Koszuta v. Colvin
Filing
22
-CLERK TO FOLLOW UP--DECISION AND ORDER DENYING Plaintiff's 10 MOTION for Judgment on the Pleadings. The case is dismissed. The Clerk is directed to enter judgment in favor of the Commissioner and to close this case. Signed by Hon. John T. Curtin on 1/13/2016. (JEC)
UNITED STATES DISTRICT COURT
WESTERN DISTRICT OF NEW YORK
SHARON KOSZUTA,
Plaintiff,
-vs-
14-CV-694-JTC
CAROLYN W. COLVIN,
Acting Commissioner of Social Security,
Defendant.
APPEARANCES:
LAW OFFICES OF KENNETH HILLER (TIMOTHY HILLER, ESQ., of
Counsel), Amherst, New York, for Plaintiff.
WILLIAM J. HOCHUL, JR., United States Attorney (JOSHUA
LENARD KERSHER, Special Assistant United States Attorney, of
Counsel), Buffalo, New York, for Defendant.
This matter has been transferred to the undersigned for all further proceedings, by
order of United States District Judge William M. Skretny dated October 8, 2015 (Item 21).
Plaintiff Sharon Koszuta initiated this action on August 22, 2014, pursuant to the
Social Security Act, 42 U.S.C. § 405(g) (“the Act”), for judicial review of the final
determination of the Commissioner of Social Security (“Commissioner”) denying plaintiff’s
application for Disability Income Benefits (“DIB”) and Supplemental Security Income (“SSI”)
benefits under Titles II and XVI of the Act. Plaintiff has moved for judgment on the
pleadings pursuant to Rule 12(c) of the Federal Rules of Civil Procedure (see Item 10) and
the Commissioner has cross-moved for the same relief (Item 19). For the following
reasons, plaintiff’s motion is denied and defendant’s motion is granted.
BACKGROUND
Plaintiff was born on January 5, 1958 (Tr. 133).1 She protectively filed applications
for DIB and SSI on April 18, 2011, alleging disability due to arthritis and carpal tunnel
syndrome with an onset date of March 1, 2009 (Tr. 133-141, 154). The claims were
denied administratively on August 3, 2011 (see Tr. 86-92). Plaintiff requested a hearing,
which was held on November 28, 2012, before Administrative Law Judge (“ALJ”) David S.
Lewandowski (Tr. 34-77).
Plaintiff appeared and testified at the hearing, and was
represented by counsel. Additionally, the ALJ took the testimony of a Vocational Expert
(“VE”).
On December 17, 2012, ALJ Lewandowski issued a decision finding that plaintiff
was not disabled within the meaning of the Act (Tr. 19-29). Following the sequential
evaluation process outlined in the Social Security Administration regulations (see 20 C.F.R.
§§ 404.1520, 416.920), the ALJ found that plaintiff had the following “severe” impairments:
osteoarthritis of both knees, chronic obstructive pulmonary disease (“COPD”), and carpal
tunnel syndrome (Tr. 21). He also found that plaintiff suffers from depression and anxiety
but that these impairments cause no more than minimal limitations in her ability to perform
work-related activities and are thus non-severe (Tr. 11). The ALJ found that the evidence
in the record regarding plaintiff’s symptoms and functional limitations did not support a
finding that these impairments, considered singly or in combination, met or medically
equaled the criteria of any impairment listed at 20 C.F.R. Part 404, Subpart P, Appendix
1
Parenthetical numeric references preceded by “Tr.” are to pages of the administrative transcript
filed by the Commissioner at the time of entry of notice of appearance in this action (Item 7).
2
1 (the “Listings”), with specific consideration given to Listings 1.00 (Musculoskeletal
System) and 3.00 (Respiratory System) (Tr. 24).
