Piscopo v. SHHS ( 1994 )


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  • USCA1 Opinion









    June 27, 1994
    [NOT FOR PUBLICATION]

    UNITED STATES COURT OF APPEALS
    FOR THE FIRST CIRCUIT
    ____________________


    No. 93-2326

    MARIE ELIZABETH PISCOPO,

    Plaintiff, Appellant,

    v.

    SECRETARY OF HEALTH AND HUMAN SERVICES,

    Defendant, Appellant.


    ____________________

    APPEAL FROM THE UNITED STATES DISTRICT COURT

    FOR THE DISTRICT OF MASSACHUSETTS

    [Hon. Nathaniel M. Gorton, U.S. District Judge]
    ___________________


    ____________________

    Before

    Selya, Boudin and Stahl,
    Circuit Judges.
    ______________

    ____________________

    Marie Elizabeth Piscopo on brief pro se.
    _______________________
    Donald K. Stern, United States Attorney, Charlene A. Stawicki,
    ________________ _____________________
    Special Assistant United States Attorney, and Paul Germanotta,
    ________________
    Assistant Regional Counsel, Department of Health and Human Services,
    on brief for appellee.


    ____________________


    ____________________



















    Per Curiam. Plaintiff Marie Elizabeth Piscopo
    ___________

    appeals a district court judgment dismissing her complaint

    for judicial review of a decision by the Secretary of Health

    and Human Services that required her to repay a $727.40

    overpayment. The district court ruled that it lacked subject

    matter jurisdiction because plaintiff failed to file a timely

    complaint under 42 U.S.C. 405(g).1 We affirm.

    I.
    _

    Appellant received a single lump-sum payment

    representing child's insurance benefits in October 1979. The

    Secretary later determined that an overpayment had been made

    and attempted to recoup same from plaintiff. Administrative

    proceedings ensued, the precise details of which are not

    clear because the full administrative record is not before

    us. It is undisputed that on September 14, 1987, an

    administrative law judge (ALJ) determined that plaintiff was

    overpaid $727.40, that plaintiff was without fault in causing

    the overpayment, and that recovery of the overpayment would

    not be waived. See 20 C.F.R. 404.506-404.509. Plaintiff
    ___

    sought review of this decision by the Appeals Council.




    ____________________

    1. 42 U.S.C. 405(g) provides that:

    Any individual, after any final decision of the
    Secretary made after a hearing to which he was a
    party, irrespective of the amount in controversy,
    may obtain a review of such decision by a civil
    action commenced within sixty days after the
    mailing to him of notice of such decision or within
    such time as the Secretary may allow . . .















    On May 25, 1988, the Appeals Council issued a

    decision which affirmed the ALJ's conclusions. The Appeals

    Council's decision stands as the final decision of the

    Secretary. That decision was accompanied by a notice which

    informed plaintiff that she could obtain judicial review of

    the Appeals Council's decision by filing a complaint with the

    appropriate federal district court "within sixty (60) days

    from the date of receipt of this letter." The notice also

    stated that "[i]t will be presumed that this letter is

    received within five (5) days after the date shown above

    [i.e., May 25, 1988] unless a reasonable showing to the

    contrary is made."2

    Plaintiff commenced the instant action for judicial

    review of the Appeals Council's decision by filing her

    complaint with the Worcester Division of the United States



    ____________________

    2. The Appeals Council's notice appears to be modelled on 20
    C.F.R. 422.210(c), the regulation which implements 42
    U.S.C. 405(g). That regulation provides:

    Any civil action . . . [for judicial
    review of the Secretary's final decision]
    must be instituted within 60 days after
    the . . . notice of the decision by the
    Appeals Council is received by the
    individual, . . . except that this time
    may be extended by the Appeals Council
    upon a showing of good cause. For
    purposes of this section, the date of
    receipt of . . . notice of the decision
    by the Appeals Council shall be presumed
    to be 5 days after the date of such
    notice, unless there is a reasonable
    showing to the contrary. . . .

