone v. Finch,. ... .F. Supp.
...-, CCH Un. Ins. Rep. Para. 16,093 (S. D. Ohio; Novem-
ber 27, 1970). Claimant Slone received a Jump sum settle-
ment of $8,000 under the Ohio Workmen’s Compensation
Act. Two thousand dollars had been paid by claimant as
attorney’s fees. The Secretary concluded that the entire
$6,000 remaining was a commutation of periodic payments
and, thus, substantially reduced claimants Social Secu-
rity disability benefits. Judge Hogan grapsed this issue
and, in a well reasoned opinion, stated in part:

“It is quite clear to this Court that if the Com-
mission makes a given award to a given person for
a given number of weeks and thereafter, on ap-
plication, the ‘(Commission commutes that to a lump.
sum payment, then the lump sum payment is merely
a commutation of or substitute for periodic pay-
ments as that term is used in Section 424 and would
clearly furnish the basis for an appropriate deduc-
tion.

The other secticn and the one specifically in-
volved in this case is Revised Code Section 4123.65.
This section is entitled, ‘Application for final settle-
ment.’ ...

As we pointed out initially, this is an unusual
situation. Gambill v. Finch, 309 F. Supp. 1 (E.D.
Tenn., 1970) is a pure and simple commutation case.
The same is true of Ladner v. H.E.W., 304 F. Supp.

i2

474 (Miss., 1969). In other words, in the Ladner
case the Act itself as applied to the facts settled
the periodic payments and, after the periodic pay
ments had been settled, the commutation took place.
In thts record there never occurred any event
based on which either the period involved in a pe-
riodic payment or the amount involved in a periodic
payment was determined, The only thing that was
determined in this case by the action of the Com-
mission was that $8,000.00 was a fair amount to
pay, not in any communtation, but in exchange for a
release of whatever claim it was this plaintiff made.
We point out that the claimant, is zart of this set-
tlement, not only released any basic claim he had
for periodic payment but also released any claim
which he might ever have in the future for any
medical or hospital expenses... .

The Secretary has made no finding in respect of
how much of the settlement amount represented a
‘substitute for’ periodic payments and how much
represented & ‘substitute for’ future ‘lump sum’
payments for medical expense.” (at pp. 2167, 2168;
emphasis added)

The Court remanded the case to the Secretary. The U. S.
Attorney served notice of appeal in January, but with-
drew it in February, 1971. The Judge’s distinction be-
tween the two Sections in the Ohio Statute is similar to
the distinction made by the Michigan Supreme Court in
Wehmeicr, supra. The Court of Appeals here overlooked
such distinction.

Ironically, District Judge Keith, who had decided the
instant case, issued a later decision which reaches the
same result as in Slone, supra. In Miley v. Finch,.... F.
Supp....., CCH Un. Ins. Reps. Para. 15,848 (E.D. Mich.
June 12, 1970), the Court rejected claimant’s constitu-
tional arguments, relving upon his decision in the instant

13

case and upon Lofty, supra. But the Court remanded the
case to the Secretary, holding in part:

“Finally, plaintiff argues that the secretary
failed, prior to applying the offset provisions of
the act, to reduce the amount of the redemption by
any payment for future medical expenses included
in the settlement agreement. . .

It is unquestionably the law in Michigan that a
redemption amount encompasses payment of weekly
benefits and all past and future medical expenses.
See Wehmeier v. W.E. Wood Company (1966) 377
Mich 176.

If such is the case in Michigan, then, prior to any
application of the offset provisions of the Social Se-
curity Act, a determination must be made on each
redemption amount as to what portion represents
a commutation of our substitute for periodic pay-
ments and what portion represents settlement for
past and future medical expenses.

The record in this matter contains no such deter-
mination; at best the transcript contains a ‘Report
of Contact, Workmen Compensation Payment Re-
port’ from the Lansing, Michigan District Office,
stating the conclusion that the amount of $5,929.15
excludes ‘medical and/or attorney’s fees.’

As the record is void of evidence to support this
conclusion, which apparently was adopted by the Sec-
retary, there is no basis in fact on which this Court
may affirm this decision. Therefore, as to this third
issue, the matter must be reversed and remanded
so that the Secretary may, with the assistance of
evidence submitted by the plaintiff or the Work-
men’s (Compensation Board, make a determination
as to what portion of the redemption amount con-
stituted a commutation or substitute for periodic
payments and what portions represents payments
for past and future medical expenses.

14

It seems to this Court that, in view of the decision
of Wehmeier, supra, such a determination would
be required in every case where a redemption
amount effectuates an offset.” (Emphasis added;
at 2499)

In the instant case, the Secretary deducted some law-
yer’s fees and an amount for past medical expenses from
the offset. The Secretary neglected claimant’s future and
present medical expenses. District Judge Keith, in ruling
‘for the Secretary in the instant case, treated plaintiff Miley
better than petitioner herein.

3. The Lower Court’s Construction of Section 224
Conflicts with this Court’s Rules of Statutory
Construction and with the Purposes of the Stat-
ute...

The errors inherent in the Secretary’s and the Court
of Appeals decisions go beyond doing violence to the lan-
guage of the Act. Said decisions are also contrary to the
purposes of the Social Security Act and to this Court’s
rules of Statutory construction.

This Court discussed the history of the Act and its bene-
ficiai purposes, paritcularly in regard to its unemployment
and old age portions, in Charles C. Steward Mach. Co. v.
Davis, 301 U.S. 548, 586-588 (1937), Helvering v. Davis,
301 U.S. 619, 641-645 (1987), both opinions by Mr. Justice
Cardozo, and in United States v. Sk, 331 U.S. 704, 710
(1947), by Mr. Justice Reed.

The purpose of the disability benefits portions was dis-
cussed in Sayers v. Gurdner, 380 F. 2d 920 (6th Cir. 1967),
in part as follows:

“Because of the repeated necessity of reversing
the Secretary in these cases, we should go back to

A NS ee a ISS PEDERI

1d

the origins of the Statute and consider first things
first. The Act was adopted pursuant to a public
policy unknown to the common law, designed for the
protection of society, and enacted to alleviate the
burdens which rest on large number of the popu-
lation because of the insecurities of modern life,
particularly those accompanying old age, unemploy-
ment and disability, through the establishment in
advance of a provident fund for the needy worker,
out of which he wili be paid disability denefits,
annuities, and compensation; and there is no ques-
tion that the Social Securities Act is constitu-
tional.”
ae ca * * *

“The Social Security Act brought with it, among
other provisions, the right to disability benefits for
workers who have become disabled from doing the
work—usually the hard manual work-—that they
have done during their lives.

“In McGaha v. Ribicoff, 262 F. Supp. 161, 167,
the court, in a case involving disability benefits
under the Social Security Act reversed the Hearing
Examiners and states... .

“Pinched by poverty, beset by adversity, driven
by necessity, one may work to keep the wolf away
from the door though not physically able to work; -
and, under the law in this case, the fact that the
woman worked to earn her living did not prevent a
jury from finding, from the evidence before it that
she was totally and permanently disabled even
while working.’” (at 942 of 380 F. 2d; emphasis
supplied)

The Court in Sayers, reversed the District Court’s affir-
mance of a denial of disability payments and directed that
benefits be paid.®

8’ The Court discussed the large percentage of times in which the
Secretary has been reversed in disability cases as bearing upon the
standards of judicial review (at 942 and 948).

aan iit, mea nee i" ¥ “ pe that Sd

16

This Court and most other Courts hold that the purpose
of legislation governs its interpretation. See, for example,
United States v. American Trucking Assn., 310 U.S. 534,
543, 544 (1940); and see The Legal Process, by Professors
Henry Hart and Albert Sacks, at pp. 1082 and 1339 of
1957 Cambridge Tentative Edition).

The view of the Secretary, as upheld by the Court of Ap-
peals, is contrary to the beneficial purposes of the Social
Security. Act and its Section 223 providing for disability
benefits. It also nullifies the Section 224(b) “lump sum”
exception. (See discussion, swpra, at p. 9)

The Secretary’s decision does not even square with the
presumed purpose of Section 224(a)-——that is to avoid du-
plication or pyramiding of benefits so that an individual
cannot receive more money in a combination of benefits
than he would have received if he continued to work. The
application of the Section in this claimant’s case does not
accomplish the legislative purpose; he had two jobs and
the addition of Social Security benefits to his lump sum
compensation settlement would not come close te his lost
income. (See Statement of the Case, supra, at pp. 4, 5):

In the case at bar, the court broadly construed an ex-
ception to receipt of benefits (i.e., the Workmen’s Compen-
sation offset); the Court narrowly construed the Subsec-
tion 224(b) lump sum exclusion from this offset. And, final-
ly the Court broadly construed ‘commutation” or ‘‘substi-
tute” in Subsection 224(b). The Court’s aforedescribed
standards of construction are all contrary to the general
rule of construing a beneficial statute liberally or broadly
to allow benefits and narrowly construing its disqualify-
ing provisions, or those which might reduce benefits. 82
Corpus Juris Secundum, ‘‘Statutes,’’ Section 382 (at 891-
894). In this respect, the lower Court’s decision is contrary

17

to the decisions of this Court, to the decisions of other Cir-
cuit Courts and even to its own earlier decisions. See, for
example, United States v. Silk, 331 U.S. 704, 712 (1937);
Schwing v. United States, 165 F. 2d 518, 520, 521 (3d Cir.
1948; and Ewing v. Black, 172 F. 2d 331 (6th Cir. 1949) ;
compare A. H. Phillips, Inc. v. Walling, 324 U.S. 490, 493
(1965).

Delno v. Celebrezze, 347 F. 2d 159 (9th Cir. 1965), was
an appeal from a judgment sustaining the decision of the
Appeals Council which had denied plaintiff’s application
for old-age insurance benefits under Section 202(a) of
the Act. (At 161) The Court of Appeals vacated said judg-
ment. In regard to construction of the Act, the Court said,
in part:

“The record indicates that the Appeals Council
applied the ‘services to occupant’ exception nar-
rowly, and included borderline items in the rental
exclusion. The general statutory preference for

coverage would seem to require the opposite ap-
proach.” (At 165; emphasis ours)

See also, Davidson v. Gardner, 370 F. 2d 803, 807, 808 (6th
Cir. 1967).

