Medina v. Finch

330 F. Supp. 121, 1971 U.S. Dist. LEXIS 12774
CourtDistrict Court, D. Connecticut
DecidedJune 21, 1971
DocketCiv. No. 13462
StatusPublished
Cited by3 cases

This text of 330 F. Supp. 121 (Medina v. Finch) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Medina v. Finch, 330 F. Supp. 121, 1971 U.S. Dist. LEXIS 12774 (D. Conn. 1971).

Opinion

TIMBERS, Chief Judge.

QUESTION PRESENTED

This is an action brought pursuant to Section 205(g) of the Social Security Act, as amended, 42 U.S.C. § 405(g) (Supp. V, 1965-1969) (the Act), to review a decision of defendant Secretary of Health, Education and Welfare (the Secretary) denying plaintiff’s claim for disability insurance benefits based on an application for such benefits filed March 14, 1968.

Cross-motions for summary judgment, Rule 56(b), Fed.R.Civ.P., have been filed by both parties. The motions are based upon the complaint, answer, motion papers, supporting briefs, and the full record of proceedings before the Social Security Administration relating to plaintiff’s application for disability insurance benefits.

The question presented is whether, based on the record, the decision of the Secretary is supported by substantial evidence. 42 U.S.C. § 405(g) accords conclusive finality to “the findings of the Secretary as to any fact, if supported by substantial evidence . . . .” See Thomas v. Celebrezze, 331 F.2d 541 (4 Cir. 1964); Snyder v. Ribicoff, 307 F.2d 518 (4 Cir. 1962).

For reasons stated below, the Court holds that there is substantial evidence to support the Secretary’s decision and that he is entitled to summary judgment as a matter of law. Accordingly, the Secretary’s motion for summary judgment is granted and plaintiff’s motion for summary judgment is denied.

JURISDICTION

Jurisdiction is based on Section 205 (g) of the Social Security Act, as amended, 42 U.S.C. § 405(g) (Supp. V, 1965-1969).

FACTS

Plaintiff was born October 17, 1939. The alleged disability occurred March 15, 1967.

On March 14, 1968, plaintiff filed an application for the establishment of a period of disability under Section 216 (i) of the Act, 42 U.S.C. § 416(i), and for entitlement to disability insurance benefits under Section 223 of the Act, 42 U.S.C. § 423.

The Social Security Administration denied this application on May 31, 1968, having determined that plaintiff did not meet the special coverage requirement of the Act for disability insurance purposes. Upon plaintiff’s request for reconsideration, the administration affirmed its denial.

Plaintiff filed a request for a hearing before a hearing examiner. A hearing was held March 27, 1969. On May 19, 1969, the hearing examiner filed a decision that plaintiff was entitled to the benefits for which he had applied.

On June 18, 1969, the Appeals Council of the Social Security Administration, on its own motion, decided to review the decision of the hearing examiner. The Appeals Council reviewed the entire record and on August 13, 1969, filed a decision that plaintiff did not have an insured status under the Act for disability purposes and therefore reversed the decision of the hearing examiner. [123]*123The decision of the Appeals Council is the final decision of the Secretary to be reviewed herein.

OPINION

Eligibility for disability insurance benefits under the Act is dependent upon the number of yearly quarters in which the claimant reports earnings from either employment or self-employment.1 An individual is not entitled to the establishment of a period of disability, 42 U.S.C. § 416(i), or to the payment of monthly disability insurance benefits, 42 U.S.C. § 423, unless he has the required number of quarters of “insured status”, i. e. quarters in which earnings have been reported. 42 U.S.C. §§ 416(i) (3) (B) (i)-(ii) and 423(c) (1) (B) (i)-(ii) state that one comes within the insured status (i) if the claimant reports earnings from employment or self-employment for not less than 20 quarters during the 40 quarter period ending with the quarter in which the disability occurred, or (ii) if the disability quarter occurs before the claimant attains age 31, the claimant reports earnings from employment or self-employment for more than one-half of the quarters beginning with the first quarter after the claimant attained age 21 and ending with the quarter in which the disability occurred.

Plaintiff’s employment earning records, as compiled by the Social Security Administration, indicate the following quarters of coverage: 1960 — 4 quarters; 1964 — 2 quarters; 1966 — 4 quarters; 1967 — 1 quarter. This totals 11 quarters of insured status. At the hearing before the examiner, plaintiff introduced delinquent self-employment income tax returns (filed the day before the hearing) for the years 1957 through 1965. Recognizing that unreported income, such as that recorded in the delinquent income tax returns, is subject to a 3 year, 3 month, 15 day statute of limitations, 42 U.S.C. § 405(c) (1) (B), from the year of the unreported income, the hearing examiner awarded plaintiff 4 quarters of insured status for the year 1965.2 Thus, the hearing examiner held that plaintiff had a total of 15 quarters of insured status. The examiner concluded that plaintiff’s 15 quarters would not meet the requirements of 42 U.S.C. §§ 416(i) (3) (B) (i) and 423(c) (1) (B) (i).3 The examiner concluded, however, that 15 quarters of insured status would qualify plaintiff for disability benefits under 42 U.S.C. §§ 416(i) (3) (B) (ii) and 423(c) (1) (B) (ii); and, since plaintiff was 27 years of age during the quarter of disability, that his 15 quarters of insured status would be greater than the requisite 12 quarters,4 thereby entitling him to disability insurance benefits.

Upon review, the Appeals Council concluded that plaintiff held an insured status for only 11 of the requisite 12 quarters under the tests of 42 U.S.C. §§ 416(i) (3) (B) (ii) and 423(c) (1) [124]*124(B) (ii). The Appeals Council properly ruled that the number of quarters of insured status under those statutes must be determined from the quarter beginning after the attainment of age 21 and ending with the quarter of disability. Since plaintiff attained age 21 in October, 1960, the first quarter after he reached age 21 began on January 1, 1961. The quarter of disability ended on March 31, 1967.

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Related

Medina v. Finch
465 F.2d 1405 (Second Circuit, 1972)

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Bluebook (online)
330 F. Supp. 121, 1971 U.S. Dist. LEXIS 12774, Counsel Stack Legal Research, https://law.counselstack.com/opinion/medina-v-finch-ctd-1971.