Lee v. Commissioner of Social Security

District Court, W.D. New York·Decided November 12, 2020·No. 1:19-cv-00953·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NEW YORK ASHLEY M. LEE, § § Plaintiff, § § v. § Case # 1:19-cv-953-DB § COMMISSIONER OF SOCIAL SECURITY, § MEMORANDUM DECISION § AND ORDER Defendant. § INTRODUCTION Plaintiff Ashley M. Lee (“Plaintiff”) brings this action pursuant to the Social Security Act (the “Act”), seeking review of the final decision of the Commissioner of Social Security (the “Commissioner”), that denied her application for Disability Insurance Benefits (“DIB”) under Title II of the Act, and her application for supplemental security income (“SSI”) under Title XVI of the Act. See ECF No. 1. The Court has jurisdiction over this action under 42 U.S.C. §§ 405(g), 1383(c), and the parties consented to proceed before the undersigned in accordance with a standing order (see ECF No. 10). Both parties moved for judgment on the pleadings pursuant to Federal Rule of Civil Procedure 12(c). See ECF Nos. 7, 8. Plaintiff also filed a reply brief. See ECF No. 9. For the reasons set forth below, Plaintiff’s motion for judgment on the pleadings (ECF No. 7) is DENIED, and the Commissioner’s motion for judgment on the pleadings (ECF No. 8) is GRANTED. PROCEDURAL AND FACTUAL BACKGROUND Plaintiff protectively filed her applications for DIB and SSI on May 5, 2015, alleging disability beginning June 30, 2010 (the disability onset date). Transcript (“Tr.”) 26, 71. The claims were denied initially on November 23, 2015, after which Plaintiff requested an administrative hearing. Tr. 71-72, 81-82. On February 28, 2018, Administrative Law Judge Gregory Moldafsky (the “ALJ”) conducted a video hearing from Alexandria, Virginia. Tr. 26, 169-201. Plaintiff appeared and testified from Buffalo, New York, and was represented by Stephen Ruotsi (“Mr. Ruotsi”), an attorney from the Law Office of Kenneth R. Hiller, PLLC (the “Hiller Law Firm”). Tr. 26, 169. The ALJ issued an unfavorable decision on May 1, 2018, finding that Plaintiff was

not disabled. The letter accompanying the ALJ’s decision indicates it was mailed to Plaintiff, at 56 Webber St., Apt. 2, Brooklyn, NY 14215, with a copy to Mr. Ruotsi, at 6000 N. Bailey Avenue, Suite 1A, Amherst, NY 14226. Tr. 23, 25. On October 12, 2018, nearly eight months after the February 28, 2018 hearing, and more than five months after the ALJ’s May 1, 2018 decision, Kenneth Hiller (“Mr. Hiller”), from the Hiller Law Firm, sent a letter to the Appeals Council on behalf of Plaintiff requesting review of the ALJ’s decision. Tr. 11-22, 44-47, 52-54. Mr. Hiller asked the Appeals Council to accept his request as timely because he allegedly did not receive a copy of the ALJ’s decision until a member of his staff contacted the agency earlier that day. Tr. 11. He alleged that an employee of the hearing office confirmed to his staff member that a copy of the decision was only sent to Plaintiff. Tr. 11.

The hearing office employee is never identified. Along with the request for review, Mr. Hiller submitted an affidavit from his office manager, Cheverine Van Berkum (“Ms. Van Berkum”), stating that the law office did not receive a copy of the unfavorable decision dated, April 16, 2018 [sic].1 Tr. 11, 19, 46, 54. She also stated that the law office was informed via a telephone conversation with the agency’s hearing office on October 12, 2018 that a copy of the ALJ’s decision was not sent to the representative at the time the decision was issued. Tr. 46, 54. Again no agency employee is identified.

1 The actual date of the ALJ’s decision was May 1, 2018. See Tr. 23. On November 30, 2018, the Appeals Council sent Plaintiff a letter, notifying her that her request for review was filed late. Tr. 7-10. The letter stated that her last day to file a request for review was July 5, 2018. Tr. 7. The Appeals Council gave Plaintiff 30 days to send a statement showing the reasons the request was not filed timely. Tr. 7-8. The Appeals Council also informed

Plaintiff that she could send information about when she received the notice of the ALJ’s decision. Tr. 7. The Appeals Council stated that, if Plaintiff did not show that she had a good reason for filing late, they would dismiss her request for review. Tr. 8. The Appeals Council sent a copy of this letter to Mr. Ruotsi, at 6000 N. Bailey Avenue, Suite 1A, Amherst, NY 14226. Tr. 9, 10. This correspondence counsel did receive. On December 10, 2018, Mr. Hiller submitted a letter to the Appeals Council asserting that the delay in filing the request for review “was due solely to the omissions/errors of the Office of Disability and Adjudication, unmixed with any fault on behalf of the claimant or her representatives.” Tr. 42, 49. Mr. Hiller stated that a member of his staff contacted the Buffalo hearing office and was informed that, based upon the hearing office’s mail log, no copy of the

decision had been served upon his office. Tr. 42. He stated that his office did not receive the notice until October 12, 2018, when he immediately filed a request for review. Id. On May 31, 2019, the Appeals Council issued a Notice of Order Dismissing Request for Review. Tr. 2-6. The Appeals Council concluded that Plaintiff’s request for review was not filed within 60 days from the date of the notice of the ALJ’s decision was presumed received. Tr. 4. After considering the statement submitted by Mr. Hiller and the affidavit from Ms. Van Berkum, the Appeals Council found that the record did not contain any objective evidence supporting these statements. Tr. 4. Accordingly, the Appeals Council found no good cause to extend the time for filing and dismissed Plaintiff’s request for review. Id. LEGAL STANDARD If a claimant is dissatisfied with an ALJ’s decision on the merits, she may request review by the Appeals Council. 20 C.F.R. §§ 404.1400(a)(4), 416.1400(a)(4); see 20 C.F.R. §§ 404.967- 404.981, 416.1467-416.1481. To do so, the claimant must file a written request for review within

60 days after receiving notice of the ALJ’s decision. 20 C.F.R. §§ 404.968, 416.1468. The agency considers a claimant to have received notice 5 days after the date on the notice unless the claimant can show that she did not receive it within the 5-day period. 20 C.F.R. §§ 404.901, 416.1401. The presumption of receipt may be rebutted only by a “reasonable showing to the contrary.” Matsibekker v. Heckler, 738 F.2d 79, 81 (2d Cir. 1984). If a claimant misses the deadline and cannot show good cause, however, the Appeals Council does not deny the request but rather dismisses it. 20 C.F.R. § 416.1471. The dismissal of a claimant’s request for Appeals Council review of an ALJ’s decision is a final decision and subject to judicial review under § 405(g). Smith v. Berryhill, 139 S. Ct. 1765 (2019). Section 405(g) provides:

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