Everett v. Andrew Saul

CourtDistrict Court, S.D. Texas
DecidedAugust 29, 2022
Docket4:21-cv-01535
StatusUnknown

This text of Everett v. Andrew Saul (Everett v. Andrew Saul) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Everett v. Andrew Saul, (S.D. Tex. 2022).

Opinion

UNITED STATES DISTRICT COURT August 29, 2022 SOUTHERN DISTRICT OF TEXAS Nathan Ochsner, Clerk HOUSTON DIVISION § Joseph Bryant Everett, § § Plaintiff, § § Civil Action No. 4:21-cv-01535 v. § § Andrew Saul, § Commissioner of Social Security, § § Defendant. § §

MEMORANDUM AND RECOMMENDATION This is an appeal from an administrative ruling that found Plaintiff Joseph Bryant Everett ineligible to continue receiving social security benefits, which was referred to the undersigned judge. Dkt. 17. After carefully considering the parties’ briefs, the administrative record, and the applicable law, the Court recommends granting Defendant Kilolo Kijakazi’s1 Motion for Summary Judgment (Dkt. 15) and denying Everett’s Motion for Summary Judgment (Dkt. 16).

1 When this lawsuit was filed, Andrew Saul was properly named as the defendant and Commissioner of Social Security. Kilolo Kijakazi has since assumed the role of Acting Commissioner of Social Security and filed the motion for summary judgment on the agency’s behalf. Background Defendant originally determined Everett to be disabled in February

2000, which entitled him to Title II Period of Disability and Disability Insurance Benefits and Title II Child Disability Benefits. R.136, 163-64. At the time, Everett met the criteria for listings depressive bipolar and related disorders (12.04), anxiety and obsessive-compulsive disorders (12.06), and

personality and impulse-control disorders (12.08). R.148; 20 C.F.R. Pt. 404, Subpt. P, App’x 1 §§ 12.04, 12.06, and 12.08. In November 2009, Everett was re-evaluated and was again determined to be eligible for benefits because he continued to meet the listed criteria. R.136. Defendant’s 2009 determination

was the agency’s most recent favorable decision for Everett, which is known as the “comparison point decision” (CPD). R.139. Everett continued to receive disability benefits until April 2018, when the agency began a fraud investigation into unreported work activities and

earnings that were reflected in Everett’s medical records. R.55-56. The agency’s Special Agent Dickens observed and interviewed Everett, who was seen driving and hauling equipment to a worksite to do landscaping. R.997. Agent Dickens noted that another male was already on-site and appeared to

work for Everett. Id. Later that day, Agent Dickens interviewed Everett. Id. Everett reported having a wife of twelve years and living with her and her minor children. R.997-98. He claimed that his landscaping was a “hobby and something to do to keep him from being bored,” and that he “only advertises by word of mouth

and only mows residential yards.” R.998. He also told Agent Dickens that he volunteered at Big Brothers and Sisters Organization and at the Galveston County Office of Emergency Management as a member of their Central Emergency Response Team “[w]hen work gets slow.” Id. Everett also reported

that “he does all of his banking with Amoco Federal Credit Union” where he receives his disability benefits, reconciles his checking account, and pays bills online. Id. Everett also reported that he had received financing for at least one vehicle from Amoco and that he purchased eight vehicles from the same

Ford dealership. Id. In light of this evidence, Agent Dickens concluded that Everett was a “highly functioning individual who is very active; however, his mannerisms and responses to certain lines of questioning could be perceived as being

socially awkward.” R.999. On April 23, 2018, Defendant issued Everett a notice of disability cessation, stating that he will no longer receive checks because his health had improved and he is able to work. R.173. The agency denied Everett’s request for reconsideration, R.191-93, and Everett requested

a hearing before an ALJ, R.194-95. A hearing was held on January 16, 2020, and the ALJ heard testimony from Everett, Agent Dickens, a vocational expert, and Dr. Shakil Mohammed, a medical expert specializing in bipolar disorder. R.52-87. At the hearing, the ALJ reviewed Agent Dickens’s findings with Everett, particularly focusing on

his work activities and finances. See R.58-74. Everett admitted to being irritated by the questioning, stating “for the fourth or fifth time” that he had already described his work activities to the ALJ. R.65. That is, he did “what it is ... whatever it may be” that his parents and family friends needed done on

their property, such as replacing lightbulbs or cleaning floors. Id. He testified that his problem was not physical, but rather “getting along with others”— emphasizing that he was “not an invalid.” R.62. He also confirmed that he previously volunteered for the Big Brothers and Sisters Organization and

Galveston County on a regular basis. R.61-62, 68. When asked to summarize his testimony about the years leading up to Agent Dickens’s investigation, the ALJ prompted Everett: “I see a pattern here of you doing work, doing work for your parents, your friends, and doing volunteer work. Is that a fair

characterization?” R.68. Everett responded, “Yes.” Id. Everett, however, claimed that his parents pay his bills and living expenses and that he does not know how much that is worth or whether it should count as income. R.58-61. The ALJ also examined Dr. Mohammed, a medical expert who

specializes in bipolar disorder. R.78. He testified that bipolar disorder “never goes away” and causes cycling in symptoms. R.78-79. When the ALJ asked if he had an opinion about whether Everett has improved medically from his status in 2009 (the time of his last favorable agency determination), Dr. Mohammed opined that Everett still suffered from symptoms of bipolar

disorder and Everett’s self-reported improvements may be the result of the disorder’s cycling. R.79. But, he admitted, “it’s very difficult to say that there has been no medical improvement, because I don’t have any way to look at it.… I have no way to compare it” because he did not think that Everett had any

medical records post-dating 2009. R.80. On January 30, 2020, the ALJ issued an opinion finding that Everett’s disability had ended by April 1, 2018 and that he has not been disabled since that time. R.138. She found that Everett can no longer meet the criteria for

listings depressive bipolar and related disorders (12.04), anxiety and obsessive- compulsive disorders (12.06), and personality and impulse-control disorders (12.08). R.140; 20 C.F.R. Pt. 404, Subpt. P, App’x 1 §§ 12.04, 12.06, and 12.08. Specifically, she found that Everett continued to have bipolar disorder and

seizures, but they no longer meet or medically equal the listed impairments that would deem Everett automatically eligible for benefits. R.140. In so finding, the ALJ determined that Everett did not have marked or severe limitations in any of the “paragraph B” functional criteria, as he had only (i) a

mild limitation in understanding, remembering or applying information; (ii) a moderate limitation in interacting with others; (iii) a mild limitation in the ability to concentrate, persist, or maintain pace; and (iv) a moderate limitation for adapting or managing himself. R.140-42.

Because Everett did not satisfy either these “paragraph B”—or, alternatively, “paragraph C” criteria for documented, “serious and persistent medical disorders”—Everett was no longer considered presumptively disabled under the regulations. The ALJ proceeded to describe Everett’s medical

improvement and determine his residual functional capacity (RFC) as follows: [S]ince April 1, 2018, the claimant has had the residual functional capacity to perform a full range of work at all exertional levels but with the following nonexertional limitations: the claimant cannot climb ladders, ropes, or scaffolds.

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