Wykle v. Berryhill

CourtDistrict Court, W.D. North Carolina
DecidedFebruary 11, 2020
Docket1:19-cv-00155
StatusUnknown

This text of Wykle v. Berryhill (Wykle v. Berryhill) is published on Counsel Stack Legal Research, covering District Court, W.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Wykle v. Berryhill, (W.D.N.C. 2020).

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF NORTH CAROLINA ASHEVILLE DIVISION DOCKET NO. 1:19-cv155-MOC

) PAUL JEFFREY WYKLE, ) ) ) Plaintiff, ) ) ORDER v. ) ) ANDREW SAUL, ) Acting Commissioner of Social Security, ) ) Defendant. ) ) THIS MATTER is before the Court on the parties’ opposing Motions for Summary Judgment. (Doc. Nos. 9, 11). Having carefully considered such motions and reviewed the pleadings, the Court enters the following findings, conclusions, and Order. FINDINGS AND CONCLUSIONS I. Administrative History Plaintiff brought this action, under 42 U.S.C. §§ 405(g) and 1383(c)(3), for review of Defendant’s final administrative decision denying his November 19, 2015, application for a period of disability and disability insurance benefits (DIB) under Title II of the Social Security Act (“the Act”). Plaintiff’s November 25, 2015, DIB application alleged disability onset of August 23, 2015. (Tr. 153). The application was denied initially on January 25, 2016, and, upon reconsideration, on February 29, 2016. (Tr. 15). Plaintiff timely requested an administrative hearing, which was held on February 7, 2018. (Tr. 29-65). At the administrative hearing, Plaintiff amended his alleged disability onset date to the earlier date of January 3, 2012, when he turned age 55.1 (Tr. 32-33). An administrative law judge (ALJ) rendered a decision denying benefits on June 14, 2018. (Tr. 15-24). In that decision, the ALJ pointed out that Plaintiff’s insured status for DIB benefits had expired on December 31, 2014. (Tr. 17, Finding 1). Therefore, Plaintiff would have to show he became disabled on or before that date.

Plaintiff appealed and on April 12, 2019, the Appeals Council denied Plaintiff’s request for review, thereby causing the ALJ’s decision to become the “final decision” of the Commissioner. (Tr. 1-6). Plaintiff now seeks judicial review of this decision pursuant to 42 U.S.C. § 405(g). Defendant has answered Plaintiff’s Complaint, and this case is now before the Court for disposition of the parties’ cross-motions for summary judgment. II. Factual Background It appearing that the ALJ’s findings of fact are supported by substantial evidence, the Court adopts and incorporates such findings herein as if fully set forth. Such findings are referenced in the substantive discussion which follows.

III. Standard of Review The only issues on review are whether the Commissioner applied the correct legal standards and whether the Commissioner’s decision is supported by substantial evidence.

1 Plaintiff notes in his brief that, had the ALJ made a finding that Plaintiff’s RFC was at the light exertional level, Plaintiff would be found “disabled” under the Medical-Vocational Grid Rules at age 55. For this reason, at the hearing, Plaintiff amended his alleged disability onset date in his disability application from August 23, 2015, to January 3, 2012, when he turned age 55. (Tr. 22, Finding 7; 32-33). This amendment served another purpose. Since Plaintiff’s DLI was December 31, 2014, (Tr. 17, Finding 1), the August 23, 2015, disability onset date Plaintiff alleged on his November 25, 2015, Title II disability application at issue in this case (Tr. 153) would be post-DLI and, as such, would not entitle Plaintiff to disability benefits at the time of onset initially alleged. (Tr. 33). In other words, if Plaintiff did not amend to claim an earlier disability onset, he would not meet the insured status DIB requirement. Richardson v. Perales, 402 U.S. 389, 390 (1971); Hays v. Sullivan, 907 F.2d 1453, 1456 (4th Cir. 1990). Review by a federal court is not de novo, Smith v. Schwieker, 795 F.2d 343, 345 (4th Cir. 1986); rather, inquiry is limited to whether there was “such relevant evidence as a reasonable mind might accept as adequate to support a conclusion.” Perales, 402 U.S. at 401 (internal citations omitted). Even if the Court were to find that a preponderance of the evidence weighed against the

Commissioner's decision, the Commissioner’s decision would have to be affirmed if it was supported by substantial evidence. Hays, 907 F.2d at 1456. The Fourth Circuit has explained substantial evidence review as follows: the district court reviews the record to ensure that the ALJ’s factual findings are supported by substantial evidence and that its legal findings are free of error. If the reviewing court decides that the ALJ's decision is not supported by substantial evidence, it may affirm, modify, or reverse the ALJ’s ruling with or without remanding the cause for a rehearing. A necessary predicate to engaging in substantial evidence review is a record of the basis for the ALJ's ruling. The record should include a discussion of which evidence the ALJ found credible and why, and specific application of the pertinent legal requirements to the record evidence. If the reviewing court has no way of evaluating the basis for the ALJ’s decision, then the proper course, except in rare circumstances, is to remand to the agency for additional investigation or explanation.

Radford v. Colvin, 734 F.3d 288, 295 (4th Cir. 2013) (internal citations and quotations omitted). IV. Substantial Evidence A. Introduction The Court has read the transcript of Plaintiff's administrative hearing, closely read the decision of the ALJ, and reviewed the relevant exhibits contained in the extensive administrative record. The issue is not whether a court might have reached a different conclusion had it been presented with the same testimony and evidentiary materials, but whether the decision of the administrative law judge is supported by substantial evidence. For the following reasons, the Court finds that the ALJ’s decision was supported by substantial evidence. B. Sequential Evaluation The Act defines “disability” as an inability “to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.” 42 U.S.C. § 423(d)(2). To qualify for DIB under Title II of the Act, 42 U.S.C.

§§ 416(i) and 423, an individual must meet the insured status requirements of these sections, be under retirement age, file an application for disability insurance benefits and a period of disability, and be under a “disability” as defined in the Act. A five-step process, known as “sequential” review, is used by the Commissioner in determining whether a Social Security claimant is disabled. 20 C.F.R. §§ 404.1520, 416.920. The Commissioner evaluates a disability claim pursuant to the following five-step analysis: a. An individual who is working and engaging in substantial gainful activity will not be found to be “disabled” regardless of medical findings; b. An individual who does not have a “severe impairment” will not be found to be

disabled; c.

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

Related

Cite This Page — Counsel Stack

Bluebook (online)
Wykle v. Berryhill, Counsel Stack Legal Research, https://law.counselstack.com/opinion/wykle-v-berryhill-ncwd-2020.