Case Information
UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLUMBIA WILLIAM TURNBULL et al. ,
Plaintiffs , Civil Action No. 16-1750 (TJK) v.
NANCY BERRYHILL et al. ,
Defendants .
MEMORANDUM OPINION
Plaintiffs are a group of dual citizens and lawful permanent residents of the United States who at some point also worked in a foreign country. As a result, they are eligible for retirement benefits under both the Social Security Act and that foreign country’s laws. And because of that eligibility, the Social Security Administration applied (or, for one plaintiff, allegedly will apply) the Windfall Elimination Provision to their Social Security benefits, thereby reducing them. Plaintiffs allege that applying the WEP to their benefits is unlawful, and they seek to represent a class of similarly-situated beneficiaries. Defendants have moved to dismiss for failure to exhaust and improper venue, or in the alternative, for summary judgment. For the reasons explained below, the Court will grant Defendants’ motion.
Background
A. Statutory and Regulatory Background
The Social Security Act, 42 U.S.C. § 401
et seq.
, entitles certain persons to retirement
benefits. One limitation on those benefits is the Windfall Elimination Provision (WEP), “which
reduces the benefits received by certain individuals who also receive pensions for work that did
not require them to pay social security taxes.”
Hawrelak v. Colvin
,
The Social Security Administration (SSA) applies the WEP according to the Program
Operations Manual System (POMS), an internal guidance document for SSA employees.
See
Hall v. Sebelius
,
If a beneficiary believes that the SSA miscalculated her WEP reduction, she may
challenge that calculation through an administrative review process.
See Ryan v. Bentsen
, 12
F.3d 245, 247 (D.C. Cir. 1993). That process has four steps: (1) an initial determination; (2)
reconsideration; (3) a hearing before an administrative law judge; and (4) Appeals Council
review. 20 C.F.R. § 404.900(a)(1)–(4). After those steps are complete—that is, once a
dissatisfied claimant has exhausted the administrative review process—that person may seek
review in federal court.
Id.
§ 404.900(a)(5). The judicial review provision of the Social Security
Act, 42 U.S.C. § 405(g), has both “jurisdictional and non-jurisdictional exhaustion components.”
Cost v. Social Security Administration
,
B. Procedural Background
Plaintiffs are several dozen dual citizens and lawful permanent residents of the United States. ECF No. 23 (“Second Am. Compl.”) ¶¶ 2–35. They sued in August 2016 and filed the operative Second Amended Complaint in April 2017. ECF No. 23. They challenge the SSA’s application of the WEP to their benefits because they receive foreign pensions. Id. ¶¶ 49–57. Specifically, they allege that the SSA has an internal, undisclosed policy of applying the WEP to beneficiaries who receive pensions from 24 countries—in violation of the Social Security Act, its regulations, and international agreements between the United States and those countries. Id. ¶¶ 42–53.
Most Plaintiffs live in the United States. See id. ¶¶ 2–34. Four do not specify their residence. ¶¶ 28–31. And two live outside the United States. Id. ¶¶ 4, 35. Collectively, they allege that they receive or qualify for foreign pensions from the United Kingdom, the Netherlands, Switzerland, Canada, Belgium, Norway, Germany, and Greece. [2] Id. ¶¶ 2–35. They seek to represent all persons similarly situated, defined as those who receive foreign pensions from any of twenty-four specified countries and believe the WEP has been erroneously applied to their Social Security benefits. Id. ¶¶ 50–51.
With one exception, Plaintiffs allege that they have complied with the jurisdictional exhaustion requirement in 42 U.S.C. § 405(g) by filing claims for benefits from the SSA. Second Am. Compl. ¶ 104. They admit that when they filed the complaint, they had not exhausted administrative remedies, but they argue that the Court should excuse their failure to do so. [3] ¶¶ 106–108; ECF No. 25 (“Pls.’ Opp.”) at 10–27. One plaintiff, Alain Merkel, had not presented a claim to the SSA at the time of Defendants’ motion because he had not yet claimed benefits. Second Am. Compl. ¶ 34.
Pending before the Court is Defendants’ motion to dismiss the complaint for lack of jurisdiction and improper venue, or, in the alternative, for summary judgment. See ECF No. 24.
