Hassell v. Harris

18 V.I. 410
CourtDistrict Court, Virgin Islands
DecidedApril 1, 1981
DocketCivil No. 80-40
StatusPublished

This text of 18 V.I. 410 (Hassell v. Harris) is published on Counsel Stack Legal Research, covering District Court, Virgin Islands primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hassell v. Harris, 18 V.I. 410 (vid 1981).

Opinion

KNOX, Judge

OPINION AND ORDER

This action is before the Court under section 4205(g) of the Social Security Act (the “Act”), 42 U.S.C.A. § 405(g) to review a final determination of the Secretary of Health and Human Services (the “Secretary”) denying plaintiffs application for Social Security disability benefits.

Pursuant to an order of this Court dated February 18, 1981, a hearing on this matter was held on that date before the United States Magistrate. The recommendation of the Magistrate was that this case be remanded to the Secretary for additional findings, specifically as to if and when petitioner was insured for disability pur[412]*412poses. This Court affirms the recommendation of the Magistrate for remand of the case, with further recommendations of its own noted below.

On September 13, 1972, petitioner Rita Hassell filed an application for disability insurance benefits. This application was denied on March 19, 1975, by the Administrative Law Judge because petitioner was found to have only thirteen quarters of work coverage. Generally, 20 quarters of coverage in the last 40 calendar quarters is required for an individual to meet the special earnings requirement of the Act.

Petitioner requested a reopening of that decision; a hearing was held on May 13, 1977, and in a decision dated May 24, 1978 (the first decision) the Administrative Law Judge found that petitioner met the special earnings requirements of the Act from December 31, 1973, until at least December 31, 1977, and that petitioner suffered a disability commencing May 13, 1977, and was entitled to disability benefits from that date.

On November 8, 1978, the Appeals Council remanded the case to the Administrative Law Judge, finding that on the record of earnings before the Administrative Law Judge, petitioner was last fully insured on December 31, 1973. The Council stated elliptically:

While the claimant had 20 quarters of coverage during the 40-quarter period ending with the quarter in which her period of disability was established, she had a total of only 22 quarters of coverage and was, therefore, last fully insured on December 31, 1973. (Tr. 38.)

The logical steps left out in this statement are:

(1) an individual must be “fully insured” at the time of disability to be eligible for disability insurance benefits.

(2) To be fully insured, an individual in petitioner’s situation must both:

(a) have 20 quarters of coverage during the 40 quarter period ending with the quarter in which her period of disability was established, and

(b) have one quarter of coverage for each calendar year elapsing after 1950 up to the point of disability.

These steps are determined from reading together 42 U.S.C.A. § 423(c)(1) and 42 U.S.C.A. § 414(a). Petitioner Hassell had met the requirement of twenty quarters of coverage, but under the “post-1950” test petitioner was covered only for a disability occurring [413]*413before December 31, 1973. The Administrative Law Judge had determined the date of disability to be May 13, 1977. This date may be somewhat arbitrary, as it is the date of the hearing upon which the finding of disability was made.

The remand order of the Appeals Council stated that new evidence submitted by the petitioner indicated that she had worked since 1977, and that perhaps she had acquired additional quarters of coverage which would enable her to meet the “post-1950” test. The Council wrote:

Further investigation as to the nature and extent of the claimant’s work activity beginning in 1977, the amount of her earnings, and whether her work activity represents substantial gainful activity is necessary. (Tr. 38.)

On remand, then, two intertwined issues as to the petitioner’s work activity after 1977 were before the Administrative Law Judge. First, the question of whether additional quarters of coverage had accrued was to be determined. Second, the issue arises whether the work necessary for the acquiring of such additional quarters constituted “substantial gainful activity” such that petitioner’s disability determination of May 13, 1977, is thrown into question. This represents a form of “Catch-22” for petitioner, to be sure: she must work to get coverage, but she is not disabled if she can work.

It should also be noted that if on remand the Administrative Law Judge had found that Mrs. Hassell’s disability extended back to 1973, no finding on additonal work quarters would be necessary.

The second hearing before the Administrative Law Judge was held on January 27, 1979, and a decision was entered on August 27, 1979 (the second decision). In that decision the Administrative Law Judge found that petitioner had engaged in substantial gainful activity in the driver and receptionist jobs she had performed since 1977, and thus was under no disability at any time. This reversed his first finding of a disability on May 13,1977. The crucial words of the second decision are:

Section 404.1534(a)(2) establishes that during calendar year 1978 a monthly earnings of less than $180.00 per month will ordinarily show that a person has not done substantial activity. Definitely, claimant has exceeded such amount and we must consider the circumstances surrounding the work activity. Claimant had a regular 20-hour-a-week job with a Virgin Islands government agency, both as driver or as receptionist. [414]*414Such work is not considered made work or shelter work; therefore must (sic) be classified as a substantial gainful activity. (Tr. 30.)

The difficulty with this passage is the statement that work which is not made work must be classified as substantial gainful activity. The evidence reveals that Mrs. Hassell averaged about $200.00 per month in earnings for 1978. This amount is lower than the earnings guidelines under 20 C.F.R. § 404.1534(b)(1) (iv) ($260/month) which ordinarily shows that a person is engaged in substantial gainful activity; and higher than the earnings guideline under 20 C.F.R. § 404.1534(b)(2)(iv) ($170/month) which ordinarily shows that a person is not engaged in substantial gainful activity. Thus, 20 C.F.R. § 404.1534(b)(3) comes into play. This paragraph states that the Secretary will consider other information in addition to earnings, looking at the circumstances surrounding the work activity together with the medical evidence of the impairment or impairment and other factors.

In the second decision, the Administrative Law Judge did not consider medical evidence in his determination that Mrs. Hassell was not suffering a disability. This is an important omission in that the same judge had previously found a disability. While the new evidence concerning work in 1977 and 1978 could rightfully be considered in deciding whether a disability was present, the Administrative Law Judge’s evident disregard for any medical evidence in this second decision was improper.

Thus, the Court agrees with the recommendation of the Magistrate that the time period when Mrs.

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