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    District Court for the District of Massachusetts. The docket

    reflects that this complaint was filed on February 8, 1989,

    more than eight months after the Appeals Council issued its

    decision. Initially, the Secretary moved to remand the case

    because the Department of Health and Human Services was

    unable to locate plaintiff's file. The Secretary ultimately

    withdrew the motion to remand and filed a motion to dismiss

    pursuant to Fed. R. Civ. P. 12(b)(2). The motion was

    supported by the affidavit of Joseph Ponton, a division chief

    within the Social Security Administration's Office of

    Hearings and Appeals, and portions of the administrative

    record. Essentially, the Secretary argued that the district

    court lacked jurisdiction because the complaint was not filed

    until almost nine months after the Appeals Council issued its

    decision and plaintiff failed to request an extension from

    the Appeals Council. Plaintiff opposed the Secretary's

    motion. She maintained that her action should be considered

    timely because she did not receive the Appeals Council's

    decision until June 9, 1988 and that she tried to commence

    this suit on August 5, 1988 by filing a copy of the notice

    that accompanied the Appeals Council's decision with the

    district court clerk on that date.3


    ____________________

    3. Plaintiff initially asserted this argument in her
    response to the Secretary's motion to remand. That response
    includes a copy of the Appeals Court's May 25, 1988 notice
    which appears to bear the district court's time stamp of
    (continued...)

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    The district court determined that the record was

    insufficient to allow resolution of the Secretary's motion

    and ordered the Secretary to submit an affidavit stating the

    date on which the Appeals Council's decision was mailed to

    plaintiff. The court also ordered plaintiff to submit an

    affidavit stating the date that she received the Appeals

    Council's decision. Plaintiff submitted a sworn response

    reiterating her contentions that she received the Appeals

    Council's decision on June 9, 1988 and that she attempted to

    file a copy of the notice that accompanied that decision as

    her pro se complaint on August 5, 1988. Plaintiff further
    ___ __

    averred that the court found her original "pro se summons"
    ___ __

    unacceptable and that she was assured that the time stamp on

    the Appeals Council's notice was sufficient evidence that she

    commenced her action within the sixty-day period.

    Plaintiff's response was accompanied by another copy of the

    Appeals Council's notice with the curious time stamp, a

    photocopy of the civil action cover sheet with "8/5/88"







    ____________________

    3. (...continued)
    August 5, 1989. The "9" appears to have a mark drawn through
    ____
    it. Plaintiff maintains that the date is really August 5,
    1988 and that she "was informed said stamp would allow
    ____
    sufficient time to complete an acceptable pro se summons and
    ___ __
    subsequent summons was filed in finished form . . . on
    February 8, 1989." Plaintiff appears to be referring to her
    complaint when she speaks of a "summons."

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    written at the bottom,4 and a photocopy of an undated civil

    action category sheet.

    The Secretary submitted another affidavit by Joseph

    Ponton who swore that plaintiff's file showed that the

    Appeals Council sent its decision by mail to plaintiff's post

    office box on May 25, 1988 and that it is the custom of the

    Office of Hearings and Appeals to place such notices in the

    mail on the date shown on the notice. The Secretary also

    challenged plaintiff's assertion that she commenced this

    action on August 5, 1988 and pointed out (correctly in our

    view) that the time stamp appears to be dated August 5, 1989.

    However, plaintiff filed an additional affidavit which also

    correctly pointed out that August 5, 1988 fell on a Friday

    while August 5, 1989 fell on a Saturday. Thus, plaintiff

    claimed that she could not possibly have filed the notice in

    1989.

    The district court found that the Appeals Council

    issued its decision on May 25, 1988 and that plaintiff filed

    an untimely complaint on February 8, 1989. The court did not

    specifically address plaintiff's claim that this action

    should be considered timely because she tried to file a pro
    ___

    se complaint with the clerk on August 5, 1988. The district
    __

    court's ruling appears to have implicitly rejected this



    ____________________

    4. We note that the original civil action cover sheet is
    time-stamped February 8, 1989.

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    argument in allowing the Secretary's motion to dismiss.

    Judgment was entered on November 23, 1993. This appeal

    followed.

    II.
    __

    On appeal, plaintiff argues that the district court

    erred by failing to consider her status as a pro se litigant.
    ___ __

    Although her argument is not clearly stated, plaintiff seems

    to be saying that she attempted to file her pro se action on
    ___ __

    August 5, 1988, that her filing was rejected by the clerk

    because it was not in proper form, and that the clerk time-

    stamped the copy of the Appeals Council's notice that

    plaintiff attempted to file and assured her that this was

    sufficient to make her action timely under 42 U.S.C.

    405(g).5 Plaintiff says that, under these circumstances,

    this case should be allowed to proceed.

    For purposes of resolving this appeal we shall

    assume, without deciding, that plaintiff attempted to file a



    ____________________

    5. Plaintiff's brief, pp. 2-3, states that the clerk time-
    stamped the notice "with the assurance that a reasonable
    refiling would be within a six-month period" from the date of
    the stamp. As plaintiff maintains that the stamp is dated
    August 5, 1988, her argument implies that the clerk assured
    her that she had until February 1989 to file a proper
    complaint. While this argument was raised below in the
    plaintiff's opposition to the Secretary's request to remand,
    it is slightly different from plaintiff's claim that the
    clerk assured her than the time-stamp was sufficient evidence
    that this action was commenced on August 5, 1988. Plaintiff
    does not squarely make this argument on appeal.
    Nevertheless, in view of our custom to construe pro se
    ___ __
    filings liberally, we have considered both contentions.

