MARGARET A. NAGLE, Magistrate Judge.
Plaintiff filed a Complaint on August 4, 2011, seeking review of the denial by the Social Security Commissioner ("Commissioner") of plaintiff's application for supplemental security income benefits ("SSI"). On September 1, 2011, the parties consented to proceed before the undersigned United States Magistrate Judge pursuant to 28 U.S.C. § 636(c). The parties filed a Joint Stipulation on June 14, 2012, in which: plaintiff seeks an order reversing the Commissioner's decision and awarding benefits or, in the alternative, remanding the matter for further administrative proceedings; and defendant seeks an order affirming the Commissioner's decision or, in the alternative, remanding the matter for further administrative proceedings. The Court has taken the parties' Joint Stipulation under submission without oral argument.
On October 27, 2003, plaintiff filed an application for SSI, alleging an inability to work since January 1, 2001, due to mental illness, hearing voices, depression, and anxiety. (Administrative Record ("A.R.") 17, 86, 109.) Plaintiff has no past relevant work experience. (A.R. 23.)
Plaintiff's claim was denied initially, upon reconsideration, and, following a hearing, by Administrative Law Judge Eric Benham ("ALJ Benham") in a written decision dated November 17, 2006. (A.R. 17, 39-46.) On November 27, 2006, plaintiff filed a request for review of ALJ Benham's decision (A.R. 60), and on May 30, 2008, the Appeals Council reversed and remanded for further administrative proceedings
On July 7, 2009, a remand hearing was held before ALJ Robert S. Eisman (the "ALJ"). (A.R. 17.) On July 24, 2009, the ALJ issued an unfavorable decision. (A.R. 17-26.) On June 22, 2011, the Appeals Council denied plaintiff's request for review of that decision. (A.R. 5-8.)
In his July 2009 decision, the ALJ incorporated by reference the evaluation of evidence contained in ALJ Benham's November 2006 decision. (A.R. 17.) The ALJ found that plaintiff has not engaged in substantial gainful activity since October 27, 2003, the application date. (A.R. 19.) The ALJ further found that plaintiff suffers from the "severe" impairments of borderline intellectual functioning and depressive disorder, not otherwise specified. (Id.) He concluded that such impairments, however, did not meet or medically equal the criteria of an impairment listed in 20 C.F.R. Part 404, Subpart P, Appendix 1, the Listing of Impairments. (Id.)
The ALJ determined that plaintiff has the residual functional capacity to:
(A.R. 21.)
The ALJ determined that plaintiff has no past relevant work history, but having considered plaintiff's age, education, work experience, and residual functional capacity, and in reliance on testimony from a vocational expert, the ALJ found that jobs exist in significant numbers in the national economy that plaintiff can perform, such as a laundry worker, dining room attendant, cleaner, and ironer. (A.R. 24-25.) Accordingly, the ALJ concluded that plaintiff has not been under a disability, as defined in the Social Security Act, since October 27, 2003, through the date of the ALJ's decision. (A.R. 26.)
Under 42 U.S.C. § 405(g), this Court reviews the Commissioner's decision to determine whether it is free from legal error and supported by substantial evidence in the record as a whole.
Although this Court cannot substitute its discretion for that of the Commissioner, the Court nonetheless must review the record as a whole, "weighing both the evidence that supports and the evidence that detracts from the [Commissioner's] conclusion."
The Court will uphold the Commissioner's decision when the evidence is susceptible to more than one rational interpretation.
Plaintiff raises a single issue, i.e., that the ALJ failed to evaluate plaintiff's disability properly based on Listing 12.05C under the equivalence theory. (Joint Stipulation ("Joint Stip.") at 3.)
Conditions set forth in the Listing of Impairments ("Listings") are considered so severe that "they are
Plaintiff contends that the evidence establishes that his impairment equals the criteria of Listing 12.05C.
20 C.F.R. Part 404, Subpt. P, App. 1 § 12.05.C.
As noted above, the ALJ found that plaintiff has severe mental impairments but concluded that they did not meet or equal a Listing. The ALJ expressly based his conclusion that no Listing was satisfied on the fact that all of plaintiff's intelligence quotient (IQ) scores of record are above 70. (A.R. 21.) While it is true that plaintiff's verbal IQ score of 73, performance IQ score of 75, and full-scale IQ score of 72 preclude plaintiff from precisely meeting Listing 12.05C, the question still remains whether plaintiff's impairments equal Listing 12.05C. If plaintiff's other limitations are severe enough to impose significant work-related limitations, an equivalence determination may be made, despite plaintiff's slightly higher IQ scores than those specified in the Listing.
The ALJ wholly failed to consider whether plaintiff equals Listing 12.05C. Due to plaintiff's additional limitations, the ALJ should have undertaken the task of analyzing whether plaintiff equals Listing 12.05C.
The second requirement of Listing 12.05C is that there be a physical or mental impairment that imposes an "additional and significant work-related limitation of function." The ALJ found that plaintiff has the severe mental impairments of borderline intellectual functioning and depressive disorder, not otherwise specified. (A.R. 19.) The ALJ further found that, based on these two severe mental impairments, plaintiff has the non-exertional limitations mentioned above.
Numerous Circuits have found that an ALJ's finding of an additional impairment that is severe ipso facto satisfies the second prong of Listing 12.05C. See, e.g.,
Here, the ALJ found at least one "additional" mental impairment, to wit, plaintiff's depressive disorder, which is "severe" for Step Two purposes. By finding this impairment to be "severe," the ALJ necessarily concluded that this impairment has more "`than a minimal effect on [plaintiff's] ability to work.'"
Finally, while defendant offers several reasons to explain the determination that the requirement in the first paragraph of Listing 12.05, that the "evidence demonstrates or supports onset of the impairment before age 22," is not satisfied — including, inter alia, that plaintiff stated he was not in special education classes as a child — the Court cannot entertain these post hoc rationalizations. See, e.g.,
Accordingly, for the reasons set forth above, the ALJ's Step Three finding constitutes error. This error was not harmless, and warrants reversal.
As indicated above, the Court has found that reversible error occurred. Because outstanding issues must be resolved before a determination of disability can be made, and it is not clear from the record that the ALJ would be required to find the claimant disabled if all the evidence were properly evaluated, remand is appropriate.
Accordingly, for the reasons stated above, the Commissioner's decision is REVERSED, and this case is REMANDED for further proceedings consistent with the Memorandum Opinion and Order.
IT IS FURTHER ORDERED that the Clerk of the Court shall serve copies of this Memorandum Opinion and Order and the Judgment on counsel for plaintiff and for defendant.
POMS DI 24515.06(D)(1)(c).