Legal Standard
Under Federal Rule of Civil Procedure 12(b)(3), a defendant may move to dismiss an
action for improper venue. “In considering a Rule 12(b)(3) motion, the Court ‘accepts the
plaintiff’s well-pled factual allegations regarding venue as true, draws all reasonable inferences
from those allegations in the plaintiff’s favor, and resolves any factual conflicts in the plaintiff’s
favor.’”
Jalloh v. Underwood
,
Under Federal Rule of Civil Procedure 56, a court must grant summary judgment “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). “Summary judgment is appropriately granted when, viewing the evidence in the light most favorable to the non-movants and drawing all reasonable inferences accordingly, no reasonable jury could reach a verdict in their favor.”
Lopez v. Council on Am.-Islamic Relations Action Network, Inc.
,
Analysis
In urging dismissal or summary judgment, Defendants make essentially three arguments: (1) Plaintiffs failed to exhaust their administrative remedies under § 405(g), no exception to the non-jurisdictional exhaustion requirement applies, and no other statute enables the Court to hear Plaintiffs’ case; (2) Plaintiffs lack standing to challenge how the SSA applies the WEP to claimants who receive pensions from countries from which Plaintiffs do not receive pensions; and (3) the District of Columbia is an improper venue for all but the claims of two plaintiffs. See ECF No. 24-2 (“Defs.’ Mot.”) at 1. As explained below, the Court agrees with Defendants, will dismiss for improper venue the claims brought by all plaintiffs except two, and grant summary judgment for failure to exhaust on those remaining. [5]
A. Venue
The Social Security Act specifies where venue is proper for actions arising under it. 42 U.S.C. § 405(g). “Such action shall be brought in the district court of the United States for the judicial district in which the plaintiff resides, or has his principal place of business, or, if he does not reside or have his principal place of business within any such judicial district, in the United States District Court for the District of Columbia.” Defendants argue that Plaintiffs have not met their burden to show that venue is proper as to all but two plaintiffs, Anthony Jones and Evangelos Pezas. Jones and Pezas allege that they reside abroad, but all other plaintiffs allege that they reside in the United States outside this District. [6] In response, Plaintiffs do not dispute Defendants’ characterization of Plaintiffs’ residencies, but argue that an exception to § 405(g) applies to claims such as theirs which are “collateral to any claim for benefits,” such that the general venue statute, 28 U.S.C. § 1391, applies. Vencor Nursing Ctrs., L.P. v. Shalala , 63 F. Supp. 2d 1, 6 (D.D.C. 1999); see Pls.’ Opp. at 30.
The Court cannot agree with Plaintiffs. The
Vencor
court held, with little analysis, that
because the Supreme Court had recognized a collaterality exception to § 405(g)’s exhaustion
requirement in
Mathews v. Eldridge
,
When venue is improper, the Court “shall dismiss, or if it be in the interest of justice,
transfer such case to any district or division in which it could have been brought.” 28 U.S.C.
§ 1406(a). “While as a general matter, a transfer of the case is favored over a dismissal,
dismissal is appropriate where the plaintiff’s claims have obvious substantive problems.”
Lemon
v. Kramer
,
B. Administrative Exhaustion
Defendants argue that Plaintiffs failed to exhaust their administrative remedies and that no exception to the non-jurisdictional exhaustion requirement applies. Plaintiffs concede that they have not exhausted the SSA’s administrative procedures, but they argue that the Court should excuse this failure.
A court may waive the exhaustion requirement of § 405(g) only if (1) the issue raised in
the lawsuit is collateral to the matter on appeal; (2) the plaintiffs show that they face irreparable
injury if the court enforces the requirement against them; or (3) it would be futile to require
administrative exhaustion.
Suarez v. Colvin
,
Plaintiffs argue, and Defendants do not contest, that this test is disjunctive rather than
conjunctive; that is, a sufficient showing on
any
of the three prongs will suffice for waiver. Pls.’
Opp. at 11. The case law is not altogether clear on this point. But in
Tataranowicz v. Sullivan
,
1. Futility
Plaintiffs argue that it would be futile to pursue their claims through the administrative
process, because the agency will not render decisions that contradict its own policy. Pls.’ Opp. at
12–14. A plaintiff seeking to show futility in this Circuit must meet an “extraordinarily high
hurdle.”