Claimant here has had Social Security taxes taken out
of his pay. To deny coverage or to reduce it by something
which le would have received anyway is to reach an ab-
surd and unfair result. Statutes, where at all possible, must
be construed to avoid such a result. See, for example, U.S.
v. American Trucking Assn., Inc., 310 U.S. 534 and St.
Luke’s Hospital Association of Cleveland, Ohio v. United
States, 333 F. 2d 157, 163, 164 (6th Cir. 1964). Compare
Reynolds v. Gardner, 271 F. Supp. 676 (W.D. Va 1966), af-
firmed 381 F. 2d 380 (4th Cir. 1967).

18

Neither defendant Secretary nor the lower Courts gave
any sensible meaning to the term ‘‘lump sum” in Section
224. Based upon the Statutory construction issues alone,
this Court should hear this case.

B. Section 224 of the Social Security Act is Contrary
to the Fifth Amendment of the United States Con-
stitution, This Court has Other Cases involving
these issues before it.

Section 204, as construed by the Secretary, deprives Pe-
titioner of property without due process of law in at least
two respects:

1. It unreasonably discriminates against claimant pe-
titioner as compared with other disabled workers who paid
Social Security taxes and who received their full disability
benefits under the Social Security Act; and 2. It effec-
tively nullifies claimant’s private settlement agreement by
taking Social Security disability benefits away from claim-
ant, in an amount equal to what he receives under said
settlement agreement. These issues present important
Federal questions.

The first constitutional issue is the same as is before
this Court in Belcher v. Richardson, Case No. 1091, re-
viewing 317 F. Supp. 1294 (S. D. W. Va. 1970), Bartley v.
Richardson, Case No. 108, seeking review o. 311 F. Supp.
876 (E. D. Ky. 1970) and Lofty v. Richardson, Case No.
1758, petition for certiorari pending.

In Belcher, the United States District Court for the
Southern District of West Virginia held:

19

“In sum, therefore, it is held that in the circum-
stances of plaintiff’s case, the application of Sec-
tion 224 cannot be constitutionally applied, since
to do so would deprive him of due process and
equal pretection of the law under the Fifith and
Fourteenth Amendments.”

In Lofty and Bartley, the lower Courts, as in the instant
ease, upheld the Section’s constitutionality. Thus, this Pe-
tition should be granted to help resolve the conflict in the
decisions of our Federal Courts on this question.

In order that petitioner’s rights be fully protected, peti-
tioner requests that this Petition be considered with the
Petition in Lofty, supra, and that this Court hear this
case so that this case can be decided along with said other
eases pending before this Court.

C‘aimant has been required by law to make certain So-
cial Security tax contributions over a period of years
while engaged in covered employment. These contributions
in part have been placed in the Federal Disability In-
surance Trust Fund created by Congress. [Title 42
U.S.C.A. See. 401(b) ]

Claimant suffered a work-connected injury for which he
received a monetary settlement. Congress directs that his
Social Security Disability Benefits from the trust fund
shall be reduced because of the receipt of workmen’s com-
pensation benefits. Another person, who has made the
same Social Security tax contributions to the trust fund,
may suffer a disability which is not work-connected in ori-
gin and for which he receives a private settlement; the Act
permits him to receive full Social Security Disability Bene-
fits out of the trust fund.

Such a difference in treatment between persons re-
quired to make the same Social Security tax contributions

20

‘to the trust fund is unreasonably discriminatory resulting
in an arbitrary reduction in disability benefits. As such,
Section 224 of the Social Security Act is unconstitutional
as an infringement of claimant’s rights not to be deprived
of property without due process of law guaranteed to him
by the Fifth Amendment to the United States Constitu-
tion. (U.S.C.A. Constitution, Amendments 1 to 5, p. 482.)

If the intent of Congress in enacting Section 224 was to
avoid duplication and pyramiding of benefits so that an
individual cannot receive more money in combination of
benefits than he would have received if he continued to
work (Hearings before the Committee on Finance—
United States Senate on H. R. 6675, pp. 146-151 [Part I)),
it was arbitrary to reduce Social Security benefits by
Workmen’s Compensation, because such compensation is
a public-borne cost of industry. As such, it is owed the in-
dividual by his employer or by his employer’s private in-
surer under the public policy to compensate him for injury
suffered in the service of our modern indystrial society.
See the quote from Belcher v. Richardson, infra at page 26.

At the same time, the worker is individually taxed to
build a separate trust fund under Social Security out of
which disability benefits may be paid to him. His Social
Security tax contributions are self-borne, not as a volun-
tary but as a mandatory supplemental insurance program
required by law. Under these circumstances, should not
claimant be entitled to both benefits, in full, even at the
risk of receiving more in benefits than he did in prior
earnings? The savings otherwise accumulated or the bene-
fits of a private disability insurance policy but for the tax
would have been available to him. Moreover, it is sub-
mitted that the feared “‘pyramiding” is more a theory than
a practical reality. In most cases, full Social Security Dis-
ability Benefits would simply close the gap to insure dur-

21

ing disability continuing income about the size of previous
earnings and in a few cases would it exceed by any sub-
stantial sum the full average weekly earnings of the man
before injury.

Claimant has been permanently injured. He will suffer
pain and physical impairment the rest of his life. Surely
some portion of his redemption settlement and of his So-
cial Security benefits is ‘‘compensation” for this injury.

Finally, in this claimant’s case the combined workmen’s
compensation benefits and Social Security benefits would
be $336.10 less than his total earnings from both jobs be-
fore injury. (65) The Secretary’s failure to recompute
claamant’s earnings to reflect ints second job, makes the
application of Section 224(a) to this claimant especially
harsh and arbitrary.

In analyzing the alleged reasonableness of a classifica-
tion made in a statute, a court must look to the purpose
of the statute involved. As Justice Brandeis said, while
dissenting in Quaker City Cab Co. v. an 277
U.S. 389 (1928) :

“|. . the classification must insist wpon a differ-

ence which is real, as distinguished from one which
is seeming, specious, or fanciful, so that all actually
situated similarly will be treated alike; that the
obect of the classification must be the accomplish-
ment of a purpose or the promotion of a policy,
which is within the permissible functions of the
State; and that the difference must bear a relation
to the object of the legislation which is substantial,
as distinguished from one which is speculative, re-
mote or negligible. . . .” (At 406, emphasis sup-
plied). .

The majority held that the classifications in the Statute
were not “based on a real and substantial difference hav-

22

ing reasonable relation to the subject of the legislation.”
(At 402).

Compare Porter v. Shibe, 158 F. 2d 68, 73 (10th Cir.
1946), where the Court relied upon Nebbia v. People of
State of New York, 291 U.S. 502, 525, (1933), and Fox v.
Michigan Employment Sec. Commis., 379 Mich. 579 (1967).

The determination of whether a Federal law is uncon-
stitutionally unreasonable within the Fifth Amendment is
similar to the question of the validity of state action within
the Fourteenth Amendment’s equal protection clause. See,
for example, Bolling, et al v. Sharpe, et al, 347 U.S. 497,
499 (1954).

In Cahfornia Dept. of Human Resources Development,
et al v. Java, et al,....US....., 39 Law Week 4491 (Case
No. 507; April 26, 1971), this Court unanimously voided
Sections of the California Unemployment Insurance Code
which were contrary to the purposes of the Federal unem-
ployment insurance program as expressed in Section 303
(a)(1) of the Social Security Act. [Title 42, U.S.C.A. See.
503 (a)(1)]

We.have seen, supra, that Section 224, as construed by
the Secretary is contrary to the purposes of the Social Se-
curity Act, and its Sections 223 and 224. For this reason,
Section 224(a) cannot stand as against the standards for
constitutionality which Federal and state laws must meet.

95

2. Impairment of Contractual Obligations

The second part of constitutional issue has not yet been
discussed in the cases before this Court.

The due process clause of the Fifth Amendment projects
persons, such as claimant from Federal action which im-
pairs contractual obligations.* In this regard, it is stated
in 16A Corpus Juris Secundum, ‘‘Constitutional Law,”
Section 610:

“In general valid contracts are property and can-
not be interfered with without due process of law,
and this rule applies whether the obligee is a pri-
vate individual, a municipality, a state, or the
United States.” (At p. 740; emphasis supplied)

Claimant entered a valid settlement agreement with his
employer’s insurance company as a result of injuries suf-
fered by claimant. The Secretary, by his erroneous con-
struction of Section 224 of the Act, takes away disability
benefits otherwise due claimant because of said private
settlement agreement. This action attaches a new disad-
vantage or liability to claimant’s settlement agreement.
This azreement is, in effect, nullified just as if Congress
had passed a law requiring any person who receives health
or accident insurance benefits to pay an equivalent amount
to the United States Treasury Department.

Compare Article I, Section 10, and the Fourteenth Amendment
due process clause as to state action which unreasonably affects con-
tracts.

24

3. The Rights-Privilege Distinction of Flemming v.
Nestor, Upon which the Lower Court Opinions
in Lofty and in the Instant Case are Based,
Has Been Abandoned by this Court.

The lower Courts, in dismissing claimant’s Constitu-
tional arguments, merely cited the opinions in Lofty v.
Finch, 325 F. Supp. 285, (E.D. Mich. 1970), affirmed 440
F. 2d 1144 (6th Cir. 1971). The Lofty case is now before
this Court in Case No. 1758. First, Lofty’ does not involve
a person who, as claimant in the instant case, had two jobs
when disabled. Thus, in this case, the arbitrariness of the
Secretary’s construction of the Act is even more apparent.
Secondly, Lofty is wrong.

The Courts in Lofty, primarily relied upon Flemming v.
Nestor, 363 U.S. 603 (1960), in rejecting plaintiff Lofty’s
Constitutional arguments.

In Nestor, supra, the District Court (169 F. Supp. 922)
held Section 202 (n) [42 U.S.C. Sec. 402(n)] unconstitu-
tional. That Section terminates Social Security Old Age
benefits payable to a deported alien. The Supreme Court,
with present Justices Black, Brennan and Douglas dissent-
ing, reversed the District Court. The majority opinion was
mainly based upon its view that citizens do not have an
‘accrued property right” to Social Security benefits. How-
ever, the Court majority did stress:

“This is not to say, however, that Congress may
exercise its power . . . free of all constitutional
restraint. The interest of a covered employee
under the Act is of sufficient substance to fall
within the protection from arbitrary governmental
action afforded by the Due Process Clause.” (At
611)

25

Compare Sherbert v. Verner, 374 U.S. 398, 405 (1963),
opinion by Justice Brennan (who dissented in Nestor) ; the
Court (though citing the above quote from Nestor) under-
cut Nestor’s view of the difference between rights and
privileges.

