“the ALJ’s more thorough discussion—although located with the discussion of Jeske’s RFC—explained what the evidence revealed about Jeske’s condition and symptoms”
How later courts described this case
- “the ALJ’s more thorough discussion—although located with the discussion of Jeske’s RFC—explained what the evidence revealed about Jeske’s condition and symptoms”
- “This court does not find facts or try the case de novo when reviewing disability determinations.”
- “We note that it is the responsibility of the [Commissioner] and not the courts to reconcile inconsistences in the medical evidence, and that it is the claimant who bears the risk of nonpersuasion.”
Written by the judges who cited it.
The opinion
IN THE UNITED STATES DISTRICT COURT
FOR THE WESTERN DISTRICT OF NORTH CAROLINA
STATESVILLE DIVISION
CIVIL ACTION NO. 5:20-CV-098-DCK
LISA HEAGGANS, )
)
Plaintiff, )
) ORDER
v. )
)
KILOLO KIJAKAZI,1 )
Acting Commissioner of Social Security )
Administration, )
)
Defendant. )
)
THIS MATTER IS BEFORE THE COURT on Plaintiff’s “Motion For Summary
Judgment” (Document No. 18) and Defendant’s “Motion For Summary Judgment” (Document
No. 22). The parties have consented to Magistrate Judge jurisdiction pursuant to 28 U.S.C. §
636(c), and these motions are ripe for disposition. After careful consideration of the written
arguments, the administrative record, and applicable authority, the undersigned will direct that
Plaintiff’s “Motion For Summary Judgment” be denied; that Defendant’s “Motion For Summary
Judgment” be denied; and that the Commissioner’s decision be vacated and this matter be
remanded for further consideration.
I. BACKGROUND
Plaintiff Lisa Heaggans (“Plaintiff”), through counsel, seeks judicial review of an
unfavorable administrative decision on her application for disability benefits. (Document No. 1).
On or about January 16, 2017 and January 24, 2017, respectively, Plaintiff filed applications for a
1 On July 9, 2021, Kilolo Kijakazi became the Acting Commissioner of Social Security. Accordingly,
pursuant to Rule 25(d) of the Federal Rules of Civil Procedure, Kilolo Kijakazi is hereby substituted for
Andrew M. Saul as Defendant in this action.
period of disability and disability insurance benefits (“DIB”) under Title II of the Social Security
Act, 42 U.S.C. § 405, and for supplemental security income under Title XVI of the Social Security
Act, 42 U.S.C. § 1383, alleging an inability to work due to a disabling condition beginning June
16, 2015.2 (Transcript of the Record of Proceedings (“Tr.”) 10). The Commissioner of Social
Security (the “Commissioner” or “Defendant”) denied Plaintiff’s application initially on
March 21, 2017, and again after reconsideration on August 11, 2017. (Tr. 174-191, 195-213). In
its “Notice of Reconsideration,” the Social Security Administration (“SSA”) included the
following explanation of its decision:
The medical evidence shows that your condition is not severe
enough to be considered disabling. You are able to think, act in your
own interest, communicate, handle your own affairs, and adjust to
ordinary emotional stresses without significant difficulties. We do
not have sufficient vocational information to determine whether you
can perform any of your past relevant work. However, based on the
evidence in file, we have determined that you can adjust to other
work. It has been decided, therefore, that you are not disabled
according to the Social Security Act.
(Tr. 195, 204).
Plaintiff filed a timely written request for a hearing on September 10, 2017. (Tr. 10, 214-
15). On May 1, 2019, Plaintiff appeared and testified at a hearing before Administrative Law
Judge Clinton C. Hicks (the “ALJ”). (Tr. 7-23, 34-76). In addition, Ellen Levine, a vocational
expert (“VE”), and Charles F. Hall, IV, Plaintiff’s attorney for the hearing, appeared at the hearing.
(Tr. 10).
2 Notably, Plaintiff filed a previous application for disability insurance benefits and supplemental security income on
December 10, 2012. (Tr. 10). Plaintiff’s application was denied on June 15, 2015. Id. For this reason, Plaintiff’s
instant application alleges a disability onset date of June 16, 2015, as “res judicata applies with regard to the period
through June 15, 2015” because an Administrative Law Judge denied her first application, the Appeals Council denied
review, and Plaintiff did not appeal the denial of her claim to federal district court. Id.