The ALJ discussed the evidence in the record regarding plaintiff’s medically
determinable impairments–including treatment notes and consultative evaluations, along
with plaintiff’s hearing testimony and statements about the limiting effects of her
impairments–and determined that plaintiff had the residual functional capacity (“RFC”) to
perform less than the full range of light work2 with the following non-exertional limitations:
plaintiff can perform occasional postural activities, may not climb ropes, ladders, and
scaffolds, and can engage in only the occasional repetitive use of her hands for tasks such
as keyboarding. She must avoid pulmonary irritants, extreme cold temperatures, wetness,
and humidity, and can use a cane to ambulate as needed (Tr. 24). Considering plaintiff’s
age (51 years at the alleged onset date), high school education, work experience (inability
to perform past relevant work), and RFC, and relying on the testimony of a VE, the ALJ
determined that jobs exist in significant numbers in the national economy that plaintiff can
perform and that she has not been under a disability from the onset date to the date of the
decision (Tr. 28-29).
The ALJ’s decision became the final decision of the Commissioner when the
Appeals Council denied plaintiff's request for review (Tr. 1-4), and this action followed.
In her motion for judgment on the pleadings, plaintiff contends that the
Commissioner’s determination should be reversed because (1) the RFC determination was
2
“Light work” involves lifting no more than 20 pounds occasionally and 10 pounds frequently, “a
good deal of walking or standing,” or sitting with some pushing or pulling of arm or leg controls. 20 C.F.R.
§§ 404.1567(b), 416.967(b).
3
not supported by substantial evidence; and (2) the ALJ erred in his application of the
Medical-Vocational Guidelines, 20 C.F.R. Part 404, Subpart P, Appendix 2 (“the Grids”).
See Item 10-1. The government contends that the Commissioner’s determination should
be affirmed because the ALJ’s decision was made in accordance with the pertinent legal
standards and is based on substantial evidence in the record. See Item 19.
DISCUSSION
I.
Scope of Judicial Review
The Social Security Act provides that, upon district court review of the
Commissioner‘s decision, “[t]he findings of the Commissioner … as to any fact, if
supported by substantial evidence, shall be conclusive ….”
42 U.S.C. § 405(g).
Substantial evidence is defined as evidence which “a reasonable mind might accept as
adequate to support a conclusion.” Consolidated Edison Co. v. NLRB, 305 U.S. 197, 229
(1938), quoted in Richardson v. Perales, 402 U.S. 389, 401 (1971); see also Tejada v.
Apfel, 167 F.3d 770, 773-74 (2d Cir. 1999). The substantial evidence test applies not only
to findings on basic evidentiary facts, but also to inferences and conclusions drawn from
the facts. Giannasca v. Astrue, 2011 WL 4445141, at *3 (S.D.N.Y. Sept. 26, 2011) (citing
Rodriguez v. Califano, 431 F. Supp. 421, 423 (S.D.N.Y. 1977)).
Under these standards, the scope of judicial review of the Commissioner’s decision
is limited, and the reviewing court may not try the case de novo or substitute its findings
for those of the Commissioner. Richardson, 402 U.S. at 401; see also Cage v. Comm'r of
Soc. Servs., 692 F.3d 118, 122 (2d Cir. 2012). The court’s inquiry is “whether the record,
read as a whole, yields such evidence as would allow a reasonable mind to accept the
4
conclusions reached” by the Commissioner. Sample v. Schweiker, 694 F.2d 639, 642 (9th
Cir. 1982), quoted in Hart v. Colvin, 2014 WL 916747, at *2 (W.D.N.Y. Mar. 10, 2014).
However, “[b]efore the insulation of the substantial evidence test comes into play,
it must first be determined that the facts of a particular case have been evaluated in the
light of correct legal standards.” Klofta v. Mathews, 418 F. Supp. 1139, 1411 (E.D.Wis.
1976), quoted in Sharbaugh v. Apfel, 2000 WL 575632, at *2 (W.D.N.Y. Mar. 20, 2000);
Nunez v. Astrue, 2013 WL 3753421, at *6 (S.D.N.Y. July 17, 2013) (citing Tejada, 167 F.3d
at 773). “Failure to apply the correct legal standard constitutes reversible error, including,
in certain circumstances, failure to adhere to the applicable regulations.” Kohler v. Astrue,
546 F.3d 260, 265 (2d Cir. 2008) (citations omitted).
Thus, the Commissioner’s
determination cannot be upheld when it is based on an erroneous view of the law, or
misapplication of the regulations, that disregards highly probative evidence. See Grey v.