Nestor is not the instant case. And we submit that the
result in Nestor is ludicrous and unjust. Fortunately, this
Court drifted away from its views in Nestor and, finally,
completely rejected the philosophy upon which Nestor was
based.

In Kennedy v. Mendoza-Martinez, 372 U.S. 144 (1963),
a statute allowing deportation for evading the draft wag
held unconstitutional as imposing punishments without
due process of law. This was contrary to Nestor where he
had been deported and deprived of Social Security because
of his past communist activities. The dissenting justices
said the majority opinion was contrary to Nestor (at 209).

Nestor has also been cited by dissenting justices in at
least the following cases: Rusk v. Cort, 369 U.S. 367 (1962) ;
United States v. Brown, 381 U.S. 487, 462, 467 (1965),
where this Court, in affirming the Court of Appeals, held
unconstitutional Section 504 of the Labor-Management Re-
porting and Disclosure Act of 1959; Wells v. Rockefeller,
394 U.S. 542, 550 (1969); and Swann v. Adams, 385 U.S.
440 (1967), where this Court held unconstitutional New
York Congressional Redistricting and Florida Legisla-
tive Reapportionment, and Shapiro v. Thompson, 394 U.S.
618 (1969), where a Connecticut law denying welfare bene-
fits to citizens who have not resided there one year was
held unconstitutional. Compare Heikkila v. Celebrezze, 222
F. Supp. 629 (N.D. Calif. 1963), where the Court limited
Nestor to its peculiar facts (at 631 and 632).

The rights-privilege distinction, upon which Nestor was
based, may have been finally put to rest in Goldberg u,
Kelley, 397 U.S. 254, 261 (1970). See also Wheeler v. Mont-
gomery, 397 U.S. 280 (1970); and Daniel v. Goliday, 398
U.S. 73 (1970)

In Belcher v. Richardson, supra, the Court discussed
Nestor in relation to Goldberg v. Kelley, as follows:

“Thus, we must conclude that the concept es-
poused by the majority in Nestor, that one who has
contributed to the social security fund and later
becomes eligible to receive the benefits provided by
the Social Security Act has no indefeasible prop-
erty right to such benefits, is no longer to be con-
sidered a viable and controlling precedent for that
principle, in view of the more recent holding in
Goldberg that a welfare recipient who has made no
direct contribution to the fund from which he draws
benefits does have recognizable property right to
such benefits and one which is protected by all the
safeguards of due process.” (Emphasis ours; at
2014)

It is claimant’s view that Congress never intended Sec-
tion 224 to apply to lump sum setlements, such as received
by him; in fact, Congress, in Subsection 224(b), expressly
exempted such settlements from any Wurkmen’s Compen-
sation offset. (See discussion, swpra, at pp. 7-8). How-
ever, the Secretary’s refusal to properly construe and
apply Section 224, unconstitutionally interferes with and
impairs claimant’s contract and property rights.

We ask this Honorable Court to carefully examine Sec-
tion 224, as herein construed, in light of its own purpose
and with regard to the expressed purposes of the Social
Security Act and its Section 223 with which Section 224,

.as construed below, conflicts. This Court should then hold
that Section 224 is contrary to the Fifth Amendment of
the United States Constitution.

C. The Secretary’s Failure to Apply Section 159 Of
Public Law 90-248 in Computing Claimant’s Earn-
ings Presents Another Important Federal Question.

Prior to 1968, the computation of earnings for disability
benefits and other Social Security benefits were limited
to those earnings from which Social Security taxes were
taken. For example, in 1967 the maximum earnings sub-
ject to Social Security taxes were $6,600.00.

Many persons, of course, earned more than said maxi-
mum amount. Claimant having had two jobs at the time of
his injury, was one of such persons. (65)

The Congress of the United States did not think it fair
or right for the disability benefits due such persons to be
based only upon earnings subject to Social Security taxes.
In December, 1967, Congress enacted, and the President
signed, Section 159 of Public Law 90-248 to correct this
situation. This amended Section 224 (a); compare Sub-
sections 215(a),(c)(2) and(f)(2); and see 2 U.S. Congres-
sional and Administrative News, 1967 at pp. 2834, 2835,
2847, 2873, 2874, 2853, 2884, 3046, 3047, 3060, and 3104)
which state in part:

“Disability Benefits Affected by the Receipt of
Workmen’s Compensation. The dill would modify
one of the provisions in present law for determining
the amount of combined social security and work-
men’s compensation benefits that can be paid when
a disabled worker is eligible under both programs.
In these cases, the computation of average earn-.
ings could inciude earnings in excess of the annual
amount taxable under social security.” (at 2847;
emphasis supplied)

Section 224 of the Act as amended by section 159 of Pub-
tic Law 90-248 provides in pertinent part:

28

“For purposes of clause (5), an individual’s aver-
age current earnings means the larger of (A) the
average monthly wage used for purposes of com-
puting his benefits under section 223, or (b) one-
sixtieth of the total of his wages and. self-employ-
ment income (computed without regard to the limi-
tations specified in sections 209(a) and 211(b)(1)
for the five consecutive calendar years after 1950
for which such wages and self-employment income
were highest.” (Emphasized words added by sec-
tion 159, supra, effective for benefits for months
after January, 1968; (86, 87)

The Secretary used $273.00 as the ‘‘average monthly
wage”, upon which the disability benefits were based. The
Secretary justifies this by stating that it is higher than
$245.00, the figure calculated by the Secretary to be claim-
ant’s highest monthly wage for the past five years.

The Secretary erroneously failed to take claimant’s
$709.00 combined earnings as the average monthly wage for
disability income purposes. Secondly, the five-year aver-
age must also now reflect both jobs of claimant.

This Amendment was made effective in regard to any
Social Security benefits to be paid after February, 1968.
(Ibid, at 3104) The earnings of persons, such as claimant
were to be recomputed after February 29, 1968 and higher
benefits were to accordingly be paid. (See Historical Note
after 42 U.S. C. A. Sec. 424a)

Increased benefits were to be paid to claimant whether
or not his lump sum settlement is used to offset his So-
cial Security disability benefits. (See 2 U.S. Cong. &
Admin. News, 1967, at pp. 2873, 2874, 2883 and 2884)

The Secretary failed to apply said Amendment to claim-
ant’s earnings and to his benefits based upon such earn-

29

ings. This is impermissible. The evidence of claimant’s two
jobs and income was submitted to the Examiner. (65)

Before the Appeals Council, as the Secretary has ad-
mitted, claimant clearly and expressly requested recompu-
tation. The Secretary, however, disregarded the Amend-
ment and refused to make the required recomputation.

Claimant then brought suit and again expressly raised
said issue. For example, the third Argument in claimant’s
Brief to the District Court and the third question pre-
sented the Court of Appeals was the same as this argu-
ment to this Court. Claimant’s counsel, at the hearing be-
fore the District Judge, stressed this argument. The Sec-
retary never answered this argument in his Brief nor
orally. The Secretary ignored the issue as he had ignored
the Amendment. Neither the Secretary nor the District
Judge objected to claimant’s raising this issue.

The District Judge, incredibly, in his Memorandum Opin-
ion and Order of May 28, 1970, refused to consider this
issue and stated that it never had been raised at the ad-
ministrative level. (41, 42)

Claimant filed a Motion to Amend Findings and Judg-
ment and for a New Hearing based upon the Court’s deci-
sion on this argument. The Secretary in his Answer to
Plaintiff's Motion to Amend Findings, challenged for the
first time claimant’s right to the recomputation, arguing
that claimant had not produced evidence at the administra-
tive level to support this conclusion.

Claimant did produce such evidence by his own state-
ments and by furnishing supporting financial records. Fur-
thermore, the Hearing Examiner found as a fact that
claimant had been working two jobs. (65) There was
sufficient evidence in the record to require such recompu-

30

tation. Had the Secretary ‘really wanted more evidence,
then he could have obtained it.

The District Judge, in denying claimant’s Motion to
Amend Findings, held that claimant’s evidence of two jobs
and the money earned at said jobs did not “fairly apprises
the Secretary of claimant’s claim that Section 159 of Pub-
lic Law 90.248 was possibly applicable.”* (47) But claimant
expressly cited said Section 159 to the Appeals Council and
asked that his earnings be recomputed.

Claimant respectfully submits that the District Judge
(based upon his May 28 Opinion) overlooked claimant’s
evidence.

The Secretary must administer the Act in accordance
with its beneficial purposes and ensure that a disabled
worker receives his full benefits under the Statute. It is
wrong for the Secretary to act as if disabled workers are
somehow getting away with something when they receive
their full benefits.

The Court of Appeals ignored this question. Thus, the
lower Court has sanctioned the Disirict Court’s allowing
the Secretary to avoid applying Section 159 of Public Law
90-248. While this practice may not present as far reaching
a Federal question as the other issues, it is important that
this Court exercise its supervisory powers and require the
Secretary to consider and to apply Section 159 of Public
Law 90-248 to claimant’s claim for benefits.

5 Claimant did not ask the District Judge to usurp the administra-
tive function. In claimant’s Brief to the District Judge, we urged that
the Court remand this case to the Secretary with instructions to recom-
pute claimant’s earnings and benefits as required by said Public Law
90-248.

31

CONCLUSION

The Constitutional issues are before this Court in at
least three other cases. The lower court opinion conflicts
with that of a three judge District Court in Belcher v.
Richardson, Supreme Court No. 1091. The issues coucern-
ing the proper meaning and application of Section 224 of
the Social Security Act are significant and substantial.

For the aforementioned reasons, Petitioner prays that
his Petition for Writ of Certiorari to the Court of Appeals
for the Sixth Circuit be granted.

Respectfully submitted,

/s/ Jordan Rossen
8000 East Jefferson Avenue
Detroit, Michigan 48214
(313) 926-5216

and
Eames, Petrillo, Wilcox,

and Kerwin

/s/ Leonard A. Wilcox, Jr.
900 Guardian Building
Detroit, Michigan 48226
(313) 963-3750
Attorneys for Petitioner

Dated: July 16, 1971.

