JOHN E. McDERMOTT, Magistrate Judge.
On March 22, 2016, David Joel Orenstein ("Plaintiff" or "Claimant") filed a complaint seeking review of the decision by the Commissioner of Social Security ("Commissioner") denying Plaintiff's application for Social Security Disability Insurance benefits. The Commissioner filed an Answer on July 13, 2016. On February 28, 2017, the parties filed a Joint Stipulation ("JS"). The matter is now ready for decision.
Pursuant to 28 U.S.C. § 636(c), both parties consented to proceed before this Magistrate Judge. After reviewing the pleadings, transcripts, and administrative record ("AR"), the Court concludes that the Commissioner's decision must be reversed and this case remanded for further proceedings in accordance with this Memorandum Opinion and Order and with law.
Plaintiff is a 54-year-old male who applied for Social Security Disability Insurance benefits on October 3, 2012, alleging disability beginning November 1, 2010.
Plaintiff filed a previous application that was finally denied in July 2008 (AR 32), and the Administrative Law Judge ("ALJ") found no material change in status from the alleged onset date through the present. (AR 33.) Plaintiff filed a timely request for hearing, which was held before ALJ Evelyn M. Gunn on January 24, 2014, in West Los Angeles, California. (AR 32.) Plaintiff appeared and testified at the hearing and was represented by counsel. (AR 32.) Susan Bendavid Klaparda also testified on the Claimant's behalf. (AR 32.) Medical expert ("ME") Lynne Jahnke, M.D., testified (by telephone) and vocational expert ("VE") Gregory Jones also testified at the hearing. (AR 32.)
The ALJ issued an unfavorable decision on March 25, 2014. (AR 32-42.) The Appeals Council denied review on January 27, 2016. (AR 1-3.)
As reflected in the Joint Stipulation, Plaintiff raises the following disputed issues as grounds for reversal and remand:
Under 42 U.S.C. § 405(g), this Court reviews the ALJ's decision to determine whether the ALJ's findings are supported by substantial evidence and free of legal error.
Substantial evidence means "`more than a mere scintilla,' but less than a preponderance."
This Court must review the record as a whole and consider adverse as well as supporting evidence.
The Social Security Act defines disability as the "inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or . . . can be expected to last for a continuous period of not less than 12 months." 42 U.S.C. §§ 423(d)(1)(A), 1382c(a)(3)(A). The Commissioner has established a five-step sequential process to determine whether a claimant is disabled. 20 C.F.R. §§ 404.1520, 416.920.
The first step is to determine whether the claimant is presently engaging in substantial gainful activity.
If the claimant cannot perform his or her past relevant work or has no past relevant work, the ALJ proceeds to the fifth step and must determine whether the impairment prevents the claimant from performing any other substantial gainful activity.
In this case, the ALJ determined at step one of the sequential process that Plaintiff has not engaged in substantial gainful activity since November 1, 2010. (AR 33, 41.)
At step two, the ALJ determined that Plaintiff has the following medically determinable severe impairments: bilateral sensorineural hearing loss, deficits in visual acuity, affective mood disorder, and anxiety disorder. (AR 33, 41.)
At step three, the ALJ determined that Plaintiff does not have an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments. (AR 33, 41.)
The ALJ then found that Plaintiff has the RFC to perform at all exertional levels with the following limitations:
(AR 34, 41.) In determining the above RFC, the ALJ made an adverse credibility determination. (AR 34.)
At step four, the ALJ found that Plaintiff is unable to perform any past relevant work. (AR 40, 41.) The ALJ, however, also found that, considering Claimant's age, education, work experience, and RFC, there are jobs that exist in significant numbers in the national economy that Claimant can perform, including the jobs of routing clerk, information clerk, and sales attendant. (AR 40, 41.)
Consequently, the ALJ found that Claimant was not disabled, within the meaning of the Social Security Act. (AR 41.)
Plaintiff contends that the ALJ decision should be reversed and remanded because the Appeals Council failed to review and incorporate into the record new evidence presented for the first time to the Appeals Council. The Court agrees.
The new evidence submitted after the March 25, 2014 ALJ decision was a Functional Capacity Evaluation ("Evaluation") prepared by Jeff Bruno, a licensed occupational therapist, vocational counselor, and certified functional capacity evaluator. Plaintiff contends that the Evaluation would support a finding of disability. Plaintiff indicates that Bruno's Evaluation was submitted to the Appeals Council electronically on March 12, 2015. Bruno's Evaluation was not referenced by the Appeals Council in its January 27, 2016 denial of review. (AR 17.) Nor was it incorporated into the Certified Administrative Record. The Commissioner questions whether the Evaluation was ever submitted to the Appeals Council, indicating that its receipt was not documented by the Appeals Council. The transmission receipt, however, shows that the Evaluation was received by the Appeals Council and Social Security Administration. The Court finds that Plaintiff did indeed transmit the Evaluation on March 12, 2015. It was not considered by the Appeals Council or made part of the record.
This Court has no jurisdiction to review the decision of the Appeals Council denying review.
(Emphasis added);
Plaintiff contends that the Evaluation is material because it addresses the same limitations in visual, auditory and mental functioning that Plaintiff alleges in his claim. The Commissioner, however, contends that the Appeals Council was not obliged to consider evidence that was from a time after the ALJ's decision and thus not material. Any error in not considering or incorporating Bruno's Evaluation into the record is harmless, says the Commissioner.
Plaintiff responds to the Commissioner's argument by citing case law that medical reports containing observations made
The Court is not deciding whether the Evaluation is material. The issue is sufficiently disputed that the ALJ should consider the matter on remand. This is not a case where the Appeals Council considered new evidence and made it part of the record, and then denied the request for review after considering all the evidence. This is a case like
Again, the Court is not deciding whether the evaluation is material or, even if it is, that it would require a finding of disability. The Court is remanding the case to the ALJ to determine the materiality, relevance and impact on the disability determination of the Evaluation.
IT IS HEREBY ORDERED that Judgment be entered reversing the decision of the Commissioner of Social Security and remanding this case for further proceedings in accordance with this Memorandum Opinion and Order and with law.