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    pro se complaint on August 5, 1988 and that the district
    ___ __

    court clerk erred in rejecting it. See Case v. Califano, 441
    ___ ____ ________

    F. Supp. 304, 306 n.1 (D.S.C. 1977) (noting that the filing

    of a copy of the Appeals Council's rejection letter was

    sufficient to commence civil action where court had "seen all

    types of scraps of paper construed as proper complaints in

    pro se prisoner actions"). We note that in 1991, Rule 5(e)
    ___ __

    of the Federal Rules of Civil Procedure was amended to

    provide that, "[t]he clerk shall not refuse to accept for

    filing any paper presented for that purpose solely because it

    is not presented in proper form as required by these rules or

    any local rules or practices."6 While this rule did not

    exist before 1991, we shall assume for purposes of this

    appeal that the complaint plaintiff filed on February 8, 1989

    may relate back to August 5, 1988, the date she allegedly

    first attempted to file suit.7 Thus, the question is

    whether dismissal was proper if plaintiff's action is deemed

    to have been commenced on August 5, 1988.





    ____________________

    6. The Advisory Committee notes to this amendment indicate
    that it was intended to proscribe several local district
    rules which directed clerks to refuse to accept papers for
    filing that were not in proper form. This practice was
    criticized because it exposed litigants to potential time
    bars and was "not a suitable role for the office of the
    clerk. . . ."

    7. Thus, we need not resolve whether the time-stamp on the
    Appeals Council's notice is dated 1988 or 1989.

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    It is well-established that the 60-day filing

    period set forth in 42 U.S.C. 405(g) is not jurisdictional,

    but rather constitutes a statute of limitations. See Bowen
    ___ _____

    v. City of New York, 476 U.S. 467, 478 (1986). As such, the
    ________________

    limitation period constitutes a condition on the waiver of

    sovereign immunity that must be strictly construed. Id. at
    ___

    479; Leslie v. Bowen, 695 F. Supp. 504, 506 (D. Kan. 1988).
    ______ _____

    Thus, 42 U.S.C. 405(g) "generally precludes late judicial

    challenge to the denial of benefits." Willow v. Sullivan,
    ______ ________

    733 F. Supp. 591, 594 (N.D. N.Y. 1990).

    Although 42 U.S.C. 405(g) requires civil actions

    for judicial review of the Secretary's final decisions to be

    commenced within 60 days after the mailing of the notice of

    decision or "such time that the Secretary may allow," courts

    agree that 20 C.F.R. 422.210(c) makes the date that the

    claimant receives the Secretary's notice of decision the

    trigger point for statute of limitations purposes. See,
    ___

    e.g., Barrs v. Sullivan, 906 F.2d 120, 122 (5th Cir. 1990)
    ____ _____ ________

    (per curiam); Wong v. Bowen, 854 F.2d 630, 631 (2nd Cir.
    ____ _____

    1988) (per curiam). Cf. Hatchell v. Heckler, 708 F.2d 578,
    ___ ________ _______

    579 (11th Cir. 1979) (60 days runs from date of notice of

    decision or date of receipt). Moreover, 20 C.F.R.

    422.210(c) creates a rebuttable presumption that the date of

    receipt is five days after the date of the notice unless the

    plaintiff makes "a reasonable showing to the contrary." See,
    ___



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    e.g., McCall v. Bowen, 832 F.2d 862, 864 (5th Cir. 1987);
    ____ ______ _____

    Matsibekker v. Heckler, 738 F.2d 79, 81 (2nd Cir. 1984);
    ___________ _______

    Leslie v. Bowen, 695 F. Supp. at 505; Bartolomie v. Heckler,
    ______ _____ __________ _______

    597 F. Supp. 1113, 1115 (N.D. N.Y. 1984); Worthy v. Heckler,
    ______ _______

    611 F. Supp. 271, 273 (W.D. N.Y. 1985); Chiappa v. Califano,
    _______ ________

    480 F. Supp. 856, 857 (S.D. N.Y. 1979).

    It is undisputed that the Appeals Council dated and

    mailed its decision to plaintiff on May 25, 1988. Under 20

    C.F.R. 422.210(c), the Secretary is entitled to a

    rebuttable presumption that plaintiff received this decision

    five days later on May 30, 1988. Any civil action for

    judicial review of that decision must have been commenced

    sixty days thereafter, i.e., by July 29, 1988, in order to be
    ____

    timely.

