Eplin v. Celebrezze

214 F. Supp. 836, 1963 U.S. Dist. LEXIS 6816
CourtDistrict Court, S.D. West Virginia
DecidedMarch 8, 1963
DocketCiv. A. No. 1145
StatusPublished
Cited by6 cases

This text of 214 F. Supp. 836 (Eplin v. Celebrezze) is published on Counsel Stack Legal Research, covering District Court, S.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eplin v. Celebrezze, 214 F. Supp. 836, 1963 U.S. Dist. LEXIS 6816 (S.D.W. Va. 1963).

Opinion

HARRY E. WATKINS, District Judge.

Plaintiff seeks judicial review of the final decision of the Secretary of Health, Education and Welfare that he was not entitled to a period of disability and to disability insurance benefits under sections 223 and 216(i) of the Social Security Act, as amended. For the reasons hereinafter stated, it is now found that the decision of the Secretary is supported by substantial evidence and that defendant’s motion for summary judgment should be granted.

On February 23,1961, plaintiff filed an application to establish a period of disability and for disability insurance benefit, alleging that he became disabled in September, 1958. This application was denied by the Bureau of Old-Age and Survivors Insurance both initially and upon reconsideration. On March 16, 1962, a hearing examiner also found that plaintiff was not entitled to a period of disability or to disability insurance benefits. This decision became the final decision of the Secretary when the Appeals Council denied plaintiff’s request for review on July 16, 1962.

Plaintiff had previously filed an application for disability insurance benefits on January 21, 1959, alleging that he had become unable to work also in September, 1958. On February 5, 1959, he also filed an application to establish a period of disability. The Bureau of Old-Age and Survivors Insurance denied the applications both initially and upon reconsideration. A hearing examiner in an opinion dated May 27, 1960, found the plaintiff was not under a disability. This decision became the final decision of the Secretary when the Appeals Council denied plaintiff’s request for review on October 17, 1960. Plaintiff did not seek judicial review of that decision although he was informed by letter dated October 17, 1960 (accompanying a copy of the Appeals Council denial of his request for review) of his right to obtain judicial review of that decision by commencing a civil action in the District Court of the United States in the judicial district in which he resided within 60 days from the date of the letter. That decision became binding on all parties up to January 21, 1959, the date of the first application for disability insurance benefits. 42 U.S. C.A. § 405(h), § 405(g). Therefore, this court is concerned only with the issue as to whether there is substantial evidence to support the final decision of the Secretary, based on the application of February 23, 1961, that plaintiff was not entitled to disability insurance benefits or to a period of disability within the meaning of the Act, as amended.

The hearing examiner, in effect, applied the doctrine of res judicata as to the period covered by the first application of January 21, 1959. That this doctrine is applicable in cases of this type is clear. In Social Security Regulations No. 4, section 404.937 (20 C.F.R. 404.-937), it is stated that a hearing examiner may, on his own motion, dismiss a hearing request either entirely or as to any stated issue in the following circumstances :

“ * * * (a) Res judicata. Where there has been a previous determination or decision by the Secretary with respect to the rights of the same party on the same facts pertinent to the same issue or issues which has become final either by judicial affirmance or, without judicial consideration, upon the claimant’s failure timely to request reconsideration, hearing, or review, or to commence a civil action with respect to such determination or decision.”

[838]*838In similar circumstances, Judge Michie of the United States District Court for the Western District of Virginia held in Salyers v. Celebrezze, 214 F.Supp. 834, that res judicata was applicable, stating:

“All of this history appears in the record and it is clear that through the failure of the plaintiff to exhaust his administrative remedies and then take the matter to court within the various periods prescribed by the Act the adverse decision of the Department under this initial application became res adju-dicata. See Hobby v. Hodges, 10 Cir., 215 F.2d 754; Kindig v. Ribi-coff, D.C., 202 F.Supp. 198; Boles v. Celebrezze, D.C., 210 F.Supp. 856 and 50 C.J.S. Judgments § 690, p. 148.”

The Boles case is now reported in D.C., 210 F.Supp. 856. To the same effect is the 10th Circuit case of Hobby v. Hodges, supra.

Applying these principles to the case at bar, the conclusion must be reached that res judicata applies to the facts and circumstances presented at the hearing and upon which the final decision of the Secretary was founded, based on the application of January 21, 1959. In both applications the primary complaint was arthritis. The alleged date of the onset of the alleged disability was different, but the date of the alleged onset in the second application, February 23, 1961, was within the period covered by the decision of May 27, 1960. In the second application plaintiff alleged that sinus was also a cause of his alleged disability. This was not alleged in the first application, but the evidence presented on both applications contains absolutely no evidence concerning a sinus difficulty. It also should here be noted that the evidence presented on both applications was exactly the same for the period up to and including January 21, 1959, the date of the first application. Therefore, as to the period up to January 21, 1959, no new evidence was presented which did not exist and was not considered at the time of the prior final decision of the Secretary. Consequently, res judi-cata applies to those facts and circumstances upon which the final decision of the Secretary, based on the application of January 21, 1959, was founded. As a result, this court may limit its consideration only to the new evidence presented concerning the period subsequent to January 21, 1959. Here it was incumbent upon plaintiff to show that he was under a disability, within the meaning of the Act, between January 21, 1959, and May 1, 1961, for purposes of disability insurance benefits, or May 23, 1961, for purposes of establishing a period of disability. There is substantial evidence to support the finding of the Secretary that plaintiff has failed to do this.1

Plaintiff met the special insured status requirements at tne time of the alleged onset of the disability. He will continue to meet these requirements through December 31, 1963.

The new medical evidence consists of two medical reports. The report of Dr. D. J. Cronin, dated January 11, 1961, contained a diagnosis of arthritis. Otherwise, the examination was normal. The second report was made by Dr. Gary L. Ripley. It was dated May 10, 1961, and indicated subjective symptoms of stiffness and swelling of the joints. As objective findings he reported crepitation of the shoulder and knee joints. He made no X-rays. His diagnosis was rheumatoid arthritis. The condition was probably static. In describing plaintiff’s specific restrictions, if any, he stated that plaintiff was probably unable to do heavy physical labor but could probably handle a light job. These reports are merely cumulative of many of those presented at the hearing on the first application. They are not evidence which would serve as a basis for revising the findings previ[839]*839ously made. Clearly, they do not depict any deterioration of plaintiff’s arthritic condition.

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Related

Farley v. Gardner
276 F. Supp. 270 (S.D. West Virginia, 1967)
Sowards v. Gardner
264 F. Supp. 709 (S.D. West Virginia, 1967)
Moore v. Celebrezze
252 F. Supp. 593 (E.D. Pennsylvania, 1966)
Sangster v. Celebrezze
240 F. Supp. 638 (W.D. Michigan, 1965)

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Bluebook (online)
214 F. Supp. 836, 1963 U.S. Dist. LEXIS 6816, Counsel Stack Legal Research, https://law.counselstack.com/opinion/eplin-v-celebrezze-wvsd-1963.