Cummins v. Barnhart

460 F. Supp. 2d 1112, 2006 WL 3883630
CourtDistrict Court, D. Arizona
DecidedNovember 8, 2006
DocketCV05-3639-PHX-NVW
StatusPublished

This text of 460 F. Supp. 2d 1112 (Cummins v. Barnhart) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cummins v. Barnhart, 460 F. Supp. 2d 1112, 2006 WL 3883630 (D. Ariz. 2006).

Opinion

ORDER

WAKE, District Judge.

Pending before the court are cross-motions for summary judgment regarding the calculation of Plaintiffs Social Security benefits. (Doc. ## 20, 28.)

Retirement Insurance and Disability Insurance are separate benefit programs administered by the Social Security Administration (“SSA”) pursuant to different eligibility criteria and applicable law. Compare, e.g., 42 U.S.C. § 402(a) (eligibility for old-age insurance benefits) with 42 *1114 U.S.C. § 421 (eligibility for disability benefits). A single provision of the Social Security Act, however, is used to determine a claimant’s actual monthly benefits under both programs. 42 U.S.C. § 415 (computation of the Primary Insurance Amount (“PIA”)); 20 C.F.R. § 404.204 (explaining the various PIA calculation methods). Although an individual may be concurrently eligible for both Retirement Insurance Benefits (“RIB”) and Disability Insurance Benefits (“DIB”), claimants may only receive monthly benefits under one program, with the larger of the two monthly benefit amounts being the statutory default. 20 C.F.R. § 404.407(c).

Plaintiff primarily contends that the Commissioner unlawfully recomputed her Primary Insurance Amount when she became concurrently eligible for disability benefits and old-age benefits. Administrative Law Judge (“ALJ”) Norman R. Buis determined that the SSA correctly calculated Plaintiffs disability and retirement benefits under the Social Security Act and applicable regulations. (Tr. 11-13.) The ALJ’s January 20, 2005 on-the-record decision was upheld by the Appeals Council and is now the Commissioner’s final decision. (Tr. 4-6.) Plaintiff argues that the ALJ committed reversible error by misinterpreting the Social Security Act and regulations and violating Plaintiffs due process rights.

The Commissioner’s decision to uphold the ALJ’s ruling in full is affirmed. The court wishes to ensure that this dispute, which has endured for over four years and is grounded only on misunderstanding, is conclusively and permanently resolved.

I. Background

A. Disability Insurance Benefits

Plaintiff, a retired accountant appearing pro se, was born on January 1, 1938. (Doc. # 8 at 2; Tr. 13.) Unable to work, she filed an application for disability benefits with the SSA in August 1998. (Doc. # 8 at 1.) Plaintiff alleged a disability onset date of January 28, 1998. (Id.) Her application for DIB was denied initially, upon reconsideration, and at the hearing level. (Tr. 11.) Plaintiff appealed the denial of benefits to the Appeals Council, which remanded to ALJ Buis for further proceedings. (Id.) In May 2001, ALJ Buis found Plaintiff disabled as of January 19, 2000, instead of the earlier January 28, 1998 onset date she urged. (Id.) Plaintiff timely appealed the unfavorable portion of the ALJ’s decision. (Tr. 11.)

ALJ Bui’s May 2001 ruling entitled Plaintiff to monthly disability benefits beginning in July 2000, five calendar months after the onset of the disability in January 2000. 20 C.F.R. § 404.320(b)(4) (prescribing a five-month waiting period from the onset of the disability before disability benefits will be paid). In July 2001, Plaintiff began receiving Disability Insurance Benefits in the amount of $977 per month, in addition to a one-time retroactive award accounting for the DIB owed to her from July 2000, through June 2001. (Tr. 102-OS.) These benefits were awarded on the basis of a disability Primary Insurance Amount of $943.50 reflecting the January 2000 onset date. (Id.) The difference between a PIA of $943.50 and a monthly disability benefit amount of $977 is explained by the fact that Plaintiffs DIB, like all benefits administered by the SSA, were subject to annual cost-of-living adjustments (“COLAs”). Under the Social Security Act, COLAs are applied in December of each year and paid out in January of the following year. 42 U.S.C. § 415(i)(2)(A)(ii).

On June 28, 2002, the Appeals Council reversed ALJ Bui’s onset decision and adjudged Plaintiff disabled as of January 28, 1998, at which date she was 60 years old. (Tr. 11.) Plaintiffs disability Primary In *1115 surance Amount, which was originally calculated on the basis of a January 2000 onset, needed to be adjusted to account for the earlier onset date set by the Appeals Council. A new PIA was therefore calculated both to determine the amount of monthly DIB to which Plaintiff was entitled, and also to make a retroactive award to account for the time between July 1998, and June 2000, in which no disability payments were made. (Tr. 131; Tr. 144-45.)

As a result of the earlier onset date, Plaintiffs disability Primary Insurance Amount was reduced from $943.50 to $910.50. (Tr. 145.) Plaintiff was entitled to monthly Disability Insurance Benefit based on this lower PIA as of July 1998, five months after she became disabled in January 1998. 20 C.F.R. § 404.320(b)(4). The $910.50 disability PIA was properly calculated under the Average Indexed Monthly Earning (“AIME”) method, using the 1998 Eligibility Factors and an Eligibility Year of 1998 — the first year in which Plaintiff was entitled to disability benefits. 42 U.S.C. § 415; 20 C.F.R. § 404.204(b)(1). The Indexing Year, which the SSA uses to determine benefits on the basis of a national earnings average, was appropriately determined to be 1996 — two years before the year in which Plaintiff became disabled. 42 U.S.C. § 415(b)(3)(A)(ii). The remaining aspects of the disability PIA calculation are not material to this case nor disputed by Plaintiff. (See Doc. # 29 at 6-7.)

B. Reduced Retirement Insurance Benefits

Plaintiff began to draw reduced old-age benefits as of her 62nd birthday in December, 1999. Plaintiff was entitled only to reduced Retirement Insurance Benefits, and not Disability Insurance Benefits, at this time because her appeal from the SSA’s initial denial of her disability application was still pending. (Tr. 90.) The SSA determined Plaintiffs old-age PIA to be $953.30 under the AIME method authorized by 42 U.S.C. § 415 and 20 C.F.R. § 404.204(b)(1). (Tr.

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460 F. Supp. 2d 1112, 2006 WL 3883630, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cummins-v-barnhart-azd-2006.