Also known as:disability payment · disability benefits
Written by attorneys — see sources below.
Compensation paid to replace wages or earning capacity lost because of physical or mental impairment.
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How its tested
Common Examples
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Written Response Before Benefit Cutoff
Derek Douglas received monthly Social Security disability payments after a workplace injury left him unable to work. The agency sent written notice that new medical records suggested improvement and invited him to submit written rebuttal evidence. Derek responded with updated physician reports. When the agency terminated benefits after review, Derek received a full evidentiary hearing and retroactive payments upon prevailing. The written exchange and later hearing satisfied due process because they balanced his interest in continued payments against the agency's administrative needs.
State Sovereign Immunity Bars Retroactive Award
Diane Dawson sued state officials in federal court seeking retroactive disability payments that had been wrongfully withheld under a state program. The court dismissed the claim for monetary relief against the state treasury. The Eleventh Amendment barred the retroactive award even though prospective injunctive relief remained available.
In 1971 respondent John Jordan filed a class action complaint in the United States District Court for the Northern District of Illinois against petitioner Joel Edelman, the Director of the Illinois Department of Public Aid, and other state officials. The suit was brought under 42 U.S.C. § 1983 and challenged the administration of the federal-state Aid to the Aged, Blind, or Disabled program. It alleged that applications were not processed within federal time limits and that benefits were authorized only from the month of approval rather than including prior eligibility months.
Federal regulations required eligibility determinations within 30 days for aged and blind applicants and 45 or 60 days for disabled applicants, with assistance checks required to be received within those periods. Illinois officials operated under state regulations in the Categorical Assistance Manual that set a 30-day standard for aged and blind applicants but authorized grants only from the month of approval. Jordan alleged that his own application for disability benefits was not acted on for almost four months. The District Court later found that Illinois averaged 90 days for AABD applications and 60 days for AFDC applications.
In its March 15, 1972 judgment the District Court declared the inconsistent Illinois provisions invalid. It issued a permanent injunction requiring compliance with federal time limits. The court also ordered the state officials to release and remit AABD benefits wrongfully withheld to all applicants who applied between July 1, 1968 and April 16, 1971 and were determined eligible, with specific provisions for mailing checks or certified letters to current and former recipients.
On appeal the Court of Appeals for the Seventh Circuit affirmed the finding of violation and the injunction but modified the retroactive award to cover only benefits wrongfully withheld after the filing of the complaint. The Supreme Court granted certiorari in 1973.
The plaintiff class consisted of Illinois residents who applied for AABD benefits and whose applications were not processed within the federal time standards. The complaint specifically requested a permanent injunction enjoining the defendants to award to the entire class all AABD benefits wrongfully withheld.
Darrell Duncan received Social Security disability benefits as a disabled adult child of a deceased worker. After Darrell married, the agency terminated the benefits. The termination was upheld because the statute ended secondary benefits upon marriage regardless of the recipient's continued disability.
Califano v. Jobst434 U.S. 47 (1977)
Mr. Jobst has been disabled by cerebral palsy since his birth in 1932. He qualified for child’s insurance benefits in 1957, several months after his father died. In 1970 he married another cerebral palsy victim. Since his wife was not entitled to benefits under the federal Act, the statute required the Secretary to terminate his benefits.
Mr. Jobst brought this suit to review the Secretary’s action. The District Court held that the statute violated the equality principle applicable to the Federal Government by virtue of the Fifth Amendment because all child’s insurance beneficiaries are not treated alike when they marry disabled persons. Beneficiaries who marry other social security beneficiaries continue to receive benefits whereas those who marry nonbeneficiaries lose their benefits permanently. The court held this distinction irrational.
The Secretary appealed directly to this Court. Noting that Mr. Jobst and his wife had become entitled to benefits under a newly enacted statute authorizing supplemental security income for the aged, blind, and disabled, this Court remanded the case for reconsideration in the light of that program. The District Court reviewed the new program, concluded that it had no relevance to the issues presented by this case, and reinstated its original judgment. The Secretary again appealed, and the Supreme Court noted probable jurisdiction.
As originally enacted in 1935, the Social Security Act authorized a monthly benefit for qualified wage earners at least 65 years old. In 1939 Congress created secondary benefits for wives, children, widows, and parents of wage earners. In 1956, Congress enlarged the class of persons entitled to a child’s benefit to include those who were under a disability which began before age 18. In 1958, Congress adopted an amendment providing that marriage would not terminate a child’s disability benefit if the child married a person who was also entitled to benefits under the Act.
Daphne Doyle sought permanent total disability payments under the Longshore Act after a maritime injury. The agency denied the claim because Daphne failed to prove that her condition prevented all suitable employment. The burden remained on the claimant to establish the extent of disability rather than shifting to the employer.
Director, Office of Workers’ Compensation Programs v. Greenwich Collieries512 U.S. 267, 114 S. Ct. 2251, 129 L.Ed.2d 221, 1994 AMC 2855 (1994)
The Department of Labor applied its “true doubt” rule in two separate benefits claims adjudications under the Black Lung Benefits Act and the Longshore and Harbor Workers’ Compensation Act. Under that rule, when the evidence submitted by the claimant and the party opposing the award is of equal weight, the claimant prevails because the rule shifts the risk of nonpersuasion to the opponent.
