CARABALLO WYATT v. COMMISSIONER OF SOCIAL SECURITY

CourtDistrict Court, D. New Jersey
DecidedNovember 20, 2023
Docket1:21-cv-16328
StatusUnknown

This text of CARABALLO WYATT v. COMMISSIONER OF SOCIAL SECURITY (CARABALLO WYATT v. COMMISSIONER OF SOCIAL SECURITY) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
CARABALLO WYATT v. COMMISSIONER OF SOCIAL SECURITY, (D.N.J. 2023).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

MICHAEL C.,1

Plaintiff, Case No. 1:21-cv-16328 v. Magistrate Judge Norah McCann King

KILOLO KIJAKAZI, Acting Commissioner of Social Security,

Defendant.

OPINION AND ORDER

This matter comes before the Court pursuant to Section 205(g) of the Social Security Act, as amended, 42 U.S.C. § 405(g), regarding the application of Plaintiff Michael C. for Disability Insurance Benefits under Title II of the Social Security Act, 42 U.S.C. §§ 401 et seq. Plaintiff appeals from the final decision of the Commissioner of Social Security denying that application.2 After careful consideration of the entire record, including the entire administrative record, the Court decides this matter pursuant to Rule 78(b) of the Federal Rules of Civil Procedure. For the reasons that follow, the Court the Court reverses the Commissioner’s decision and remands the matter for further proceedings.

1 The Committee on Court Administration and Case Management of the Judicial Conference of the United States has recommended that, due to significant privacy concerns in social security cases, federal courts should refer to plaintiffs in such cases by only their first names and last initials. See also D.N.J. Standing Order 2021-10. 2 Kilolo Kijakazi, the Acting Commissioner of Social Security, is substituted as Defendant in her official capacity. See Fed. R. Civ. P. 25(d). 1 I. PROCEDURAL HISTORY On November 16, 2018, Plaintiff protectively filed the current application for benefits, alleging that he has been disabled since January 5, 2013 (“the 2018 application”). R. 70, 81, 138–41.3 The application was denied initially and upon reconsideration. R. 86–90, 92–94.

Plaintiff sought a de novo hearing before an administrative law judge (“ALJ”). R. 95–96. ALJ Thomas Merrill (“ALJ Merrill”) held a hearing on December 14, 2020, at which Plaintiff, who was represented by counsel, testified. R. 636–59. In a decision dated December 16, 2020, ALJ Merrill concluded that Plaintiff was not disabled within the meaning of the Social Security Act from August 30, 2017, through September 30, 2018, the date on which Plaintiff was last insured. R. 12–20 (“the 2020 decision”).4 That decision became the final decision of the Acting Commissioner of Social Security when the Appeals Council declined review on July 21, 2021. R. 1–6. Plaintiff timely filed this appeal from that decision pursuant to 42 U.S.C. § 405(g). ECF No. 1. On May 3, 2022, Plaintiff consented to disposition of the matter by a United States Magistrate Judge pursuant to 28 U.S.C. § 636(c) and Rule 73 of the Federal Rules of Civil

Procedure. ECF No. 19.5 On the same day, the case was reassigned to the undersigned. ECF No. 20. The matter is ripe for disposition.

3 Plaintiff previously filed an application for benefits on May 19, 2014 (“the 2014 application”), which ALJ Thomas Sanzi (“ALJ Sanzi”) denied in a written decision on September 1, 2017 (“the 2017 decision”). R. 47–57. 4 Both ALJ Merrill’s 2020 decision and the administrative record identify conflicting dates on which Plaintiff was last insured for DIB. For example, ALJ Merrill identified that date as September 30, 2018, see R. 13, 15, 19, 20, and as December 31, 2018, R. 12. The administrative record similarly identifies conflicting dates on which Plaintiff was last insured, specifying both September 30, 2018, R. 116, 121, 129, and December 31, 2018, R. 62, 66–67, 70–71, 76–77, 81, 92, 172, 174. On remand, this date should be clarified. 5The Commissioner has provided general consent to Magistrate Judge jurisdiction in cases seeking review of the Commissioner’s decision. See Standing Order In re: Social Security Pilot Project (D.N.J. Apr. 2, 2018). 2 II. LEGAL STANDARD A. Standard of Review In reviewing applications for Social Security disability benefits, this Court has the authority to conduct a plenary review of legal issues decided by the ALJ. Knepp v. Apfel, 204

F.3d 78, 83 (3d Cir. 2000). In contrast, the Court reviews the ALJ’s factual findings to determine if they are supported by substantial evidence. Sykes v. Apfel, 228 F.3d 259, 262 (3d Cir. 2000); see also 42 U.S.C. §§ 405(g). The United States Supreme Court has explained this standard as follows: Under the substantial-evidence standard, a court looks to an existing administrative record and asks whether it contains sufficien[t] evidence to support the agency’s factual determinations. And whatever the meaning of substantial in other contexts, the threshold for such evidentiary sufficiency is not high. Substantial evidence, this Court has said, is more than a mere scintilla. It means – and means only – such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.

Biestek v. Berryhill, 139 S.Ct. 1148, 1154 (2019) (internal citations and quotation marks omitted); see also Pierce v. Underwood, 487 U.S. 552, 565 (1988) (citation and internal quotations omitted); Bailey v. Comm’r of Soc. Sec., 354 F. App’x 613, 616 (3d Cir. 2009) (citations and quotations omitted); K.K. ex rel. K.S. v. Comm’r of Soc. Sec., No. 17-2309, 2018 WL 1509091, at *4 (D.N.J. Mar. 27, 2018). The substantial evidence standard is a deferential standard, and the ALJ’s decision cannot be set aside merely because the Court “acting de novo might have reached a different conclusion.” Hunter Douglas, Inc. v. NLRB, 804 F.2d 808, 812 (3d Cir. 1986); see, e.g., Fargnoli v. Massanari, 247 F.3d 34, 38 (3d Cir. 2001) (“Where the ALJ’s findings of fact are supported by substantial evidence, we are bound by those findings, even if we would have decided the factual inquiry differently.”) (citing Hartranft v. Apfel, 181 F.3d 358, 360 (3d Cir. 1999)); K.K., 3 2018 WL 1509091, at *4 (“‘[T]he district court ... is [not] empowered to weigh the evidence or substitute its conclusions for those of the fact-finder.’”) (quoting Williams v. Sullivan, 970 F.2d 1178, 1182 (3d Cir. 1992)).

Nevertheless, the Third Circuit cautions that this standard of review is not “a talismanic or self-executing formula for adjudication.” Kent v. Schweiker, 710 F.2d 110, 114 (3d Cir. 1983) (“The search for substantial evidence is thus a qualitative exercise without which our review of social security disability cases ceases to be merely deferential and becomes instead a sham.”); see Coleman v. Comm’r of Soc. Sec., No. 15-6484, 2016 WL 4212102, at *3 (D.N.J. Aug. 9, 2016).

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CARABALLO WYATT v. COMMISSIONER OF SOCIAL SECURITY, Counsel Stack Legal Research, https://law.counselstack.com/opinion/caraballo-wyatt-v-commissioner-of-social-security-njd-2023.