The ALJ issued an unfavorable decision on July 5, 2019, denying Plaintiff’s claim. (Tr. 7-
23). On September 6, 2019, Plaintiff filed a request for review of the ALJ’s decision, which was
denied by the Appeals Council on May 18, 2020. (Tr. 1-6, 7-23, 270-72). The ALJ decision
became the final decision of the Commissioner when the Appeals Council denied Plaintiff’s review
request. (Tr. 1).
Plaintiff’s “Complaint” seeking a reversal of the ALJ’s determination was filed in this
Court on July 20, 2020 . (Document No. 1). The parties consented to Magistrate Judge Jurisdiction
on February 2, 2021, and this case was reassigned to the undersigned as presiding judge on
February 3, 2021. (Document No. 13).
Plaintiff’s “Motion For Summary Judgment” (Document No. 18) and “Plaintiff’s
Memorandum In Support Of Motion For Summary Judgment” (Document No. 19) were filed
May 7, 2021; and the Commissioner’s “Motion For Summary Judgment” (Document No. 22) and
“Memorandum Of Law In Support Of Defendant’s Motion For Summary Judgment” (Document
No. 23) were filed August 6, 2021. Plaintiff filed “Plaintiff’s Response to Defendant’s
Memorandum In Support Of Motion For Summary Judgment” (Document No. 24) on August 20,
2021.
The pending motions are now ripe for review and disposition.
II. STANDARD OF REVIEW
The Social Security Act, 42 U.S.C. § 405(g) and § 1383(c)(3), limits this Court’s review
of a final decision of the Commissioner to: (1) whether substantial evidence supports the
Commissioner’s decision; and (2) whether the Commissioner applied the correct legal standards.
Richardson v. Perales, 402 U.S. 389, 390 (1971); Hays v. Sullivan, 907 F.2d 1453, 1456 (4th Cir.
1990).
The Fourth Circuit has made clear that it is not for a reviewing court to re-weigh the
evidence or to substitute its judgment for that of the Commissioner – so long as that decision is
supported by substantial evidence. Hays, 907 F.2d at 1456 (4th Cir. 1990); see also Hancock v.
Astrue, 667 F.3d 470, 472 (4th Cir. 2012); Smith v. Schweiker, 795 F.2d 343, 345 (4th Cir. 1986).
“Substantial evidence has been defined as ‘more than a scintilla and [it] must do more than create
a suspicion of the existence of a fact to be established. It means such relevant evidence as a
reasonable mind might accept as adequate to support a conclusion.’” Smith v. Heckler, 782 F.2d
1176, 1179 (4th Cir. 1986) (quoting Perales, 402 U.S. at 401).
Ultimately, it is the duty of the Commissioner, not the courts, to make findings of fact and
to resolve conflicts in the evidence. Hays, 907 F.2d at 1456; King v. Califano, 599 F.2d 597, 599
(4th Cir. 1979) (“This court does not find facts or try the case de novo when reviewing disability
determinations.”); Seacrist v. Weinberger, 538 F.2d 1054, 1056-57 (4th Cir. 1976) (“We note that
it is the responsibility of the [Commissioner] and not the courts to reconcile inconsistences in the
medical evidence, and that it is the claimant who bears the risk of nonpersuasion.”). Indeed, so
long as the Commissioner’s decision is supported by substantial evidence, it must be affirmed even
if the reviewing court disagrees with the final outcome. Lester v. Schweiker, 683 F.2d 838, 841
(4th Cir. 1982).
III. DISCUSSION
The question before the ALJ was whether Plaintiff was under a “disability” as that term of
art is defined for Social Security purposes, at any time between June 16, 2015 and the date of the
ALJ decision.3 (Tr. 11). To establish entitlement to benefits, Plaintiff has the burden of proving
3 Under the Social Security Act, 42 U.S.C. § 301, the term “disability” is defined as an: inability to engage
in any substantial gainful activity by reason of any medically determinable physical or mental impairment
that she was disabled within the meaning of the Social Security Act. Bowen v. Yuckert, 482 U.S.
137, 146 n.5 (1987).