In the first case, Andrew Ondecko, who had worked as a coal miner for 31 years, applied for disability benefits under the Black Lung Benefits Act after developing pneumoconiosis. The Administrative Law Judge found that Ondecko had the disease, was totally disabled by it, and that it resulted from his coal mine employment, relying on the true doubt rule for the first two findings and on a regulatory presumption for the third. The Benefits Review Board affirmed the award, but the Court of Appeals for the Third Circuit vacated the decision.
In the second case, Michael Santoro suffered a work-related back and neck injury while employed by Maher Terminals. He was soon diagnosed with nerve cancer and died shortly thereafter. His widow filed a claim under the Longshore and Harbor Workers’ Compensation Act alleging that the injury caused his disability and death. The Administrative Law Judge found the evidence on both sides equally probative and awarded benefits under the true doubt rule, a decision the Benefits Review Board affirmed but the Court of Appeals for the Third Circuit reversed.
The Supreme Court granted certiorari in both cases to resolve a conflict among the circuits concerning the validity of the true doubt rule under section 7(c) of the Administrative Procedure Act.
Damian Decker's wife died leaving minor children. He applied for Social Security survivors benefits based on her earnings record but was denied because the statute provided such benefits only to widows. The denial was unconstitutional because the gender distinction lacked a substantial relation to an important governmental objective.
Weinberger v. Wiesenfeld420 U.S. 636 (1975)
Stephen C. Wiesenfeld and Paula Polatschek married on November 15, 1970. Paula worked as a teacher both before and after the marriage, with maximum social security contributions deducted from her salary each year. Her earnings substantially exceeded Stephen's and constituted the couple's principal source of support, as shown by her 1970 earnings of $9,808 against his $3,100, her 1971 earnings of $10,686 against his $2,188, and her 1972 earnings of $6,836.35 before her death.
On June 5, 1972, Paula died in childbirth, leaving Stephen with sole responsibility for their infant son, Jason Paul. Stephen applied at the Social Security office in New Brunswick, New Jersey, for survivors' benefits for himself and his son. His son received benefits under 42 U.S.C. § 402(d) (1970 ed. and Supp. III), initially at $206.90 per month until September 1972 and then at $248.30 per month. Stephen was told he was ineligible for benefits on his own behalf because such benefits were available only to women.
Stephen filed suit in February 1973 in the District of New Jersey on behalf of himself and all similarly situated widowers, seeking a declaration that the statute was unconstitutional to the extent it treated men and women differently, an injunction against denial of benefits on the basis of sex, and payment of past benefits from June 1972. Cross-motions for summary judgment were filed. A three-judge court determined it had jurisdiction and granted summary judgment in Stephen's favor, issuing an order providing the requested relief.
The Supreme Court noted probable jurisdiction.
Destiny Davis sought a community-property share of her deceased husband's railroad retirement disability annuity under state law. Federal law preempted the claim because the Railroad Retirement Act contains an antialienation provision and integrates with Social Security rules that fix benefit amounts without regard to state community-property regimes.
Boggs v. Boggs520 U.S. 833 (1997)
Isaac Boggs began working for South Central Bell in 1949 and remained employed until his retirement in 1985. He was married to Dorothy Boggs from 1949 until her death in 1979, and the couple had three sons. After Dorothy died, Isaac married Sandra Boggs in 1980, and they remained married until Isaac's death in 1989.
Upon retirement, Isaac received a lump-sum distribution of $151,628.94 from the Bell System Savings Plan, which he rolled over into an Individual Retirement Account worth $180,778.05 at his death. He also received 96 shares of AT&T stock from the Bell South Employee Stock Ownership Plan and a monthly annuity of $1,777.67 from the Bell South Service Retirement Program. Dorothy's will bequeathed one-third of her estate to Isaac outright along with a lifetime usufruct in the remaining two-thirds, with naked ownership passing to the sons. A 1980 Louisiana judgment of possession ascribed to Dorothy's estate a community property interest in Isaac's Savings Plan account valued at $21,194.29.
After Isaac's death, Sandra began receiving a survivor annuity and other benefits. The sons filed suit in Louisiana state court claiming a portion of the retirement benefits under Dorothy's will and Louisiana community property law. Sandra then filed a declaratory judgment action in the United States District Court for the Eastern District of Louisiana asserting that ERISA preempts the sons' claims. The District Court granted summary judgment against Sandra. The Fifth Circuit affirmed. The Supreme Court granted certiorari.
Are disability payments considered marital property subject to division?
True disability payments replace future earning capacity and are treated as the recipient's separate property. Only the portion that substitutes for vested retirement benefits may be characterized as marital property subject to equitable distribution.
What process is required before terminating Social Security disability benefits?
Written notice and an opportunity to respond in writing must precede termination. A full evidentiary hearing with possible retroactive benefits satisfies due process when the claimant prevails.
Supporting sources
How do courts treat workers' compensation disability awards in tort actions?
Payments from independent sources such as workers' compensation or union funds are collateral sources. They do not reduce the tortfeasor's liability under the collateral source rule.
Supporting sources
424 U.S. 319 (1976)
…food stamps, public assistance, or the "many other important programs, both public and private, which contain provisions for disability payments affecting a substantial portion of the work force . . . ." Richardson v. Belcher , 404 U. S., at 85-87 (Douglas, J., dissenting). See Staff of the House Committee on Ways and Means, Report…