Ward v. Shalala

898 F. Supp. 261, 1995 U.S. Dist. LEXIS 12770
CourtDistrict Court, D. Delaware
DecidedAugust 14, 1995
DocketCiv. A. 94-668-JLL
StatusPublished
Cited by5 cases

This text of 898 F. Supp. 261 (Ward v. Shalala) is published on Counsel Stack Legal Research, covering District Court, D. Delaware primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ward v. Shalala, 898 F. Supp. 261, 1995 U.S. Dist. LEXIS 12770 (D. Del. 1995).

Opinion

MEMORANDUM OPINION

LATCHUM, Senior District Judge.

I. Introduction

Ms. Joan Ward, plaintiff, applied for Social Security disability benefits on June 29, 1992. (D.I. 7 at 66-68.) Her application was denied initially and upon reconsideration (D.I. 69-77.) Ms. Ward then requested a hearing before an Administrative Law Judge (“ALJ”). (D.I. 7 at 78-80.) Such a hearing was held on November 19, 1993 and by a decision dated June 28, 1994 the ALJ denied her application. (D.I. 7 at 9-24.) Ms. Ward subsequently appealed this denial to the Appeals Council. (D.I. 7 at 7-8.) The Appeals Council concluded that there was no basis to review the ALJ’s decision thereby rendering the decision the final judgment of the Secretary of Health and Human Services (“Secretary”). 1 (D.I. 7 at 5-6.)

This action is an appeal from the Secretary’s decision brought pursuant to section 205(g) of the Social Security Act, as amended, 42 U.S.C. § 405(g) (1988), providing the District Court authority to review a final determination of the Secretary. The parties have filed cross-motions for summary judgment.

Ms. Ward’s insured status ended on December 31,1990, and thus she was obligated to demonstrate that she was disabled on or prior to this date in order to qualify for benefits. 20 C.F.R. 404.131; Matullo v. Bowen, 926 F.2d 240, 244 (3d Cir.1990). At the time of her application, Ms. Ward indicated a disability onset date of June 7, 1985, (D.I. 7 at 66), however, at the hearing her attorney amended the onset date to May 30, 1987. (D.I. 7 at 35.) While evidence of her condition prior to the onset date and after the insured date is to be considered by the ALJ in furtherance of evaluating whether the applicant qualifies for benefits, the period between onset of disability and expiration of insured status is the focus of the inquiry. Ms. Ward was 48 years old at the time of her application for disability benefits, has a high school education, and has previous work experience as an administrative and personnel aid. (D.I. 7 at 13.) While Ms. Ward resigned from her last position in 1985 due to back pain, she does not allege that condition as her disability, rather she alleges that May 1987 was the onset of her disability due to cardiac problems. (D.I. 7 at 42.)

*264 II. Standard of Review

This Court’s review of the Secretary’s factual findings is limited. If the Secretary’s findings are supported by substantial evidence, the Court must uphold the findings. 42 U.S.C. § 405(g) (1988). Substantial evidence is such relevant evidence as a reasonable mind might accept as adequate to support a conclusion. Richardson v. Perales, 402 U.S. 389, 401, 91 S.Ct. 1420, 1427, 28 L.Ed.2d 842; Dobrowolsky v. Califano, 606 F.2d 403, 406 (3d Cir.1979); Fisher v. Secretary of Health and Human Servs., 818 F.Supp. 88, 90 (D.Del.1993). The Court of Appeals for the Third Circuit has stated that:

[t]his oft-cited language is not, however, a talismanic or self-executing formula for adjudication; rather, our decisions make clear that determination of the existence vel non of substantial evidence is not merely a quantitative exercise. A single piece of evidence will not satisfy the substantiality test if the Secretary ignores, or fails to resolve, a conflict created by countervailing evidence. Nor is evidence substantial if it is overwhelmed by other evidence ... or if it really constitutes not evidence but mere conclusion.... The search for substantial evidence is thus a qualitative exercise without which our review of social security disability cases ceases to be merely deferential and becomes instead a sham.

Kent v. Schweiker, 710 F.2d 110, 114 (3d Cir.1983). See also Brewster v. Heckler, 786 F.2d 581, 584 (3d Cir.1986). A mere scintilla of evidence is insufficient but substantial evidence may be less than a preponderance. Woody v. Secretary of Health and Human Servs., 859 F.2d 1156, 1159 (3d Cir.1988).

III. Was The ALJ’s Decision Denying Benefits Supported By Substantial Evidence?

In determining whether the ALJ’s decision was supported by substantial evidence this Court must review the qualitative nature of the evidence in the record according to the standards followed in this Circuit. The Court will summarize Ms. Ward’s medical history and then determine if the ALJ’s decision based on this medical history and the testimony of Ms. Ward is supported by substantial evidence.

The general issue before the Administrative Law Judge is whether the claimant is entitled to a period of disability and disability insurance benefits under Sections 216(i) and 223, respectively, of the Social Security Act, as amended. The regulations promulgated pursuant to the Social Security Act define “disability” as the inability to engage in any substantial gainful activity due to physical or mental impairment(s) which can be expected either to result in death or last for a continuous period of not less than 12 months. 20 C.F.R. § 404.1505(a). In order to make a disability determination the ALJ follows a five step process codified at 20 C.F.R. § 404.1520. For the applicant to receive a favorable decision the ALJ must (1) determine that the applicant is not engaged in substantial gainful activity, and (2) determine that the applicant has a severe impairment which significantly limits the applicant’s physical or mental ability to do basic work activities, and that this impairment either (3) meets or equals the listings contained in 20 C.F.R., pt. 400, subpt. P, app.

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Cite This Page — Counsel Stack

Bluebook (online)
898 F. Supp. 261, 1995 U.S. Dist. LEXIS 12770, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ward-v-shalala-ded-1995.