Kendrick v. SSA
Filing
50
MEMORANDUM OPINION & ORDER: Plas Motion for Attorney's Fees (Doc. # 47 ) is DENIED. Signed by Judge David L. Bunning on 9/21/2020. (TDA) cc: COR
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF KENTUCKY
SOUTHERN DIVISION
AT PIKEVILLE
CIVIL ACTION NO. 16-97-DLB
ARGLE KENDRICK
PLAINTIFF
v.
MEMORANDUM ORDER
COMMISSIONER OF SSA
* *
DEFENDANT
* *
* *
* *
* *
* *
* *
* *
This matter is before the Court on Plaintiff’s Motion for Attorney’s Fees in this
Social Security benefits case. (Doc. # 47). The Motion has been fully briefed, (Docs. #
48 and 491), and is now ripe for the Court’s review. For the reasons set forth herein,
Plaintiff’s Motion is denied.
I.
FACTUAL AND PROCEDURAL BACKGROUND
On July 12, 2019, this Court remanded the instant Social Security case under 42
U.S.C. § 405(g) sentence four to the Commissioner for a final benefits determination.
(Doc. # 43). The Memorandum Opinion and Order held that remand was required based
on the Sixth Circuit’s ruling in Hicks v. Commissioner of Social Security, 909 F.3d 786,
794 (6th Cir. 2018) that the Social Security Administration (SSA) had violated the Due
Process Clause of the Constitution by not giving the relevant plaintiffs an opportunity to
show their medical records were not tainted by the fraudulent conduct of their previous
attorney, Eric C. Conn. (Id. at 4). Under § 405(g) the only avenues for remand are
Plaintiff’s reply was filed nearly one month beyond the deadline established by Local Rule 7.1(c).
Nevertheless, finding no prejudice to the Defendant, the Court will consider the arguments raised
in Plaintiff’s Reply. Nafziger v. McDermott Intern., Inc., 467 F.3d 514, 522 (6th Cir. 2006).
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sentence four and sentence six. (Id. at 5). Sentence four provides for remand when the
Court is making a substantive ruling on the SSA’s benefits determination, while sentence
six provides an option to remand without determining the accuracy of the administrative
decision.
(Id. at 6).
Because the Sixth Circuit had found issue with the SSA’s
administrative decision, the Court found sentence four remand was proper because it was
based upon an error made by the SSA in denying benefits. (Id.) Further, the Court
required the plaintiffs’ benefits to be reinstated, though it expressly noted the Order was
not a determination that the plaintiffs would be entitled to benefits pending the SSA’s final
benefits decision. (Id. at 13-14).
Following the Memorandum Opinion and Order, counsel for the Plaintiff,
Wolodymyr Cybriwsky, filed a Motion for Attorney’s Fees on December 23, 2019 (Doc. #
47), which is presently before the Court. The SSA filed a response (Doc. # 48) opposing
Cybriwsky’s motion on January 16, 2020. Cybriwsky filed a reply brief (Doc. # 49) on
February 28, 2020, which was untimely. The SSA has not filed the result of any further
administrative proceedings determining whether Plaintiff was entitled to Social Security
benefits on remand.
II.
ANALYSIS
A.
Final and Favorable Order
The issue is whether the Court’s order remanding Plaintiff’s case, pursuant to
sentence four of 42 U.S.C. § 405(g), constitutes a final and favorable order triggering the
availability of attorney’s fees under the Social Security Act. Attorney’s fees are available
under § 406(b) “[w]henever a court renders a judgment favorable to a claimant under [the
Social Security Act].” Local Rule 83.11 requires a “final, favorable decision,” to prompt
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counsel’s ability to request attorney’s fees. LR 83.11(d). Courts have found that an order
remanding a case under sentence four constitutes a final and appealable order. Jackson
v. Chater, 99 F.2d 1086, 1095 (11th Cir. 1996) (citing Sullivan v. Finkelstein, 496 U.S.
617, 625-26 (1990); Shalala v. Schaefer, 509 U.S. 292, 299 (1993)). However, district
courts in the Sixth Circuit have decided that a final decision is not favorable until the
Commissioner or Administrative Law Judge (ALJ) rules on the underlying merits of the
plaintiff’s Social Security benefits. See Robertson v. Astrue, No. 1:07CV-00064-JHM,
2011 WL 4737603, at *3 (W.D. Ky. Oct. 6, 2011); Proctor v. Comm’r of Soc. Sec., No.
1:09-cv-127, 2013 WL 308730, at *3 (S.D. Oh. Jan. 25, 2013).
1.
Final Order
Sentence four of § 405(g) states that “[t]he court shall have power to enter, upon
the pleadings and transcript of the record, a judgment affirming, modifying, or reversing
the decision of the Commissioner of Social Security, with or without remanding the cause
for a rehearing.” Here, this Court remanded Plaintiff’s case under sentence four based
on the Sixth Circuit’s finding that the Commissioner’s redetermination hearing decisions
violated the Due Process Clause of the Constitution. (Doc. # 43 at 7-8). This finding was
appropriate because sentence four provides for remand when the Court is making a
substantive ruling on the SSA’s previous decision, which is applicable in the current case.
(Id. at 6). Sentence four explicitly allows for the Court to “enter . . . a judgment affirming,
modifying, or reversing the decision of the Commissioner of Social Security, with or
without remanding the cause for a rehearing.” 42 U.S.C. § 405(g) (emphasis added).
