Conant v. Social Security Administration

CourtDistrict Court, N.D. Oklahoma
DecidedMarch 31, 2024
Docket4:22-cv-00435
StatusUnknown

This text of Conant v. Social Security Administration (Conant v. Social Security Administration) is published on Counsel Stack Legal Research, covering District Court, N.D. Oklahoma primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Conant v. Social Security Administration, (N.D. Okla. 2024).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF OKLAHOMA

GWEN Y. C., ) ) Plaintiff, ) ) v. ) Case No. 22-CV-435-CDL ) MARTIN O’MALLEY,1 ) Commissioner of the ) Social Security Administration, ) ) Defendant. )

OPINION AND ORDER

Plaintiff seeks judicial review of a decision of the Commissioner of the Social Security Administration (Commissioner) denying Social Security disability benefits. The parties have consented to proceed before a United States Magistrate Judge in accordance with 28 U.S.C. § 636(c)(1), (2). I. Background The plaintiff first filed an application for Title II disability benefits on June 2, 2016. She alleged disability beginning on March 27, 2016, when she was admitted to the hospital with chest pain related to a non ST-elevation myocardial infarction (NSTEMI). (R. 239). She also alleged uncontrolled diabetes, hypertension, and high cholesterol. The plaintiff

1 On December 20, 2023, Martin O’Malley was sworn in as the Commissioner of the Social Security Administration. Pursuant to Federal Rule of Civil Procedure 25(d), O’Malley is substituted as the defendant in this action. No further action need be taken to continue this suit by reason of the last sentence of section 205(g) of the Social Security Act, 42 U.S.C. § 405(g). was 34 years old on her alleged onset date. Her date last insured for Title II benefits was June 30, 2016. The plaintiff was discharged from the hospital on March 30, 2016. (R. 238). Medical

evidence submitted in support of her 2016 disability application showed that she was found to have severe coronary artery disease, with several areas of blockage of up to 100 percent, as well as uncontrolled diabetes, systolic congestive heart failure, and elevated blood pressure. (See R. 456, 460, 493, 501, 505); see also R. 487 (noting impressions of “severe multivessel disease” and hypokinesis after cath lab procedures); R. 493 (documenting need

for cardiac rehab and “aggressive therapy” for coronary artery disease; ischemic cardiomyopathy to be treated with “maximally tolerated doses”). The Commissioner denied the plaintiff’s application on initial review and on reconsideration. At both stages, state agency medical consultants found that, despite severe impairments of cardiomyopathy and diabetes mellitus, the plaintiff retained the residual

functional capacity (RFC) to perform light work. (R. 338-358). The Commissioner’s November 8, 2016 Notice of Reconsideration (R. 364-366) explained that The medical evidence shows the following: Your diabetes had not seriously interfered with your ability to work. Although you experienced the symptoms of coronary artery disease and cardiomyopathy, you were still capable of performing work that was[sic] not exertionally demanding. While you were retaining water, you were still able to sit, stand, walk, and bend well enough to perform some types of work. Medical evidence does not show any other impairments which kept you from working on or before the date you were last insured for disability benefits.

We do not have sufficient vocational information to determine whether you could perform any of your past relevant work. However, based on the evidence in file, we have determined that you could have adjusted to other work prior to the date you were last insured for disability benefits.

(R. 365).

The Notice of Reconsideration included standard language informing the plaintiff, inter alia, of the procedure for seeking a hearing before an Administrative Law Judge (ALJ): IF YOU DISAGREE WITH THE DETERMINATION

If you believe that the reconsideration determination is not correct, you may request a hearing before an administrative law judge of the Office of Disability Adjudication and Review. If you want a hearing, you must request it not later than 60 days from the date you receive this notice. You may make your request through any Social Security office or on the Internet at http://www.socialsecurity.gov/disability/appeal. As part of the appeal process, you also need to tell us about your current medical condition. We provide a form for doing that, the Disability Report-Appeal. You may contact one of our offices or call 1-800-772-1213 to request this form. Or, you may complete the report online after you complete the online Request for Hearing by Administrative Law Judge.

IF YOU WANT HELP WITH YOUR APPEAL

You can have a friend, lawyer or someone else help you. There are groups that can help you find a lawyer or give you free legal services if you qualify. There are also lawyers who do not charge unless you win your appeal. Your local Social Security Office has a list of groups that can help you with your appeal. If you get someone to help you, you should let us know. If you hire someone, we must approve the fee before he or she can collect it. And if you hire a lawyer, we will withhold up to 25 percent of any past due benefits to pay toward the fee. NEW APPLICATION

You have the right to file a new application at any time, but filing a new application is not the same as appealing this decision. You might lose benefits if you file a new application instead of filing an appeal. Therefore, if you think this decision is wrong, you should ask for an appeal within 60 days.

Id. However, the plaintiff, who was unrepresented by counsel at that time, did not request a hearing. As a result, the denial of benefits on reconsideration became final. (See R. 280). Subsequently, the plaintiff obtained counsel, and on June 18, 2018 she filed a second application for Title II benefits. (R. 655-661). This application alleged disability during the same time period as alleged in her first application. As such, under the Commissioner’s regulations, the second application impliedly sought to reopen the plaintiff’s previous application. See Hearings, Appeals, and Litigation Law Manual (“HALLEX”) § I-2-9- 10(B). The plaintiff’s second application was denied on grounds of res judicata in July 2018. (R. 299-300; see also R. 284). An adjudicator found that the plaintiff “has had a previous denial on 8/5/2016 and a reconsideration denial on 11/7/2016 for the exact same time period” and that the plaintiff offered “no new allegations and no new [medical evidence] for this time period since that denial.” (R. 284). The plaintiff’s counsel filed a request for reconsideration of that decision on August 9, 2018. (R. 297-298). The request stated: The Disapproved claim letter states that [the plaintiff] is insursed[sic] until June 30, 2016 and so she does not qualify. However, the start date of disability on the application filed on June 18, 2018 is March 27, 2016 before her DLI expired. (R. 297). The Commissioner apparently took no further action on her case for several months. Plaintiff’s representative then submitted a Request for Reconsideration form dated January

22, 2019, stating: This T2 disability claim was denied on 7/19/18 on technical grounds due to res judicata. Claimant was pro se at the time of her original denial and requests a reopening of the prior application. Claimant filed a timely appeal online on 8/9/18 but that appeal was never processed. Please process this Request for Reconsideration of her 7/19/18 technical denial. (R. 295).

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Conant v. Social Security Administration, Counsel Stack Legal Research, https://law.counselstack.com/opinion/conant-v-social-security-administration-oknd-2024.