Name
Pratt v. SD Warren
Insurance Company
CCMSI
Date Decided
April 30, 2019
Panel Members
Timothy Collier
Tom Pelletier
Mike Stovall
Categories
Coordination of BenefitsTags
Social Security Benefits Acceptance of Benefits Denial of Benefits
File Size
388 KB
DownloadSummary from the Troubh Heisler Attorneys
Mr. Pratt injured his back at work and the WCB awarded him ongoing partial incapacity benefits. He also received Social Security disability benefits, for which §221 provides employers no offset. When Mr. Pratt reached full retirement age, S.D. Warren duly informed him of his obligation under §221 to apply for Social Security retirement benefits, to allow S.D. Warren a 50% offset against his ongoing partial incapacity benefits.
Mr. Pratt applied for regular retirement benefits, but he also instructed the SSA to suspend his benefit checks until he turned 70, so he could get increased benefits then and avoid the §221 offset now. S.D. Warren filed a petition for approval to discontinue benefits, which Judge Jerome denied, ruling that §221 required the employee only to make application for the benefits but not to accept them. S.D. Warren appealed.
The appellate panel affirmed Judge Jerome's decision. It stated that the WCB must “avoid absurd, illogical or inconsistent results,” and that “a plain reading” of §221 requires the employee only to apply for Social Security retirement benefits but not to accept them. It further held that §221 does not expressly prohibit an employee deferring receipt of benefits until a date after regular retirement age.