Heckler, 721 F.2d 41, 44 (2d Cir. 1983); see also Johnson v. Bowen, 817 F.2d 983, 985
(2d Cir. 1987) (“Failure to apply the correct legal standards is grounds for reversal.”),
quoted in McKinzie v. Astrue, 2010 WL 276740, at *6 (W.D.N.Y. Jan. 20, 2010).
If the Commissioner's findings are free of legal error and supported by substantial
evidence, the court must uphold the decision. 42 U.S.C. § 405(g) (“The findings of the
Commissioner of Social Security as to any fact, if supported by substantial evidence, shall
be conclusive, and where a claim has been denied … the court shall review only the
question of conformity with [the] regulations ….”); see Kohler, 546 F.3d at 265. “Where the
Commissioner's decision rests on adequate findings supported by evidence having rational
probative force, [the court] will not substitute [its] judgment for that of the Commissioner.”
5
Veino v. Barnhart, 312 F.3d 578, 586 (2d Cir. 2002). Even where there is substantial
evidence in the record weighing against the Commissioner's findings, the determination will
not be disturbed so long as substantial evidence also supports it. See Marquez v. Colvin,
2013 WL 5568718, at *7 (S.D.N.Y. Oct. 9, 2013) (citing DeChirico v. Callahan, 134 F.3d
1177, 1182 (2d Cir. 1998) (upholding the Commissioner's decision where there was
substantial evidence for both sides)).
In addition, it is the function of the Commissioner, not the reviewing court, “to
resolve evidentiary conflicts and to appraise the credibility of witnesses, including claimant.”
Carroll v. Sec'y of Health and Human Services, 705 F.2d 638, 642 (2d Cir. 1983); cf.
Cichocki v. Astrue, 534 F. App’x 71, 75 (2d Cir. Sept. 5, 2013). “Genuine conflicts in the
medical evidence are for the Commissioner to resolve,” Veino, 312 F.3d at 588, and the
court “must show special deference” to credibility determinations made by the ALJ, “who
had the opportunity to observe the witnesses’ demeanor” while testifying. Yellow Freight
Sys. Inc. v. Reich, 38 F.3d 76, 81 (2d Cir. 1994).
II.
Standards for Determining Eligibility for Disability Benefits
To be eligible for DIB and SSI benefits under the Social Security Act, plaintiff must
present proof sufficient to show that she suffers from a 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)(1)(A), and is “of such severity that [s]he is not only unable to do h[er] previous
work but cannot, considering h[er] age, education, and work experience, engage in any
6
other kind of substantial gainful work which exists in the national economy ….” 42 U.S.C.
§ 423(d)(2)(A); see also 20 C.F.R. § 416.905(a). As indicated above, the regulations set
forth a five-step process to be followed when a disability claim comes before an ALJ for
evaluation of the claimant's eligibility for benefits. See 20 C.F.R. §§ 404.1520, 416.920.
First, the ALJ must determine whether the claimant is presently engaged in substantial
gainful activity. If the claimant is not, the ALJ must decide if the claimant has a “severe”
impairment, which is an impairment or combination of impairments that has lasted (or may
be expected to last) for a continuous period of at least 12 months which “significantly limits
[the claimant's] physical or mental ability to do basic work activities ….” 20 C.F.R.
§§ 404.1520(c), 416.920(c); see also §§ 404.1509, 416.909 (duration requirement). If the
claimant's impairment is severe and of qualifying duration, the ALJ then determines
whether it meets or equals the criteria of an impairment found in the Listings. If the
impairment meets or equals a listed impairment, the claimant will be found to be disabled.
If the claimant does not have a listed impairment, the fourth step requires the ALJ to
determine if, notwithstanding the impairment, the claimant has the residual functional
capacity to perform his or her past relevant work. If the claimant has the RFC to perform
his or her past relevant work, the claimant will be found to be not disabled, and the
sequential evaluation process comes to an end. Finally, if the claimant is not capable of
performing the past relevant work, the fifth step requires that the ALJ determine whether
the claimant is capable of performing any work which exists in the national economy,
considering the claimant's age, education, past work experience, and RFC. See Curry v.
