# SSR 77-14c: SSR 77-14c: SECTION 205(a) (42 U.S.C. 405(a)) -- APPLICATIONS -- EFFECTIVE FILING REQUIREMENT FOR ENTITLEMENT TO BENEFITS

> Federal · Rulings · In force

URL: https://www.frixlaw.com/law-library/statutes/SSA_SSR_OASI_SSR_77_14c

## Section

- **Citation:** SSR 77-14c
- **Heading:** SSR 77-14c: SECTION 205(a) (42 U.S.C. 405(a)) -- APPLICATIONS -- EFFECTIVE FILING REQUIREMENT FOR ENTITLEMENT TO BENEFITS
- **Jurisdiction:** Federal
- **Kind:** Rulings
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Social Security Rulings / OASI / Evidence, Procedure, and Certification for Payment / SSR 77-14c

## Text

20 CFR 404.601 and 404.613

SSR 77-14c

Goff v. Weinberger, (1975-1976 transfer Binder) 1A U.I.R. 14,470 (D. Conn.
1975), aff'd 538 F.2d 309 (2d Cir. 1976), cert. denied 45 U.S.
L.W. 3302 (Oct. 18, 1976)

CLARIE, Chief Judge:

This action was brought pursuant to § 205(g) of the Social Security Act,
as amended, 42 U.S.C. § 405(g), requesting judicial review of a final
decision of the Secretary of Health, Education and Welfare. The Appeals
Council reversed the Administrative Law Judge's decision, which had
allowed dependents' insurance benefits to the plaintiff and her children
retroactive to March 31, 1959. The case comes before the Court on
cross-motions for summary judgment pursuant to Rule 56, Fed. R. Civ. P. No
remaining factual issues exist to be resolved and the case can now be
decided as a matter of law. The legal issue presented is whether or not
the record contains substantial evidence to support the Secretary's denial
action of survivor's insurance benefits for any month prior to January,
1970; and whether or not any valid application was filed with the Social
Security Administration prior to January, 1971. The Court finds that the
Secretary's findings are supported by substantial evidence and his
decision is therefore affirmed.

Facts

At the time of Clayton E. Wooley's death, he was married to the
plaintiff, Nellie T. Goff. He died on March 31, 1959 from injuries
suffered during the course of his employment by the State of Connecticut
and was covered at the time by Workmen's Compensation. At that time the
couple had three living children, a stepchild, Jane (Woolley) Turgeon,
born June 1, 1949, married during May 1969; James Woolley, born February
3, 1953, and Patricia Woolley, born October 19, 1955.
. Goff. He died on March 31, 1959 from injuries
suffered during the course of his employment by the State of Connecticut
and was covered at the time by Workmen's Compensation. At that time the
couple had three living children, a stepchild, Jane (Woolley) Turgeon,
born June 1, 1949, married during May 1969; James Woolley, born February
3, 1953, and Patricia Woolley, born October 19, 1955.

The plaintiff concedes that no written application for Social Security
benefits was formally filed in writing in behalf of the children until
January 28, 1971. The defendant awarded payments for one year
retroactively back to January, 1970, to the two minor children, James and
Patricia, both of whom were under 18 years of age.

The plaintiff thereafter married her present husband, Joseph P. Goff, in
1962. She complains that she and the children should have been qualified
to receive benefits commencing on March 31, 1959. Immediately after the
death of her husband on March 31, 1959, she applied under Connecticut
State Law § 5-144, for Workmen's Compensation and received an award for
herself and said children. For that purpose she was represented by
retained counsel and consulted him on the question of whether or not she
and the children were entitled to receive Social Security Benefits. The
attorney stated in an attached affidavit, that he had telephoned the New
Britain Social Security Office sometime during July, 1959, to inquire as
to the family's eligibility and was informed by a Social Security
employee, that since she and the children were already receiving benefits
under the State Workmen's Compensation Act, they did not qualify for
Social Security insurance benefits.
attorney stated in an attached affidavit, that he had telephoned the New
Britain Social Security Office sometime during July, 1959, to inquire as
to the family's eligibility and was informed by a Social Security
employee, that since she and the children were already receiving benefits
under the State Workmen's Compensation Act, they did not qualify for
Social Security insurance benefits.

She now claims that since she was dissuaded from filing in 1959, through
the alleged false advice given by an employee of the agency to her
attorney, the latter's oral inquiry should be considered tantamount to a
written statement of intent to file an application for benefits, as
required by § 404.613 of Regulation No. 4. In fact, the Administrative Law
Judge here made his finding that the oral telephone inquiry made by the
plaintiff's attorney, of which no record could be found, constituted a
lawful statement of intent, within the meaning of the Social Security
regulations and justified a finding that the claim of the mother and
children was valid and effective on March 31, 1959.