The Social Security Administration has established a five-step sequential evaluation
process for determining if a person is disabled. 20 C.F.R. § 404.1520(a). The five steps are:
(1) whether claimant is engaged in substantial gainful activity -
if yes, not disabled;
(2) whether claimant has a severe medically determinable
physical or mental impairment, or combination of
impairments that meet the duration requirement in §
404.1509 - if no, not disabled;
(3) whether claimant has an impairment or combination of
impairments that meets or medically equals one of the
listings in appendix 1, and meets the duration requirement -
if yes, disabled;
(4) whether claimant has the residual functional capacity
(“RFC”) to perform her/his past relevant work - if yes, not
disabled; and
(5) whether considering claimant’s RFC, age, education, and
work experience he/she can make an adjustment to other
work - if yes, not disabled.
20 C.F.R. § 404.1520(a)(4)(i-v).
The burden of production and proof rests with the claimant during the first four steps; if
claimant is able to carry this burden, then the burden shifts to the Commissioner at the fifth step to
show that work the claimant could perform is available in the national economy. Pass, 65 F.3d at
1203. In this case, the ALJ determined at the fifth step that Plaintiff was not disabled. (Tr. 21-
22).
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. Pass v. Chater, 65 F.3d 1200, 1203 (4th Cir. 1995) (quoting 42 U.S.C.
§ 423(d)(1)(A)).
First, the ALJ determined that Plaintiff had not engaged in any substantial gainful activity
since June 16, 2015, the alleged disability onset date. (Tr. 13). At the second step, the ALJ found
that degenerative disc disease; status post T6-L3 Harrington rod fixation with adjacent level
scoliosis; left foot neuropathy; fibromyalgia; and headaches were severe impairments.4 Id. At
the third step, the ALJ determined that Plaintiff did not have an impairment or combination of
impairments that met or medically equaled one of the impairments listed in 20 C.F.R. 404, Subpart
P, Appendix 1. (Tr. 15).
Next, the ALJ assessed Plaintiff’s RFC and found that she retained the capacity to perform
light work activity, with the following limitations:
[F]requent pushing and pulling with the bilateral upper extremities;
occasional climbing, balancing, stooping, kneeling, crouching, and
crawling; no climbing of ropes, ladders, or scaffolds; no
concentrated exposure to hazards; sit/stand option that would allow
her to change position once per hour for five minutes at a time;
simple, routine, repetitive tasks of unskilled work; no complex
decision-making, no crisis situations, no constant changes in
routine; occasional interaction with the public, supervisors, and
coworkers; can stay on task for two hours at a time.
(Tr. 15-16). In making this finding, the ALJ specifically stated that he “considered all symptoms
and the extent to which these symptoms can reasonably be accepted as consistent with the objective
medical evidence and other evidence, based on the requirements of 20 CFR 404.1529 and 416.929
and SSR 16-3p.” Id.
At the fourth step, the ALJ held that Plaintiff could not perform her past relevant work as a
receptionist, unit clerk, pharmacy technician, or cashier. (Tr. 21). At the fifth and final step, the
ALJ concluded based on the testimony of the VE and “considering the claimant’s age, education,
4 The determination at the second step as to whether an impairment is “severe” under the regulations is a
de minimis test, intended to weed out clearly unmeritorious claims at an early stage. See Bowen v. Yuckert,
482 U.S. 137 (1987).
work experience, and residual functional capacity” that jobs existed in significant numbers in the
national economy that Plaintiff could perform. (Tr. 21-22). Specifically, the VE testified that
according to the factors given by the ALJ, occupations claimant could perform included a laundry
folder, inspector and hand packager, and shipping and receiving weigher. (Tr. 22). Therefore, the
ALJ concluded that Plaintiff was not under a “disability,” as defined by the Social Security Act, at
any time between June 16, 2015, and the date of his decision, July 5, 2019. (Tr. 22-23).
Plaintiff on appeal to this Court makes the following assignments of error: (1) “[t]he ALJ
failed to properly analyze Listing 1.04A for Lumbar DDD [degenerative disc disease] as required
by Radford;” and (2) “[t]he ALJ erred by failing to explain why non-mechanical application of
the grids was not chosen pursuant to 20 C.F.R. § 404.1563(b).” (Document No. 19, pp. 4, 8). The
undersigned will discuss each of these contentions in turn.