Apfel, 209 F.3d 117, 122 (2d Cir. 2000); Lynch v. Astrue, 2008 WL 3413899, at *2
(W.D.N.Y. Aug. 8, 2008).
7
The claimant bears the burden of proof with respect to the first four steps of the
analysis. If the claimant meets this burden, the burden shifts to the Commissioner to show
that there exists work in the national economy that the claimant can perform. Lynch, 2008
WL 3413899, at *3 (citing Rosa v. Callahan, 168 F.3d 72, 77 (2d Cir. 1999)). “In the
ordinary case, the Commissioner meets h[er] burden at the fifth step by resorting to the
applicable medical vocational guidelines (the grids), … [which] take into account the
claimant's residual functional capacity in conjunction with the claimant's age, education,
and work experience.” Rosa, 168 F.3d at 78 (internal quotation marks, alterations and
citations omitted). If, however, a claimant has non-exertional limitations (which are not
accounted for in the grids) that “significantly limit the range of work permitted by his
exertional limitations then the grids obviously will not accurately determine disability
status ….” Bapp v. Bowen, 802 F.2d 601, 605 (2d Cir. 1986) (internal quotation marks and
citation omitted). In such cases, “the Commissioner must ‘introduce the testimony of a
vocational expert (or other similar evidence) that jobs exist in the national economy which
claimant can obtain and perform.’ ” Rosa, 168 F.3d at 78 (quoting Bapp, 802 F.2d at 603).
Where the record supports a finding that the claimant’s non-exertional limitations would
have little or no effect on the occupational base of unskilled work, the ALJ may properly
rely on the Grids as a framework for decisionmaking, without consulting with a vocational
expert, to satisfy the Commissioner's burden at the final step of the sequential evaluation.
Cornell v. Colvin, 2014 WL 1572342, at *9 (W.D.N.Y. Apr. 18, 2014) (citing Zabala v.
Astrue, 595 F.3d 402, 410–11 (2d Cir. 2010); Bapp, 802 F.2d at 605-06).
8
III.
The ALJ’s Disability Determination
In this case, ALJ Lewandowski determined at step one of the sequential evaluation
that plaintiff had not engaged in substantial gainful activity since March 1, 2009, the alleged
onset date (Tr. 21).
At step two, the ALJ determined that plaintiff’s impairments -
osteoarthritis, COPD, and carpal tunnel syndrome - are “severe” as that term is defined
in the regulations because they impose significant work-related functional limitations (Tr.
22). As noted above, at step three the ALJ found that plaintiff’s impairments did not meet
or medically equal the severity of a listed impairment, with specific consideration given to
the criteria of Listings 1.00 and 3.00 (Tr. 24). Additionally, the ALJ considered plaintiff’s
mental impairments according to the “special technique” set forth in 20 C.F.R. §§ 40.1520a
and 416.920a and found that plaintiff’s depression and anxiety caused only mild limitations
in her activities of daily living, social functioning, and concentration, persistence or pace,
and that she had experienced no episodes of decompensation (Tr. 23). Accordingly, the
ALJ found these mental impairments to be non-severe. The ALJ then found that plaintiff
had the RFC for less than the full range of light work, with certain non-exertional limitations
(Tr. 24). In making this determination, the ALJ discussed plaintiff’s hearing testimony and
statements in the record regarding her symptoms, along with the objective medical
evidence contained in the treatment records and a report obtained from consultative
examiner Dr. Donna Miller, D.O. (Tr. 25-28). Based upon his consideration of this
evidence, the ALJ found that plaintiff’s allegations regarding the limiting effects of her
symptoms were not credible to the extent they were inconsistent with the RFC assessment,
and that the RFC determination was “supported by the objective medical evidence, the
claimant’s treatment history, the claimant’s admitted daily activities and the credible opinion
9
evidence.” (Tr. 28).
Upon determining that plaintiff was unable to perform her past relevant work as a
short order cook, at the final step of the sequential evaluation, the ALJ found that plaintiff
was capable of making a successful adjustment to other work that exists in substantial
numbers in the national economy, considering her age, education, work experience, and
RFC (Tr. 28-29). The ALJ relied on the testimony of a VE, Ms. Dizon, who testified that
plaintiff would be able to perform the requirements of representative occupations such as
mail room clerk, ticket seller, and companion (Tr. 29). Additionally, the ALJ used MedicalVocational Rule 202.14 as a framework for decision-making. Accordingly, the ALJ found
that plaintiff was not under a disability within the meaning of the Act at any time from the
alleged onset date through the date of the decision.