NTC ne a

APPENDIX A
OPINIONS OF COURTS AND AGENCIES

a

UNITED STATES COURT OF APPEALS
FOR THE SIXTH CIRCUIT COURT

Johnney Benjamin, Plaintiff-Appellant
v.

Elliott L. Richardson, Secretary of Health,
Education and Welfare
Defendant-Appellee

No. 20,714

PER CURIAM ORDER
Decided and Filed April 29, 1971

Before: Weick, Peck and Kent, Circuit Judges.

This is an appeal from a judgment of the District Court
affirming a decision of the Secretary of Health, Education
and Welfare. After finding the claimant, the plaintiff-
appellant herein, to be disabled within the meaning of the
Social Security Act, the Secretary determined that the
disability benefits to which the claimant would be entitled
were required to be reduced pursuant to Section 224 of
the Act (42 U.S.C. § 424) by the amount of a lump sum
settlement received by the claimant under the Michigan
Workmen’s Compensation Act (Mich. Stat. Ann. 17.172).
Claimant attacks both the factual correctness and the con-
stitutionality of the Secretary’s determination.

Section 224(a) of the Social Security Act (42 U.S.C.
§ 424 (a)) provides that when a claimant entitled to re-

34

ceive Social Security disability benefits also receives perio-
dic disability benefits under a state workmen’s campensa-
tion or like plan, a reduction in the Social Security bene-
fits must be made by the amount in which the claimant’s
combined Social Security disability benefits and his work-
men’s compensation benefits exceed 80% of his previous
average monthly earnings. Section 224(b) (42 U.S.C.
§ 424(b)) excludes from the reduction computation, how-
ever, any lump sum received by the claimant under a work-
men’s compensation plan unless the tump sum payment
constitutes a “commutation of, or substitute for, periodic
payments” under such plan. Therefore, the principal is-
sue before the Secretary cnd the District Court was whe-
ther the lump sum received by the claimant here under
the Michigan Workmen’s Compensation Act constituted, in
whole or in part, a ‘‘commutation of, or substitute for,
periodic payments” under the Michigan plan. We agree
with the District Court’s conclusion that under Michigan
law a “redemption’”’ settlement of the type entered into
herein always constitutes, in part, a commutation of perio-
dic compensation payments. Wehmeier v. W. FE. Wood Co.,
377 Mich. 176, 139 N.W. 2d 733 (1966). Thus it was incum-
bent on the claimant, as part of his burden of proof, to
show any unpaid medical expenses, future medical ex-
penses or any other amounts which should have been ex-
cluded from the lump sum. Other than certain unpaid medi-
cal expenses and attorney fees shown by the claimant,
which the Secretary did exclude from the lump sum in
making his reduction computation under Section 224,
claimant failed to show any amounts which should have
been excluded.

Claimant’s alternative argument attacking the constitu-
tionality. of Section 224 of the Act raises issues previously
considered and negatively resolved by this Court. Lofty v.

35

Rachardson,....F. 2d ....(No. 20,484, decided and filed
March 4, 1971). Accordingly, )

It is ordered that the judgment of the District Court be
and it is hereby affirmed.

Entered by Order of the Court
Carl W. Reuss,
Clerk

MEMORANDA OPINION AND ORDER OF MAY 28, 1970
By Hon. Daxz emer uae tue Wormer’: Compenseuon

eae area

57

Law. In other words, the common law liability rales as to
negligence are inapplicable.

In the facts of this case, the liability of the employer
was not clear and persuasive. Claimants’ attorney recom-
mended the settlement to his client because of two issues
which would have to be decided in a plenary hearing.
These issues were whether or not the gunshot wound arose
out of and in the course of claimant’s employment. The
other issue was a medical one and had to do with whether
or not a functional overlay was disabling within the Work-
men’s Compensation Act.”

In accordance with procedures set up by the Workmen’s
Compensation Department, a hearing was heid so that the
Redemption Award could be considered by the Referee.
The follewing exchange took place between the Referee
and the claimant:

“The Referee: Mr. Benjamin, as your attorney has
explained to you, if you tried your case and you could
show that as a consequence of your injury that you
could not work you could collect compensation for
every week that you were off work for the rest of your
life because of the injury. You could also get medical
treatment for your injury for the rest of your life.
So you have got life-long coverage in terms of com-
pensation for every week you are off work because of
the injury, anda even if you are working, if you need
medical attention you could get that medical attention
and have it paid for by the employer if it was proven
that you received an injury at work and then, as a con-
sequence, you needed medical attention. Now, you are

2 Exhibit 16, page 3—Transcript of proceedings before a Referee
of the Workmen’s Compensation Department.

58

giving all that up in exchange for this settlement. And
when you settle your case, if you settle your case and
I approve it, you are giving up all your rights that
you have against the Defendant here, the Log Cabin
Bar, and closing the case against them.

A. Yes, sir.

The Referee: Do you understand that?

A. Yes, sir.

The Referee: And do you want to do that?

A. Yes.

The Referee: And do you realize that if you had
some medical costs in the future that come about as
a result of this injury that you will have to pay for
those yourself and that the Company will not do it?

A. Yes. I talked that over with my wife.

The Referee: Okay. Do you want me to approve
this settlement?

A. Yes, I do.”

(Exhibit 16, pages 11, 12 and 13.)

It is clear from the statements of the Referee and of
counsel that this lump sum award had all he earmarks of
a settlement of a lawsuit rather than a substitute for
periodic payments.

Now the Redemption Order signed by the Workmen’s
‘Compensation Referee had a printed paragraph which
states that the agreement to redeem by a single payment
was in lieu of weekly payments.°

However, this statement taken by itself does not show
that this payment was a substitute for periodic payments.
The Workmen’s Compensation Department of Michigan
has a procedure for an advance payment of benefits based

3 Exhibit 15.

59

on actuarial formula.* There is no doubt but that an ad-
vance payment based on the formula would be a substi-
tute for periodic payments.

‘Counsel for claimant has pointed out that the Michigan
Statutes were recently revised to permit a Redemption
Award without the prerequisite of a six month payment
period. This would tend to show that Michigan Law no
longer requires ay periodic payments prior to the ap-
proval of a lump sum redemption award.

The facts of this case show that the defendant employer
in the workmen’s compensation case set forth various de-
fenses as to liability in his answer to claimant’s com-
plaint.*

The lump sum settlement or Redemption Award was
hammered out by the parties after some agonizing delib-
eraticn. Claimant’s attorney recommended to the claim-
ant that he accept this award since it would eliminate some
of the risks of a non-suit in the event of a trial or plenary
hearing.

Section 224(b) of the Social Security Act excludes from
the reduction provisions a lump sum benefit payment. The
payment oi the $10,000 was a lump sum benefit payment.

Was this lump sum payment a substitute for or a com-
mutation of periodic payments? The undersigned Hear-
ing Examiner does not think so.

Therefore, the undersigned Hearing Examiner finds
that the Redemption Award to Johnney Benjamin was a
lump sum payment and not a substitute for a commuta-
tion of periodic payments.

4 Exhibit 22.
5 Exhibit 12,

60

‘Claimant’s counsel has attacked the constitutionality of
Section 224 of the Social Security Act. The undersigned
Hearing Examiner is called upon to administer the Social
Security Act as a quasi-judicial officer. It is well estab-
lished that an administrative officer has no authority to
pass upon the constitutionality of an act which he is called
upon to administer.°

_ ‘The finding in this case is limited to the facts in the
instant case. This decision does not stand for the general
proposition that all Redemption Awards are lump sum
payments and are subject to the Exemption Provisions of
Section 224(b) of the Social Security Act.

Decision
_ The Reduction Provisions of Section 224 of the Social

Security Act are not applicable to claimant’s disability
benefits.

/s/ Sidney J. Fenster
Hearing Examiner
2700 Broderick Tower Bldg.
Detroit, Michigan 48226

Date: December 3, 1968

6 Public Utilities Commission v. U.S., 355 U.S. 584; 78 S. Ct. 446.

61

HEARING EXAMINER’S DECISION

Department. of
HEALTH, EDUCATION, AND WELFARE

Social Security Administration
Bureau of Hearings and Appeals

In the case of ,
Johnney Benjamin (Claimant)

Claim for
Period of Disability and Disability Insurance Benefits

Johnney Benjamin (Wage Earner)
247-48-2649 (Social Security Account Number)

This case is before the Hearing Examiner pursuant to
Section 205(b) of the Social Security Act, as amended,
(42 USC 405(b)), hereinafter referred to as the Act, on a
request for hearing filed on December 226, 1967 by Johnney
Benjamin, the claimant herein, who is dissatisfied with de-
terminations made by the Social Security Administration
which initially and on reconsideration disallowed his ap-
plication for a period of disability and disability insurance
benefits under the provisions of Sections 216(i) and 223
of the Act (42 USC 416(i) and 423). The claimant’s said
application was filed on March 16, 1967 and it alleged that,
because of an impairment described as “bullet lodged in
back,” he became unable to work on April 20; 1966.

A hearing, at which the clairoant personally appeared
and testified, was held on February 28, 1968 before the
undersigned Hearing Examiner at Detroit, Michigan. The
claimant was represented by his attorney, Leonard A.
‘ Wilcox, Jr., Esquire.

62

Issues Involved

The general issues in this case are whether the claimant
is entitled to a period of disability and to disability in-
surance benefits under Sections 216(i) and 223, respec-
tively, of the Act.

The specific issue to be decided is whether the claimant,
during the time he met the earnings requirement of the
Act, became unable to engage in any substantial gainful
activity by reason of a medically determinable physical
or mental impairment which can be expected to result
in death or which has lasted or can be expected to last for a
continuous period of not less than 12 months.

Applicable Statutes and Regulations

Sections 216(i) and 223 of the Act, insofar as pertinent
to this case, define “disability” as “inability to engage in
any substantial gainful activity by reason of any medically
determinable physical or mental impairment which can be
expected to result in death or which has lasted or can
be expected to last for a continuous period of not less than
12 months.”

