Justia Public Benefits Opinion Summaries

For 12 months following his injury, plaintiff, a police officer injured on duty, received salary under the Public Employee Disability Act. For a short time thereafter, he received salary through a combination of accrued sick and vacation time, light duty, and temporary total disability payments under the Workers’ Compensation Act. While plaintiff received salary under PEDA, the city deducted 20 percent of his health insurance premiums from his paycheck, in accordance with the collective bargaining agreement. After PEDA benefits expired, plaintiff continued to pay 20 percent of the premiums. When he was awarded a line-of-duty disability pension under the Illinois Pension Code, the city began paying 100 percent of the premiums, as required by the Public Safety Employee Benefits Act, 820 ILCS 320/10(a). Plaintiff's request for reimbursement for premiums paid since the date of injury was refused. The circuit court entered summary judgment for the city. The appellate court reversed. The Illinois Supreme Court reversed the appellate court. Under PSEBA, an employer's obligation to pay the entire health insurance premium for an injured officer and his family attaches on the date that it is determined that the injury is "catastrophic," the date it is determined that the injured officer is permanently disabled and eligible for a line-of-duty disability pension. View "Nowak v. City of Country Club Hills" on Justia Law

Plaintiff entered into a lease with the housing authority in 2007 as "Resident" and named her two sons as "Household Members." The lease provided that certain criminal activities could lead to immediate eviction. Plaintiff received a notice to vacate a few weeks later, after a visit by her daughter led to a gunfight in the parking lot. While plaintiff's challenge was pending, second and third notices issued. Police had been called to her apartment and determined that plaintiff had stabbed her husband, who was living at the apartment and was high on cocaine. Officers found joints on the counter. Plaintiff vacated. The district court granted summary judgment in favor of the defendants on federal claims and declined to exercise jurisdiction over state law claims. The Seventh Circuit affirmed. The case is moot because plaintiff never contested the second and third notices and, therefore, cannot be restored to the apartment; there was evidence that she lied on her application and was never eligible for tenancy. She incurred no expenses and state court proceedings provided all the process that was due. The court rejected a claim of emotional distress and a claim that the complex constituted segregated housing. View "Stevens v. Hous. Auth. of South Bend" on Justia Law

Hit by a vehicle in 2004, plaintiff had medical bills of $82,036 that were paid in full by Medicare. The owner of the vehicle settled with plaintiff for $125,000. Medicare sought reimbursement of $62,338 under 42 U.S.C. 13955y(b)(2)(B)(i)., which plaintiff paid under protest. An ALJ rejected plaintiff's argument that an unknown motorist was responsible for 90 percent of the damage so that only 10 percent of the settlement was for medical expenses and the rest was for pain and suffering. The Medicare Appeals Council, district court, and Sixth Circuit affirmed, noting that plaintiff presented no evidence of hardship. View "Hadden v. United States" on Justia Law

Plaintiff-Appellant Thomas Richardson appealed a district court's order that affirmed the Commissioner of Social Security's denial of his application for Childhood Disability Benefits. Plaintiff filed two applications: one for Childhood Disability Benefits as a Disabled Adult Child and another for Supplemental Security Income benefits. Plaintiff was diagnosed with Asperger's Disorder; the examining physician opined that Plaintiff had a "fairly severe disability" such that he probably would not be able to find a job or remain employed. Both of Plaintiff's applications were initially denied. The ALJ found no evidence that Plaintiff was under a disability beginning before his twenty-second birthday, and that his impairment did not prevent him from performing unskilled work. The Commissioner affirmed the ALJ. After the Appeals Council denied review, Plaintiff filed an action in district court seeking reversal of the Commissioner’s decision denying his claim. The district court affirmed the Commissioner’s decision, and Plaintiff filed a timely appeal. On appeal, the Commissioner initially asserted that the ALJ’s findings were largely consistent with the examining physician's findings. However, upon review, the Tenth Circuit concluded that the ALJ made no such findings: the ALJ did not mention the physician's opinion "much less evaluate whether it was supported by the record." The Court remanded the case back to the ALJ to perform a proper evaluation of the physician's opinion. View "Richardson v. Astrue" on Justia Law