IV.
Plaintiff’s Motion
A. RFC Determination
Plaintiff first argues that the RFC determination was not based on substantial
evidence. Specifically, she contends that there was no medical evidence that supported
a finding that plaintiff was capable of performing a reduced range of light work, as opposed
to simply sedentary work. The ALJ gave great weight to the opinion of consultative
examiner Dr. Miller, but plaintiff contends that Dr. Miller’s opinion was too vague to support
the RFC finding of light work.
“Residual functional capacity” is “an assessment of an individual's ability to do
sustained work-related physical and mental activities in a work setting on a regular and
10
continuing basis.” Social Security Ruling 96–8p, 1996 WL 374184, *2 (S.S.A.1996). In
assessing a claimant's RFC, the ALJ must consider all of the relevant medical and other
evidence in the case record to assess the claimant's ability to meet the physical, mental,
sensory and other requirements of work.” Domm v. Colvin, 2013 WL 4647643, at *8
(W.D.N.Y. Aug. 29, 2013), aff'd, 579 F. App'x 27 (2d Cir. 2014). The RFC determination
“must be set forth with sufficient specificity to enable [the court] to decide whether the
determination is supported by substantial evidence.” Ferraris v. Heckler, 728 F.2d 582, 587
(2d Cir. 1984); see also Hamlin v. Colvin, 2014 WL 4669244, at *6 (N.D.N.Y. Sept. 18,
2014).
Here, the ALJ described in detail the record evidence pertaining to plaintiff’s
impairments. Specifically, the ALJ reviewed treatment notes from plaintiff’s medical
providers. Plaintiff was involved n a motor vehicle accident on March 1, 2009 and first
complained of knee pain during treatment following the accident. Diagnostic imaging in
April 2009 showed “low grade degenerative change” of the left knee and a “small amount
of suprapatellar joint effusion” (Tr. 271-72). Plaintiff received a cortisone injection in the left
knee on May 6, 2009 (Tr. 223), a second on September 16, 2009 (Tr. 227), and a third on
December 2, 2009 (Tr. 228). On March 31, 2010, plaintiff received an injection of Synvisc
One in the left knee (Tr. 229).3 X-rays taken on April 14, 2011 showed mild arthritis of the
left and right lateral knees and severe arthritis of the left and right medial knees (Tr. 23031). Plaintiff received injections of Synvisc One in both knees on April 19, 2011(Tr. 233),
January 19, 2012 (Tr. 352), and on August 16, 2012 (Tr. 367).
3
Synvisc One is an injection that supplements the fluid in the knee to help lubricate and cushion
the joint. See www.synviscone.com.
11
The ALJ reviewed the report of consultative examiner Dr. Donna Miller, D.O. who
performed a consultative examination on June 14, 2011. Plaintiff appeared to be in no
distress, had a normal gait and stance, was able to squat fully, and needed no assistance
changing, getting on or off the examining table, or rising from a chair (Tr. 288). She had
no sensory deficits and had full strength in all extremities (Tr. 289). Plaintiff reported that
she receives Synvisc One injections which relieve her knee pain, but that eventually she
will need knee replacement surgery (Tr. 287). Plaintiff’s joints were stable and non-tender
(Tr. 289). Dr. Miller concluded that plaintiff had a mild limitation for repetitive bending,
kneeling, squatting, lifting, carrying, and use of her hands, and should avoid dust, irritants,
and tobacco exposure (Tr. 290).
Additionally, the ALJ considered plaintiff’s testimony regarding her limitations.
Plaintiff stated that her knee pain is eight out of ten on a daily basis (Tr. 42). She cannot
squat or climb (Tr. 43). Her pain from carpal tunnel syndrome is six out of ten (Tr. 47).
She can stand for about ten minutes at a time or about one hour in an eight-hour day (Tr.