Subsection (d) of Section 223 of the Act provides, in
part, as follows:

‘*(2)(A) An individual . . . shall be determined to
be under a disability only if his physical or mental
impairments are of such severity that he is not only
unable to do his previous work but cannot, consider-
ing his age, education, and work experience, engage
in any other kind of substantial gainful work which
exists in the national economy, regardless of whether
such work exists in the immediate area in which he

63

lives, or whether a specific job vacancy exists for him,
or whether he would be hired if he applied for work.
For purposes of the preceding sentence . . . ‘work
which exists in the national economy’ means work
which exists in significant numbers either in the region
where such individual lives or in several regions of
the country... . 3

(3) For purposes of this subsection, a ‘physical
or mental impairment’ is an impairment that results
from anatomical, physiological, or psychological ab-
normalities which are demonstrable by medicaily ac-
ceptable clinical and laboratory disgnostic techniques

(5) An individual shall not be considered to be
under a disability unless he furnishes such medical
and other evidence of the existence thereof as the Sec-
retary may require.”

Sections 216(i) and 223 of the Act further provide that
- an individual shall not be considered to be under a dis-
ability unless he was “a fully insured individual” and has
social security credits for not less than 20 calendar quar-
ters of work during a period of 40 calendar quarters end-

ing in or after the calendar quarter in which he became
disabled.

Sections 404.1502, 404.1015-404.1519 and 404.1523-404.-
1524, inclusive, of Subpart P, Title 20 of the Code of Fed-
eral Regulations, indicate what proof is required to estub-
lish entitlement to disability insurance benefits under the
Act and what standards will be applied for evaluating such
evidence.

In substance, these sections of the Regulations provide
that although primary consideration is given to the sever-

64

ity of the individual’s medically determinable physical or
mental impairment, consideration also is given to other
factors such as the individual’s age, education, training
and work experience in determining his ability to engage
in «ay substantial gainful activity. In evaluating the rela-
tive severity of an individual’s medically determinable im-
»airment, consideration is given, among other things, to
how much the impairment affects his abilities to move
about, handle objects, see, hear, speak, understand and
reason.

Summary of Claimant’s Testimony
The claimant testified substantially as follows:

He was born on September 17, 1931 in Hartsville, South
Carolina. He completed 7 grades of schoo] but when he
was “around 17 years old” he dropped out of school and
worked for a year for the Plain Glass Construction Com-
pany in Hartsville. That company was engaged in building
5 and 10¢ stures and the claimant worked as a general
construction laborer for $2.25 per hour. In 1949 he moved
to the Detroit, Michigan area and from 1949 to 1950 he
worked as a laborer for $1.80 per hour for the New Haven
Foundry, Mt. Clemens, Michigan. From 1950 to 1952 he
worked at a salary of $60.00 a week for Ernie Grissom
Ford, Warren, Michigan in the reconditioning of cars. That
work involved putting old cars into “new” condition and
the claimant’s work was to clean the interior of the cars
doing the necessary spraying, painting and waxing.

From 1952 to 1956 he worked as a machine operator at
$2.79 an hour for the Chrysler Corporation, Warren, Mich-
igan. He was laid off because of a strike and he obtained
work in the reconditioning of cars for the Edmond Olds-
mobile, Detroit, Michigan and for Krajenke Buick, Ham-

65

tramck, Michigan. He held down both jcbs during the
same period, 1956 to 1959, one job paying him $100.00 a
week and the second job paying him $15.00 per car. From
August 1959 to August 1962 he worked at reconditioning
cars for Hi Dawson Ford, Detroit, Michigan at a salary
of $110.00 per week. Daring part of that time, namely
from 1960 to 1962, ne also held down a second job recon-
ditioning cars for Tommy C. Rector, Detroit, Michigan and
was paid $15.00 per car. From August 1962 to August
1963 he worked for Bill Snetheamp in Detroit at $140.00
per week doing “painting and parts delivery.” From
August 1963 to April 20, 1966 he worked for Stark Hickey
in Detroit at $80.00 a week, driving a “wrecker,” lubri-
cating vehicles, delivering parts and performing other gen-
eral chores. From January 15, 1966 to April 20, 1966 he
also worked as bar manager of the Log Cabin Inn, South-
field, Michigan at a salary of $100.00 a week. During those
months he worked for Stark Hickey from 7 a.m. to 3:30
p.m. and then at the Log ‘Cabin Bar until 2:30 or 3 a.m.

Shortly after midnight of April 20, 1966 a customer at
the Log Cabin Inn threatened the claimant with violence
and the claimant put in a call for the police. Before the
police arrived the claimant was shot in the back. He was
taken by the police to the Henry Ford Hospital where he.
remained until May 3, 1966. He was told by the doctors in
the hospital that a bullet was lodged in his spine at about
the location of his 8th thoracic vertebra and that the sur-
gical removal of the bullet might result in a permanent
paralysis. It therefore was decided not to remove the
bullet and it continues to be lodged against his spine.

When he was discharged from the hospital on May 3,
1966 he was told that he cculd go back to work.

Although the owner of the Log Cabin Inn refused to —
give him any employment he obtained work as a laborer

Ne rte oe

66

for the Braver Lumber Company in Detroit and he re-
ported for work there on September 9, 1966. However,
after he had worked only two hours he “passed out” on the
job. He was taken to Dr. John B. Greene where he had
an X-ray taken. Dr. Greene told him that the X-ray
showed a bullet lodged “near his spine.” The doctor told
him that he was not “quite healed” inside. After several
months, when he felt he might be strong enough to return
40 work, he applied for a job at several places, one of them
being the Ford Motor ‘Company Rouge Plant, Gate 6. He
was given a physical examination but was refused employ-
ment because of the bullet in his back. He also went to the
Dodge Plant where he was given a physicai examination
and again refused employment because of the bullet in his
back. Other companies where he applied for work also
turned him down. He frequently was told that he was not
a good insurance risk for employment. He finally did ob-
tain employment at the Ditzler Auto Painting Company in
Detroit on April 1, 1967 at a salary of $90.00 a week, his
job being to mix paints. He found that he could not tol-
erate the paint fumes, however, and he was assigned to
driving a truck. As that work also involved loading and
unloading containers of paint he quickly discovered. that
he was not able to do any lifting so had to give up his em-
ployment with the Ditzler Auto Painting Company on
April 15, 1967. Subsequently the Braver Company prom-
ised to give him “light’’ work, so he started work there
in August 1967. However, certain “heavy” tasks later were
assigned to him, such as picking up kegs of nails, which he
found he could not do. Whenever he tried to lift a keg
of nails he ‘‘could feel the bullet in his back, and sharp
pains would radiate from his back up and down his spine
and into his right shoulder.” The bullet “feels like a ball
bearing and hurts all the time,” particularly when he

i ape:

67

“Jeans over.” He had to quit work at the Braver Lumber
Company after being there only one month. He next found
employment with the Michigan Automotive Replacement
Company as a truck driver and “handling stock’’ at a sal-
ary of $80.00 a week. As this work also involved the load-
ing and unloading of the truck he drove, such loads in-
cluding batteries, crankshafts, spark plugs, etc., he found
the work too exhausting and he had to quit that job on
December 15, 1967.

His next employment was for Floyd Rice, a Ford Dealer
in Detroit, at a salary of $85.00 a week, “driving cars.”
In this work he is not required to do anything except work
as a “carhop” which merely involves driving a car out of
the dealer’s yard and taking the customers to their homes.
On this job he works from 3:30 p.m. to midnight, five days
a week. He started work for Floyd Rice on January 2,
1968 and has continued to work there ever since. He ob-
tained this job through his friend, Paul Garagan, the serv-
ice manager for Floyd Rice. Mr. Garagan had been accus-
tomed to stop at the Log Cabin Inn to “have a few beers”
after he got off work at midnight at Floyd Rice’s. He and
the claimant became acquainted and developed a friend-
ship. After the claimant was injured and became unable
to return to work at the Inn or to do any heavy physical
work Mr. Garagan told the claimant that he could have a
job with Floyd Rice as long as Mr. Garagan was the serv-
ice manager there, and that his job there would only in-
volve driving carg and would not include any heavy lift-
ing or other physical labor. However, Mr. Garagan
warned the cleimant that Mr. Garagan’s boss might not
approve of the claimant’s employment if it became known
that the claimnt only had to drive cars whereas the other
‘‘carhops” who worked for Floyd Rice had additional duties
which involved some hard physical labor. Consequently,

&

ce
ina)

He taimadt ine wv cuY Ow wo ue mer mH eit
eomtimie 6 word fur Fovve De

The daimasnc *ue ter wetfed tun: ue bet Deen married
ames (DS. wie ess ut eaten «Fe aiweve likes % work
Tory Aart mt et we oer at postivic. He bane
stg tat wn ne st eee te. et ot BOOT ee he
sympiest ia wut Of wore Ur OMe you Me womld go tw
mia wenn pass 0" eure auc work auvtuer fol
wre Sue na myut ur ZAprl 2. WE. nowever. be Lee
Ist wen tue “i in wr oo tue verwout type of work Le
aast tome gre-ane > Oo ony ue umeDe G0 any ft
ag UIT 16 a2 see one aullty & wend etreen or
Twat ainda ot eo oo tae wore Of © reondiuenmes
care” Faas w oe uu" Ue iC Wore peut fume.
Pirmernare ss" sues ue urygucr um tue Log Cab Inn,
ne 24a Ten wer eu” oie “a eee ary wore
Wiers Hers 27 mye: wo”) auc ue uv “frigntened of
tara 2 wuld we oc cee 1 gt Beer Ww Work = «& ter.”
Bevery =me 16 tet Br eUNeUEE emg EUOD Mt Dring:
teem ae nema ous exper Tre are wuere the
gniles 9 uviest ‘mse ol tu time” The paw “throw
Sage 2 snags :

Ela tality mete meee Cuerss pile.” “water pile”

aa “geen ern” et preertives wy Ur ©. L. Cadwell

Cnmmas: iar tie emer. siniet tug: ue Led served ae the
Hacmant? sce on ot preperatuer. flume auc prosecc-
sen 1? 24 em wm te Ley Wa0u ios for Woremen's
Comtensaion utes ue Mecuger Stee Wormer’ Con-
pense aaa ee te ee sac teen paid.

triemed 1 “amyecexiuer ivy wore tear er monte. and
hefsrs ae ve tet tee cunmmpeirir Limeied vefore the

seamed ¢ Cunmeuecion Suerc tue cman and the Bt
Pau lasses Vongqer. wie: wee toe surans carrier

69

for the Log Cabin Inn, entered into a redemption agree-
ment which was subsequently approved after hearing by
the Workmen’s Compensation Board; and that the claim
-was redeemed for a cash payment of $10,000. Counsel for
the claimant further stated that there was never a find-
ing by the Workmen’s Compensation Board that the claim-
ant was “totally disabled.”

