Zaky v. Commissioner of Social Security

CourtDistrict Court, D. Connecticut
DecidedMay 4, 2020
Docket3:18-cv-01426
StatusUnknown

This text of Zaky v. Commissioner of Social Security (Zaky v. Commissioner of Social Security) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Zaky v. Commissioner of Social Security, (D. Conn. 2020).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT

SAMIR FAYEZ ZAKY,

Plaintiff,

v. No. 3:18-cv-1426 (VAB)

COMMISSIONER OF SOCIAL SECURITY ADMINISTRATION, Defendant.

RULING AND ORDER ON MOTION TO DISMISS

Samir Fayez Zaky (“Plaintiff”) has filed an administrative appeal under 42 U.S.C. § 405(g) seeking review of the Commissioner of Social Security’s1 (“Defendant” or the “Commissioner”) decision denying him Social Security Disability Insurance (“SSDI”) benefits. Am. Compl. ¶ 1, ECF No. 18 (Dec. 16, 2019). The Commissioner has moved to dismiss Mr. Zaky’s under Rule 12(b)(1) of the Federal Rules of Civil Procedure for lack of subject matter jurisdiction. Def.’s Mot. to Dismiss, ECF No. 12 at 1 (Oct. 18, 2018) (“Def.’s Mot.”). For the following reasons, the motion to dismiss is DENIED. I. FACTUAL AND PROCEDURAL BACKGROUND A. Factual Allegations On February 20, 2014, the “time of the alleged onset” of his disabilities, Mr. Zaky was allegedly forty years old. Am. Compl. ¶ 15.

1 This role is currently filled by Andrew Saul, who is automatically substituted as a party under Rule 25(d) of the Federal Rules of Civil Procedure. On December 31, 2016, Mr. Zaky’s alleged “date last insured,”2 Mr. Zaky was allegedly forty-two years old. Id. ¶¶ 15-16. Mr. Zaky alleges he suffered from the following symptoms and conditions “during the relevant time period and prior to [his] date last insured of” August 31, 2016: “[p]soriatic

arthritis/rheumatic disease, requiring injections;” “[b]ilateral wrist and hand dysfunction and pain;” “[b]ilateral knee dysfunction and pain;” “[l]eft elbow pain and dysfunction;” and “[l]eft ankle pain [and] dysfunction.” Id. ¶ 12. These alleged disabilities allegedly occurred when Mr. Zaky “worked self-employed as a podiatrist, routinely bent over treating patients and continuously using his hands to render medical treatment.” Id. ¶ 13. Mr. Zaky alleges that his past employment in the medical field “required him to travel to nursing homes and rehabilitative facilities,” “lift approximately twenty-five pounds routinely and be in fixed bent positions over patients’ feet, performing procedures with his hands and upper extremities where he was continuously grasping, pinching, pushing and pulling.” Id. ¶ 14. In addition, he alleges he “had to record treatment on medical records and utilize computer software

for medical report and bill generation.” Id. ¶ 14. After the date of his alleged onset on February 20, 2014, Mr. Zaky allegedly stopped working and “underwent examination, prescription therapies, diagnostic testing, injections and physical therapy for multiple orthopedic issues stemming from his rheumatic disease, psoriatic arthritis, which [allegedly] affected both upper and lower extremities.” Id. ¶ 18. On November 17, 2016, Mr. Zaky allegedly initially filed a claim for disability benefits. Id. ¶ 4.

2 Mr. Zaky alleges “prior Social Security internal reviews by state non-examining doctors (such as Dr. Erik Purins) in support of earlier denials of claim, utilized a ‘date last insured’ of 12/31/2015 (one year earlier than that of record) and thereby did not include in the Defendant’s consideration, Claimant’s December 2016 flare up of arthritis nor Dr. Lahar’s opinion regarding Claimant’s full functional restrictions.” Am. Compl. ¶ 17. On April 6, 2017, Mr. Zaky’s claim was allegedly denied at the initial consideration level. Id. Thereafter, Mr. Zaky allegedly appealed the denial by filing a request for reconsideration. Id. On May 23, 2017, that request was also allegedly denied. Id.

