Birdia Clayton, on Behalf of Julian Clayton v. Donna E. Shalala, Secretary of Health and Human Services

4 F.3d 996, 1993 WL 326366
Court of Appeals for the Seventh Circuit·Decided August 25, 1993·No. 92-3728·Unpublished

Opinion

4 F.3d 996

NOTICE: Seventh Circuit Rule 53(b)(2) states unpublished orders shall not be cited or used as precedent except to support a claim of res judicata, collateral estoppel or law of the case in any federal court within the circuit.
Birdia CLAYTON, on Behalf of Julian CLAYTON, Plaintiff-Appellant,
v.
Donna E. SHALALA,* Secretary of Health and Human
Services, Defendant-Appellee.

No. 92-3728.

United States Court of Appeals, Seventh Circuit.

Argued May 11, 1993.
Decided Aug. 25, 1993.

Before CUMMINGS, COFFEY and MANION, Circuit Judges.

ORDER

Birdia Ruth Clayton applied four times for Social Security benefits on behalf of her son, Julian. Each time her application was denied. The fourth time she sought judicial review of the Agency's decision. The district court determined that it lacked jurisdiction. We dismiss the appeal on the same basis.

I. Facts

On July 18, 1972, Birdia Ruth Clayton gave birth to her son, Julian. The birth record did not identify the father. In August 1981, Floyd Vaughan died in Rockford, Illinois at the age of forty-three. Birdia and Vaughan had never been married, and there were no official records indicating that Vaughan was Julian's father. But in February 1982, Birdia applied for surviving child insurance benefits under the Social Security Act, 42 U.S.C. Sec. 402(d)(1), claiming that Vaughan was Julian's father. She presented several written but unsupported statements from Vaughan's relatives, some of whom claimed to "believe" that Vaughan was Julian's father, while others denied knowledge of his paternity. The Social Security Administration denied Clayton's application for benefits in May 1982, finding the evidence of paternity to be insufficient.

The next month, Birdia requested that the Agency reconsider her application. Some of the relatives had changed their story and were willing to represent that Vaughan was Julian's father. Birdia submitted their unsworn statements to the Agency, which again was not convinced. In August 1982, the Agency denied her request for reconsideration, finding the evidence insufficient. The Agency notified Birdia that she had sixty days to appeal the decision to an administrative law judge (ALJ). She did not do so.

Almost a year later, Birdia submitted a second application. More relatives and friends were now willing to state that Vaughan was Julian's father. The Agency denied the application on alternative grounds. First, because it made the same claim as the previous application. Second, because Birdia failed to present clear and convincing evidence of Vaughan's paternity. Again, the Agency informed Birdia of her right to pursue an appeal before an administrative law judge within sixty days, and she failed to do so. She did refile for benefits on January 11, 1984, requesting a hearing. The Agency deemed that request to be an appeal of the previous decision, which an ALJ dismissed as untimely.

Birdia filed a third application in July 1985 and a fourth application in October 1988. Both applications included several new unsworn statements indicating Vaughan's paternity. The Agency dismissed both applications because they duplicated the previous claims. Clayton filed a timely request for reconsideration of the fourth application, which the Agency denied. Clayton then filed a timely request for a hearing before an ALJ on the fourth application.

The ALJ held a hearing in February 1990 to determine whether the doctrine of res judicata barred Birdia's claim. Birdia professed to have new evidence that provided an exception to res judicata. The ALJ asked Birdia's counsel to submit the alleged new evidence. Birdia submitted affidavits from family and friends indicating Vaughan's paternity. On April 24, 1990, the ALJ dismissed Birdia's request for a rehearing. In his decision, the ALJ noted that Birdia's alleged "new evidence" lacked credibility; it consisted mostly of recantations by family and friends of earlier statements denying Vaughan's paternity. Birdia then appealed to the Agency's Appeals Council, which affirmed the ALJ's refusal to recognize an exception to res judicata based on new evidence. Birdia appealed to the district court, which also affirmed the ALJ's decision.1

II. Analysis

Each year, the Social Security Administration processes several million claims for benefits. To maximize efficiency and fairness, the claimant is required to steer his claim properly through the administrative and judicial process. First, he must file his claim with the Administration. 20 C.F.R. Secs. 404.900-404.906 (1992). If the claim is denied, he may file for reconsideration. Id. Secs. 404.907-404.913. If the Agency declines to reconsider, the claimant may, within sixty days, seek an evidentiary hearing before an administrative law judge. 42 U.S.C. Sec. 405(b). He may appeal an adverse decision to the Agency's Appeals Council. 20 C.F.R. Secs. 404.967-404.982 (1992). Finally--only after the Agency has made a "final decision"--the claimant may seek federal judicial review of the Agency's determination. 42 U.S.C. Sec. 405(g).

Birdia Clayton applied four times for Social Security benefits for her son. Each time her claim was denied. Not until the fourth attempt did she navigate her claim beyond the Agency and seek judicial review. The Agency denied that claim based on res judicata. The district court then concluded that it was without jurisdiction to review the Agency's decision. On appeal we must determine whether we have jurisdiction. Birdia also argues that the Agency denied her "due process"; we also will address that argument.

A. Jurisdiction

In Califano v. Sanders, 430 U.S. 99 (1977), a Social Security claimant filed a claim seeking benefits almost seven years after the Agency had refused an identical claim. An ALJ determined that the second claim was barred by res judicata and also that the claimant did not present the requisite "good cause" for reopening the file. See 20 C.F.R. Sec. 404.988(b). The claimant had never sought judicial review of the denial of his first claim. He did, however, seek judicial review of the ALJ's refusal to consider the merits of his second claim. Ultimately, the Supreme Court determined that it lacked jurisdiction to consider the appeal. The Court recognized Congress' design "to limit judicial review to the original decision denying benefits ... a policy choice obviously designed to forestall repetitive or belated litigation of stale eligibility claims." Califano, 430 U.S. at 108.

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Birdia Clayton, on Behalf of Julian Clayton v. Donna E. Shalala, Secretary of Health and Human Services, 4 F.3d 996, 1993 WL 326366 (7th Cir. 1993).

4 F.3d 996 (Birdia Clayton, on Behalf of Julian Clayton v. Donna E. Shalala, Secretary of Health and Human Services) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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