Decision

Accordingly, it is the decision of the Hearing Examiner
that the claimant Johnney Benjamin, based on his applica-
tion filed on March 16, 1967, is entitled to a period of dis-
ability beginning on April 20, 1966 and to disability in-
surance benefits under the provisions of Sections 216(i)
and 223, respectively, of the Social Security Act, as
amended.

/s/ Milton C. Ferguson,
Hearing Examiner

Date: April 12, 1968

70

DECISION IN LOFTY v. RICHARDSON _

No. 20484
UNITED STATES COURT OF APPEALS
For the Sixth Circuit

Barber Lofty, Plaintiff-Appellant
v.
Elliott L. Richardson, Secretary of Health, Education
and Welfare, Defendant-Appellee.

Appeal from the United States District Court for the
Eastern District of Michigan, Southern Division.

Decided and Filed March 4, 1971.

Before: Edwards and Miller, Circuit Judges, and
O’Sullivan, Senior Circuit Judge.

Edwards, Circuit Judge. In this case appellant attacks
the constitutionality of an amendment to the Social Secu-
rity Act adopted in 1965 (42 U.S.C. § 424(a), as amended,
(Supp. _V, 1969)) which had the effect of reducing a claim-
ant’s Social Security disability benefits by the amount of
Workmen’s Compensation benefits received by him where
the total received under the two programs exceeded 80%
of his previovs average monthly wages. Appellant claims
this provision violates the due process clause of the United
States Constitution because when Congress made Work-
men’s Compensation the only subject for such deductions,
it thereby created a paiently arbitrary classification.

We begin our consideration of this case, as indeed we
must, with the Supreme Court’s last ruling upon an in-
vidious classification argument in a Social Security case.

“This is not to say, however, that Congress may
exercise its power to modify the statutory scheme free
of all constitutional restraint. The interest of a cov-
ered employee under the Act is of sufficient substance

7L

to fall within the protection from arbitrary govern-
ment: . action afforded by the Due Process Clause.
In judging the permissibility of the cut-off provisions
of § 202 (n) from this standpoint, it is not within our
authority to determine whether the Congressional
judgment expressed in that section is sound or equita-
ble, or whether it comports well or ill with the pur-
poses of the Act. ‘Whether wisdom or unwisdom re-
sides in the scheme of benefits set forth in Title II,
it is not for us to say. The answer to such inquiries
must come from Congress, not the courts. Our con-
cern here, as often, is with power, not with wisdom.’
Helvering v. Davis, supra, at 644. Particularly when
we deal with a withholding of a noncontractual bene-
fit under a social welfare program such as this, we
must recognize that the Due Process Clause can be
thought to mterpose a bar only if the statute mani-
fests a patently arbitrary classification, utterly lacking
in rational justification.” Flemming v. Nestor, 363 U.S.
603, 611 (1960). (Emphasis added.)

Since we cannot say that the classification herein at-
tacked was ‘‘utterly lacking in rational justification,” we
cannot hold as appellant csks that Congress was without
power to pass the 1965 amendment.

Claimant in this case was granted total and permanent
disability benefits under the Social Security Act starting
in 1966. In June of 1966 he accepted a lump sum “‘redemp-
tion settlement’’ in full payment of his Workmen’s Com-
pensation claim arising out of the same injuries which
produced his total and permanent disabiilty for Social Se-
curity benefits.

Taking into account the Workmen’s Compensation
settlement, the Secretary reduced claimant’s Social Secu-

72

rity benefits from $269.80 a month to $25.80 per month for
44 months, or until the Compensation settlement had been
exhausted at the raie of $57 per week. This action was taken
under 42 U.S.C. § 424(a), as amended, (Supp. V., 1969),
which placed a limit of 80% of claimant’s previous average
monthly earnings upon the total of Social Security and
Workmen’s Compensation benefits which he was to receive.
Section 424(a) required that only the difference, after
deduction of Workmen’s Compensation benefits, should
be paid by Social Security.

This reduction formula was adopted by Congress in
1965, effective January 1, 1966. Much of the testimony which
preceded its adoption argued that double disability bene-
fits close to or exceeding prior earnings defeated the pur-
pose of motivating injured beneficiaries back toward pro-
ductive work and tempted the states to reduce or eliminate
Workmen’s Compensation benefits and throw full respon-
sibility on the national Social Security scheme.

The amendment enacted by Congress is now attacked,
not because the purposes claimed for it might not be argu-
ably rational grounds for congressional action, but because
Congress in establishing the reduction provision referred to
above did not also include such benefits as private insu-
rance proceeds and benefits resulting from damage suits
in civil courts. It is claimed that existence of these bene-
fits without deductions makes the selection of Workmen’s
Compensation as the only deduction against Social Secu-
rity benefits an arbitrary and capricious classification
which cannot stand when tested against the due process
clause.

The District Judge who heard this case below dismissed
it with a brief opinion which cited the reasons for the
amendinent referred to above and held that “it is there-

73

fore reasonable to preclude a claimant from receiving
amounts as a result of retirement or disability far in excess
of his earnings received while working.” The District
Judge held that the classification involved herein was not
patently arbitrary within the meaning of Flemming v. Nes-
tor, 363 U.S. 693 (1960).

We have already set forth above the essential holding
of the Flemming case upon which the District Judge based
decision. But there is a good deal of case law which serves
to illustrate the breadth of legislative power accorded the
Congress (or the states) by the Supreme Court’s interpre-
tation of the constitutional limitations contained in the
due process and equal protection clauses.

In the following two cases, former Chief Justice War-
ren wrote for the Court:

‘The constitutional safeguard is offended only if the
classification rests on grounds wholly irrelevant to the
achievement of the State’s objective. State legisla-
tures are presumed to have acted within their consti-
tutional power despite the fact that, in practice, their
laws result in some inequality. A statutory discrimi-
nation will not be set aside if any state of facts rea-
sonably may be conceived to justify it. See Kotch v.
Board of River Port Pilot Comm’rs, 330 U.S. 552;
Metropolitan Casualty Ins. Co. v. Brownell, 294 U.S.
580; Lindsley v. Natural Carbonic Gas Co., 220 U.S.
61; Atchison, T. € 8S. F. R. Co. v. Matthews, 174 U. S.
96.” McGowan v. Maryland, 366 U.S. 420, 425-26
(1961). (Footnotes omitted.)

‘‘[SJome basic guidelines have been firmly fixed. The
distinctions drawn by a challenged statute must bear
some rational relationship to a legitimate state end
and will be set aside as violative of the Equal Protec-

74

tion Clause only if based on reasons totally unrelated
to the pursuit of that goal. Legislatures are presumed
to have acted constitutionally even if source inaterials
normally resorted to for ascertaining their grounds
for action are ctherwise silent, and their statutory
classifications will be set aside only if no grounds can
be conceived to justify them. See McGowan v. Mary-
land, 366 U.S. 420 (1961); Kotch wv. Board of River
Port Pilot Commissioners, 330 U.S. 552 (1947) ; Lind-
sley v. Natural Carbonic Gas Co., 220 U.S. 61 (1911).
With this much discretion, a legislature traditionally
has been allowed to take reform ‘‘one step at a time,
addressing itself to the phase of the problem which
seems most acute to the legislative mind,’’ Williamson
v. Lee Optical of Oklahoma, Inc., 348 U.S. 483, 489
(1955); and a legislature need not run the risk of los-
ing an entire remedial scheme simply because it failed,
through inadvertence or otherwise, to cover every evil
that might conceivably have been attacked. See Ozan
Lumber Co. v. Union County National Bank, 207 U.S.
251 (1907).” McDonald v. Board of Election Commis-
stoners of Chicago, 394 U.S. 802, 809 (1969).

Even more recently Justice Stewart dealt with a some-
what similar classification argument:

“Tn the area of economics and social welfare, a State
does not violate the Equal Protection Clause merely
because the classifications made by its laws are im-
perfect. If the classification has some ‘reasonable ba-
sis’, it does not offend the Constitution simply because
the classification ‘is not made with mathematical nicety
or because in practice it results in some inequality.’
Lindsey v. National Carbonic Gas Co., 220 U.S. 61, 78.
‘The problems of government are practical ones and

75

may justify, if they do not require, rough accomo-
dations—illogical, it may be, and unscientific.’ Metro-
polis Theatre Co. v. City of Chicago, 228 U.S. 69-70.
‘A statutory discrimination will not be set aside if any
state of facts reasonably may be conceived to justify
it.” McGowan v. Maryland, 366 U.S. 420, 426”. Dan-
dridge v. Williams, 397 U.S. 471, 485 (1970).

With these rules pertaining to legislative power before
us,’ we turn directly to the background and purpose of the
disputed amendment.

The legislative record plainly shows that Congress had
the Workmen’s Compensation-Social Security overlap be-
fore it as a problem for a decade. When the Social Secu-
rity Act was first passed in 1935, it provided no disability
benefits. Act of Aug. 14, 1935, ch. 531, 49 Stat. 620 et seq.,
(42 U.S.C. § 301 (ff)). When benefits for total and per-
manent disability were first added in 1956, Congress did
require the offset of Workmen’s Compensation Act of Aug.
1, 1956, Pub. L. No. 880, 70 Stat. 816-17.

Two years later, however, acting on the assumption that
the impact of the duplication was relatively slight, the
offset provision was repealed. Act of Aug. 28, 1950 Pub.
L. No. 85-840, Sec. 206, 72 Stat. 1025.

1The McGowan, McDonald and Dandridge cases are, of course, at-
tacks upon state statutes, wherein appellant’s reliance was upon the
equal protection clause of the Fourteenth Amendment. As to an asser-
tion of an arbitrary classification argument, there is a wide area of
overlap between the effect of the Fifth Amendment’s due Process clause
and the Fourteenth Amendment’s equal protection clause. Bolling v.
Sharpe, 347 U.S. 497, 499 (1954).

