Lauritzen v. Weinberger

374 F. Supp. 301, 1974 U.S. Dist. LEXIS 9231
CourtDistrict Court, E.D. Missouri
DecidedMarch 29, 1974
DocketNo. 73 C 381 (4)
StatusPublished
Cited by1 cases

This text of 374 F. Supp. 301 (Lauritzen v. Weinberger) is published on Counsel Stack Legal Research, covering District Court, E.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lauritzen v. Weinberger, 374 F. Supp. 301, 1974 U.S. Dist. LEXIS 9231 (E.D. Mo. 1974).

Opinion

MEMORANDUM

NANGLE, District Judge.

In this action plaintiff Thelma H. Lauritzen seeks judicial review of the final decision of the Secretary of Health, Education and Welfare (“Secretary”), pursuant to Section 205(g) of the Social Security Act (“Act”), as amended, 42 U.S.C. § 405(g),1 denying disability insurance benefits to plaintiff. The action is before the Court upon the cross motions of the parties for summary judgment.

On June 22, 1964, plaintiff filed the first of three applications to establish a period of disability, pursuant to § 416 (i), and to obtain disability insurance benefits, pursuant to § 423. In the first application plaintiff stated that her impairment was a heart condition and that she became unable to work on December 1, 1963. The Missouri state agency for vocational rehabilitation examined plaintiff and concluded that a period of disability should be allowed, [303]*303beginning December 1, 1963, with the proviso that plaintiff be re-examined in one year. Upon this basis the Social Security Administration awarded benefits.

On September 22, 1965, the Missouri agency found that plaintiff’s condition had improved to the extent that her period of disability ceased as of September 3, 1965. Benefits were ceased in November, 1965. 42 U.S.C. § 423(a)(1)(D). By letter dated October 22, 1965, plaintiff was so notified. After reconsideration the initial determination was affirmed. Plaintiff appealed and was granted an evidentiary hearing. By opinion dated August 29, 1966, the hearing examiner (now the administrative law judge) found that plaintiff’s disability ceased in September, 1965, and that her entitlement to a period of disability and to disability insurance benefits ended effective November, 1965. After the receipt of additional evidence, on August 1, 1967, the Appeals Council affirmed the hearing examiner. Plaintiff was notified of the Appeals Council decision by letter dated August 1, 1967. In this letter plaintiff was advised that if she disagreed with the decision she could commence a civil judicial action within sixty days. Plaintiff did not seek judicial review.

Plaintiff filed a second application for disability benefits on November 16, 1970. Therein she stated that she became disabled from arteriosclerotic heart disease on November 16, 1970. This application was denied by letter dated January 14, 1971, for the sole reason that she did not meet the earnings requirement.2 She was advised as follows:

You have earned social security credits for only 19 calendar quarters of work in the 40-quarter (10 year) period ending June 30, 1964. This is the last day of the calendar quarter in which you state you became unable to work because of your condition. Your social security record also shows that you do not meet the earnings requirement on any later date. (TR. 221).

On reconsideration the second application was independently evaluated but again denied. In its letter dated March 30, 1971, the Social Security Administration corrected the prior incorrect statement regarding plaintiff’s coverage and stated that plaintiff last met the earnings requirement on March 31, 1966. Plaintiff was further advised as follows:

If you have any new information showing how your condition prevented you from doing some type of work on or before March 31, 1966, you may submit it for our review. It is not necessary to file a new disability' application in this connection. (TR. 224).

Plaintiff was further advised that, if she disagreed with this decision, she must request a hearing within six months. Plaintiff did not pursue her second application further.

On December 8, 1971, plaintiff filed a third application for disability benefits. Therein she stated she became disabled in December, 1963, by reason of a heart condition. By letter to plaintiff dated February 8, 1972, the Social Security Administration denied the application because it presented no issues not decided by the March 30, 1971 reconsideration denial. However, this February 8 letter incorrectly stated that the March 30, 1971, denial found that plaintiff last met the earnings requirement on December 31, 1963.

After reconsideration, the third application was denied by letter dated May 11, 1972. However, once again the earnings coverage credit was corrected and plaintiff was given credit for earnings up to March 31,1966.

A hearing was held at plaintiff’s request. On December 1, 1972, the admin[304]*304istrative law judge rendered a recommended decision favorable to plaintiff. He found that plaintiff continued to be entitled to a period of disability under § 416 (i) and to disability insurance benefits under § 423. He found that a disability existed on and continuously after December 1, 1963, and that such disability had not ceased.

On April 12, 1973, the Appeals Council reversed the administrative law judge’s recommended decision. It found (a) that the October, 1965 determination was final and binding and not subject to being reopened; (b) that no new and material evidence had been presented which would warrant any revision of the prior determination that plaintiff’s disability ceased in September, 1965; and (c) that plaintiff was not under a disability ' on or before March 31, 1966, when the earnings requirements of the Act were last met. This decision is the final decision of the Secretary and is the subject of the instant action. Plaintiff seeks to have the administrative law judge’s recommended decision “reinstated” and disability benefits awarded from September, 1965, to present.

This action is the only judicial review sought by plaintiff of any administrative ruling referenced above. Section 405(g) of the Act provides for judicial review of any “final decision of the Secretary” only if a civil action is commenced within sixty days after the mailing of the decision to the claimant or if an action is commenced within such further time as the Secretary may allow. Such a final decision of the Secretary, subject to review under § 405(g) of the Act, exists only after the Appeals Council reviews, or denies review of, a hearing examiner’s decision. 20 CFR §§ 404.940 and 404.951; see e. g., Rogers v. Richardson, CCH Unemployment Insurance Reporter (“CCH U.I.R.”) ¶ 17,344 (D.S.Car. July 26, 1973). Only the Appeals Council decisions of August 1, 1967 and April 12, 1973 would be subject to § 405(g) judicial review. The instant action was timely commenced for direct review of the later Appeals Council decision only. The Court may, however, indirectly review the earlier Appeals Council decision either in consideration of the propriety of the Secretary’s refusal to reopen it or in consideration of its effect as res judicata.

The Secretary’s refusal to reopen the prior administrative adjudication may be set aside only if it was arbitrary, unreasonable, or an abuse of discretion. See, Grose v. Cohen, 406 F.2d 823 (4th Cir. 1969); Eastman v.

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Cite This Page — Counsel Stack

Bluebook (online)
374 F. Supp. 301, 1974 U.S. Dist. LEXIS 9231, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lauritzen-v-weinberger-moed-1974.