Gilbert J. v. Frank Bisignano, Commissioner of Social Security

District Court, S.D. California·Decided August 27, 2026·No. 3:25-cv-01072·Unknown

Opinion

GILBERT J.,1 Case No.: 25-CV-01072-BJW

Plaintiff, ORDER AFFIRMING THE v. DECISION OF THE COMMISSIONER OF SOCIAL FRANK BISIGNANO, Commissioner of SECURITY Social Security,2 Defendant.

Plaintiff Gilbert J. filed a complaint in this case on April 28, 2026, seeking review the decision of the Commissioner of Social Security. ECF No. 1. Having considered the record before the Court and the parties’ arguments, the Court AFFIRMS the Commissioner’s decision.

1 In accordance with Civil Local Rule 7.1(e)(6)(b), the Court uses first names and last initials to refer to non-government parties. 2 Pursuant to Federal Rule of Civil Procedure 25(d), Frank Bisignano, the current Commissioner of A. Procedural History This complaint follows an extensive procedural history. Plaintiff initially filed a Title II application for Social Security Disability Insurance on May 27, 2014. AR 328–40. Following the denial of that claim, ALJ Jay Levine conducted a hearing on June 12, 2017. AR 74–97. ALJ Levine issued a decision denying benefits on October 3, 2017. AR 128– 47. The Appeals Council remanded after its review, and ALJ Levine held another hearing on October 7, 2019. AR 53–73. He issued a second decision November 20, 2019. AR 33– 52. The Appeals Council denied review after that second decision on May 21, 2021. AR 1–6. Then, Plaintiff filed a complaint seeking review in this District on July 16, 2021. Gilbert J. v. Kijakazi, 21-CV-01284-NLS, ECF No. 1. Magistrate Judge Nita L. Stormes presided over Plaintiff’s initial complaint seeking review and issued a 32-page order on August 15, 2022, granting in part and denying in part the cross motions for summary judgment and remanding the matter for further proceedings. AR 4410–41; Gilbert J. v. Kijakazi, 21-CV-01284-NLS, ECF No. 17 (S.D. Cal. Aug. 15, 2022) (“Stormes Order”). Judge Stormes ordered the following: The ALJ carefully reviewed Plaintiff’s disability claim, held two hearings, and conducted a thorough review of the record. Nevertheless, he erred by making a single disability determination for the entire five-year period of the claim without considering whether Plaintiff was disabled by his right hand/arm limitations during an earlier period and finding certain of Plaintiff’s doctors’ opinions unreliable for this reason. This error affected the ALJ’s final conclusions as to Plaintiff’s RFC. Therefore, the Court REMANDS to the ALJ to determine whether Plaintiff is entitled to disability during a discrete time while he was being treated for and received surgery on his elbow. The Court finds no other error based on the issues raised in Plaintiff’s motion. For the foregoing reasons, the Court GRANTS IN PART AND DENIES IN PART Plaintiff’s motion for summary judgment, GRANTS Plaintiff’s motion to remand, and GRANTS IN PART AND DENIES IN PART Defendant’s motion for summary judgment. The case is remanded for further proceedings consistent with this Order.

AR 4440–41 (Stormes Order). The remanded matter was assigned to ALJ Kevin Messer, who held a hearing on September 1, 2023. AR 4144–71. ALJ Messer then issued a decision on November 14, 2023, finding Plaintiff disabled and awarding him benefits during the period of April 27, 2012 to July 9, 2013. AR 4117–43. On February 28, 2025, the Appeals Council denied Plaintiff’s request for review, and the ALJ’s decision became the final decision of the Commissioner of Social Security. AR 4105–11; 42 U.S.C. § 405(h). The complaint seeking review of that decision timely followed. ECF No. 1; 42 U.S.C. § 405(g). B. Summary of ALJ’s Decision Under the Social Security Act, “disability” broadly means the “inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months[.]” 42 U.S.C. § 423(d). When an individual files a claim for disability insurance benefits based on a claimed disability, the Social Security Administration makes a determination of whether the individual is disabled by following a five-step sequential process. 20 C.F.R. § 404.1520. If, at any step, the ALJ finds that the claimant is not disabled, that decision will control and the evaluation will not proceed to the subsequent step. See id. The first step asks whether the claimant is engaged in substantial gainful activity. 20 C.F.R. § 404.1520(a)(4)(i). Every year, the Social Security Administration sets the minimum monthly amount that a claimant must earn for his or her job to constitute “substantial gainful activity.”3 A finding that the claimant is engaged in such activity will result in a finding of not disabled. Id. The second step requires consideration of the severity of the claimant’s impairments. 20 C.F.R. § 404.1520(a)(4)(ii). If the claimant does not have a “severe medically determinable physical or mental impairment, or a combination of impairments,” that meets the duration requirements, they will not be considered disabled. Id. The third step also requires consideration of the severity of impairments but asks whether they meet or equal certain listed impairments in Appendix 1 to the subpart of the relevant section of the Code of Federal Regulations. 20 C.F.R. § 404.1520(a)(4)(iii). If one of the claimant’s impairments meets a listed impairment, the claimant must be found to be disabled. Id. The fourth step initially requires a determination of the claimant’s “residual functional capacity” considering his or her impairments, then evaluates whether the claimant can still perform his or her past relevant work. 20 C.F.R. § 404.1520(a)(4)(iv). The fifth and final step requires again considering the claimants “residual functional capacity,” along with his or her age, education, and work experience, to determine if the claimant could “make an adjustment to other work.” 20 C.F.R. § 404.1520(a)(4)(v). If the claimant could make an adjustment to other work, the ALJ will not find the claimant disabled. Id. A brief summary of the ALJ’s conclusions from the five-step process with respect to the period from April 27, 2012 to July 9, 2013, is set forth here. At step one, the ALJ found that Plaintiff had engaged in substantial gainful activity since April 27, 2021. AR 4121. However, Plaintiff’s earnings during the earlier period at issue here did not cross the threshold of substantial gainful activity. Id. The period at issue is the period from July 9, 2013 to Plaintiff’s last insured date of September 30, 2016. AR 4121. The last insured date marks the latest point that Plaintiff could be determined to have a continuing or new disability. See Matthew F. v. Kijakazi, No. 21-CV-00187-SLG, 2022 WL 2236342, at *4 n.44 (D. Alaska June 22, 2022) (citation omitted). The ALJ found the amounts earned during the relevant period below that threshold. AR 4121. While Plaintiff had engaged in substantial gainful activity in 2021, because there was a period of 12

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Gilbert J. v. Frank Bisignano, Commissioner of Social Security, (S.D. Cal. 2026).

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