Luella Williams v. Commissioner of Social Security

CourtCourt of Appeals for the Eleventh Circuit
DecidedMarch 16, 2022
Docket21-10920
StatusUnpublished

This text of Luella Williams v. Commissioner of Social Security (Luella Williams v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Luella Williams v. Commissioner of Social Security, (11th Cir. 2022).

Opinion

USCA11 Case: 21-10920 Date Filed: 03/16/2022 Page: 1 of 22

[DO NOT PUBLISH] In the United States Court of Appeals For the Eleventh Circuit

____________________

No. 21-10920 Non-Argument Calendar ____________________

LUELLA WILLIAMS, Plaintiff-Appellant, versus COMMISSIONER OF SOCIAL SECURITY,

Defendant-Appellee.

Appeal from the United States District Court for the Middle District of Florida D.C. Docket No. 8:20-cv-00217-AAS ____________________ USCA11 Case: 21-10920 Date Filed: 03/16/2022 Page: 2 of 22

2 Opinion of the Court 21-10920

Before WILSON, JILL PRYOR, and BRASHER, Circuit Judges. PER CURIAM: Luella Williams appeals the district court’s order affirming the decision of the Commissioner of the Social Security Admin- istration (“Commissioner”) denying her application for benefits. After an administrative law judge (“ALJ”) concluded that she was not disabled and denied her application for benefits, Williams filed a request for review with the Appeals Council, challenging the ALJ’s decision that she was not disabled. She also requested that, if the Appeals Council denied review, it direct that if Williams filed a second application for disability benefits, the Social Security Ad- ministration (“SSA”) would deem the application filed as of the date when she requested review from the Appeals Council for her initial application for benefits, not the later date when any second application actually was filed. The Appeals Council denied Wil- liams’s request for review and sub silentio denied her request that a second application be deemed filed on an earlier date. On appeal, Williams does not challenge the substance of the Commissioner’s decision that she was not disabled and ineligible for benefits. Her only argument is that the Appeals Council erred when it denied her request that a second application for benefits be deemed filed as of an earlier date. She contends that the Appeals Council erred because under the SSA’s procedures she was entitled to a protective filing date. Alternatively, she challenges the relevant SSA regulation as unconstitutional. Because the Appeals Council’s USCA11 Case: 21-10920 Date Filed: 03/16/2022 Page: 3 of 22

21-10920 Opinion of the Court 3

decision was consistent with the relevant SSA regulation, and the regulation has a rational basis, we affirm. I. THE SSA’S REGULATORY SCHEME REGARDING SUBSEQUENT DISABILITY CLAIMS Because this appeal requires a detailed understanding of the SSA’s procedures related to the filing of subsequent disability claims, we begin by reviewing the administrative scheme. For the period from 1999 through 2011, the SSA’s proce- dures permitted a claimant to have two applications for the same type of disability benefits pending at the same time. See Procedures for Handling Requests to File Subsequent Applications for Disabil- ity Benefits, SSR 11-1p, 76 Fed. Reg. 45,309, 45,310 (July 28, 2011) (“SSR 11-1p” or the “ruling”). Under these procedures, if an ALJ denied a claimant’s application for disability benefits and she sought review of that decision from the Appeals Council, she also could file a new application with the SSA under the same title seek- ing the same type of benefits. Id. The agency would process the claimant’s second disability claim while she continued to pursue administrative review of her initial claim. Id. Over time, the SSA saw an increase in the number of claim- ants who both sought Appeals Council review and filed subsequent disability claims. Id. When a claimant had two applications seeking benefits under the same title and type pending at the same time, there was a risk of conflicting agency decisions, which the SSA then had to reconcile. Id. The SSA found that allowing claimants to have USCA11 Case: 21-10920 Date Filed: 03/16/2022 Page: 4 of 22

4 Opinion of the Court 21-10920

two applications pending at the same time resulted in “improper payments, increased administrative costs, and unnecessary work- loads stemming from duplication.” Id. To address these problems, the agency issued SSR 11-1p, a Social Security Ruling,1 which revised the procedures for handling subsequent applications for disability claims of the same title and type. Id. Under SSR 11-1p, a claimant generally may not have two applications for the same type of benefits pending at the same time. Id. When a claimant has a request for review pending before the Appeals Council, the agency will not accept a subsequent applica- tion from the claimant seeking the same type of benefits. Id. The revised procedures effectively required a claimant to choose be- tween pursuing administrative review of her initial application and filing a new one. Id. Even though the SSA will not accept a new application from a claimant while she pursues Appeals Council review, she may sub- mit additional evidence to the Appeals Council relevant to her ini- tial application. Id. at 45,110–11; see Washington v. Soc. Sec. Ad- min., Comm’r, 806 F.3d 1317, 1320 (11th Cir. 2015) (explaining that a claimant is permitted to present new evidence at each stage of the

1“Social Security Rulings are agency rulings published under the authority of the Commissioner of Social Security and are binding on all components of [the SSA].” Sullivan v. Zebley, 493 U.S. 521, 530 n.9 (1990) (internal quotation marks omitted). USCA11 Case: 21-10920 Date Filed: 03/16/2022 Page: 5 of 22

21-10920 Opinion of the Court 5

administrative process, including before the Appeals Council, and that the Appeals Council is obligated to consider such evidence). The SSA’s regulations have long addressed when the Ap- peals Council may consider additional evidence submitted by a claimant. See 20 C.F.R. § 416.1470(c) (the “regulation”). In the 1980s, the SSA proposed a regulation that would have barred the Appeals Council from considering additional evidence from a claimant in any circumstances. Limit on Future Effect of Applica- tions and Related Changes in Appeals Council Procedures, 52 Fed. Reg. 4,001, 4,001–02 (Feb. 9, 1987). But the SSA ultimately did not implement this broad ban on the Appeals Council’s consideration of additional evidence. Id. at 4,002. Instead, the agency limited the Appeals Council to considering evidence relating to the period on or before the date of the ALJ’s decision.2 Id. At the same time, the SSA added a provision to its regulations specifying that if a claimant submitted additional evidence that the Appeals Council found re- lated to the period after the date of the ALJ’s decision, the Appeals Council would return the evidence to the claimant. Id. It also would advise the claimant that if she filed a subsequent application for benefits, the date of her request for review would be used as the

2 The SSA later amended the regulation to specify that the Appeals Council will grant review only if the claimant’s additional evidence also is “new, ma- terial, [and] there is a reasonable probability that the additional evidence would change the outcome of the decision.” 20 C.F.R. § 416.1470(a)(5). In ad- dition, the claimant must show “good cause” for not submitting the evidence to the ALJ. Id. § 416.1470(b). USCA11 Case: 21-10920 Date Filed: 03/16/2022 Page: 6 of 22

6 Opinion of the Court 21-10920

protective filing date 3 for the application. See id.; see 20 C.F.R. § 416.1470(c).

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Luella Williams v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/luella-williams-v-commissioner-of-social-security-ca11-2022.