If there be a difference between the effect of these two clauses,
it would appear that since the equal protection clause is the more “ex-
plicit” of the two clauses, the cases quoted above weuld apply a fortiori
to this attack upon a federal statutory classification where reliance is
had on due process,

76

In the years which followed it is clear that Congress
received a great number of complaints about the repeal
of the offset. These complaints—the overwhelming majo-
rity of them originating with large employers or large
employer organizations—lead to reenactment of the Work-
men’s Compensation offset (in somewhat different form)
in the Soc. Sec. Amendments of 1965, eff. Jan. 1, 1956,
Pub. L. No. 89-97, Tit. ITI, § 335, 79 Stat. 406, 42 U.S.C.
§ 424(a), as amendec’, (Supp. V, 1969).

Hearings were held before adoption of Section 424(a)
only in the Senate—but the record there amply serves to
indicate the rationale of its advocates. Thus Ll. J. Dikovies,
representing the Council of State Chambers of Commerce,
told the Senate subcommittee:

Thousands of disabled workers today are receiving
more tax-free income from social security disability
benefits combined with State workmen’s compensation
benefits than they were earning before they became ill
or were injured. Section 303 would add many more
thousands to this number. When tax-free social insu-
rance benefits exceed earning power there is little in-
centive for a disabled person to accept the risk, pain,
and struggle involved in attempting to become self-

supporting again.

A matter of equal concern is the impact of Federal
disability payments on State workmen’s compensation
programs. Legislative proposals have been offered in
several States (Colorado, Florida, Maryland, and Min-
nesota) to reduce workmen’s compensation benefits by
the amount of OASI disability benefits payable to a
disabled worker. If other States follow this direction
and section 303 of this bill is enacted, we believe it will
be only a matter of time until State workmen’s com-
pensation programs are destroyed.

17

If that happens, a major impetus for this country’s
remarkable achievements in occupational safety will
be destroyed also. Workmen’s compensation insurance
costs are based on the actual loss experience of in-
dustry groups and of individual employers. This gives
the employer a direct financial incentive to improve
safety on the job. If workmen’s compensation costs
are absorbed into the social security program, em-
ployers without safety programs and those whose
employment is hazardous would pay no more than those
employers who have adopted safety programs or who
have less hazardous employment. We strenuously ob-
ject to any action which could have an adverse effect
on safety programs and on the remarkable down-
swing in disabling accidents that has taken place over
the last three decades. Hearings on H.R. 6675 Before
the Senate Com. on Finance, 89th Cong., Ist Sess.,
p. 259 (1965).

And J. Dewey Dorsett, representing the American In-
surance Association, presented a table purporting to show
that continued duplication of benefits under terms of the
then pending bill would mean at least some payments in
excess of prior average “take home pay” in every state,
and up to a maximum of 247% in the instance of Arizona.

78

Chart I—Duplication of workmen’s compensation disability benefits
by social security benefiis in H.R. 6675

Combined Workmen’s Combined
workmen’s compensa- benfits
compensa- average tion percentage
tion and weekly maximum of
social take-home weekly take-home

State security pay 2 benefit? pay
benefits 2

MIE nnn 40 bas cearenss $ 96.62 $ 67.96 $ 38.00 142
ME. dekadesedascceunes 172.00 130.10 100.00 132
BE, oe kkcddecscsnsassa 222.10 90.06 152.50 247
Arkansas ..cccccccccccces 92.05 65.16 35.00 141
CE ota decncwaseace 142.00 101.21 70.00 140
GEE bho wccvasncsccens 111.60 86.55 43.75 129
Connecticut ............-. 127.77 88.35 59.00 14€
BD nc xdcccarecsccss 113.97 79.30 50.00 144
District of Columbia....... 137.48 86.30 70.00 159
DEED. eadakacavradaeaccaen 101.26 69.05 42.00 147
CNR an sincakensasdsaass 94.97 66.74 37.00 142
EE cGadbncasnsedceuas 142.85 87.11 75.00 164
DE cas kkadnnedn disadvan 110.26 81.56 45.00 135
DED nedesandsdscatecea 122.85 86.73 55.00 142
BREED skacduddeccacesrce 108.97 78.94 45.00 138
DE: <ceccandeddacaseoneas 105.60 78.08 42.00 135
SEE. cx dawestandsnaense 107.26 81.38 42.00 132
MemtMey oc cccccccccceses 102.38 73.59 41.00 139
PRP PCeTe Teer TT TT 98.14 77.12 35.00 127
SE: aakteteaheeceaneson 100.62 67.32 42.00 149
pn PPPrrrrerrerrry 119.43 79.58 55.00 150
Massachusetts ..........+. 137.18 83.50 71.00 164
Biieigem oc ccc cccccceas 149.77 89.01 81.00 168
PEED, a cccciccacccaces 111.18 83.14 45.00 134
Mississippi ............++- 89.46 62.08 35.00 142
DE okccanccscsecares 111.93 79.60 47.50 141
PI “Scccscedesncassee 114.31 88.08 46.00 130
DE. Karencdnavecsace 103.60 77.76 40.00 133
pS Prrrrrrr rr rrr rr ry 125.96 498.76 57.20 i127
New Hampshire ......... - 104.72 70.40 45.00 149
New Jersey ........-+ee+5 111.55 84.68 45.00 132
New Mexico ...........-.- 108.77 88.61 40.00 123
New York ..ccccccccccces 127.48 85.89 60.00 148
North Carolina ........... 93.81 65.14 37.50 144

State security pay? benefit® pay
benefite 1

GREROMER oc cnccccccocsccss 100.18 — 76.41 87.50 131
GON ci ncscccccccccsics 121.29 485.81 57.69 141
Pennsylvania ............ 113.68 83.88 47.50 135
Rhode Island ............ 109.43 19.54 45.00 138
South Carolina ........... 90.38 63.93 35.00 141
South Dakota ............ 101.60 78.40 38.00 130
Tennessee ........eeeeeee 96.80 68.07 38.00 142
TEE cnadedacadapesecses 98.14 77.06 35.00 127
MPTP Teer re 122.40 90.41 52.80 135
Vermont .cccccccccccccces 103.26 6.00 44.00 150
_, ss a rrerrrrrerr rr rs 98.26 69.52 39.00 141
Washington ..........+.-+ 122.57 489.40 57.69 137
West Virginia ............ 100.31 482.88 38.00 121
Wisconsin ...cccccccccccce 130.18 83.50 64.00 156
WyOmting ..ccccccccccccce 118.51 484.37 55.38 140
Longshoremen’s Act ...... 114.67 70.00 8 wseeeee

1 Compensation benefits for temporary total disability payable to a
worker with a wife and 2 chikdren. Social Security benefits provided
in ELR. 6675 medicare bill, pp. 164-165.

2 Average weekly wages less Federal income and gocial security
taxes (4 deductions). Based upon wages of employees to whom com-
pensation paid, July 1964—National Council on Compensation Insur-
ance.

2As of May 1965. Includes, maximum allowance for temporary
total disability for worker with a wife and 2 children. (Michigan and
New York reflect benefit incheases contained in bills that have passed
their legislature.)

* Figures not available to National Council on Compensation In-
surance for monopolistic State fund. Source: Production workers in
manufacturing—196C Statistical Supplement, Monthly Labor Review,
pp. 33-35 (US. Department of Labor).

5 Figures not available—varies in each State.

Hearings on H.R. 6675 Before the Senate Comm. on
Finance, 89th Cong., 1st Sess., p. 898 (1965).

o

is ig tear Yar ener waveme of uv off eet amenc-
Ment witwsgie toer vyyouer’ uo nunivert of tporesmen
and sf scmiimte wadtesee Su at epee pout uf view
Waa seesenion a0 ae Nweoroare: oo! Dewitn. Lauter anc
Waitary nit 6 VW ne Wy Beret ww sUUgE tO de
lay snugetiment of mi Sims: ULL & mre tuOrongr etudY
nat een tists

-

teeta Sure ene. 5 tour yesterdey
I sxeyemnet ams tue novseurs Couns. on buem. Seen-
cor when mete 2 teyor. teu. seeed tuxt < stucr
ee nete nit tw Zivue Viarvs aut Mean omunittic
Ber yr tet Geter out eee cg etude Of
“ae eemear wut efecu 0! tue overiap vetween social
Sars Mil weenie? cupeuseuer ane Ww report
or Deemer RK tum 5 smi veevrdey that
perima + neu 0 te cusavliity seueeeric: w-
ter Wein ecu nie Teeeve WOTKIUED & COM peDse-
son. wit Geet fueete were tear famiem tuet net we te
swiswiet=t on sutmecise: wit tus oucction. Tht ineue
aaa Se ie un opin

-

I mat ose ein et VE -tueeuf opuuer or i. put ist
me wl cn wae ene 0 te UE prometit wOLUC Le.

Fire of wl. fw tue tame of diseulity toe wean bes
2 owjsc ug yu wut tee wed neve c wary
lyin ae evi ere ee WOU Pomeive.

Then £24 mat « wal: Gieansec ce of & erie
DET en neue 2c conan of workinen’t
SISO. Zi eS peouritY Cusauility ceuelie Le
Nes seve met Tuel tuk wWaeeet were. i trunk we neve
B B02 wme sopereecsisvor uw tue tact tuet nes be not
ern. age oe ee: WOU weve eer sauetanusliy

2 Bom settings «eee es ct age et eo

81

higher, say, 10 or 15 years later, and to find a way of
taking account of that fact.

Another element is that the Congress of the United
States in 1958 repealed the offset provision that had
been in effect because it presented a great many tech-
nical and administrative problems. In certain cases,
the offset provision resulted in delays in paying dis-
ability benefits because of the slow process, in some in-
stances, of determination under workmen’s compen-
sation and because we couldn’t move until we knew
what the amount of compensation was when the award
had been made.

So there are many problems that have to be staffed
out and thoroughly considered.

I think the House Ways and Means Committee in its
wisdom arived at the right conclusion—that there is a
need for the Social Security Administration to make a
thorough study of this question and to report back to
Congress by December of 1966. Hearings on H.R. 6675
Before the Senate Comm. on Finance, 89th Cong., 1st
Sess., p. 146 (1965).

However persuasive this statement might appear to us,
it is clear that the Senate committee did not desire to wait.
Its report on which subsequently the Senate and then the
House acted favorably provided:

(6) Reduction of disability benefits on account of
receypt of workmen’s compensation benefits

The committee has taken note of the concern that
has been expressed by many witnesses in the hearings
about the payment of disabiilty benefits concurrently
with benefits payable under State workmen’s compen-
setion programs. While data of the kind requested
by the House Committee on Ways and Means in its

82

report on this bill are not now available, the commit-
tee believes that amendatory legislation should not
await completion of the requested study. Although
there is some dispute as to the number of workers who
receive benefits under these two programs and whe-
ther these payments are excessive, the committee be-
lieves that it is desirable as « matter of sound princi-
ple to prevent the payment of excessive combined bene-
fits.