Discussion of Law

Title 42 U.S.C. § 405(a) vests in the Secretary the right to make and
promulgate procedural regulations to administer the
Act. [1] Under these regulations,
20 C.F.R. § 404.601(d) provides:

20 C.F.R. § 404.601(e) provides:

In furtherance of the foregoing policy, § 404.613 of these regulations
provides, that if an individual files a written statement with the Social
Security Administration, which indicates an intention to claim benefits
and such statement bears his signature, the filing of such statement shall
be considered to be the filing of an application for such benefits. Thus
the administrative purpose of the Act and its supporting regulations were
specifically designed to assure, that only a written expression of intent
to claim Social Security benefits should be accepted and considered as a
valid application under the law
tatement bears his signature, the filing of such statement shall
be considered to be the filing of an application for such benefits. Thus
the administrative purpose of the Act and its supporting regulations were
specifically designed to assure, that only a written expression of intent
to claim Social Security benefits should be accepted and considered as a
valid application under the law. This case is clearly distinguishable from
the case of Tuck v. Finch , 430 F.2d 1075 (4th Cir. 1970), cited by
the plaintiff, and the plaintiff concedes that no written record exists in
the Social Security office to confirm that an application, written or
oral, was ever filed.

The Social Security Act, supplemented by its regulations, was intended to
eliminate or at least reduce to a minimum the possibility of fraud,
confusion, and laxity in its administration. The vastness of the program
makes it essential to adhere to the written application procedure, if
there is to be an orderly and controllable system of management for
approving claims and paying out insurance benefits.

The plaintiff claims that the defendant is estopped from denying relief,
because the agency's own employee dissuaded her from filing a written
application. Furthermore, she claims that since the Administrative Law
Judge, its own agency employee, found in her favor, the Government has
thereby waived any procedural non-compliance by her in failing to file the
required written application.

The Government cannot be estopped in this manner from insisting upon the
performance of statutory conditions precedent, by the unauthorized acts of
a local Social Security office employee.

Also see, McIndoe v. United States , 194 F.2d 602, 603 (9th
Cir. 1952); and Taylor v. Flemming , 186 F.Supp. 280, 284 (W.D.
Arkansas 1960).
by her in failing to file the
required written application.

The Government cannot be estopped in this manner from insisting upon the
performance of statutory conditions precedent, by the unauthorized acts of
a local Social Security office employee.

Also see, McIndoe v. United States , 194 F.2d 602, 603 (9th
Cir. 1952); and Taylor v. Flemming , 186 F.Supp. 280, 284 (W.D.
Arkansas 1960).

While the Administrative Law Judge found that the telephone inquiry made
by the plaintiff's attorney constituted a statement of intent on the part
of the plaintiff to file for benefits within the meaning of § 404.613,
that conclusion was in fact an interpretation of a rule of law applied to
the factual circumstances as the judge found them. To press beyond and
claim that his ruling, as an employee of the agency, constituted an actual
waiver of the defendant's position, so as to estop it from denying
benefits, would destroy the quasi-judicial character of the Administrative
Law Judge. It would also unduly curb the Secretary's clear statutory right
to an effective review of final rulings, pursuant to 42 U.S.C. § 405(b).
This statute provides in part:

Such a construction would also unduly limit the right to a full judicial
review under 42 U.S.C. § 405(g); a result never contemplated by the
Congress.

The factual situation found to exist here does not conform to the
essential requirements of the Social Security Regulations, 20 C.F.R. §§
404.602 and 404.613. Failure of the plaintiff to file a timely application
under the rules is not simply a non- essential procedural requirement, it
is a substantial and basic requirement of the regulations.
result never contemplated by the
Congress.

The factual situation found to exist here does not conform to the
essential requirements of the Social Security Regulations, 20 C.F.R. §§
404.602 and 404.613. Failure of the plaintiff to file a timely application
under the rules is not simply a non- essential procedural requirement, it
is a substantial and basic requirement of the regulations.

The defendant Secretary is charged with the duty to weigh the evidence,
to resolve material complaints in the testimony and to determine the cases
accordingly. Moss v. Gardner , 411 F.2d 1195 (4th Cir. 1969); Staples v. Gardner , 357 F.2d 922 (5th Cir. 1966); Stumbo v.
Gardner , 365 F.2d 275 (6th Cir. 1966); Rhinehart v. Finch , 438
F.2d 920 (9th Cir. 1971). The findings of the Secretary are conclusive, if
supported by substantial evidence and a proper application of the law.

The Court adopts the findings and decisions of the Appeals Council (Tr.
4-10) as affirmed by the Secretary of Health, Education, and Welfare. The
Court finds that the Secretary's determinations were supported by
substantial evidence, as required under § 205(g) of the Social Security
Act, 42 U.S.C. § 405(g). Newman v. Celebrezze , 310 F.2d 780 (2d
Cir. 1962); Dondero v. Celebrezze , 312 F.2d 677 (2d Cir. 1963).

The defendant's motion for summary judgment is granted.

SO ORDERED.

[1] 42 U.S.C. § 405(a) provides:
" Rules and regulations . The Secretary shall have full power and
authority to make rules and regulations and to establish procedures, not
inconsistent with the provisions of this title, which are necessary or
appropriate to carry out such provisions, and shall adopt reasonable and
proper rules and regulations to regulate and provide for the nature and
extent of the proofs and evidence and the method of taking and furnishing
the same in order to establish the right to benefits hereunder."

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/SSA_SSR_OASI_SSR_77_14c. Check the current official text before relying on it. Not legal advice.
