MARKWARDT v. KIJAKAZI

District Court, E.D. Pennsylvania·Decided January 17, 2024·No. 2:22-cv-02355·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA

KATHLEEN S. MARKWARDT, : : Plaintiff, : : CIVIL ACTION v. : : KILOLO KIJAKAZI, : No. 22-cv-02355-RAL Commissioner of Social Security : : Defendant

RICHARD A. LLORET January 17, 2023 U.S. MAGISTRATE JUDGE

MEMORANDUM OPINION

The Commissioner of Social Security, through the decision of an Admnistrative Law Judge (“ALJ”), denied Plaintiff Kathleen S. Markwardt’s (“Plaintiff’s”) application for disability insurance benefits under the Social Security Act, 42 U.S.C. §§ 401–434. The ALJ determined that Ms. Markwardt was not disabled under the Social Security Act and its regulations. R. 26.1 Ms. Markwardt now requests review of the ALJ’s decision. See Doc. No. 6 (“Pl. Br.”). After careful consideration, I find that the ALJ erred by failing to consider certain medical records reflecting Ms. Markwardt’s medical treatment following her last insured date when evaluating the severity of her impairments at step two of the sequential analysis. This error undercuts the ALJ’s conclusions at steps three and four and necessitates remand.

1 All references to the administrative record will be listed as “R. ___”. The administrative record is document number eight on ECF. PROCEDURAL HISTORY On November 18, 2019, Ms. Markwardt filed a claim for social security disability insurance benefits, alleging a disability onset date of November 27, 2015. R. 18, 186–189. Ms. Markwardt alleges that she cannot work due to vertigo, a traumatic brain injury, long thoracic nerve palsy with pain, depression, anxiety, post-concussion

syndrome with loss of consciousness, and cognitive dysfunction. R. 18, 199. Ms. Markwardt’s application was denied initially on May 19, 2020 (R. 85) and on reconsideration on January 27, 2021 (R. 102). Ms. Markwardt requested a hearing before an ALJ. R. 74. The request was granted, and a hearing was held on May 18, 2021, at which Ms. Markwardt was represented by counsel. R. 31–57. Ms. Markwardt and a Vocational Expert each testified. R. 31–57. Following the hearing, the ALJ found that Ms. Markwardt was not disabled under the Social Security Act during the relevant insured period. R. 26. On April 29, 2022, the Appeals Council denied Ms. Markwardt’s request for review, making the ALJ’s determination a final determination. See R. 1–6. Ms. Markwardt then filed an appeal in this court. See Doc. No. 1.2 FACTUAL BACKGROUND

I. The Claimant’s Background Ms. Markwardt was fifty-five years old on the alleged disability onset date, making her an “individual of advanced age” under the regulations. R. 24; 20 C.F.R. §§ 404.1563. Ms. Markwardt is a college graduate (R. 37) and has past relevant work as an office manager/medical assistant. R. 38. On November 27, 2015, Ms. Markwardt was riding her bike when a dog ran in front of her, causing her to crash into the road. R. 230.

2 Unless otherwise indicated, all references to the electronically docketed record will be cited as “Doc. No. ___ at ___.” Ms. Markwardt hit her head, losing consciousness, and injured the entire right side of her body, including her elbow and shoulder. As a result of her fall, Ms. Markwardt suffered a traumatic brain injury which has caused significant concentration and vestibular issues. II. The ALJ’s Decision The ALJ found that Ms. Markwardt was not disabled under the Social Security

Act during the relevant period. R. 26. In reaching this decision, the ALJ made the following findings of fact and conclusions of law pursuant to Social Security’s five-step sequential evaluation process.3 Prior to step one, the ALJ determined that Ms. Markwardt met the insured status requirements of the the Social Security Act .4 R. 17. At step one, the ALJ confirmed that Ms. Markwardt had not engaged in substantial gainful activity during the period from her alleged disability onset date, November 27, 2015, through her last insured date, December 31, 2015. R. 17. At step two, the ALJ determined that Ms. Markwardt had two severe impairments: spondyloarthropathy of the cervical spine and a partial tendon tear of the right elbow. R. 17. At step three, the ALJ compared Ms. Markwardt’s impairments

3 An ALJ evaluates each case using a sequential process until a finding of “disabled” or “not disabled” is reached. The sequence requires an ALJ to assess whether the claimant: (1) is engaging in substantial gainful activity; (2) has a severe “medically determinable” physical or mental impairment or combination of impairments; (3) has an impairment or combination of impairments that meet or equal the criteria listed in the social security regulations and mandate a finding of disability; (4) has the residual functional capacity to perform the requirements of his past relevant work, if any; and (5) is able to perform any other work in the national economy, taking into consideration his residual functional capacity, age, education, and work experience. See 20 C.F.R. §§ 404.1520(a)(4)(i)–(v), 416.920(a)(4)(i)–(v). 4 When an applicant is seeking disability insurance benefits, the ALJ must determine the applicant’s insured status. 20 C.F.R. § 404.101(a). If an applicant is “neither fully nor currently insured, no benefits are payable based on [the applicant’s] earnings.” Id. The applicant is able to recover DIB only through their last insured date. 42 U.S.C. § 423(a). to those contained in the Social Security Listing of Impairments5 and found that Ms. Markwardt’s impairments, either individually or jointly, did not meet or medically equate to the severity of one of the listed impairments. R. 18–20. Prior to reviewing step four, the ALJ determined that Ms. Markwardt had the residual capacity (“RFC”) to perform the full range of sedentary work.6 R. 20.

At step four, the ALJ determined that Ms. Markwardt was unable to perform any past relevant work, in light of the Vocational Expert’s testimony that Ms. Markwardt’s RFC precludes past work. R.24. The ALJ then noted that Ms. Markwardt was fifty-five years old on the alleged disability onset date, making her an “individual of advanced age” under the guidelines. R. 24. The ALJ also acknowledged that Ms. Markwardt has acquired skills from her past relevant work, including: record keeping, appointment setting, file manipulation and keeping, and general office duties with copiers, computers and printers. R. 24–25. At step five, the ALJ determined that Ms. Markwardt “had acquired work skills from past relevant work that were transferrable to other occupations with jobs existing in significant numbers in the national economy,” including the job of a receptionist, an

information clerk, and an appointment clerk. R. 25. The ALJ ultimately concluded that Ms. Markwardt was not disabled during the relevant period. R. 26.

5 The regulations contain a series of “Listings” that describe symptomology related to various impairments. See 20 C.F.R. Pt. 404, Subpt. P., App. 1. If a claimant's documented symptoms meet or equal one of the impairments, “the claimant is conclusively presumed to be disabled.” Bowen v. Yuckert, 482 U.S. 137, 141 (1987). If not, the sequential evaluation continues to step four, where the ALJ determines whether the impairments assessed at step two preclude the claimant from performing any relevant work the claimant may have performed in the past. Id.

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