DONNA F. MARTINEZ, Magistrate Judge.
Plaintiff, Delisa McLellan, seeks judicial review of a partially favorable decision by an Administrative Law Judge ("ALJ") granting plaintiff's application for social security income ("SSI") but denying her application for disability insurance benefits ("DIB").
The standards for determining an individual's entitlement to DIB, the Commissioner's five-step framework for evaluating disability claims, and the district court's review of the final decision of the Commissioner are well-settled. I am following those standards, but do not repeat them here.
Plaintiff makes five arguments. She contends that the ALJ erred by (a) failing to give controlling weight to the opinion of her treating physician, Dr. Vincent Carlesi; (b) failing to meet his burden of proof that plaintiff retained the RFC to perform light work until October 1, 2010; (c) failing to apply the requirements of Social Security Ruling ("SSR") 83-20; (d) failing to disclose new evidence obtained after the hearing to either plaintiff or her attorney; and (e) failing to properly explain his credibility determination.
Plaintiff first argues that the ALJ erred by rejecting the opinion of her treating physician, Dr. Carlesi.
Under the treating physician rule, a treating physician's opinion is accorded controlling weight when that opinion is "well-supported by medically acceptable clinical and laboratory diagnostic techniques and is not inconsistent with the other substantial evidence in [the] record." 20 C.F.R. § 404.1527(c)(2);
Plaintiff contends that the ALJ erred by rejecting Dr. Carlesi's "multiple statements of disability and descriptions of his examinations that showed persistent severe low back and leg pain, cervical spine pain, and antalgic gait," and by "ignor[ing] all of Dr. Carlesi's statements of disability between January 24, 2005 and May 16, 2007." (Doc. #21-1, Pl. Memo of Law, pp. 19-20.) Plaintiff also argues that the ALJ was required, but failed to consider the factors enumerated in 20 C.F.R. § 404.1527(c)(2)
The ALJ gave "significant weight" to Dr. Carlesi's opinion, with the exception of his "notations" that plaintiff is "disabled" or "totally disabled," to which he assigned no special significance. He explained:
(R. 21.)
The ALJ correctly concluded that Dr. Carlesi's notations that plaintiff is disabled are not medical opinions.
Because Dr. Carlesi's notations that plaintiff is "disabled" or "totally disabled" concern an issue reserved to the Commissioner and are not medical opinions, the ALJ properly determined that they are not entitled to any special significance, nor was he required to apply the factors set forth in 20 C.F.R. § 404.1527(c) when reaching his decision.
Plaintiff next argues that the ALJ had no basis for his RFC determination. The initial burden of establishing disability is on the claimant.
Three non-examining state-agency physicians opined that plaintiff was capable of performing light work.
(R. 22.)
"[T]he court must decide whether the [RFC] determination is supported by substantial evidence . . . . Substantial evidence is evidence that a reasonable mind would accept as adequate to support a conclusion; it is more than a `mere scintilla.' . . . The substantial evidence rule also applies to inferences and conclusions that are drawn from findings of fact . . . . The court may not decide facts, reweigh evidence or substitute its judgment for that of the Commissioner."
Plaintiff next argues that because this is a case where the ALJ had to infer plaintiff's onset date from the evidence of record, SSR 83-20 required the ALJ to employ a medical advisor to determine the onset date. Plaintiff submits that a new hearing is required at which orthopedic and neurosurgical medical advisors must review the record and guide the ALJ's inference.
SSR 83-20 provides:
SSR 83-20, 1983 WL 31249, at *3 (1983).
"Where . . . the record is ambiguous regarding the onset date of a claimant's disability, the ALJ must call on a medical advisor to assist in inferring a date."
Here, the record was not ambiguous as to plaintiff's onset date and thus, the ALJ was not required to call upon the services of a medical advisor. The ALJ found that plaintiff became disabled in October 2010. This was not an arbitrary date. The ALJ discussed the specific evidence that supports his decision as follows:
(R. 21).
The record supports the ALJ's finding that plaintiff's right shoulder condition became disabling in October 2010 and thus, there was no need for a medical advisor to assist the ALJ in determining plaintiff's disability onset date.
Plaintiff next argues that her due process rights were violated because she was not permitted to confront new evidence submitted after the hearing, upon which the ALJ relied. Plaintiff maintains that there was no mention at the hearing of Exhibit 12F, which was included in the record before this court.
Plaintiff lastly argues that the ALJ erred by not providing any reasons for his credibility finding. The ALJ's credibility determination begins with the following boilerplate language found in many ALJ decisions:
(R. 19.)
Plaintiff contends that the ALJ erred by making only this conclusory boilerplate statement without providing any specific reasons for his credibility assessment. The boilerplate language is permissible here because it does not stand alone. Rather, it is followed by a detailed, six-paragraph explanation of the evidence the ALJ considered when making his credibility finding.
For these reasons, plaintiff's motion to reverse the decision of the Commissioner (doc. #21) is DENIED and defendant's motion to affirm the decision of the Commissioner (doc. #27) is GRANTED.
This is not a recommended ruling. The consent of the parties allows this magistrate judge to direct the entry of a judgment of the district court in accordance with the Federal Rules of Civil Procedure. Appeals can be made directly to the appropriate United States Court of Appeals from this judgment.
SO ORDERED at Hartford, Connecticut this 3rd day of August, 2016.
The ALJ found at step one that plaintiff had no substantial gainful employment since her alleged onset date. (R. 17.) At step two, the ALJ found that plaintiff has the following severe impairments: cervical degenerative disc disease (with radiculopathy); lumbar degenerative disc disease (with radiculopathy); and asthma. (R. 17.) He found at step three that plaintiff's conditions did not meet or medically equal a listed impairment. (R. 18.) He determined that prior to October 1, 2010, the date he found to be the onset of plaintiff's disability, she retained the residual functional capacity ("RFC") to perform light work, except that she was limited to occasional bending, stooping, twisting, squatting, kneeling, crawling, climbing, and balancing and had to work in an environment free from dust, fumes, gases, odors, humidity, wetness, temperature extremes, and poor ventilation. (R. 18.) At step four, the ALJ determined that plaintiff is unable to perform her past relevant work. (R. 24.) At step five, considering plaintiff's age, education, work experience, and RFC, the ALJ found that jobs exist in significant numbers in the national economy that plaintiff could perform. (R. 24.) He thus concluded that plaintiff was not disabled prior to October 1, 2010. (R. 25.)
The ALJ went on to find that as of October 1, 2010, plaintiff had the additional severe impairment of right shoulder bursitis and that her RFC decreased from light to sedentary work, with the additional limitation of not using her right dominant upper extremity for lifting, grasping, reaching, handling, fingering, or pushing/pulling. (R. 23.) The ALJ found that this reduced RFC precluded plaintiff's performance of her past relevant work or any other work. (R. 25.) He therefore found plaintiff disabled from October 1, 2010 through the date of his decision. (R. 25.) The ALJ issued a partially favorable ruling, awarding plaintiff SSI, but finding her ineligible for DIB because she did not become disabled until after her date last insured of December 31, 2008. Plaintiff appealed the ALJ's decision to the Appeals Council, which denied her request for review on September 27, 2012. (R. 6.)