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Introduction: Who I am. Ranie ThompsonEqual Justice Works Katrina Legal FellowBegan working with NOLAC in April 2006 in the public benefits unit. She provides legal assistance to clients in matters related to medicaid, social security benefits, and FEMA claims.Before joining the NOLAC staff, she was employed as a Staff Attorney with the ACLU of Mississippi.Former managing attorney for Acadiana Legal Services Corp. in Lake Charles, La. While there, she practiced in the area of family law.. 1145
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1. FEMA Recoupment:What advocates should be doing for clients Attorney Ranie Thompson,
Equal Justice Works Katrina Legal Fellow
3. Introduction: Who you are
4. Introduction: Who you are
5. FEMA Recoupment: What the law says § 206.116 Recovery of funds.
(a) The applicant must agree to repay to FEMA (when funds are provided by FEMA) and/or the State (when funds are provided by the State) from insurance proceeds or recoveries from any other source an amount equivalent to the value of the assistance provided. In no event must the amount repaid to FEMA and/or the State exceed the amount that the applicant recovers from insurance or any other source.
(b) An applicant must return funds to FEMA and/or the State (when funds are provided by the State) when FEMA and/or the State determines that the assistance was provided erroneously, that the applicant spent the funds inappropriately, or that the applicant obtained the assistance through fraudulent means.
6. Likely defendants Persons in shared household situation pre-disaster and post-disaster
Pre-disaster roommates
Persons living in homes owned by deceased parents where no succession or probate of will has been done
Renters without proof of Landlord/Tenant Relationship
Major children who lived in home with parents and contributed to maintenance of household and expenses
Persons deemed eligible for assistance as head of household by FEMA workers shortly after the storm
Mentally disabled persons
7. What monies are being recouped? Personal property assistance
primarily those who got $10,391.51
Common thread: shared household situations
Expedited assistance
$2,000
Transitional housing assistance
$2,358
Use the Declaration of Need and Use of Funds form that allows this money to be used for purpose other than rental assistance
See www.femaanswers.org
Transportation
Rental assistance
8. Appeal: Timeline, interests, costs, and penalties 30 days pay now, talk later
60 days deadline to appeal: POSTMARKED
90 days time frame to set up repayment plan
120 days turned over to US Treasury Department
9. Rights of defendants/claimants Appeal
Pay back and appeal
Review evidence used to reach decision
Hardship Waiver
Compromise of Debt
Suspension of Debt
Termination of Debt
10. FEMAs basis for recoupment 1 of 2 Duplication of benefits (44 C.F.R.§206.110)
with household member; with Head of Household
With insured homeowner
Single Household Rule: 44 C.F.R. §206.117
Duplication of benefits with insurance
Damaged dwelling was not primary residence
Failure to prove occupancy
Flood insurance purchase requirement (44 C.F.R.§206.110(k))
we believe there are defenses for people who purchased the property without knowledge of prior flooding if nothing in the property transfer documents sets out a requirement to maintain the insurance
how much was previous award? May be a defense if it was less than subsequent award post-Katrina. Regulation states that must maintain insurance for at least the assistance amount. 44 CFR 206.110(k)(3)(i)
Overpayment (personal property)
Replacement housing to a renter
11. FEMAs basis for recoupment 2 of 2 Failure to prove ownership/home was owned by another and recipient was a renter thus no replacement housing should have been awarded
12. What to do when the applicant comes into your office Interview see FEMA Recoupment screening form on www.probono.net/la.
Have applicant sign FEMA Release of Information form.
If not already done, fax a request for file on applicants behalf to FEMA.
Keep track of verifications because FEMA might lose it or fail to process it timely.
Review letter with applicant
Determine deadline for appeal.
Advise applicant of his/her rights.
Follow up with letter to confirm conversation and ask for information you need to determine if you will file the appeal or if the appeal is meritorious.
Send your request from FEMA a copy of applicant file and other evidence.
Set timeline to avoid missing the appeal deadline.