Sentence four, therefore, gives the Court discretion to enter a final and appealable
judgment, “even though that judgment may be accompanied by a remand order.” Sullivan
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v. Finkelstein, 496 U.S. 617, 629 (1990). The Sixth Circuit has discussed the distinctions
between a sentence four and sentence six remand and clarified that a sentence four
remand involves “a remand after a final decision of the district court reversing the denial
of benefits by the Secretary.” Faucher v. Secretary of Health & Human Servs., 17 F.3d
171, 174 (6th Cir. 1994). Thus, while the Court remanded Plaintiff’s case to the SSA for
further proceedings on the determination of benefits, that Order constitutes a final order.
Newsom v. Comm’r of Soc. Sec., 2000 WL 875726, at *14 (6th Cir. June 20, 2000)
(unpublished table decision).
2.
Favorable Decision
Nevertheless, a remand order pursuant to sentence four is not considered a
favorable decision for purposes of attorney’s fees under § 406(b) or LR 83.11(d).
Robertson, 2011 WL 4737603, at *3. Instead, a favorable decision occurs when there is
a “determination of disability.” Id. Following remand by the district court, the plaintiff’s
attorney must wait until the adjudication of the plaintiff’s benefits by an ALJ and the appeal
thereafter to the Commissioner. Id. Here, Cybriwsky’s client’s benefits determination has
not yet been made by an ALJ or the Commissioner. Therefore, he must wait to file his
Motion for Attorney’s Fees until after his client is actually entitled to past-due benefits.
Currently, Cybriwsky’s client has been notified of a calculation of his past-due benefits,
but the notification clearly states that if the SSA decides he is not disabled, he will have
to pay back the benefits awarded following remand. (Doc. # 48-2 at 2). Further, other
circuits have held that § 406(b) permits attorney’s fees “where the district court remands
the case to the Commissioner of Social Security for further proceedings, and the
Commissioner on remand awards the claimant past due benefits.” Bergen v. Comm’r of
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Soc. Sec., 454 F.3d 1273, at 1277 (11th Cir. 2006); see also Rohrich v. Bowen, 796 F.2d
1030, 1031 (8th Cir. 1986). This outcome is further supported by the SSA’s Program
Operations
Manual
System
(POMS).
POMS
GN
https://secure.ssa.gov/apps10/poms.nsf/lnx/0203920060.
03920.060,
accessible
at
The POMS provides that a
court order remanding the case for future administrative proceedings “depends on the
outcome of those administrative proceedings” and will be considered favorable if the
remand “result[s] in a favorable administrative decision.” Id.
Additionally, § 406(b) allows reasonable attorney’s fees to be collected “not in
excess of 25 percent of the total of the past-due benefits to which the claimant is entitled
by reason of such judgment.” (emphasis added). The Sixth Circuit has determined that
past-due benefits include interim benefits pending appeal under 42 U.S.C. § 423(g)(1)
when the plaintiff eventually obtains a favorable determination of disability. Akers v. Sec.
of Health and Human Servs., 966 F.2d 205, 206 (6th Cir. 1992). Here, Plaintiff’s benefits
were reinstated pending further administrative proceedings by the SSA (Doc. # 43 at 14).
Thus, Plaintiff’s reinstated benefits are sufficiently analogous to interim benefits under the
Sixth Circuit’s interpretation and can be considered in awarding attorney’s fees under §
406(b). Akers, 966 F.2d at 206. However, as discussed above, if a plaintiff receives
reinstated benefits, and the final decision by the SSA affirms the original denial of benefits,
plaintiff would be responsible to repay any benefits paid. 42 U.S.C. § 423(g)(2)(B). A
plaintiff is not considered to be “entitled” to these past-due benefits under the meaning of
§ 406(b) “absent a final favorable decision.” 966 F.2d at 206. Because Plaintiff has not
yet received a final favorable decision from the SSA affirming that he is entitled to past-
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due benefits, it is inappropriate to award attorney’s fees under § 406(b) at the current
juncture.
Cybriwsky has further failed to cite a case where attorney’s fees were awarded
under § 406(b) prior to the agency issuing a favorable decision on remand. (Doc. # 49 at
1). Instead, in his untimely reply he cites two cases that awarded attorney’s fees on
remand under the Equal Access to Justice Act (EAJA). See Turner v. Comm’r of Soc.
Sec., 680 F.3d 721 (6th Cir. 2012); Murkledove v. Astrue, 635 F.3d 784 (5th Cir. 2011).
The EAJA contains language materially different from that in § 406(b); the EAJA allows
for attorney’s fees to be awarded to “a prevailing party.” 28 U.S.C. § 2412(d)(1)(A). The
EAJA, unlike § 406(b), does not award attorney’s fees out of the plaintiff’s past-due
benefits, and therefore does not have the “entitled” language that limits the application of
§ 406(b) in the current case.
Thus, although the Order remanding the case back to the Commissioner under
sentence four (Doc. # 43) constitutes a final order, Plaintiff has not yet received a final
and favorable decision for the purposes of attorney’s fees under § 406(b). If a favorable
decision entitling Plaintiff to benefits is made by the Social Security Administration,
Cybriwsky will then be able to seek attorney’s fees by filing within the prescribed 30-day
period under LR 83.11(d).
III.
CONCLUSION
Accordingly, for the reasons stated herein, IT IS ORDERED that Plaintiff’s Motion
for Attorney’s Fees (Doc. # 47) is DENIED.
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This 21st day of September, 2020.
M:\DATA\ORDERS\PikeCivil\2016\16-97 MOO Motion for SSA Attorney's Fees.docx
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