Minton v. Richardson

328 F. Supp. 1264, 1971 U.S. Dist. LEXIS 12438
CourtDistrict Court, S.D. Texas
DecidedJuly 14, 1971
DocketCiv. A. No. 70-B-67
StatusPublished
Cited by2 cases

This text of 328 F. Supp. 1264 (Minton v. Richardson) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Minton v. Richardson, 328 F. Supp. 1264, 1971 U.S. Dist. LEXIS 12438 (S.D. Tex. 1971).

Opinion

MEMORANDUM AND ORDER

GARZA, District Judge.

The plaintiff, Ruben E. Minton, has filed this action under the Social Security Act, Section 205(g), 42 U.S.C.A. § 405(g), requesting this Court to review and reverse a decision of the Secretary of Health, Education and Welfare denying disability insurance benefits to the plaintiff. The Secretary’s motion to dismiss was denied by Memorandum and Order of December 24, 1970, which required the filing of a complete transcript of proceedings. This has been done and the case is now before the Court on motions for summary judgment.

The plaintiff first applied for disability insurance benefits on May 2, 1962, and his claim was denied. No further administrative steps were taken.

On August 1, 1963, plaintiff again filed a claim which was denied initially on September 3, 1963. A hearing was held on October 22, 1964, and the examiner denied the claim on January 29, 1965. This denial was affirmed by the Appeals Council on May 6, 1966, and an attempt to obtain judicial review by this Court was dismissed as not being timely filed.

On September 30, 1968, the plaintiff filed his third application for disability benefits which was denied initially and on reconsideration. A hearing was requested and later held on January 30, 1970. After considering the prior claims record of the plaintiff and additional evidence which was submitted, the examiner issued his decision of February 6, 1970, that the plaintiff was entitled to establishment of a period of disability beginning January 1, 1962, and to disability insurance benefits beginning for the month of September, 1967, under pertinent provisions of Sec. 216(i) and 223 of the Social Security Act as amended and applicable regulations.

Under 20 CFR 404.947, the Appeals Council may on its own motion reopen an examiner’s decision for the purpose of dismissing the party’s request for hearing for any reason for which it could have been dismissed by the hearing examiner. Citing this authority, the Appeals Council reopened the examiner’s [1266]*1266decision of February 6, 1970, and dismissed the plaintiff’s request for hearing under 20 CFR 404.937 on the ground that the prior decision of May 6, 1966, was final and res judicata.

The council further declined to reopen the decision of May 6, 1966, under 20 CFR 404.956-404.958. Section 404.957 provides for reopening an otherwise final determination “within 4 years after the date of the notice of the initial determination (see § 404.907) to the party to such determination, upon a finding of good cause for reopening such determination or decision — ”. Sec. 404.958 defines “good cause” for reopening as new and material evidence, clerical error in the computation of benefits, and error on the face of the evidence on which the decision is based. The council admitted that the evidence submitted to the second examiner in this case was new, but found that it did not have “material relevance with respect to claimant’s disability status on or before June 30, 1965, when he last met the special earnings requirements for disability purposes”. The examiner’s decision which favored the plaintiff was thus nullified.

Considering first the latter part of the Order of the Appeals Council concerning reopening the decision of May 6, 1966, this Court must agree with the conclusion not to reopen said decision, but not for the reasons stated. The four-year period allowed by 20 CFR 404.957 began to run on the date of the notice of the initial determination of the prior claim, which in this case was September 3, 1963. The application involved here was not filed until September 30, 1968, a period of slightly more than five years. Although the Memorandum and Order of December 24, 1970, indicated that the limitation period should not begin until the prior determination was made final by the Appeals Council on May 6, 1966, I must agree with the reasoning in Pasquale v. Finch, 418 F.2d 627 (1 Cir. 1969). The District Court had made a similar finding that initial determination really meant the day on which the initial determination became final, because a claimant might exhaust his four-year reopening period in administrative proceedings. As pointed out by the Appellate Court, however, a claimant has a continuing opportunity to produce new evidence throughout his administrative appeals and would otherwise be afforded a much longer reopening period than a claimant who did not appeal from the initial determination.

The question of reopening is important in determining the beginning date of disability insurance benefits, since Sec. 202(j) (1) of the Act, 42 U.S.C.A. § 402(j) (1) limits retroactive payments to twelve months prior to the date of application. It does not, however, dispose of the basic issue in this case.

The question here is whether the decision of May 6, 1966, which is final and not subject to reopening, is res judicata as to the plaintiff’s rights under the Act. I find that it is not, and the decision of the hearing examiner on February 6, 1970, was correct and should be reinstated.

20 CFR § 404.937 provides:

“The hearing examiner may, on his own motion, dismiss a hearing request, either entirely or as to any stated issue, under any of the following circumstances:

(a) Res judicata. Where there has been a previous determination or decision by the Secretary with respect to the rights of the same party on the same facts pertinent to the same issue or issues which has become final either by judicial affirmance or without judicial consideration, upon the claimant’s failure timely to request reconsideration, hearing, or review, or to commence a civil action with respect to such determination or decision — ”

The record before this Court cannot support the statement of the Appeals Council that the issues here “were with respect to the rights of the same claimant on the same facts, pertinent to the same issues decided in the Appeals Council’s decision of May 6, 1966”. The [1267]*1267additional evidence before the second examiner at the 1970 hearing was both new and relevant to this plaintiff’s condition on or before June 30, 1965, which is the undisputed date that he last met the special earnings requirements.

The second examiner found that this plaintiff had medically determinable impairments described as “Psychotic depressive reaction, with schizophrenic features and somatization in a passive-dependent inadequate personality — ”, which considered with Claimant’s age, education and work history made him unable to engage in any substantial gainful activity and under a disability from January 1, 1962, through the date of the decision and continuing. The plaintiff has consistently characterized his ailments as physical although it is obvious from the entire record that his primary impairments have been mental.

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Related

WILLIAMS EX REL. TORRES v. Barnhart
314 F. Supp. 2d 269 (S.D. New York, 2004)
Mills v. Richardson
339 F. Supp. 402 (W.D. Pennsylvania, 1972)

Cite This Page — Counsel Stack

Bluebook (online)
328 F. Supp. 1264, 1971 U.S. Dist. LEXIS 12438, Counsel Stack Legal Research, https://law.counselstack.com/opinion/minton-v-richardson-txsd-1971.