Seavey v. Social Security

276 F.3d 1, 2001 U.S. App. LEXIS 27203, 2001 WL 1631477
CourtCourt of Appeals for the First Circuit
DecidedDecember 27, 2001
Docket01-1202
StatusPublished
Cited by908 cases

This text of 276 F.3d 1 (Seavey v. Social Security) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Seavey v. Social Security, 276 F.3d 1, 2001 U.S. App. LEXIS 27203, 2001 WL 1631477 (1st Cir. 2001).

Opinion

LYNCH, Circuit Judge.

This case raises an issue of importance in the law of this circuit on Social Security appeals. The issue is this: after an Administrative Law Judge (“ALJ”) has erred, when is it appropriate for a court to remand for further proceedings and when is it appropriate to order payment of social security benefits? The Commissioner of the Social Security Administration 1 appeals from a district court order requiring the Commissioner to pay Clayton Seavey disability benefits, rather than conduct further proceedings, after the district court found that the Social Security ALJ had erred at Step 5 of the disability determination process. Seavey v. Apfel, No. 00-23-B, 2000 WL 1499277 (D.Me. Oct. 6, 2000). The Commissioner concedes that the ALJ decision was in error, but argues that the proper remedy was for the district court to remand the case to the Commissioner for further administrative proceedings. The district court disposed of the case based upon a rule it had established in a prior case, Field v. Chater, 920 F.Supp. 240 (D.Me.1995), which adopted what appears to be either a per se or a preferential rule that when a court is faced with an error at Step 5, the appropriate remedy is an order that the applicant be paid the benefits sought. The issue raised here is also raised in another case we decide today, Freeman v. Barnhart, 274 F.3d 606 (1st Cir.2001). We use this case to express the general principles for decision.

We affirm the district court’s order of remand, but reverse the order for payment of benefits, and rule that, in this instance, *5 remand to the Commissioner with instructions for further proceedings is the appropriate remedy.

I.

The Social Security Administration is the federal agency charged with administering both the Social Security disability benefits program, which provides disability insurance for covered workers, and the Supplemental Security Income program, which provides assistance for the indigent aged and disabled. 42 U.S.C. §§ 423, 1381a (1998). In July 1996, Clayton Seav-ey applied for benefits under both of these programs, claiming that pain relating to a back injury and heart problems rendered him unable to work. After his application was initially denied by the Commissioner and the Commissioner denied reconsideration, Seavey received a hearing before an ALJ on August 13,1997.

When considering applications, the Commissioner employs a five step process to determine if an individual is disabled within the meaning of the Social Security Act. 20 C.F.R. § 416.920 (2001). All five steps are not applied to every applicant, as the determination may be concluded at any step along the process. Id. The steps are: 1) if the applicant is engaged in substantial gainful work activity, the application is denied; 2) if the applicant does not have, or has not had within the relevant time period, a severe impairment or combination of impairments, the application is denied; 3) if the impairment meets the conditions for one of the “listed” impairments in the Social Security regulations, then the application is granted; 4) if the applicant’s “residual functional capacity” is such that he or she can still perform past relevant work, then the application is denied; 5) if the applicant, given his or her residual functional capacity, education, work experience, and age, is unable to do any other work, the application is granted. Id.

Once the applicant has met his or her burden at Step 4 to show that he or she is unable to do past work due to the significant limitation, the Commissioner then has the burden at Step 5 of coming forward with evidence of specific jobs in the national economy that the applicant can still perform. Arocho v. Sec’y of Health & Human Servs., 670 F.2d 374, 375 (1st Cir.1982). If the applicant’s limitations are exclusively exertional, then the Commissioner can meet her burden through the use of a chart contained in the Social Security regulations. 20 C.F.R. § 416.969; Medical-Vocational Guidelines, 20 C.F.R. pt. 404, subpt. P, App. 2, tables 1-3 (2001), cited in 20 C.F.R. § 416.969; Heckler v. Campbell, 461 U.S. 458, 103 S.Ct. 1952, 76 L.Ed.2d 66 (1983). “The Grid,” as it is known, consists of a matrix of the applicant’s exertional capacity, age, education, and work experience. If the facts of the applicant’s situation fit within the Grid’s categories, the Grid “directs a conclusion as to whether the individual is or is not disabled.” 20 C.F.R. pt. 404, subpt. P, App. 2, § 200.00(a), cited in 20 C.F.R § 416.969. However, if the applicant has nonexertional limitations (such as mental, sensory, or skin impairments, or environmental restrictions such as an inability to tolerate dust, id. § 200(e)) that restrict his ability to perform jobs he would otherwise be capable of performing, then the Grid is only a “framework to guide [the] decision,” 20 C.F.R. § 416.969a(d) (2001). See also Pratts v. Chater, 94 F.3d 34, 39 (2d Cir.1996) (discussing use of Grid when applicant has nonexertional limitations).

Seavey was forty-three when he applied for benefits. His work history is that of an unskilled laborer; his education ended at seventh grade. At the ALJ hearing, Seavey presented medical evidence con *6 cerning his back pain and the degree of limitation it imposes on him. He also presented evidence in the form of an expert report from a psychologist, Dr. Greene. Dr. Greene’s report stated that “Seavey appears to be a ‘textbook example’ of an individual with passive-aggressive personality disorder” who may also meet the diagnostic criteria for avoidant personality disorder, and that he tested at the borderline Verbal IQ range. Following the hearing, Seavey’s attorney submitted a letter from Dr. Greene, 2 along with psychological testing results, to clarify Dr. Greene’s earlier findings, particularly her notation that Seavey had an elevated score on the “Work Interference” scale, indicating behavioral attributes that would negatively affect his ability to work. Dr. Greene’s letter stated that Seavey may meet the diagnostic criteria for a Reading Disorder and that “he would have great difficulty performing any jobs that require much reading.” 3 However, the letter also stated that Seavey’s low IQ and reading ability, combined with his desire to get the testing over with quickly, meant that the Work Interference score might not be valid. Dr.

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Bluebook (online)
276 F.3d 1, 2001 U.S. App. LEXIS 27203, 2001 WL 1631477, Counsel Stack Legal Research, https://law.counselstack.com/opinion/seavey-v-social-security-ca1-2001.