49). Plaintiff can walk about 100 feet before she needs to rest and can walk for about one
hour in an eight-hour day. Id. She is unable to climb stairs, bend her knees, squat, or push
and pull with her arms (Tr. 50-51). Plaintiff stated that she cooks, does household chores,
grocery shops with assistance, visits with friends and family, attends to her personal
hygiene, drives a car, manages her finances, reads, and uses a computer (Tr. 54- 56, 6163). At the time of the hearing, plaintiff occasionally cared for her grandchildren (Tr. 59).
After reviewing the record evidence, the ALJ concluded that plaintiff was able to
perform a reduced range of light work with some additional limitations related to postural
activities, climbing, repetitive hand motions, pulmonary irritants, and temperature, and the
12
use of a cane as needed (Tr. 24). He relied on “the objective medical evidence, the
claimant’s treatment history, the claimant’s admitted daily activities and the credible opinion
evidence.” (Tr. 28).
The Second Circuit has repeatedly cautioned that, in making the RFC determination,
“ 'the ALJ cannot arbitrarily substitute his own judgment for a competent medical opinion
.... [W]hile an [ALJ] is free to resolve issues of credibility as to lay testimony or to choose
between properly submitted medical opinions, he is not free to set his own expertise
against that of a physician who [submitted an opinion to or] testified before him.' ” Balsamo
v. Chater, 142 F.3d 75, 81 (2d Cir. 1998) (quoting McBrayer v. Secretary of Health and
Human Servs., 712 F.2d 795, 799 (2d Cir. 1983); see also Rosa v. Callahan, 168 F.3d 72,
79 (2d Cir. 1999). Here, none of plaintiff’s treating physicians expressed an opinion that
plaintiff was unable to work or in any way discussed her functional limitations. The only
medical opinion available to the ALJ was the report of Dr. Miller, to which he gave “great
weight.” (Tr. 27).
The court has reviewed the record and finds that there is substantial evidence to
support the ALJ’s determination that plaintiff was able to perform a limited range of light
work. In order to control her knee pain, plaintiff had required only periodic Synvisc One
injections in order to maintain functionality. The report of the consultative examiner, which
was afforded great weight, indicated mild limitations for repetitive bending, kneeling,
squatting, lifting, carrying, and use of plaintiff’s hands, which was reflected in the RFC
assessment. Contrary to plaintiff’s argument, the use of phrases such as “moderate” or
“mild” by a consultative examiner does not automatically render the opinion impermissibly
vague. See Rosenbauer v. Astrue, 2014 WL 4187210, *16 (W.D.N.Y. aug. 22, 2014). Dr.
13
Miller’s opinion was based upon medical examination, evaluation, and observation, and the
ALJ thus properly relied upon Dr. Miller’s opinion to support his RFC assessment. See Dier
v. Colvin, 2014 WL 2931400 at *4 (W.D.N.Y June 22, 2014) (“when, as here, [the doctor's
opinions] are based on clinical findings and an examination of the claimant, the conclusion
can serve as an adequate basis for the ALJ's ultimate conclusions) (internal quotation
omitted). The ALJ also found that plaintiff's subjective reports of disabling pain were
exaggerated in light of the inconsistency between her reports of pain at the hearing and her
lack of complaints to her treating physicians (Tr. 27). The ALJ noted only mild limitations
in plaintiff’s activities of daily living, including cooking, cleaning, laundry, shopping as
needed, driving, and babysitting her grandchildren (Tr. 23). Finally, the ALJ noted that
plaintiff received a referral for vocational training in May 2012 (Tr. 364). Plaintiff attended
an orientation and reported in July 2012 that she intended to start vocational training in five
months, when she finished babysitting her grandchildren (Tr. 365).
The ALJ based his RFC determination on the medical opinion of the consultative
examiner, the relatively benign findings of plaintiff’s treating physicians, plaintiff’s treatment
history, and her admitted daily activities. There is no objective medical evidence or opinion
to suggest that plaintiff is capable of only sedentary work activities.
The RFC
determination is consistent with the medical opinion of record, which was specific enough
to constitute substantial evidence. Accordingly, the court finds that plaintiff is not entitled
to remand or reversal on the basis that the RFC is not supported by substantial evidence.