A. Assignment of Error # 1
In the first assignment of error, Plaintiff argues that the ALJ “failed to properly analyze
Listing 1.04A for Lumbar DDD as required by Radford.” Id. at p. 4 (citing Radford v. Colvin, 734
F.3d 288, 295 (4th Cir. 2013)). Plaintiff contends that “[d]espite the presence of lumbar DDD and
all the signs and symptoms required by Listing 1.04A, the ALJ found that Listing 1.04A was not
met or medically equaled.” Id. The error, Plaintiff contends, is that although “the ALJ correctly
concludes that there is evidence of most of the criteria of Listing 1.04A,” “the ALJ was mistaken
as to the complete absence of evidence of motor loss and sensory loss or reflex loss.” Id. at p. 5.
Plaintiff goes on to cite various points in the record where “there is significant evidence of the
contested signs and symptoms.” Id. at pp. 5-6. The legally correct approach that the ALJ should
have taken, Plaintiff argues, is to discuss “which evidence the ALJ found credible and why with
specific application of the relevant listing criteria to the record evidence.” Id. at p. 6. “[R]emand
is necessary,” Plaintiff contends, “so that the Commissioner may examine and evaluate the
evidence of the contested signs and symptoms and determine whether Listing 1.04A for the lumbar
spine is met or medically equaled.” Id. at pp. 7-8.
Defendant, by contrast, argues that “the record does not contain adequate evidence
confirming that the requirements of Listing 1.04(A) were satisfied.” (Document No. 23, p. 5).
Indeed, Defendant argues that the ALJ did determine that “evidence showed…some of the
elements of 1.04A” were met, but “there was no evidence of motor loss accompanied by sensory
or reflex loss.” Id. at p. 7. Furthermore, Defendant argues that “[t]he ALJ provided additional
support for his determination that Plaintiff’s impairments did not satisfy Listing 1.04 in the context
of discussing the medical evidence in subsequent portions of the ALJ’s decision.” Id.
According to the Fourth Circuit, “[w]hen ‘there is ample evidence in the record to support
a determination’ that a claimant’s impairment meets or equals one of the listed impairments, [] the
ALJ must ‘identif[y] the relevant listed impairments’ and ‘compare[] each of the listed criteria to
the evidence of [the claimant’s] symptoms.’” Bates v. Berryhill, 726 F. App’x 959, 960 (4th Cir.
2018) (quoting Cook v. Heckler, 783 F.2d 1168, 1172 (4th Cir. 1986)). An ALJ’s analysis at Step
Three is “insufficient” where he or she “summarily conclude[s] that [claimant’s] impairment did
not meet or equal a listed impairment,” but then fails to provide further explanation supporting the
conclusion. Radford, 734 F.3d at 295. Moreover, in order to “show that [an] impairment matches
a listing, it must meet all of the specified medical criteria. An impairment that manifests only
some of those criteria, no matter how severely, does not qualify.” Sullivan v. Zebley, 493 U.S.
521, 530 (1990).
Listing 1.04A requires that a claimant show
Evidence of nerve root compression characterized by neuro-
anatomic distribution of pain, limitation of motion of the spine,
motor loss (atrophy with associated muscle weakness or muscle
weakness) accompanied by sensory or reflex loss and, if there is
involvement of the lower back, positive straight-leg raising test
(sitting and supine).
20 C.F.R. Pt. 404, Subpt. P, App’x 1, § 1.04A. Moreover, there “is not a rigid requirement that
the ALJ refer to every piece of evidence in his decision.” Pitts v. Colvin, 2014 WL 12599801, at
*7 (W.D.N.C. Sept. 26, 2014) (internal quotations and citations omitted). In conducting a listing
analysis at Step Three, the ALJ decision need not be “a model of clarity[] regarding application of
the criteria” of the listing. Id.
Here, the undersigned finds that while the ALJ’s analysis may not have been perfect in
terms of matching the criteria to Ms. Heaggans’ symptoms, it was sufficient to survive remand.
Indeed, where the record contains “conflicting evidence” and has “depth and ambivalence,” so
long as the ALJ engages in analysis that contains a “full explanation” of his or her conclusion, that
is sufficient to survive remand. Radford, 734 F.3d at 296. Indeed, is it not “the province of the
district court…to engage in these exercises [of weighing the conflicting evidence] in the first
instance.” Id.