Plaintiff sued defendants, employees of the State of Washington's State Operated Living Alternative (SOLA) program, on behalf of herself and her daughter's estate under 42 U.S.C. 1983, alleging that defendants deprived her daughter of her Fourteenth Amendment substantive due process right to safe physical conditions while in involuntary state custody. Plaintiff subsequently appealed the district court's grant of summary judgment in favor of defendants. The court held that defendants had no constitutionally required duty of care towards plaintiff's daughter because there was no special relationship between her daughter and the state and there was no state-created danger. Therefore, the court affirmed the judgment of the district court. View "Campbell v. WA Dept. of Social and Health Services, et al." on Justia Law

Mother applied for supplemental security income on her daughter's behalf shortly before daughter's s eighteenth birthday, claiming that daughter was disabled by a combination of mental impairments (including bipolar disorder) and by physical impairments resulting from a 2005 car accident. An administrative law judge found the collective impairments severe but not disabling. The Seventh Circuit reversed and remanded. The ALJ did not properly analyze the opinion of a treating psychiatrist and did not adequately question vocational experts with respect to limitations on her concentration, pace, or persistence. View "Jelinek v. Astrue" on Justia Law

Krisha Bowman, a single mother of three minor children, received Section 8 housing assistance for several years. The Des Moines Municipal Housing Agency (DMMHA) later discontinued Bowman's housing assistance based on five alleged occurrences of unreported income. A hearing officer found that Bowman's assistance had been properly terminated. The district court affirmed. The Supreme Court affirmed, holding (1) DMMHA's determination that Bowman had five occurrences of unreported income was supported by substantial evidence; (2) DMMHA's policy of treating a failure to report each child's Social Security benefits as a separate occurrence of unreported income did not violate the Fair Housing Act; and (3) DMMHA did not improperly fail to consider Bowman's mitigating circumstances before terminating her assistance. View "Bowman v. City of Des Moines Mun. Hous. Agency" on Justia Law

Claimant-Appellant William Rigoli appealed an Industrial Commission's decision that found him ineligible for unemployment benefits because he was discharged for misconduct in connection with his employment. Claimant worked as a toy department manager for Respondent Wal-Mart, and was fired for using foul language and leaving before his assigned shift was completed. Initially, Claimant was determined by the Department of Labor to be eligible for unemployment benefits, but his employer appealed his eligibility. The Department ultimately concluded that Claimant was ineligible, and he appealed to the Industrial Commission. The Commission upheld the Department's conclusion and denied benefits. Upon review, the Supreme Court found that there was substantial and competent evidence the Commission relied upon to conclude that Claimant was discharged for employment-related misconduct, and, therefore, was ineligible for unemployment benefits. View "Rigoli v. Wal-Mart Associates, Inc." on Justia Law

Claimant David Tarbet worked for Employer J.R. Simplot Company for thirty-six years until an accident in 2007 left him totally and permanently disabled. The issue before the Industrial Commission (Commission) was whether Employer was liable for all or only a part of Claimant’s income benefits. If Claimant’s total disability resulted solely from the last accident, Employer would be liable for all of the income benefits. If his total disability resulted from the combined effects of both that injury and impairments that pre-existed that injury, then Employer was liable only for that portion of the income benefits for the disability caused by the accident, and the Industrial Special Indemnity Fund (ISIF) would be liable for the remainder. The Industrial Commission found that the April 2007 accident was Claimant’s final industrial accident, that he was totally and permanently disabled as a result of the final accident, and that the impairments that existed prior to that accident did not contribute to his total disability. It found that ISIF was not liable for Claimant’s benefits and dismissed the complaint against it. Employer then appealed. Upon review of the Commission's record, the Supreme Court affirmed the Industrial Commission's order. View "Tarbet v. J.R. Simplot Co. " on Justia Law

Petitioner Shanna Locker appealed the Industrial Commission’s (Commission) finding that she was insubordinate when she failed to provide a medical release at the request of her employer, Logan’s Foodtown. The Commission found that this constituted employment-related misconduct which rendered Petitioner ineligible for unemployment insurance benefits. Upon review of the record before the Commission, the Supreme Court affirmed the Commission's decision. View "Locker v. How Soel, Inc " on Justia Law