Mr. Zaky alleges that he was incarcerated when the denial of the request for reconsideration was issued, and allegedly did not have access to telephone, computer, or mail. Id. ¶ 5. When he allegedly learned of the denial after release from prison, Mr. Zaky allegedly filed a statement of good cause for untimely filing, dated January 24, 2018. Id. ¶ 6. On February 23, 2018, Mr. Zaky allegedly filed a request for a hearing before an administrative law judge. Id. On March 19, 2018, Mr. Zaky allegedly received appointed counsel, Jennifer Collins. Id. ¶ 9. On March 22, 2018, Administrative Law Judge (“ALJ”) Deidre Horton allegedly dismissed Mr. Zaky’s claim. Id. ¶ 7 (citing Ex. A: Social Security Administration Office of

Disability Adjudication and Review, Order of Dismissal, ECF No. 18-1 (Mar. 22, 208) (“SSA Order of Dismissal”)). ALJ Horton concluded that Mr. Zaky “filed the request for hearing 248 days after the date of the notice of reconsideration determination,” and he failed to establish that he “did not receive this determination within 5 days of” May 23, 2017. SSA Order of Dismissal at 1. ALJ Horton further explained why Mr. Zaky did not establish “good cause” for his untimely request for reconsideration: In terms of extending the time to file the request, the claimant stated that he missed the deadline to request a hearing because he was detained without access to the denial notice. The claimant's mailing address has remained the same from the original date of filing for disability benefits. The claimant has not provided any supporting evidence to show proof of not having access to his mail or any other explanation as to why he did not [] file the request for hearing for 248 day[s]. Additionally, the record does not support that he made any attempts to reach out to SSA regarding him pending claim and or request the intent to appeal the reconsideration decision Furthermore, the file does not support that the claimant had any limitation in understanding his appeal right, the alleged disability is physical in nature. While the claimant is represented as of February 24, 2018, the representative has not provided further explanation regarding the untimely filing . . . .

Because the request for hearing was not filed within the stated time period, and because the claimant has not established good cause for missing the deadline to request a hearing, the request for hearing dated February 1, 2018 is dismissed and the reconsideration determination dated May 23, 2017 remains in effect.

Id. at 1-2. On April 27, 2018, Mr. Zaky allegedly timely requested review of ALJ Horton’s decision dismissing his claim for untimeliness. Am. Compl. ¶ 8. On June 25, 2018, the Appeals Council “found that the reasons do not provide a basis for changing the Administrative Law Judge’s dismissal,” and denied his request for review. Id. (citing Ex. B: Notice of Appeals Council Action, ECF No. 18-2 (June 25, 2018) (“AC Decision”)). Mr. Zaky alleges he was entitled to “have a hearing to substantively consider his medical impairments and limitations and/or to receive disability benefits, specifically” SSDI benefits because of his alleged inflammatory arthritis and major dysfunction of a joint. Id. ¶ 11. Before ALJ Horton’s dismissal of his claim for SSDI benefits, Mr. Zaky allegedly submitted “medical documentation addressing the extent of his restrictions and limitation during the relevant time period between his alleged onset date . . . and his ‘date last insured.’” Id. ¶ 19. Mr. Zaky alleges that had his case not been administratively dismissed “without substantive medical review or consideration,” then he would have allegedly met the qualifications for SSDI benefits. Id. Mr. Zaky offers two examples: first, after he was allegedly examined by a Dr. Vikas Lahar, Dr. Lahar allegedly “opined via written letter dated 03/06/2017 . . . that Claimant has ‘debilitating’ restrictions of the bilateral hands due to psoriatic arthritis and that such restrictions have been occurring at least since 2014,” id.

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Zaky v. Commissioner of Social Security, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zaky-v-commissioner-of-social-security-ctd-2020.