Tepfer v. Secretary of Health and Human Services

712 F. Supp. 156, 1989 U.S. Dist. LEXIS 5136, 1989 WL 49468
CourtDistrict Court, W.D. Arkansas
DecidedMay 5, 1989
DocketCiv. 88-2142
StatusPublished
Cited by7 cases

This text of 712 F. Supp. 156 (Tepfer v. Secretary of Health and Human Services) is published on Counsel Stack Legal Research, covering District Court, W.D. Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Tepfer v. Secretary of Health and Human Services, 712 F. Supp. 156, 1989 U.S. Dist. LEXIS 5136, 1989 WL 49468 (W.D. Ark. 1989).

Opinion

MEMORANDUM OPINION

MORRIS SHEPPARD ARNOLD, District Judge.

On August 16, 1983, plaintiff, a welder, filed applications for disability benefits and supplemental security income (SSI). Plaintiff alleged that he became unable to work on June 15, 1983. Plaintiff returned to work in May 1984, and continued to work until April 17, 1986 (AU 3). 1 The Social Security Administration (SSA) denied benefits based on plaintiffs return to work (AU 3).

Plaintiff ceased his employment on April 17, 1986, and filed another application for benefits on May 9, 1986 (AU 3). In November 1987, an SSA administrative law judge (AU) granted benefits for the period after April 17,1986, and also for the period between June 1983 (the date of the onset of plaintiff’s disability) and February 1985 (nine months after the start of plaintiffs employment). The SSA Appeals Council reversed the AU’s decision in part on June 6, 1988, holding that plaintiff was not entitled to benefits for the period between 1983 and 1985.

On July 19, 1988, plaintiff appealed SSA’s denial of benefits for the 1983-85 period. The court referred the appeal to the Hon. Beverly Stites, U.S. Magistrate for the Western District of Arkansas. The parties filed cross-motions for summary judgment, and the magistrate issued proposed findings and recommendations on March 28, 1989. The magistrate recommended that plaintiffs motion be granted, and that the AU’s decision granting benefits be reinstated. And defendant filed objections on April 24,1989.

I.

42 U.S.C.A. § 423(d)(1)(A) (1989 Supp.) provides that a claimant for disability benefits is disabled only if he suffers from “inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment ... which has lasted or can be expected to last for a continuous period of not less than 12 months....” (emphasis added). A claimant who earns over $300 a month will generally be presumed to have engaged in “substantial gainful activity” and therefore not to be disabled. 20 C.F.R. § 404.1574(b)(2)(vi) (1988).

On the other hand, 20 C.F.R. § 404.1592 provides for a “trial work period” during which a claimant “may test ... [his] ability to work and still be considered disabled.” 20 C.F.R. § 404.1592(a). A claimant may begin a “trial work period” after he becomes entitled to benefits. 20 C.F.R. § 404.1592(e). Such entitlement begins five months after the onset of disability. 42 U.S.C. § 423(c)(2). A claimant may engage in trial work for nine months. 20 C.F.R. § 404.1592(e). Thus, plaintiff’s trial work period, if any, ended in February 1985, more than a year after the onset of disability. Services performed during the trial work period will not he considered in determining whether a claimant’s disability has ended during that period. 20 C.F.R. § 404.1592(a). Therefore, if plaintiff is entitled to a trial work period, his 1984-85 employment would not bar a finding that he was disabled and therefore entitled to benefits during that period.

*158 By contrast, if plaintiff was not eligible for a trial work period, his work within a year of the onset of disability might well constitute “substantial gainful activity,” thus requiring a denial of benefits. It follows that the dispositive question in this case is whether plaintiff’s work after May 1984 constituted a “trial work period.”

The magistrate held that “a claimant who suffers from an impairment that is expected to last at least twelve consecutive months is entitled to ... a trial work period, after completing the five month waiting period.” (MF 5) (emphasis added). This holding was based on 42 U.S.C. § 423(d)(1)(A), which states that benefits may be recovered for any disability “which has lasted or can be expected to last” for over twelve months. The magistrate construed the “expected to last” clause to mean that “a person may return to work after five but before twelve months from the onset of the disability ... [if] her disability is still expected to last twelve continuous months from its alleged onset date_” McDonald v. Bowen, 818 F.2d 559, 564 (7th Cir.1986). In other words, the magistrate held that plaintiff is entitled to a trial work period if (as of May 1984) his disability was expected to last until June 15, 1984 (a year from the alleged onset of disability).

Defendant challenges both the magistrate’s findings and McDonald, for three reasons. First, he argues that because plaintiff engaged in “substantial gainful activity” by working, he is not entitled to a trial work period (DB 3). Second, he argues that 20 C.F.R. § 404.1592(d)(1), which provides that “[t]hose who are receiving disability insurance benefits ... generally are entitled to a trial work period” means that “only those who are receiving disability benefits are entitled to a trial work period.” (DB 3). Third, he argues that the magistrate’s interpretation of the “expected to last” language of § 423(d)(1)(A) should be rejected because it requires him to make predictions about the longevity of a claimant’s disability, regardless of whether he actually returned to work.

II.

A.

As the magistrate notes, § 423(d)(1)(A) states that a claimant may be declared disabled based on the expectation of a 12-month impairment. The McDonald court, and numerous district court cases cited in McDonald, interpret this language literally and hold that a claimant may be declared disabled based on the expectation of disability even if he returns to work within a year. See McDonald, 818 F.2d at 564 (a claimant who returned to work within a year and whose disability was “expected to last at least twelve consecutive months is entitled to benefits (as well as to a trial work period) after completing the five months waiting period”); but see contra Ozovek v. Mathews, CCH Unemp.Ins.Reporter ¶ 14,957 at 2499-574, 576 (M.D.Pa.1976) (where plaintiff performed “substantial gainful activity,” he was not disabled and therefore not entitled to a trial work period). The court finds that Ozovek was wrongly decided and that plaintiff is entitled to a trial work period, both because of the literal meaning of the statute and because the Ozovek court failed to consider the relevance of the “expected to last” provision of § 423(d)(1)(A).

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Bluebook (online)
712 F. Supp. 156, 1989 U.S. Dist. LEXIS 5136, 1989 WL 49468, Counsel Stack Legal Research, https://law.counselstack.com/opinion/tepfer-v-secretary-of-health-and-human-services-arwd-1989.