    Plaintiff argues that she did not actually receive

    the Secretary's notice until June 9, 1988, and, therefore,

    her filing of August 5, 1988, was timely. In support of this

    assertion, plaintiff avers that, for many years she

    maintained a post office box for the receipt of mail. She

    claims that she did not visit the post office daily, but

    weekly or biweekly for her convenience.8 While that may be

    so, it does not establish that the Secretary's notice was not

    delivered to plaintiff's post office box within five days of


    ____________________

    8. Plaintiff made these averments in the supplemental
    affidavit that she filed in response to the Secretary's
    motion to dismiss.

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    its mailing on May 25, 1988. The fact that plaintiff may

    have chosen not to pick up her mail until some time after it

    was delivered does not refute the presumption that it was

    received. To hold otherwise would mean that any claimant

    could avoid the limitations period by simply asserting that

    he did not open his mail. We do not think that the filing

    deadline may be side-stepped so easily. See McCall v. Bowen,
    ___ ______ _____

    832 F.2d at 864-65 (holding that Appeals Council was entitled

    to conclude that affidavits of plaintiff and his counsel

    which claimed that they did not receive notice of Appeals

    Council's decision until over two months after its mailing

    were insufficient to rebut presumptive date of receipt);

    Leslie v. Bowen, 695 F. Supp. at 506 (rejecting plaintiff's
    ______ _____

    uncorroborated claim that he did not receive May 9, 1988

    notice until May 23, 1988); Rouse v. Harris, 482 F. Supp.
    _____ ______

    766, 768-69 (D.N.J. 1988) (rejecting claims of plaintiff and

    her counsel denying receipt of separate notices of Appeals

    Council's decision absent "a more concrete showing that the

    plaintiff or her attorney actually did not receive the

    Secretary's notice within five days" of mailing).9


    ____________________

    9. We recognize that the plaintiffs in these cases were all
    represented by counsel and that the Appeals Council sent its
    decisions to Rouse and McCall by certified mail, thus
    _____ ______
    arguably making a stronger case for applying the presumption
    in 20 C.F.R. 422.210(c). But we do not think that these
    distinctions are important here, where plaintiff concedes
    that she received the Appeals Council's notice and only
    contests the applicable date of receipt. Plaintiff's
    (continued...)

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    Accordingly, we conclude that plaintiff's assertion

    that she did not receive the Secretary's notice until June 9,

    1988 because she failed to pick up her mail before then is

    insufficient to rebut the presumption that the notice was

    received within five days of its date and mailing on May 25,

    1988. Thus, even if plaintiff commenced this action on

    August 5, 1988, it remains time-barred.

    Plaintiff's remaining arguments on appeal do not

    further her cause. She notes that the law allows the

    Secretary to extend the appeal period for "good cause." See
    ___

    20 C.F.R. 404.911. She says that good cause is present

    here because she took a "few months" to prepare her complaint

    as a result of directions received from the district court

    clerk. But as the limitations period had already expired by

    the time plaintiff purportedly received these directions, her

    reliance on the clerk did not defeat her appeal. Moreover,

    generally only the Secretary has the power to grant

    extensions for good cause. See Matsibekker v. Heckler, 738
    ___ ___________ _______

    F.2d at 81.10

    Plaintiff also points out that the Secretary was

    not prejudiced by the late filing of her complaint. The


    ____________________

    9. (...continued)
    reliance on a post office box made certified mail impractical
    in this case.

    10. This is not a case like Bowen v. City of New York, 476
    _____ _________________
    U.S. at 479-82, where the government's misconduct justified
    the application of the principle of equitable tolling.

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    point is irrelevant. The Secretary is not obliged to waive a

    statute of limitations defense, particularly where the

    limitations period serves "to move cases to speedy resolution

    in a bureaucracy that processes millions of claims annually."

    Bowen v. City of New York, 476 U.S. at 481. See also
    _____ __________________ ___ ____

    Thibodeaux v. Bowen, 819 F.2d 76, 79 (5th Cir. 1987) (per
    __________ _____

    curiam) (affirming dismissal of disability appeal where

    Secretary declined to waive limitations defense). Thus,

    contrary to plaintiff's belief, dismissal on this ground does

    not elevate form over substance. Finally, plaintiff argues

    that the Social Security Administration erred in finding that

    she received an overpayment and that the Appeals Council

    erred by failing to consider evidence from one of plaintiff's

    employers which would have proven that the overpayment was

    incorrectly assessed. Because we ground our decision on the

    statute of limitations, we need not reach these contentions.

    Judgment affirmed.
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