CATHERINE C. EAGLES, District Judge.
Plaintiff Kenneth Campbell brought this action to obtain judicial review of a final decision of the Commissioner of Social Security denying his claim for Disability Insurance Benefits under Title II of the Act. The parties have filed cross-motions for judgment, and the administrative record has been certified to the Court for review.
Mr. Campbell filed his application for Disability Insurance Benefits on June 3, 2011, alleging a disability onset date of May 11, 2005. (Tr. at 169-70.)
Federal law "authorizes judicial review of the Social Security Commissioner's denial of social security benefits." Hines v. Barnhart, 453 F.3d 559, 561 (4th Cir. 2006). "[T]he scope of [the court's] review of [such an administrative] decision . . . is extremely limited." Frady v. Harris, 646 F.2d 143, 144 (4th Cir. 1981). A reviewing court must uphold the factual findings of the ALJ underlying the denial of benefits if they are "supported by substantial evidence" and "were reached through application of the correct legal standard." Hancock v. Astrue, 667 F.3d 470, 472 (4th Cir. 2012) (internal citations omitted.)
The issue "is not whether [the claimant] is disabled, but whether the ALJ's finding that [the claimant] is not disabled is supported by substantial evidence and was reached based upon a correct application of the relevant law." Craig v. Chater, 76 F.3d 585, 589 (4th Cir. 1996). In making this determination, the court must consider whether the ALJ analyzed all of the relevant evidence and sufficiently explained the findings and rationale for crediting or discrediting probative evidence. See Sterling Smokeless Coal Co. v. Akers, 131 F.3d 438, 439-40 (4th Cir. 1997); Woody v. Barnhart, No. 6:05 CV 00045, 2006 WL 2349939, at *2 (W.D. Va. Aug. 14, 2006) (Recommendation of then-Magistrate Judge Urbanski), adopted in full, December 15, 2006 (Hon. Norman K. Moon.)
The ALJ here followed the well-established five-step process to evaluate disability claims. See Hancock, 667 F.3d at 472.
At step five, the ALJ first evaluated whether the Medical-Vocational Guidelines — the "grids" — governed.
Mr. Campbell now argues that the ALJ erred at step five by failing to consider his borderline age situation. Specifically, he contends that because he was very close to the next age group of "advanced age," the ALJ was required to evaluate whether it was more appropriate to place Mr. Campbell in the "advanced age" category of the grids, and that the ALJ's failure to do so requires remand for reconsideration. The Commissioner contends that the ALJ was not required to explicitly reference the borderline age issue or to explain the analysis in his opinion.
At step five of the sequential analysis, the Commissioner, rather than the plaintiff, carries the "evidentiary burden of proving that [the claimant] remains able to work other jobs available in the community." Hines, 453 F.3d at 567; 20 C.F.R. § 404.1520(a)(4)(v). When a claimant's qualifications correspond to the job requirements identified by a particular rule within the grids, the grids direct a conclusion as to whether work exists that the claimant could perform. Heckler v. Campbell, 461 U.S. 458, 462 (1983); see also Hammond v. Heckler, 765 F.2d 424, 425-26 (4th Cir. 1985). However, if a claimant's RFC includes limitations beyond those contemplated in the grids, the grids are not dispositive. Although the grids still provide a framework for decisions in such cases, Wilson v. Heckler, 743 F.2d 218, 222 (4th Cir. 1984), testimony from a vocational expert is required for the Commissioner to meet the step five evidentiary burden. McLain v. Schweiker, 715 F.2d 866, 870 n.1 (4th Cir. 1983).
The grids consist of a matrix of four factors identified by Congress — physical ability, age, education, and work experience — and set forth rules that identify whether jobs requiring specific combinations of these factors exist in significant numbers in the national economy. Heckler v. Campbell, 461 U.S. at 461-62. As to age, there are four categories: (1) closely approaching retirement age (60-64); (2) advanced age (55-59); (3) closely approaching advanced age (50-54); and (4) younger individual (18-49). 20 C.F.R. § 404.1563. Under the regulations, age is considered as a factor affecting the ability to make a vocational adjustment to other work in the economy; for claimants "closely approaching advanced age" (age 50-54), age, along with a severe impairment(s) and limited work experience, "may seriously affect [the] ability to adjust" to other work, and for claimants of "advanced age" (55 and over), age "significantly affects a person's ability to adjust to other work." 20 CFR § 404.1563(d)-(e).
