ROY PERCY, Magistrate Judge.
Plaintiff Johnny Nance, under 42 U.S.C. § 405(g), seeks judicial review of the decision of the Commissioner of Social Security denying his application for supplemental security income (SSI) payments under Section 1614(a)(3) of the Act. Plaintiff protectively filed an application for benefits on December 16, 2011, alleging disability beginning on April 1, 2011. His claim was denied initially on March 29, 2012, and upon reconsideration on May 22, 2012. He filed a request for hearing and was represented by counsel at the hearing held on January 17, 2014. The Administrative Law Judge (ALJ) issued an unfavorable decision on March 27, 2014, and on February 18, 2016 the Appeals Council denied plaintiff's request for a review. Plaintiff timely filed the instant appeal from the ALJ's most recent decision, and it is now ripe for review.
Because both parties have consented to have a magistrate judge conduct all the proceedings in this case as provided in 28 U.S.C. § 636(c), the undersigned has the authority to issue this opinion and the accompanying final judgment. Having considered the record, the briefs and the oral arguments of counsel, the court finds this case should be remanded to the Social Security Administration.
Plaintiff was born on May 19, 1959 and was 54 years old at the time of the hearing. He has a high school education and has past relevant work as a grave digger and construction worker. Plaintiff contends that he became disabled before his application for benefits due to "nerve damage, right foot condition, skull fracture, . . . [left] foot condition, excessive swelling of leg, depression, anxiety." Docket 13 at 138.
The ALJ determined plaintiff suffered from "severe" impairments including status post gunshot wound to right lower leg/ankle area, insertional tendonitis in the Achilles tendon, and depression, but the ALJ found these impairments did not meet or equal a listed impairment in 20 C.F.R. Part 404, Subpart P, App. 1 (20 CFR 416.920(d), 416.925 and 416.926). Based upon testimony by the vocational expert [VE] at the hearing and considering the record as a whole, the ALJ determined that plaintiff retains the Residual Functional Capacity (RFC) to
Docket 13 at 15. Upon further analysis under applicable rulings and regulations, the ALJ found plaintiff to be less than fully credible in that the intensity, persistence and limiting effects he claimed due to his symptoms were "not entirely credible." After evaluating all of the evidence in the record, including testimony of the VE, the ALJ held that plaintiff could perform jobs that exist in the national economy such as a small products assembler, cashier II and wiper. Docket 13 at 19. As a result, the ALJ concluded that plaintiff is not disabled under the Social Security Act. Id.
On appeal, plaintiff contends the ALJ erred in mechanically applying the Medical-Vocational Guidelines.
In determining disability, the Commissioner, through the ALJ, works through a five-step sequential evaluation process.
The court considers on appeal whether the Commissioner's final decision is supported by substantial evidence and whether the Commissioner used the correct legal standard. Crowley v. Apfel, 197 F.3d 194, 196 (5
Nance claims the ALJ erred when he mechanically applied the Medical-Vocational guidelines, commonly called the grids, and did not consider plaintiff's borderline age situation. This court addressed such an issue in Horsley v. Colvin, Civil Action No. 1:12CV273,-DAS, 2014 WL 1213467 (N.D. Miss. 2014), in which opinion the court set forth the framework for addressing the issue in a manner which the undersigned finds most instructive and as such restates and uses it here.
The guidelines are used when a claimant is found to be unable to return to past relevant work. These rules assist the Social Security Administration with its burden at Step Five to show whether a claimant is capable of significant gainful activity, without the necessity of individualized, expert vocational testimony. Where a claimant's RFC and other vocational factors fall precisely within one of the grids, the rules will dictate either a finding of "disabled" or "not disabled."
The Social Security Administration through its regulations has recognized the adverse vocational impact of advancing age, and the grids reflect this determination. In fact, the age of a claimant may be determinative of the outcome of an application for disability. An older worker may be deemed "disabled" by the grids, where a younger worker, with an otherwise identical vocational profile may be deemed "not disabled." Based on this reality, the Social Security Administration has, by regulation, mandated that the age categories in the guidelines shall not be mechanically applied in borderline situations. 20 C.F.R § 404.1563(a). The regulation provides:
Id.
The Hallex, the Social Security Administration, Office of Hearings, Appeals and Litigation Law Manual, § II-5-3-2 is instructive. It provides guidance both in identifying borderline situations and in applying the grids in these cases. The Hallex provides an adjudicator should apply a two-part test for identifying borderline age situations. An adjudicator should determine if the claimant's age is within a few days or a few months of the next highest age category, and if so, should then determine whether using the next higher age category results in a decision of "disabled," instead of "not disabled."
In this case, plaintiff was 54 days short of his 55th birthday on the date of the ALJ's decision. This time period is within the range that is considered borderline. Cox v. Apfel, 166 F.3d 346 (6th Cir. 1998)(unpublished decision), Turner v. Astrue, 2011 WL 2783832 (S.D. Ohio July 11, 2011).
The defendant concedes that plaintiff also meets the second part of the Hallex test. If plaintiff had been considered in the next highest age group, Medical-Vocational Rule 202.06 would have been applied. Under this rule, because plaintiff is limited to light work, has a high school education, past skilled or semi-skilled work experience, but no transferable skills, he would have been deemed disabled.