The committee believes that the provision it is rec-
ommending avoids the problems and inequities of the
earlier offset provision .in the social security law for
reducing monthly disability benefits by the amount of
any other benefit to which a worker was entitled under
State workmen’s compensation laws, which was in ef-
fect from July 1957 to July 1958, but was repealed
then. The new offset provision re ommended by the
committee provides for a reduction in the social secu-
rity disability benefit (except where the State work-
men’s compensation law provides for an offset against
social security disability benefits) in the event the
total benefits paid under the two programs exceed 80
percent of the worker’s average monthly earnings
prior to the onset of the disability. Under this provi-
sion, the worker’s average monthly earnings would be
defined as the higher of (a) his average monthly wage
used for purposes of computing his social security
disability benefit or (b) his average monthly earn-
ings, in employment covered by social security dur-
ing his highest 5 consecutive years after 1950. (In no
event, however, would the total benefits payable with
respect to a worker be reduced below the amount of
the unreduced monthly sociai security benefits). This
reduction formula would generally avoid the inequity
encountered under the previous offset provision, where

athe

$3

the reductions that were required frequently resulted
in benefits that replaced no more than 30 percent or so
of the worker’s earnings at disablement. S. Rep. No.
404, 89th Cong., Ist Sess., p. 100 (1965).

This then brings us to consideration of appellant’s argu-
ment that the disputed amendment represents ‘‘a patently
arbitrary classification, utterly lacking in rational justifi-
cation.’”’ Flemming v. Nestor, 303 U.S. 603, 611 (1960),
and hence must be declared void. It seems to us that the
result contended for by appellant would represent a very
narrow construction of the congressional power to enact,
amend and modify social legislation as required by the
circumstances reported to Congress concerning its opera-
tion. If (as appellant concedes) the rationale for prevent-
ing double coverage is a reasonable one (whether we
might individually agree with it or not) then we believe
that Congress also had the right to make it applicable to
Workmen’s Compensation claimants and uot to do so as
to recipients of damage action judgments and private in-
surance proceeds.

The legislative history of this amendment. shows a great
many complaints were registered before Congress about
Workmen’s Compensation-Sccial Security double cover-
age. The record is devoid of any complaints at all about
double coverage resulting from private insurance or neg-
ligence actions in courts. It is neither novel nor necessa-
rily irrational for Congress to fail to act upon a problem
about which they have received no complaints and have
ben supplied no information, even when Congress, as here,
does act upon a somewhat parallel problem as to which it
had both.

Still another reason which might reasonably be conceived
to justify the congressional classification is that adminis-

84

tratively it would be relatively simple to enforce the Work-
men’s Compensation deductions, whereas separating out the
wage benefits from civil damage judgments, or determin-
ing who had received private insurance benefits, might offer
administrative problems of a serious nature.

Finally, it is entirely conceivable to us that Congress
may have considered Social Security bencfits and Work-
men’s Compensation benefits to be more arguably duplica-
tive of one another than could appropriately be claimed
concerning Social Security benefits and the other two types
of payments. Both Social Security and Workmen’s Com-
pensation programs are social weifare legislation. Private
accident or disability insurance is a private contract, fre-
quently paid for entirely by the recipient. And, of course,
court awards for injuries are private rights derived from
the common law involving the principle of compensation
for negligence or fault.

Most of the argument for the Workmen’s Compensation
offset came from employers who generally pay all of the
costs for Workmen’s Compensation and half of the costs
of the Social Security benefits. Their argument before Con-
gress was that they were paying twice for the same injury.
This argument would have, of course, no merit at all in
relation to a damage action award or to the proceeds of
privately purchased accident or disability insurance.

As we have aleardy indicated, our conclusion is that
Section 424(a) does not violate the due process clause of
the United States Constitution.

As to the other two issues presented in appellant’s brief,
we affirm the judgment of the District Court for the rea-
sons set forth in the opinion of the District Judge.

The judgment of the District Court is affirmed.

APPENDIX B
Section 224 of the Social Security Act

(42 U.S.C.A. 424a, Pub. L. 89-97, Title III, 335, 79 Stat.

406, Amended Jan 2, 1968, Pub. L. 90-428, Title I, 159
(a) 81 Stat. 869)

(a) If for any month prior to the month in which an
individual attains the age of 62—

(1) such individual is entitled to benefits under sec-
tion 423 of this title, and

(2) such individual is entitled for such month, under
a workmen’s compensation law or plan of the United
States or a State, to periodic benefits for a total or par-
tial disability (whether or not permanent) and the Sec-
retary has, in a prior month, received notice of such en-
titlement for such month,

the total of his benefits under section 425 of this title for
such month and of any benefits under section 402 of this
title for such month based on his wages and self-employ-
ment incon ¢ shall be reduced (but not below zero) by the
amount by which the sum of—

(3) such total of benefits under sections 423 and 402
of this title for such month, and

(4) such periodic benefits payable (and actually
paid) for such month to such individual under the work-
men’s compensation law or plan,

exceeds the higher of—

(5) 80 percentum of his ‘‘average current earnings”,
or

’
,
a

86

(6) the total of such individual’s disability insurance
benefits under section 423 of this title for such month
and of any monthly insurance benefits under section 402
of this title for such month based on his wages and self-
employment income, prior to reduction under this sec-
tion.

In no case shall the reduction in the total of such benefits
under sections 423 and 402 of this title for a month (in a
continuous period of months) reduce such total below the
sum of—

(7) the total of the benefits under sections 423 and
402 of this title, after reduction under this section, with
respect to all persons entiled to benefits on the hasis of
such individual’s wages and self-employment income for
such month which were determined for such individual
and such persons for the first month for which reduction
under this section was made (or which would have been
so determined if all of them had been so entitled in such
first month), and

(8) any increase in such benefits with respect to such
individual and such persons, before reduction under this
section, which is made effective for months after the
first month for which reduction under this section is
made.

For purposes of clause (5), an individual’s average cur-
rent earnings means the larger of (A) the average monthly
wage used for purposes of computing his benefits under sec-
tion 423 of this title, or (B) one-sixtieth of the total of his
wages and self-employment income (computed without re-
gard to the limitations specified in sections 409(a) and
411(b) (1) of this title) for the five consecutive calendar
years after 1950 for which such wages and self employment

87

income were highest. In any case where an individual’s
wages and self-employment income reported to the Secre-
tary for a calendar year reach the limitations specified in
sections 409(a) and 411(b) (1) of this title, the Secretary
under regulations shall estimate the total of such wages
and self-employment income for purposes of clause (B)
of the preceding sentence on the basis of such information
as may be available to him indicating the extent (if any)
by which such wages and self-employment income exceed
such limitations.

(b) If any periodic benefit under a workmen’s compen-
sation law or plan is payable on other than a monthly basis
(excluding a benefit payable as a lump sum except to the
extent that it is a commutation of, or a substitute for,
periodic payments), the reduction under this section shall be
made at such time or times and in such amounts as the Sec-
retary finds will approximate as nearly as practicable the
reduction prescribed by subsection (a) of this section.

(c) Reduction of benefits under this section shall be
made after any reduction under subsection (a) of section
403 of this title, but before deductions under such section
and under section 422 (b) of this title.

(d) The reduction of benefits required by this section
shall zot be made if the workmen’s compensation law or
plan under which a periodic benefit is payable provides for
the reduction thereof when anyone is entitled to benefits
under this subchapter on the basis of the wages and self-
employment income of an individual entitled to benefits un-
der section 423 of this title.

(e) Ifit appears to the Secretary that an individual may
be eligible for periodic benefits under a workmen’s com-
pensation law or plan which would give rise to reduction
under this section, he may require, as a condition of certi-

ns. ee

88

fication for payment of any benefits under section 423 of
this title to any individual for any month and of any benc-
fits ‘under section 402 of this title for such month based
on such individual’s wages and self-employment income,
that such individual certify (i) whether he has filed or in-
tends to file any claim for such periodic benefits, and (ii)
if he has so filed, whether there has been a. decision on
such claim. The Secretary may, in the absence of evidence
to the contrary, rely upon such a certification by such indi-
vidual that he has not filed and does not intend to file
such a claim, or that he has so filed and no final decision
thereon has been made, in certifying benefits for payment
pursuant to section 405(i) of this title.

(f) (1) In the second calendar year after the year in
which reduction under this section in the total of an indi-
vidual’s benefits under section 428 of this title and any
benefits under section 402 of this title based on his wages
and self-employment income was first required (in a con-
tinuous period of months), and in each third year there-
after, the Secretary shall redetermine the amount of such
benefits which are still subject to reduction under this sec-
tion; but such redetermination shall not result in any de-
crease in the total amount of benefits payable under this
subchapter :on the basis of such individual’s wages and
self-employment income. Such redetermned benefit shall
be determined as of, and shall become effective with, the
January following the year in which such redetermination
‘was made.

(2) In making the redetermination required by para-
graph (1) of this subsection, the individua!’s average cur-
rent earnings (as defined in subsection (a) of this section)
shall be deemed to be the product of his average current
earnings as initially determined under subsection (a) of
this section and the ratio of (i) the average of the taxable

89

wages of all persons for whom taxable wages were re-
ported to the Secretary for the first calendar quarter of
the calendar year in which such redetermination is made,
to (ii) the average of the taxable wages of such persons
reported to the Secretary for the first calendar quarter of
the taxable year in which the reduction was first computed
(but not counting any reduction made in benefits for a pre-
vious period of disability). Any amount determined under
the preceding sentence which is not a multiple of $1 shall
be reduced to the next lower multiple of $1.

(g) Whenever a reduction in the total of benefits for
any month based on an individual’s wages and self-em-
ployment income is made under this section, each benefit,
except the disability insurance benefits, shall first be pro-
portionately decreased, and any excess of such reduction
over the sum of ali such benefits other than the disability
insurance benefit shall then be applied to such disability
insurance benefit.

---

Source: Frix Law Library, https://www.frixlaw.com/law-library/documents/brief%3Amicro_IA40385605_1620%3A1. Public record. Not legal advice.