The ALJ, as Defendant correctly states, “determined that while the evidence showed some
of the elements of 1.04A [were met], there was no evidence of motor loss accompanied by sensory
or reflex loss.” (Document No. 23, p. 7). Specifically, the ALJ finds that “[a] CT myelogram of
the lumbar spine performed in May 2014 showed some lateral recess stenosis secondary to disc
bulge and facet arthropathy impinging on the L4 nerve root.” (Tr. 15 (citing Tr. 391-92)). On
account of this evidence in the record, the ALJ finds that “[t]he clinical findings and imaging
tests…show evidence of nerve root compression characterized by neuro-anatomic distribution of
pain, limitation of motion of the spine, and positive straight-leg raising.” (Tr. 15). However, the
ALJ did not find that Plaintiff’s symptoms demonstrated “motor loss…accompanied by sensory
or reflex loss.” Id. Although the ALJ does not specifically cite to evidence supporting that
proposition, there is good reason. The ALJ did cite to evidence supporting his finding that some
of the listing’s criteria were met. However, where the criteria were not met (and thus there was
logically no evidence to support a finding that was not made), the ALJ did not specifically cite to
the record. Even though, as in Pitts, the ALJ’s decision might not have been a “model of clarity,”
it was legally sufficient here. 2014 WL 12499801, at *7. The ALJ does not need to cite to each
piece of evidence in the record that aided him in reaching his finding. Id.
Furthermore, the undersigned finds that while the ALJ might not have described his
reasoning in as clear a fashion in the Step Three section of his decision as a reviewing court may
have liked, that lack of perfect clarity does not warrant remand. Indeed, Defendant highlights that
“[t]he ALJ provided additional support for his determination that Plaintiff’s impairments did not
satisfy Listing 1.04 in the context of discussing the medical evidence in subsequent portions of the
ALJ’s decision.” (Document No. 23, p. 7); see Mitchell v. Berryhill, 2018 WL 1567360, at *3
(W.D.N.C. Mar. 30, 2018) (suggesting that if the ALJ discusses and opines upon the Plaintiff’s
medical evidence regarding a particular physical condition later in the decision, that is sufficient
to save a more cursory explanation in the Step Three section of the decision); Jeske v. Saul, 955
F.3d 583, 590 (7th Cir. 2020) (“the ALJ’s more thorough discussion—although located with the
discussion of Jeske’s RFC—explained what the evidence revealed about Jeske’s condition and
symptoms”).
Plaintiff attempts in her brief to cite instances in which the medical record demonstrates
her left leg weakness and abnormal sensation. See (Document No. 19, pp. 5-6). But, the ALJ does
not ignore that evidence. Indeed, the ALJ notes in his RFC analysis that the medical record shows
that “claimant has tenderness and limited range of motion of the spine, as well as abnormal
sensation, but normal gait, and station, normal motor, and normal coordination.” (Tr. 18 (citing
Tr. 655, 673, 678, 682, 687, 692, 700, 704, 714, 723, 731, 736, 744, 770, 788, 795, 938)). He also
notes that “primary care records since 2015 indicate that the claimant has spasms at times, but her
lumbar spine is nontender to palpation on exams,” and she has “normal musculoskeletal exams,
normal motor exams, and normal balance.” (Tr. 19 (citing Tr. 442, 473, 480-81)). Clearly, the
ALJ considered Plaintiff’s medical evidence, and though Plaintiff may not agree with his
assessment of such evidence, it is not the role of the court to reweigh the evidence – even if the
Court would ultimately conclude that Plaintiff did meet Listing 1.04A.
Ultimately, it is Plaintiff’s burden to prove that she was disabled at Step Three – and it
remains the Plaintiff’s burden to prove disability until Step Five, at which point the burden shifts
to Defendant to prove that Plaintiff was not disabled. Pass, 65 F.3d at 1203. Plaintiff has failed
to satisfy her burden. The undersigned finds that substantial evidence supports the ALJ’s decision
at Step Three.
B. Assignment of Error # 2
Next, Plaintiff argues that the ALJ “failed to explain his choice of age category when
applying the grids despite the presence of a borderline age situation.” (Document No. 19, p. 8).
