KOCI v. COMMISSIONER OF SOCIAL SECURITY

District Court, D. New Jersey·Decided September 26, 2024·No. 3:23-cv-02668·Unknown

Opinion

NOT FOR PUBLICATION UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

SIBE K., Plaintiff, Civil Action No. 23-02668 (GC) Vv, OPINION COMMISSIONER OF SOCIAL SECURITY, Defendant.

CASTNER, District Judge THIS MATTER comes before the Court upon Plaintiff Sibe K.’s! appeal from the final decision of the Commissioner of the Social Security Administration denying an application for supplemental social security benefits based on disability under the Social Security Act, 42 U.S.C. § 423, ef seg. The Court has jurisdiction to review this matter pursuant to 42 U.S.C. § 405(g) and reaches its decision without oral argument pursuant to Federal Rule of Civil Procedure (“Rule”) 78(b) and Local Civil Rule 78.1(b). For the reasons set forth below, and other good cause shown, the Court VACATES the Commissioner’s decision and REMANDS this matter for further proceedings. I. BACKGROUND A. PROCEDURAL HISTORY On May 19, 2021, Plaintiff applied for supplemental social security benefits, alleging an

The Court identifies Plaintiff by first name and last initial pursuant to D.N.J. Standing Order 2021-10,

onset date of May 20, 2011. (Administrative Record (“AR”) at 54, 97; ECF No. 5 at 1. On September 17, 2021, the Commissioner denied Plaintiff's claim, (fd. at 97), and on October 27, 2021 it denied the claim again upon reconsideration, (fd at 105). On June 1, 2022, the Administrative Law Judge (‘ALI’) held a telephonic Administrative Hearing due to the circumstances presented by the Coronavirus Disease (Covid-19) Pandemic. (/d. at 70-96.) In an August 31, 2022 decision, the ALJ found that Plaintiff was not disabled. Ud. at 51-69.) Plaintiff timely requested that the Appeals Council review the ALJ’s decision, and asked for further time to act on the case. (Id. at 1-4; 8-12.) On November 1, 2022 the Appeals Council granted Piaintiff's request, and invited Plaintiff to submit additional information. (/d. at 10.) Plaintiff submitted additional medical evidence on May 23, 2022. (Ud. at 1-2; 15-50.) On May 3, 2023 the Appeals Council found there was no basis for review of the ALJ’s decision, (Ud. at 1-4.) The Appeals Council determined that additional medical evidence submitted by Plaintiff did not “show reasonable probability that it would change the outcome of the [ALJ’s] decision” and did not exhibit that evidence as part of the record. Ud. at 1-2.) Plaintiff filed a Complaint in this Court on May 17, 2023. (ECF No. 1.) On July 17, 2023 the Administrative Record was filed in this case. (ECF No. 3.) Plaintiff filed her brief on November 29, 2023. CECF No. 5.) Defendant filed a response brief on January 24, 2024, (ECF No, 10). B. THE ALJ's DECISION In the ALJ’s decision, the ALJ ruled that Plaintiff was not disabled. (See generally AR at

The Administrative Record certified on July 17, 2023 is available at ECF No 3. This Opinion references page numbers in the Record only and not the corresponding ECF numbers. Page numbers for all other cites (7.¢., “ECF Nos.”) refer to the page numbers stamped by the Court’s e-filing system and not the internal pagination of the parties. The Court will adopt the exhibit references as cited in the ALJ’s opinion.

54-64.) The ALJ set forth the frve-step process for determining whether an individual is disabled and entitled to disability benefits, and then examined the evidence at each step. Ud. at 55-64 (citing 20 CFR, § 416.920(a)).} i, Steps One through Three of the ALJ's Disability Determination At step one, the ALJ found that Plaintiff had not engaged in any gainful activity since the application date of May 19, 2021. Cd. at 56 (citing 20 C.E.R. § 416.971).) At step two, the ALJ determined that Plaintiff suffered from the following “severe” impairments: inflammatory arthritis; systemic lupus erythematosus (SLE); osteoarthritis; and ulnar entrapment, (/d. (citing 20 CFR 416.920(c)).) The ALJ found that these medically determinable impairments “significantly limit the ability to perform basic work activities as required by [Social Security Ruling (““SSR”)] 85-28.” Ud.) The ALJ also found that Plaintiff had the non-severe impairment of incipient presbyopia. (/d.) Although the record contained references to Plaintiff's headaches and alleged fibromyalgia, the ALJ concluded that there were “insufficient findings in the clinical record” to support that these were medically determinable impairments. (/d. at 57,)The ALJ explained that medically determinable impairments must be established by “objective medical evidence from an acceptable medical source” and not merely by “a person’s statement of symptoms, a diagnosis, or a medical opinion.” (d.) At step three, the ALJ determined that Plaintiff did “not have an impairment or combination of impairments that meets or medically equals the severity of one of the listed impairments in 20 CFR Part 404, Subpart P, Appendix 1.” (Ud. at 57-58 (citing 20 C.F.R. §§ 416.920(d), 416.925, 416.926).) In step three, the ALJ reiterated his analysis of the non-severe impairments from the step two analysis. (Compare id. at 56 with id, at 57.)

2 Step Four At the fourth step, the ALJ outlined his findings of Plaintiff's residual functional capacity (“RFC”), writing: [C}laimant has the residual functional capacity to perform light work as defined in 20 CFR 416.967(b) except is able to frequently handle and finger with the bilateral hands. She is able to occasionally climb ramps and stairs; never climb ladders, ropes, or scaffolds; occasionally balance as defined in the SCO; and occasionally stoop, kneel, crouch and crawl. The claimant can never work at unprotected heights; occasionally work around hazardous moving mechanical parts; and occasionally work in vibration? (Ud. at 58.}] Step four requires that the ALJ follow a two-step process in which he must: (1) determine whether there is an “underlying medically determinable physical or mental impairment(s) . . . that can be shown by medically acceptable clinical or laboratory diagnostic techniques... that could reasonably be expected to produce the claimant’s pain or other symptoms,” and then (2) evaluate the “intensity, persistence, and limiting effects of the claimant’s symptoms to determine the extent to which they limit the claimant’s work related activities.” Ud. at 58.) In reaching his conclusion regarding Plaintiff's RFC, the ALJ stated that he relied on “careful consideration of the entire record” and “considered all symptoms and the extent to which these symptoms can reasonably be accepted as consistent with the objective medical evidence and other evidence.” (/d. (citing 20

3 The Social Security Administration “determine[s] the physical exertion requirements of work in the national economy” by “classify[ing] jobs as sedentary, light, medium, heavy, and very heavy.” 20 CER. § 404.1567. Accordingly, light work “involves lifting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds.” (/d.

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