ALLISON CLAIRE, Magistrate Judge.
This social security action was submitted to the court without oral argument for ruling on plaintiff's motion for summary judgment and defendant's cross-motion for summary judgment.
Plaintiff challenges the March 1, 2013 decision of the ALJ not to reopen a prior claim. (Transcript ("Tr.") at 13-15 (Decision of ALJ.); Pl.'s MSJ (ECF No. 24) at 3.
On August 16, 2006, plaintiff first filed applications for Disability Insurance Benefits ("DIB") under Title II of the Social Security Act ("the Act") and for Supplemental Security Income ("SSI") under Title XVI of the Act, alleging disability beginning on July 8, 2006. (
Plaintiff filed new applications for DIB and SSI on August 11, 2009, alleging disability beginning on June 1, 2008. (
On January 12, 2012, plaintiff requested reconsideration of a "not closed out claim" purportedly made in June of 1997. (
On March 1, 2013, the ALJ issued a decision finding that plaintiff had not filed an application for disability benefits in 1997 or at any time prior to the applications she filed on August 16, 2006. (
"The district court reviews the Commissioner's final decision for substantial evidence, and the Commissioner's decision will be disturbed only if it is not supported by substantial evidence or is based on legal error."
"[A] reviewing court must consider the entire record as a whole and may not affirm simply by isolating a `specific quantum of supporting evidence.'"
Plaintiff seeks remand for a finding of disability prior to December 31, 2005, her date last inured. In her pending motion, plaintiff claims that the ALJ erred in two ways: (1) by failing to adjudicate, or improperly rejecting, plaintiff's claim that she was misinformed in 2006 about her eligibility for benefits; and (2) by rejecting plaintiff's claim that she is entitled to an earlier protective filing date of June 1997, based on her hospitalization at that time.
The court has struggled to understand plaintiff's presentation of this issue. Plaintiff asserts that the ALJ improperly failed to adjudicate her "20 C.F.R. § 404.633 misinformation claim," and describes that misinformation claim as a "request for reopening. . . based on 20 C.F.R. § 404.633 (agency misinformed applicant of rights)." (Pl.'s MSJ (ECF No. 24) at 3.) The cited regulation, 20 C.F.R. § 404.633, provides for a deemed earlier filing date under certain circumstances involving the provision of misinformation by the agency to a potential claimant. The regulation does not, however, provide for reopening of claims on that basis. Accordingly, the ALJ cannot have erred in failing to adjudicate a putative request for reopening on grounds of misinformation. The record does not reflect that plaintiff presented the ALJ with a coherent claim that she was entitled to a deemed earlier filing date on the basis of misinformation.
Plaintiff contends here that the August 21, 2006 denial of her August 16, 2006 Title II DIB application "misinformed" plaintiff about her benefit eligibility by stating that "she had not worked enough quarters to qualify for benefits." (Pl.'s MSJ (ECF No. 24) at 4.) According to plaintiff, this "advisement was erroneous and did not inform [plaintiff] of her date last insured." (
In order to qualify for DIB, a claimant must be "insured for disability insurance benefits," and establish that she became disabled on or before the expiration of her insured status, i.e., on or before her date last insured.
A claimant may be granted a deemed earlier filing date if she was provided misinformation by a Social Security Agency ("Agency") employee. 42 U.S.C. § 402(j) (5). In this regard, § 402(j)(5) provides:
"Misinformation is information which the [Agency] considers to be incorrect, misleading, or incomplete in the view of the facts which the [applicant] gave to the employee, or of which the employee was aware or should have been aware, regarding [the applicant's] particular circumstances . . . ." 20 C.F.R. § 404.633(c)(2);
Here, contrary to plaintiff's assertion, the August 21, 2006 denial did inform plaintiff of her date last insured. The second page of the denial stated as follows:
(Tr. at 95.)
However, it does appear that the August 16, 2006 denial incorrectly stated that plaintiff did not have sufficient work credits. (
The Agency, however, did not omit material information. The Agency instead included erroneous information (that plaintiff did not have sufficient work credits) along with accurate information (that plaintiff's date last insured was December 2005) in denying plaintiff's August 16, 2006 application. Moreover, plaintiff fails to explain how the application of the misinformation provision would entitle her to a filing deadline prior to her August 16, 2006 application.
Section 402(j)(5) provides that in the case of misinformation, the plaintiff is entitled to have a subsequent application deemed to have been filed on "the later of" the date on which the misinformation was provided or the date the individual met all of the requirements for entitlement to benefits. Here, plaintiff was allegedly provided misinformation on August 21, 2006, which was after her date last insured.
As noted above, plaintiff contends that she would have applied for benefits alleging a disability onset date prior to December 31, 2005, if not for the Agency's error. Specifically, plaintiff argues that the Agency should have aided plaintiff in correcting this error by telling plaintiff when to allege onset of disability. Plaintiff asserts that "[i]t would have been simple enough for the Agency claims person" to inform plaintiff that "in order to obtain a Title II disability determination," plaintiff "needed to amend her onset date prior to 12/31/2005 (likely as far back as January 2004)." (Pl.'s MSJ (ECF No. 24) at 6-7.)
Plaintiff's argument ignores the fact that the alleged misinformation at issue had nothing to do with plaintiff's date of alleged onset of disability—that date was chosen by plaintiff. Plaintiff's argument also ignores the possibility that plaintiff could not allege disability prior to December 31, 2005, because plaintiff was not disabled prior to December 31, 2005—a proposition supported by the fact that plaintiff twice applied for disability benefits and twice alleged that she became disabled after December 31, 2005.
Moreover, implicit in the Agency's notice to plaintiff that her date last insured was December of 2005, is that plaintiff's alleged onset of disability date must have been prior to December 31, 2005. Plaintiff cites no authority for the proposition that the Agency should have explicitly advised plaintiff to amend her onset of disability date to a date prior to December 31, 2005.
Plaintiff also argues that her situation is "materially indistinguishable" from that of the successful plaintiff in
Accordingly, for the reasons stated above, the court finds that plaintiff is not entitled to relief with respect to this claim.
Again, the court has struggled to understand plaintiff's presentation of issues. This action seeks review of an ALJ decision on the question whether any documentation from plaintiff's June 1997 hospitalization should be considered an unadjudicated application for benefits. (Tr. at 14 (Decision of ALJ), 109 (Request for Reconsideration dated January 12, 2012, presenting issue). Yet plaintiff's motion argues first that her hospitalizations on August 5, 2009, and September 1, 2009 "should be deemed an application for benefits" and that this matter should be remanded "for hearing as to whether she was disabled prior to her date last insured." (Pl.'s MSJ (ECF No. 24.) at 7-8.) No such claim was before the ALJ. (
The court now turns to the matter that was actually presented to and adjudicated by the ALJ. Plaintiff argues that she protectively filed an application for benefits during a 1997 hospitalization, and that the ALJ erred by requiring plaintiff to demonstrate an intent to apply for benefits as well as contemporaneous receipt of the 1997 application by the Agency. (Pl.'s MSJ (ECF No. 24) at 8.) The ALJ found, however, that "there is no evidence that an application for benefits was filed or received . . . in 1997," and that "there is no record of any application [by plaintiff] until almost ten years later, on August 16, 2006[.]" (Tr. at 14.) Plaintiff's briefing fails to put forth any evidence that would call into question the ALJ's finding.
Accordingly, the court finds that plaintiff is not entitled to relief with respect to this claim.
The court has found that plaintiff is not entitled to summary judgment in her favor with respect to any of her claims.
Accordingly, IT IS HEREBY ORDERED that: