Miller v. Celebrezze

233 F. Supp. 852, 1964 U.S. Dist. LEXIS 7422
CourtDistrict Court, S.D. West Virginia
DecidedAugust 21, 1964
DocketNo. 2043
StatusPublished

This text of 233 F. Supp. 852 (Miller v. Celebrezze) is published on Counsel Stack Legal Research, covering District Court, S.D. West Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Miller v. Celebrezze, 233 F. Supp. 852, 1964 U.S. Dist. LEXIS 7422 (S.D.W. Va. 1964).

Opinion

CHRISTIE, District Judge.

This action was brought by the plaintiff against the defendant pursuant to Section 205(g) of the Social Security Act, as amended, 42 U.S.C.A. § 405(g), to obtain judicial review of the final decision of the defendant denying plaintiff’s application for a period of disability and for disability insurance benefits under Section 216(i) and Section 223 of the Act, as amended.

The plaintiff filed his instant application for the establishmnet of a period of disability and for disability insurance benefits on April 3, 1962, in which he alleged that he had been unable to work since August 1, 1957, because of “back injury (spine) left leg gives way, kidney trouble.”

The plaintiff had previously filed an application for a period of disability on July 26, 1960, and for both a period of disability and disability insurance benefits on September 27, 1960. Following denial of these applications, plaintiff requested and was granted a hearing. On January 31, 1962, the hearing examiner, in effect, ruled that plaintiff was not under a disability, as contemplated by the Act, at the time, or before the filing, of his ap[853]*853plication. Plaintiff requested a review of that decision by the Appeals Council which was denied on March 19, 1962, and no judicial review thereof being sought, such decision became final and binding upon all parties to the hearing. Therefore, the finding in the previous hearing examiner’s decision that the plaintiff was not under a “disability” on or before September 27, 1960, (the filing date of his latest application covered by said decision) is final and binding and may be reopened and revised only upon the presentation of new and material evidence.

On the present application, plaintiff’s claim was initially denied on September 7, 1962; thereafter he requested a reconsideration and upon reconsideration the initial finding was affirmed October 17, 1962. He thereafter filed a request for a hearing and in accordance with such request, a hearing was held on May 21, 1962, in Logan, West Virginia, at which the claimant appeared in person and by .his counsel. Thereafter, on June 17, 1963, the hearing examiner rendered a -decision finding that the plaintiff was entitled to both a period of disability and to -disability insurance benefits within the effective period of his application. On July 24, 1963, the Appeals Council, on its •own motion, decided to review the hearing examiner’s decision, and on such review, by decision of March 10, 1964, it reversed the hearing examiner’s decision •and determined that the plaintiff was not •entitled to a period of disability nor to «disability insurance benefits, and it is this final decision of the Appeals Council that is the subject of this judicial review.

The issues before the hearing examiner .and the Appeals Council were whether the plaintiff was entitled to disability insurance benefits and to a period of dis- . ability under the applicable sections of the Act. These issues were dependent upon specific findings as to whether during the effective period of the instant .application, filed April 3, 1962, and while the special earnings requirements were -.met, the plaintiff was under a disability, .as defined by the Act, in that he was unable to engage in any substantial gainful activity by reason of a medically determinable physical or mental impairment which could be expected to result in death or to be of long-continued and indefinite duration, and, if so, the beginning date of such disability. Plaintiff met the special earnings requirements during the effective period of his application and continued to meet them through March 31, 1963. Thus, on the basis of the instant application filed April 3, 1962, the evidence must establish that the plaintiff was under a disability, as defined in the Act, beginning on or before July 1, 1962 for entitlement to disability insurance benefits, and on or before July 3, 1962 for the establishment of a period of disability. However, an additional issue for ■consideration is whether “good cause” was shown for reopening and revising the previous hearing examiner’s decision, issued January 31, 1962. The hearing examiner’s decision of June 17, 1963 was to the effect that such good cause was shown to exist, but with respect thereto, the Appeals Council held that no evidence pertaining specifically to plaintiff’s condition on or before September 27, 1960 (the last date of the period covered by the prior hearing examiner’s decision) had been introduced that could be deemed both “new” and “material”. Thus, the Appeals Council found:

(1) That reopening of the prior hearing examiner’s decision was not warranted by the eviden-tiary facts;
(2) .That the doctrine of res judi-cata is applicable with respect to the issue of whether plaintiff was under a “disability”, as contemplated by the Act, on or before September 27, 1960; and
(3) That the hearing examiner erred in his decision of June 17, 1963, in holding that the plaintiff became disabled in March, 1960, which was within the period barred by the previous hearing examiner’s decision.

In other words, the Appeals Council found that, although the hearing exam[854]*854iner ostensibly held that the prior decision was final and binding, he erred in assuming that the filing date of the application at issue in such decision was February 26, 1960, and that a review of the record clearly established that the only applications then at issue were those filed on July 26, 1960 and September 27, 1960.

The record establishes that plaintiff was born on August 30, 1917, has a second grade education, and can neither read nor write. His work experience consisted of some twenty years’ employment in the coal mines. During the first ten years of this period, he set timbers, but for the last ten years, he operated a coal-loading machine. He worked an eight-hour day in a standing position. He was laid off in a general reduction of force in August, 1957, receiving unemployment compensation for six months thereafter. Subsequent to his layoff, he tried to find work with other coal mining concerns but without success. It appears that plaintiff’s left leg was broken in an accident in 1940 and after a period of hospitalization, he resumed work and continued work until he was cut off in 1957. This accident left him with a slight shortness of the left leg, causing him to limp upon walking or running.

The action is before the court upon a certified transcript of the record, and the defendant has moved for summary judgment under Rule 56(b) of the Federal Rules of Civil Procedure, 28 U.S.C.A.

In reviewing the case, the court does not hear it de novo nor make an independent finding of fact. Instead, its true function is not to determine whether there is evidence to support a conclusion different from that reached by the Appeals Council, but whether there is substantial evidence to support the conclusion it did reach. Snyder v. Ribicoff, 307 F.2d 518 (4th Cir.). So it is seen that we are not here concerned with whether we might have drawn a different conclusion from the evidence had we been the trier of fact, for such is not properly within our sphere of authority under the limitation imposed upon us by the statute.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
233 F. Supp. 852, 1964 U.S. Dist. LEXIS 7422, Counsel Stack Legal Research, https://law.counselstack.com/opinion/miller-v-celebrezze-wvsd-1964.