Suarez
,
Plaintiffs cannot meet the high bar of futility. Most obviously, this is so because one of them has in fact received a favorable decision since Defendants filed their motion. After arguing that the WEP was not properly applied to his Social Security benefits on account of his Belgian pension, Plaintiff William Tran received a fully favorable ALJ decision, and the Appeals Council did not revisit it. ECF No. 34. Moreover, other similarly-situated beneficiaries (who are not plaintiffs here) have also won fully favorable decisions. ECF Nos. 42-3–42-5. That some beneficiaries have succeeded in pressing the same arguments Plaintiffs advance in this suit shows that administrative exhaustion is not futile.
Plaintiffs try to salvage their futility argument by arguing that inconsistent agency results
on the same facts show the need for judicial intervention.
See, e.g.
, ECF No. 34 at 3; ECF No.
42 at 2. And indeed, Plaintiffs submit evidence of another claimant (not a plaintiff here) who
had his fully favorable decision reversed by the Appeals Council, which directed the ALJ to
apply the WEP to his Social Security benefits because he receives a Belgian pension, even
though he receives the same pension as Tran and their claims present the same legal issues. ECF
No. 42. But inconsistent results—even inexplicably inconsistent results—differ from a
“certainty of an adverse decision.”
Cost
,
Some courts in this District have also found futility when the plaintiffs challenge as
contrary to law a generally applicable policy which does not depend on the facts of an individual
case.
See, e.g.
,
Hall
,
succeeded on grounds similar to those Plaintiffs argue here shows that, even if such a policy exists, its administrative process is not bound by it. In any event, though, Plaintiffs struggle to even identify a particular policy at issue. The passage they cite from the POMS is simply a general statement, which is followed by more specific guidelines that determine which foreign pensions trigger application of the WEP and which do not. See ECF No. 26 (“Defs.’ Reply”) at 2; POMS GN 00307.290, Evidence of Foreign Pensions and the Windfall Elimination Provision (WEP) (June 4, 2015), https://secure.ssa.gov/apps10/poms.nsf/lnx/0200307290.
For similar reasons,
Beeler v. Colvin
, No. 1:15-cv-01481-SEB-MJD,
2. Collaterality
Next, Plaintiffs argue that the Court should waive exhaustion because their claims that
the WEP does not apply to their Social Security benefits are collateral to their substantive claims
for benefits. Pls.’ Opp. at 17–21. Although a precise definition of “collateral” is elusive, “[a]
claim is collateral if it is not essentially a claim for benefits.”
Fitzgerald v. Apfel
,
Plaintiffs make several arguments that their claims are collateral, but none carry the day.
They try to draw parallels between their case and
Tataranowicz
and
Bowen
, arguing that because
they challenge a policy, rather than (for example) a factual determination, their claim is
collateral. Pls.’ Opp. at 17–18. But the
Tataranowicz
court based its decision on the futility
exception; it explicitly disclaimed reliance on collaterality.
Here, by contrast, whether the WEP should be applied to Plaintiffs’ benefits is the
ultimate issue they seek to have decided in their case; their claims to increased benefits entirely
turn on that question. Thus, their case is much more like
Heckler
, in which the Supreme Court
found that the legality of a policy denying coverage for a specific kind of heart surgery was not a
collateral issue when the plaintiffs’ ultimate goal was payment for that surgery.
Plaintiffs also again rely on
Beeler
, which found that the plaintiffs’ challenge to
application of the WEP to their benefits based on their Canadian and Quebecois pensions was
collateral.
See
Pls.’ Opp. at 18–20. The
Beeler
court, applying Seventh Circuit precedent, found
that “the amount of Social Security retirement benefits to which each plaintiff is entitled would
not be impacted by the outcome of Plaintiffs’ claims in this litigation because that amount has
already been determined by the SSA with regard to each plaintiff based on his or her individual
contributions.”
In the end, a collaterality analysis is not amendable to a rigid, mechanical test.
Cf. Bowen
,
3. Irreparable Harm
Finally, Plaintiffs argue that they would be irreparably harmed if forced to complete a
long administrative process before suing, because they are elderly, retired people with limited
incomes and applying the WEP to their benefits has “a significant impact on Plaintiffs’ standard
of living at an advanced age.” Pls.’ Opp. at 22. But in this Circuit, an “irreparable harm is an
imminent injury that is both great and certain to occur, and for which legal remedies are
inadequate.”