Finally, plaintiff acknowledges that merely showing he was within a few months of achieving "advanced age," does not automatically move him into the "advanced" category. Rather, the Social Security Administration has considerable discretion as to whether it should advance a claimant to the next age group or decide his case based on his chronological age. In other words, while the Administration may not mechanically apply the age categories to the detriment of an individual, an applicant is likewise not entitled to a mechanically favorable application of the age groupings.
Instead, the Hallex requires that when the Administration looks to decide whether it should apply the higher age category or the chronological age, the adjudicator shall look to see if there are "additional vocational adversities." Hallex, § II-5-3-2. Additional vocational adversities require "the presence of an additional impairment(s) which infringes upon- without substantially narrowing- a claimant's remaining vocational base." Id. The Hallex lists the following as examples of additional vocational adversities: being barely literate in English; having limited ability to communicate in English; and having a work history limited to unskilled work in an "isolated industry or work setting." The Hallex suggests treating additional adversities as a prerequisite to applying the next higher age category.
Plaintiff notes multiple additional vocational adversities included in the ALJ's RFC, specifically a limitation to performance of only simple tasks that only occasionally require driving, only occasional postural maneuvers, and no exposure to heights or other workplace dangers. However, the finding of such adversities does not mandate using the higher age range. Rather the Hallex provides for a sliding scale approach. The more closely the claimant's chronological age to the next higher age category, the less additional vocational adversity is needed to trigger use of the higher age. As the difference between the chronological age and the next age category increases, increasing additional vocational adversity must be shown or the chronological age will be applied.
Plaintiff argues that the decision shows a mechanical application of the medical vocational guidelines as the ALJ did not discuss or even acknowledge the borderline age situation. Varley v. Secretary of Health & Human Services, 820 F.2d 777, 780 (6
The ALJ found that plaintiff had the residual functional capacity to perform a less than full range of light work. Docket 13 at 19. The ALJ's decision, in pertinent part found: "The claimant was born on May 19, 1959 and was 52 years old, which is defined as an individual closely approaching advanced age, on the date the application was filed (20 C.F.R. 416.963)." Id. at 18. After considering his age, education and work experience, the ALJ found that based upon plaintiff's RFC for the less than full range of light work, he would be deemed not disabled under Medical-Vocational Rule 202.14.
The court is aware of authority that ALJs need not always specifically detail their consideration and rationale for a borderline age determination, Bowie v. Comm'r of Soc. Sec., 539 F.3d 395, 399 (6
The only clear indication in the decision that the ALJ considered plaintiff's age at all is the statement that "claimant was born on May 19, 1959 and was 52 years old, which is defined as an individual closely approaching advanced age, on the date the application was filed." Docket 13 at 18. While that is appropriate for the purpose of assessing his disability, vel non, at the age of fifty-two, it was not the only age the ALJ was required to consider. Adjudicators are required to use "the age categories that apply to you during the period for which we must determine if you are disabled." 20 C.F.R. § 404.1563 (b). While Plaintiff's chronological age remained in the "closely approaching advanced age" category through the date of the ALJ's decision, he aged from the mid-point of "approaching advanced age" into the "borderline range" during the pendency of his application. This regulation therefore requires consideration of the plaintiff's age at the later date as well.
Furthermore, case law dictates that the age to be applied in making a grid determination is the age at the time of the decision- not at the alleged date for onset of disability or the date of application. Walhood v. Sec. of Health & Human Services, 875 F.Supp. 1278 (E.D. Tex. 1995). The relevant inquiry is whether the claimant has the ability to engage in substantial gainful activity. The fact that the claimant is unable to engage in substantial gainful activity at the time of the decision, but may have been able to do so in the past, goes to the question of the onset date, not the question of disability. Rikard, 2009 WL 735210 at *3 (citing Varley, 820 F.2d at 780). Because plaintiff has "other vocational adversities" that might warrant placement in the advanced age category, the error cannot be said to be harmless. At a minimum, the ALJ has failed to provide sufficient information to allow meaningful review of the decision. 42 U.S.C. § 405 (g). In this case, there is an "evidentiary chasm" regarding whether, or how, the ALJ may have considered plaintiff's borderline age. This court finds this "chasm should not be bridged in the name of expediency." Walhood, 875 F. Supp. at 1284.
The court also rejects the Commissioner's argument that the testimony of the vocational expert can save the decision. Vocational experts are tasked with determining if there are jobs available within the national economy that can be performed within a claimant's assigned RFC. This testimony does not consider the vocational impact of advancing age. The Medical-Vocational guidelines, to the contrary, incorporate this age factor. Thus, if Nance is considered as being of advanced age, he has reached the point where Social Security regulations recognize that "age significantly affects a person's ability to do substantial gainful activity." 20 C.F.R. § 404.1563. This determination dictated by the Medical-Vocational rules is conclusive. 20 C.F.R. § 404.1569.
Because the ALJ did not acknowledge or discuss plaintiff's borderline age situation and instead applied the Medical-Vocational Rules mechanically, his decision was not supported by substantial evidence. This case is remanded for consideration of plaintiff's borderline age, including the rationale for the decision.
The Commissioner's denial of benefits will be reversed and the case remanded for additional review in accordance with this opinion. A final judgment in accordance with this memorandum opinion will issue this day.
SO ORDERED.