Humerick v. Commissioner of Social Security

CourtDistrict Court, S.D. Ohio
DecidedAugust 29, 2025
Docket3:24-cv-00250
StatusUnknown

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

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Humerick v. Commissioner of Social Security, (S.D. Ohio 2025).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO WESTERN DIVISION (DAYTON)

JOHN H.,1 : Case No. 3:24-cv-00250 : Plaintiff, : District Judge Thomas M. Rose : Magistrate Judge Caroline H. Gentry vs. : : COMMISSIONER OF THE SOCIAL : SECURITY ADMINISTRATION, : Defendant. :

REPORT AND RECOMMENDATION2

In March 1993, the Commissioner of the Social Security Administration (“Commissioner”) ruled on Plaintiff’s application for Supplemental Security Income and determined that Plaintiff was “disabled” as of November 1, 1992. The Commissioner conducted continuing disability reviews in 1997, 2001, and 2005 (when Plaintiff turned age 18) and determined that Plaintiff’s disability had continued. The Commissioner reviewed Plaintiff’s claim again in 2016 and found that Plaintiff’s disability continued due to epilepsy and intellectual disability. The Commissioner subsequently conducted another continuing disability review and determined that Plaintiff was no longer disabled as of June 11, 2020. That

1 See S.D. Ohio General Order 22-01 (“The Committee on Court Administration and Case Management of the Judicial Conference of the United States has recommended that due to significant privacy concerns in social security cases federal courts should refer to claimants only by their first names and last initials.”). 2 See 28 U.S.C. § 636(b)(1). The notice at the end of this opinion informs the parties of their ability to file objections to this Report and Recommendation within the specified time period. determination was upheld upon reconsideration and by a state agency Disability Hearing Officer. After a hearing at Plaintiff’s request, the Administrative Law Judge (ALJ)

concluded that Plaintiff’s disability ended on June 11, 2020, and that he had not been disabled since that time. The Appeals Council denied Plaintiff’s request for review. Plaintiff subsequently filed this action. He seeks an order remanding this matter to the Commissioner for the award of benefits or, in the alternative, for further proceedings. The Commissioner asks the Court to affirm the non-disability decision. For the reasons set forth below, the undersigned Magistrate Judge recommends that the Commissioner’s

decision be AFFIRMED. I. BACKGROUND After an individual is awarded disability benefits, the Commissioner periodically reviews whether he or she continues to be entitled to disability benefits. See 20 C.F.R. § 404.1594(a). Among other things, the Commissioner “will compare the current medical

severity of that impairment(s) which was present at the time of the most recent favorable medical decision that you were disabled or continued to be disabled to the medical severity of that impairment(s) at that time.” 20 C.F.R. § 404.1594(b)(7). The “most recent favorable medical decision” is referred to as the “comparison point decision” (CPD). Here, the CPD is the decision dated March 4, 2016. (AR, Doc. No. 7-3 at PageID 89-90.)

The Commissioner began conducting another continuing disability review in January 2019. (AR, Doc. No. 7-3 at PageID 91.) After the Division of Disability Determination (DDD) identified “areas of conflict in the medical evidence of record compar[ed] to [Plaintiff’s] presentations and statements regarding his alleged limitations,” the DDD referred the matter to the Cooperative Disability Investigations Unit (CDIU) for an investigation. (AR, Doc. No. 7-6 at PageID 327-38.) CDIU

investigators interviewed Plaintiff at his home, obtained records from the Ohio Bureau of Motor Vehicles, and reviewed Plaintiff’s social media posts before issuing a report on March 2, 2020 (“CDIU report”). (Id.) After reviewing the CDIU report, a DDD Senior Disability Claims Adjudicator issued a Special Determination. (AR, Doc. No. 7-3 at PageID 92-95.) The Adjudicator concluded: “Based on preponderance of evidence, there is reason to believe that

[Plaintiff] knowingly concealed and provided incorrect information concerning his mental and physical limitations and his ability to function on a daily basis. [Plaintiff] has committed similar fault in connection with his disability claim.” (Id. at PageID 95.) In November 2021, the Commissioner determined that Plaintiff was no longer disabled as of June 11, 2020. (AR, Doc. No. 7-4 at PageID 146-49.)

SSA’s Office of the Inspector General issued a report dated February 4, 2022, which found that evidence obtained during Plaintiff’s appeal had revealed additional inconsistencies. (AR, Doc. No. 7-7 at PageID 467-519.) Plaintiff’s claim was referred to the Anti-Fraud Unit “to review and comment on the issue of Similar Fault as it may relate to the current claim.” (Id. at PageID 470.)

Another Senior Disability Claims Adjudicator issued a Special Determination on March 8, 2022. (AR, Doc. No. 7-3 at PageID 98-101.) This Adjudicator found that Plaintiff had “knowingly concealed and provided incorrect information” about his level of functioning and had “committed similar fault in connection with his disability claim.” (Id. at PageID 101.)

After a hearing before a Disability Hearing Officer, DDD issued a determination dated August 9, 2022, which affirmed the finding that Plaintiff’s disability had medically ceased. (Id. at PageID 112.) Plaintiff was thirty-three years old on the disability cessation date of June 11, 2020. Accordingly, Plaintiff was considered a “younger person” under Social Security Regulations. 20 C.F.R. § 416.963(c). Plaintiff has a “high school education and above.”

20 C.F.R. § 406.964(b)(4). The evidence in the Administrative Record (“AR,” Doc. No. 7) is summarized in the ALJ’s decision (“Decision,” Doc. No. 7-2 at PageID 38-58), Plaintiff’s Statement of Errors (“SE,” Doc. No. 8), the Commissioner’s Memorandum in Opposition (“Mem. In Opp.,” Doc. No. 10), and Plaintiff’s Reply Memorandum (“Reply,” Doc. No. 11). Rather

than repeat these summaries, the Court will discuss the pertinent evidence in its analysis below. II. LEGAL FRAMEWORK FOR CONTINUING DISABILITY REVIEW DETERMINATIONS

The Social Security Administration provides Supplemental Security Income to individuals who are under a “disability,” among other eligibility requirements. Bowen v. City of New York, 476 U.S. 467, 470 (1986); see 42 U.S.C. §§ 402, 423(a)(1), 1382(a). The term “disability” means “the inability to do any substantial gainful activity by reason of any medically determinable physical or mental impairment which . . . has lasted or can be expected to last for a continuous period of not less than 12 months.” 20 C.F.R. § 416.905(a).

Once an individual has been found disabled, continued entitlement to those benefits depends on whether “there has been any medical improvement in [the individual’s] impairment(s) and, if so, whether this medical improvement is related to [the individual’s] ability to work.” 20 C.F.R. § 416.994(b). “Improvement is measured from ‘the most recent favorable decision’ that the claimant was disabled.” Kennedy v. Astrue, 247 F. App’x 761, 764 (6th Cir. 2007) (citing 20 C.F.R.

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