13. Scenarios WHOS AT YOUR DOOR?
14. Scenario 1: Deadline has passed Explain the possible consequences of this to the applicant.
(i.e. FEMA could reject the appeal, but we dont believe they will.)
Request a copy of the file from FEMA.
Determine the status of the situation based on the appeal timeline outlined in the letter from FEMA.
Explain all of it to applicant.
Determine what other information is needed.
If meritorious, then prepare appeal.
Include statement explaining why its beyond the deadline.
Also, see pro se letter on www.probono.net/la.
Judgment call as to whether or not to file. Appeal is already late so just file it as quickly as possible.
15. Scenario 2: The 11th hour applicant Explain the appeal process to applicant.
Advise of your procedure for handling these cases (acceptance/denials)
Advise of right to file with pro se appeal. (See www.probono.net/la)
Determine what other information is needed.
Request a copy of the file from FEMA.
Follow up interview with letter
Set timeline to deal with acceptance determination and filing of appeal.
16. Scenario 3: Applicant filed a pro se appeal Get copy of Recoupment notice sent to applicant.
Get copy of appeal, if available.
Ask applicant when it was filed.
Determine if decision been made.
Supplemental appeal.
b/c FEMA is taking up to 90 days to rule, it may be possible to supplement applicants pro se appeal if theres additional meritorious arguments to be made and/or supporting evidence to defend against the claim.
Request copy of FEMA file.
Have applicant sign declaration for release of information.
Follow up with letter to applicant.
17. Scenario 4: FEMA has issued a decision Get copy of recoupment notice.
Get copy of appeal filed by applicant.
Get copy of FEMA rejection.
Determine grounds to seek reconsideration.
Applicant sign Declaration of Release of Information.
Advise applicant of rights
Payment plan
Hardship waiver request
Compromise/suspension/termination request
Federal court appeal is available for six years (5th Circuit).
Factual issues may not get review; may need a violation of law (including due process and other procedural issues. 42 USC 5148; Dureiko v. United States, 209 F.3d 1345, 1351 (Fed. Cir. 2000); Graham v. Federal Emergency Management Agency, 149 F.3d 997, 1006 (9th Cir. 1998).
18. Scenario 5: Applicant looks ineligible Discuss applicants means of repaying the money.
Current expenses
Debt
Assets
Contact Disaster Finance Center
Request a hardship waiver.
Briefly outline why it would be a hardship to repay money.
Social security benefits protected up to $750/month
Unlikely full debt will be collected in a reasonable time
Prepare applicant for what hell need to submit to support the request. See sample packet received from FEMA.
19. The Appeal Letter
20. The Appeal Letter: Background pre-disaster
post-disaster
21. The Appeal Letter: Eligibility Defense (1 of 2) Defense based on type of assistance received and basis for claim
Duplication of benefits to Head of Household
Argue your client was head of household of one (1)
Get tax docs if available to support this
Use shared household policy if it fits
Personal property (no access to proceeds)
FEMA press release re level of flood water = amount of award
Satellite mapping results demonstrating damage to client property
Money received by other household member not shared with client
Renters: Argue uninsured if had no renters insurance
Shared households member: Argue no access to insurance proceeds received by homeowner
22. The Appeal Letter: eligibility defense (2 of 2) Insurance: underinsured; uninsured (e.g., renters)
How much can FEMA collect?
Get copies of insurance settlement to determine amount and type of coverage
Rental assistance
Describe pre-disaster living
Describe post-disaster living
Make shared household argument based on FEMA policy
Money received by other household member not shared with client
Expedited Assistance
Transitional housing assistance
Transportation
23. The Appeal Letter: other considerations Mentally disabled client
Due process / Request for live hearing
Res Judicata / Estoppel
Reserve right to supplement
Hardship waiver
Compromise/termination request
24. The Appeal Letter: what to include Declaration of client (basic testimony)
Declaration of other supporters
Copies of documentation to support position (if necessary and available)
25. Next Steps Continue to share information through our website
Invite others to join the conversation
Reconvene for followup?
What else would be helpful to support your work?