The regulations specifically require that factfinders must "not apply the age categories mechanically in a borderline situation." 20 C.F.R. § 404.1563(b). Instead, if a claimant is "within a few days to a few months of reaching an older age category, and using the older age category would result in a determination or decision that [the claimant is] disabled, [the ALJ] will consider whether to use the older age category after evaluating the overall impact of all the factors of [the claimant's] case." 20 C.F.R. § 404.1563(b); see generally, Hofler v. Astrue, No. 4:11cv172, 2013 WL 442118, at *6 (E.D. Va. Jan. 9, 2013) (Recommendation of Magistrate Judge Miller), adopted in full, 2013 WL 442880 (E.D. Va. Feb 5, 2013).
Here, Mr. Campbell was 54 years old as of December 31, 2011, the date he was last insured. (Tr. at 18, 25.) He turned 55 on June 20, 2012, not quite six months later.
Internal guidance within the Social Security Administration is inconsistent and ambiguous on this point. See Ash v. Colvin, No. 2:13-CV-47, 2014 WL 1806771, at *7 (N.D. W. Va. May 7, 2014)(adopting Recommendation); Hofler, 2013 WL 442118, at *7-8. However, significant authority, including a plain reading of the regulations themselves, supports a requirement for explicit consideration of borderline age situations. As noted supra, ALJs are required to apply the age categories in a non-mechanical manner, Gory v. Schweiker, 712 F.2d 929, 930-31 (4th Cir. 1983), as well as to "consider whether to use the older age category after evaluating the overall impact of all the factors of [the claimant's] case," 20 C.F.R. § 404.1563(b). A failure to explain this consideration in a case where it potentially applies and is potentially determinative in favor of the claimant makes the ALJ's decision virtually unreviewable. Mascio v. Colvin, 780 F.3d 632, 636 (4th Cir. 2015) (noting in a different context that a failure to assess a disputed issue "frustrate[s] meaningful review.") This is particularly problematic because the burden of proof is on the Commissioner at step five.
Significant case law supports Mr. Campbell's position that the ALJ is required to explain when the decision is made not to "round up" in a borderline age situation. The Eighth and Tenth Circuits have found insufficient evidence exists to support the ALJ's opinion where the ALJ failed to make express findings about the age category determination in borderline cases. Phillips v. Astrue, 671 F.3d 699, 707 (8th Cir. 2012); Daniels v. Apfel, 154 F.3d 1129, 1136 (10th Cir. 1998).
The Commissioner acknowledges the above-cited cases, but contends that the Fourth Circuit is "unlikely to impose" a requirement that the borderline age analysis be explicit, citing Meyer v. Astrue, 662 F.3d 700, 707 (4th Cir. 2011). In that case, the regulations required that the Appeals Council consider new evidence, but did not require the Council to make explicit findings about the evidence when denying review. Id. However, the Meyer decision also noted that
Id. at 705-06 (citations omitted). In light of this distinction, the Commissioner's reliance on Meyer is misplaced.
The Commissioner also argues that any error was harmless because there is nothing to indicate Mr. Campbell has vocational adversities
In a related argument, the Commissioner contends that the ALJ fully took into account any potential "additional vocational adversities" because those "adversities" were reflected in Mr. Campbell's RFC, and the VE testified that there were jobs available for someone with Mr. Campbell's RFC. (Def.'s Br. at 11.) This puts the cart before the horse; if Mr. Campbell should have been given the benefit of the "advanced age" category and his skills were not transferable, then the grids compel a finding of Disabled and the testimony of a VE is irrelevant.
Because Mr. Campbell was in a borderline age situation and the ALJ failed to indicate that he had considered whether the higher age category should apply and failed to provide any explanation for not applying the higher age category, remand is required. The Court expresses no opinion on what the result of such reconsideration should be.
IT IS THEREFORE ORDERED that the Commissioner's decision finding no disability be REVERSED, and that the matter be REMANDED to the Commissioner under sentence four of 42 U.S.C. § 405(g). The Commissioner is directed to remand the matter to the ALJ for proceedings consistent with this Order. To this extent, the defendant's Motion for Judgment on the Pleadings, [Doc. 11], is DENIED, and the plaintiff's Motion for Judgment on the Pleadings, [Doc. 7], is GRANTED. However, to the extent that the plaintiff's motion seeks an immediate award of benefits, it is DENIED.