Beattie
,
Here, although unfortunate, the hardships that Plaintiffs allege do not meet the high standard of irreparability in this Circuit. Plaintiffs frame their suffering as a diminished ability to meet the demands of daily life, leading to “a lowered standard of living that cannot be recouped years later,” Pls.’ Opp. at 22, but they allege neither the severity nor the irreversibility necessary to meet the standard of irreparable harm. Defendants correctly point out that, if it were enough to show irreparable harm that an elderly plaintiff was faced with a lower standard of living, then many Social Security recipients challenging benefits determinations would be excused from the administrative review process, and the exception would swallow the rule. Defs.’ Reply at 9–10. And while Plaintiffs allude to both medical and financial problems, they do not allege that the WEP makes them unable to pay for or access any currently-necessary medical treatment. And although several have submitted declarations attesting to the more specific harms they either have suffered or may suffer, Jones and Pezas, the only remaining plaintiffs for whom venue is proper, have not done so.
* * *
Because Plaintiffs do not meet any of the criteria for judicial waiver of the exhaustion requirement in 42 U.S.C. § 405(g), the Court will grant Defendants’ motion for summary judgment for failure to exhaust as to the two remaining plaintiffs, Jones and Pezas.
C. Other Bases for Judicial Review
Plaintiffs offer two bases other than 42 U.S.C. § 405(g) for this Court to hear their case:
42 U.S.C. § 1383(c)(3) and 28 U.S.C. § 1361. Neither is available. 42 U.S.C. § 1383(c)(3)
provides for judicial review of certain benefits decisions “as provided in section 405(g) of this
title to the same extent as the Commissioner’s final determinations under section 405 of this
title.” Because judicial review of Plaintiffs’ claims is not appropriate under § 405(g), neither is it
under § 1383(c)(3). Turning to 28 U.S.C. § 1361, mandamus jurisdiction, Plaintiffs have not met
the extraordinarily high bar mandamus requires. “A court may grant mandamus relief only if:
(1) the plaintiff has a clear right to relief; (2) the defendant has a clear duty to act; and (3) there is
no other adequate remedy available to plaintiff.”
Lovitky v. Trump
,
Conclusion
For all of these reasons, the Court will grant Defendants’ Motion to Dismiss or, in the Alternative, for Summary Judgment (ECF No. 24). A separate order will issue.
/s/ Timothy J. Kelly TIMOTHY J. KELLY United States District Judge Date: September 29, 2020
Notes
[1] Whether the WEP applies to an individual’s benefits turns in part on whether there is a
“totalization agreement” between the United States and the foreign country from which she
receives the foreign pension.
See
20 C.F.R. § 404.213(f). “Totalization agreements provide for
the grant of retirement benefits to persons who split their careers among two or more countries
and thus lack sufficient periods of covered employment under each country’s retirement system
to qualify for benefits.”
Hawrelak
,
[2] Although two plaintiffs allege that they qualify for benefits from Canada in addition to other countries, Plaintiffs do not challenge application of the WEP to Canadian pensions. See Second. Am. Compl. ¶¶ 28–29, 50–51.
[3] In the Second Amended Complaint, Plaintiff Alison Barnes alleges that her husband, who is not a plaintiff in this case, “fully exhausted his administrative remedies as they related to the application of the WEP to the U.S. Social Security retirement benefits of both him and Mrs. Barnes.” Second Am. Compl. ¶ 6. But in her declaration, Barnes avers that she “did not pursue [her] own agency appeal under her own social security number, as [she] was led to believe from [her] husband’s experience that there was no point in doing so.” ECF No. 25-2 at 6. Regardless of whether Barnes’s husband exhausted his remedies she presents no evidence that she did so, and Plaintiffs do not dispute Defendants’ assertion that no plaintiff had fully exhausted their administrative remedies at the time the motion was filed. See ECF No. 24-2 at 4; ECF No. 24-1; ECF No. 25 at 10; ECF No. 25-3.
[4] Defendants have styled their arguments related to exhaustion of administrative remedies as
seeking dismissal, or in the alternative, summary judgment. “When ‘matters outside the
pleadings are presented to and not excluded by the court’ on a Rule 12(b)(6) motion, ‘the motion
must be treated as one for summary judgment under Rule 56.’”
Cost v. Soc. Sec. Admin
., 770 F.
Supp. 2d 45, 49 (D.D.C. 2011) (quoting Fed. R. Civ. P. 12(d)). Here, both parties have presented
material outside the pleadings (to which the other party did not object), so the Court will treat
Defendants’ motion as one for summary judgment.
