Willow v. Sullivan

733 F. Supp. 591, 1990 U.S. Dist. LEXIS 3500, 1990 WL 35204
CourtDistrict Court, W.D. New York
DecidedMarch 28, 1990
DocketCIV-88-1253T
StatusPublished
Cited by4 cases

This text of 733 F. Supp. 591 (Willow v. Sullivan) is published on Counsel Stack Legal Research, covering District Court, W.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Willow v. Sullivan, 733 F. Supp. 591, 1990 U.S. Dist. LEXIS 3500, 1990 WL 35204 (W.D.N.Y. 1990).

Opinion

DECISION AND ORDER

TELESCA, Chief Judge.

INTRODUCTION

Plaintiff commenced this action pursuant to 42 U.S.C. § 405(g) to review the Secretary's decision to grant disability benefits *593 effective January 1985 rather than May 1977 as requested by plaintiff.

The Secretary moves to dismiss the complaint pursuant to Fed.R.Civ.P. 12(b) for lack of subject matter jurisdiction and for failure to state a claim upon which relief can be granted. The plaintiff has cross-moved for summary judgment, pursuant to Fed.R.Civ.P. 56. For the reasons discussed below, the Secretary’s motion to dismiss the complaint is granted.

BACKGROUND

Since 1976, plaintiff has pursued three separate disability claims. Plaintiff did not seek judicial review of either of the earlier claims, which he filed in 1976 and 1979 respectively.

The claimant filed a third application for Social Security insurance benefits on January 14, 1985, including a request to reopen the Secretary’s denial of his second application. Plaintiff’s third application was denied both initially and upon reconsideration on its merits and, following a hearing before an administrative law judge (or “AU”), the claimant’s case was dismissed November 13, 1985. Although this application was subsequently reevaluated under revised administrative rules, benefits were still denied, both initially and upon reconsideration. The administrative law judge ordered the claim dismissed May 14, 1987, citing administrative res judicata. The claimant nevertheless requested the Appeals Council to review the order of dismissal and on September 8, 1987, the Council overturned the AU’s ruling. Citing medical evidence from 1976 and 1978, the Council ruled that res judicata did not apply and ordered a hearing. The Council refused, however, to reopen the decisions on the 1977 and 1979 claims.

The claimant’s case was remanded to an administrative law judge who found, with regard to the 1985 claim, that the plaintiff had been disabled since December 22, 1976. This determination resulted in plaintiff’s receiving disability payments, effective 12 months prior to the filing of his application in 1985. The administrative law judge, however, denied plaintiff’s request to reopen denial of his second application. The Appeals Council affirmed the ALJ’s decision October 3, 1988.

Plaintiff argues that the Secretary’s decision effectively reopened the earlier denials of benefits, thus entitling him to retroactive benefits covering the period of May 1977 until January 1984.

DISCUSSION

The Court must decide whether the Secretary’s 1980 decision to deny benefits to plaintiff may be reopened. The Secretary's regulations governing the reopening of final decisions provide no basis for reopening the 1980 decision. See 20 CFR § 404.987 et seq. (1988). Section 404.987 provides that a decision may be reopened:

(b) within four years of the date of the notice determination if we find good cause, as defined in § 404.989, 1 to reopen the case; or
(c) At any time if—
(8) It is wholly or partially unfavorable to a party, but only to correct clerical error or an error that appears on the face of the evidence that was considered when the determination or decision was made. 20 C.F.R. § 404.988 (1988)

In this case, plaintiff did not request a reopening until January 1985, more than four years after the notice of the initial determination; thus, no reopening is avail *594 able under 20 C.F.R. § 404.989. Nor does cause exist to reopen under § 404.988(c)(8). While the 1980 decision is based upon evidence indicating that the plaintiff was not physically or mentally impaired, plaintiff argues that subsequent technological developments permitted him to prove his disability. The failure of a decision to reflect not-yet-available technology does not, however, constitute facial error which justifies reopening. See Torres v. Secretary of Health and Human Services, 845 F.2d 1136, 1139 (1st Cir.1988); see also Robinson v. Heckler, 783 F.2d 1144, 1146, fn. 3 (4th Cir.), cert. denied, 476 U.S. 1172, 106 S.Ct. 2896, 90 L.Ed.2d 982 (1986) (“Error on the face of evidence does not encompass a disputed issue of fact since, almost as a matter of definition, when facts are in dispute no single answer is evident.”) The 1988 decision not to reopen the 1980 decision is based upon 20 C.F.R. § 404.988 rather than upon grounds of res judicata; the Secretary simply determined that the regulations did not entitle the plaintiff to a reopening at that late date.

Plaintiff argues that the 1988 decision relies in part upon evidence that had been utilized in the 1977 and 1980 decisions, and thus worked a de facto reopening. In support of this argument, plaintiff cites McGowen v. Harris, 666 F.2d 60 (4th Cir.1981). In that case, the Court found that

even though the subsequent claim be the same claim for res judicata purposes, if it has nevertheless been reconsidered on the merits to any extent and at any administrative level, it is thereupon properly treated as having been, to that extent, reopened as a matter of administrative discretion under 20 C.F.R. 404.989 (1981).

McGowen, 666 F.2d at 67. See also Farley v. Califano, 599 F.2d 606 (4th Cir.1979); Cleaton v. Secretary, Department of Health and Human Services, 815 F.2d 295 (4th Cir.1987); Jelinek v. Heckler, 764 F.2d 507 (8th Cir.1985). (In each of these cases the court found a de facto

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

Related

Dixon v. Chater
954 F. Supp. 58 (E.D. New York, 1997)
Piscopo v. SHHS
First Circuit, 1994

Cite This Page — Counsel Stack

Bluebook (online)
733 F. Supp. 591, 1990 U.S. Dist. LEXIS 3500, 1990 WL 35204, Counsel Stack Legal Research, https://law.counselstack.com/opinion/willow-v-sullivan-nywd-1990.