B. Application of the Grids
Plaintiff further contends that, even assuming that the ALJ correctly assessed her
RFC, he mechanically applied the Grids in such a way as to deny her benefits without
14
explanation, requiring remand. Specifically, plaintiff contends that the ALJ should have
considered her to be of advanced age, 55 or older. Instead, the ALJ used MedicalVocational Rule 202.14 as a framework for decision-making and considered her to be an
individual “closely approaching advanced age” (age 50-54) (Tr. 28). The court notes that
plaintiff was born on January 5, 1958, her alleged onset of disability was March 1, 2009,
her date last insured (“DLI”) was June 30, 2010, and the ALJ issued his decision on
December 17, 2012. She was 51 years old on the alleged onset date and 52 on the DLI.
Plaintiff was approximately 54 years and 11 months old at the time of the ALJ’s decision.
Application of the Grids to a person of advanced age would have resulted in a finding of
disability, had the ALJ additionally made a finding that plaintiff had no transferable job
skills. See Medical-Vocational Rule 202.06.4
The SSA has issued regulations regarding the consideration of a claimant's age as
a vocational factor. The SSA
will not apply the age categories mechanically in a borderline situation. If [a
claimant] [is] within a few days to a few months of reaching an older age
category, and using the older age category would result in a determination
or decision that [the claimant] [is] disabled, [the SSA] will consider whether
to use the older age category after evaluating the overall impact of all the
factors of [the claimant's] case.
20 C.F.R. §§ 404.1563(b), 416.963(b). Other Circuits have held that the appropriate date
for analyzing a borderline situation is the last day of the plaintiff's insured status before the
adjudication date. See, e.g., Byers v. Astrue, 506 F. App’x 788, 791 (10th Cir. 2012);
4
The ALJ made no finding as to transferability of skills because it was not relevant to an
application of the Grids for a person closely approaching advanced age. See Medical-Vocational Rules
202.14, 202.15.
15
Lockwood v. Comm'r Soc. Sec. Admin., 616 F.3d 1068 (9th Cir. 2010); see also Torres v.
Comm’r of Soc. Servs., 2015 WL 5444888, * 10 (W.D.N.Y. Sept. 15, 2015) (borderline
situation exists where claimant is only days or months away from the higher age category
on his date last insured, and placing the claimant in that age category would have resulted
in a findings of disabled under the Grids).
“Case law focusing on this issue is decisive. Mechanical application of the age
criteria ... is not appropriate in borderline cases.” Hill v. Sullivan, 769 F.Supp. 467, 470
(W.D.N.Y.1991); see also Stafford v. Astrue, 581 F.Supp.2d 456, 460 (W.D.N.Y. 2008);
Gravel v. Barnhart, 360 F.Supp.2d 442, 446 n.8 (N.D.N.Y. 2005) (“[a]s provided by the
Regulations, the Commissioner will not mechanically apply the age categories in borderline
cases where the claimant is within a few days to a few months from reaching an older age
category”), citing 20 C.F.R. § 416.963(b); Davis v. Shalala, 883 F.Supp. 828
(E.D.N.Y.1995) (awarding plaintiff the benefit of an older age category where plaintiff was
three months from reaching it).
Under the circumstances of this case, plaintiff was not in a borderline age category.
At the DLI, she was 52 years old and an individual “closely approaching advanced age.”
Moreover, the ALJ found that plaintiff was not capable of performing the full range of light
work and so properly relied on the testimony of the VE to find that plaintiff was capable of
making a transition to other work that exists in significant numbers in the local economy.
Accordingly, I find that plaintiff is not entitled to the benefit of classification as a person of
“advanced age” and is not entitled to remand on this basis.
16
CONCLUSION
For the foregoing reasons, the court finds that the ALJ's decision is based on correct
legal standards and supported by substantial evidence, and the Commissioner's
determination must be upheld. Plaintiff's motion for judgment on the pleadings (Item 10)
is denied, the defendant’s cross motion (Item 19) is granted, and the case is dismissed.
The Clerk of the Court is directed to enter judgment in favor of the Commissioner,
and to close the case.
So ordered.
______\s\ John T. Curtin____
JOHN T. CURTIN
United States District Judge
Dated: January 13, 2016
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