See Calderon v. Berryhill
, No. 17-cv-494
(RDM),
[5] Defendants do not contest Plaintiffs’ standing to pursue claims related to the WEP’s application to their own benefits. Defendants’ standing argument is related to Plaintiffs’ attempt to certify a class that includes claimants who receive benefits from more countries. But after the close of briefing on this motion, the Court granted Plaintiffs an extension of time to move for class certification and determined that “it would be more efficient to take up class certification issues after the motion to dismiss has been resolved.” Minute Order of July 6, 2017. Because the Court will grant Defendants’ motion on other grounds, and it need not resolve any class certification issues, it also need not address Defendants’ standing argument.
[6] While four plaintiffs do not specifically allege their residence, see Second Am. Comp’l ¶¶ 28– 31, the Second Amended Complaint lists their addresses as within the United States, and they do not dispute Defendants’ asserted statement of undisputed fact that, other than Jones and Pezas, Plaintiffs reside in various states. See id. at ¶¶ 1–4; ECF No. 24-1 ¶ 6.
[7] The only exception to this rule is mandamus jurisdiction under 28 U.S.C. § 1361. Although the
Supreme Court has declined to address whether mandamus is available in Social Security cases,
Bowen v. City of New York
,
[8] Jones and Pezas are the only plaintiffs for whom venue is proper here, but the Court’s
exhaustion analysis likewise applies to all plaintiffs except Alain Merkel. Merkel has not yet
presented a claim to the SSA, and so his case is also barred because he has failed to satisfy the
mandatory, jurisdictional portion of § 405(g)’s exhaustion requirement, to which the Court may
not make exceptions.
See Heckler v. Ringer
,
[9] Tran alleges that despite his receipt of a final, favorable decision, the SSA has refused to pay him the increased benefits to which he is entitled. ECF No. 35-1. Of course, it would be worrisome if SSA failed to ultimately abide by its own administrative process. But that would
[10] The
Bowen
Court waived the exhaustion requirement of § 405(g) based on futility
and
collaterality.
See Bowen
,
[11] In an argument which does not fit neatly into any of the three traditional bases for judicial
waiver of exhaustion, Plaintiffs also argue that they too challenge a secret, agency-wide policy
and so, as in
Bowen
, the Court should excuse them from exhausting their administrative
remedies. Pls.’ Opp. at 23–24. But for a variety of reasons, the Court declines to carve out a
new basis for waiver here. The covert nature of the government’s conduct in
Bowen
was most
relevant to the Court’s discussion of equitable tolling of the statute of limitations, which is not at
issue in this case.
[12] Plaintiffs try to distinguish
Heckler
by arguing that there, unlike here, the plaintiffs’ claims
arose solely under the Social Security Act. In this case, they argue, Plaintiffs’ claims do not
solely arise under the Act, because the SSA relies on information from foreign governments
regarding Plaintiffs’ eligibility for and entitlement to foreign pensions when applying the WEP
and calculating Plaintiffs’ Social Security benefits. Pls.’ Opp. at 20. For starters, it is not at all
clear why this argument is relevant to collaterality. And even if it were, it is unpersuasive. That
the calculation of Plaintiffs’ benefits—to which they are entitled under the Social Security Act—
depends in part on information from outside sources does not mean that their claim does not arise
under the Act, and they cite no authority to support their argument that it does not.
See Heckler
,
[13] Similarly, the Court disagrees with Plaintiffs’ argument, relying on
Beeler
and the Seventh
Circuit’s decision in
Marcus v. Sullivan
,
[14] Only two plaintiffs come close to meeting the standard based on their declarations, but they both come up short. The first states that due to blocked arteries in her legs, “it could be in the future [she] might need major surgery if [she is] not to lose the use of [her] legs,” and that there is “no way” she could afford the required surgery. ECF No. 35-4 ¶ 3. But while inability to afford such a procedure is a sufficiently “great,” harm, she does not say that it is “imminent” or indicate that it is “certain”—as opposed to merely possible—that she will need it. Beattie , 845 F. Supp. 2d at 192–93. The second states that she had lived part-time in Florida, where the climate helped her lung condition, but that her expenses forced her to sell her home there, and that at age 65 she now has “the lungs of an 80 year old.” ECF No. 35-5 ¶¶ 2–5. Again, while unfortunate, her representations do not show she would suffer “irreparable harm” by following the administrative process here.