Plaintiff explains that “though an ALJ is not required to apply the grids non-mechanically in a
borderline situation, the ALJ is required to at least consider non-mechanical application in light of
the overall factors of the case.” Id. And, Plaintiff contends, the “SSA has noted that this borderline
situation generally exists up to 6 months before attainment of the specified age.” Id. Apparently,
Ms. Heaggans “was less than 6 months away from attaining age 55 at the time of the decision.”
Id. Moreover, she “was limited to a reduced range of unskilled light work.” Id. Nonetheless, “the
ALJ did not consider the application of the more favorable [in terms of a greater chance of finding
that Plaintiff was disabled] grid rule 202.06 despite her close proximity to this age category.” Id.
Plaintiff also suggests that “application of the grid rules” should have been “non-
mechanical[]” in this case because Plaintiff had “an additional vocational adversity” – “the need
for latitude of posture, commonly noted to be a ‘sit/stand option.’” Id. at p. 9. According to
Plaintiff, the regulations suggest that where a Plaintiff has RFC limitations that “adversely affect”
a claimant’s unskilled occupational capacity, the borderline age analysis should be considered. Id.
(citations omitted).
In response, Defendant argues that the ALJ made no error with respect to the application
of the grids and consideration of Plaintiff’s age. Defendant contends that “[a]lthough Plaintiff is
considered to meet the regulatory definition of ‘a few months,’ that does not mean that the ALJ
was required to specifically discuss the higher age category or to actually apply it and find Plaintiff
disabled.” (Document No. 23, p. 9). Defendant cites the regulations, arguing that although they
“require that the adjudicator ‘consider whether to use the older age category,’” there is no
requirement that “the ALJ [] specifically document that consideration in the written decision.” Id.
(citing 20 C.F.R. §§ 404.1563(b), 416.963(b) (emphasis added). Plaintiff firmly disagrees with
Defendant’s argument that no written explanation of the decision-making process behind the age
category choice is required. (Document No. 24, p. 1). Indeed, she argues that “SSA’s internal
policies state that the ALJ will explain the borderline age situation and conclusions.” Id.
Finally, although Defendant does not discuss the point in detail, she does argue that
“Plaintiff fails to demonstrate that she presents sufficient additional vocational adversities that
warrant application of the higher age category.” (Document No. 23, p. 10). In her responsive
brief, Plaintiff takes issue with the notion that she has any burden to demonstrate additional
vocational adversities. Instead, she argues, the ALJ must “consider the overall impact of all the
factors, including RFC, age, education, and work experience.” (Document No. 24, p. 2) (citing
Gregory v. Kijakazi, 2021 WL 3415183, at *6 (E.D.N.C. July 12, 2021) (“newer internal
guidelines do not require the claimant to show additional vocational adversities”)).
As previously stated, the Commissioner carries the burden of demonstrating at Step Five
that work is available in the national economy that Plaintiff can perform. Pass, 65 F.3d at 1203.
“The Commissioner may meet this burden by relying on the Medical-Vocational Guidelines
(Grids)…[t]he Grids are published tables that take administrative notice of the number of unskilled
jobs at each exertional level in the national economy.” Gregory v. Kijakazi, 2021 WL 3415183,
at *3 (E.D.N.C. July 12, 2021). But, when as here, a claimant “suffers [from] an exertional
impairment which restricts him from performing the full range of activity covered by a work
category, the ALJ may not rely [solely] on the Grids and must [also] produce specific vocational
evidence showing that the national economy offers employment opportunities to the claimant.”
Id. Indeed, “[i]n such circumstances, the ALJ must consider all relevant facts, using the grid tables
to provide framework and guidance to the ALJ.” Id. (emphasis added) (citations omitted).
The Grids provide three age categories: (1) younger individuals – people under age 50; (2)
people “closely approaching advanced age” – ages 50-54; and (3) people “of advanced age” –
ages 55 or older. 20 C.F.R. §§ 404.1563(c)-(e). And, in “borderline” situations, when a person 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 [he or she is] disabled,” the Social
Security Administration “will consider whether to use the older age category after evaluating the
overall impact of all the factors of [the] case.” 20 C.F.R. § 416.963(b). “[G]enerally, claimants
who are within six months of the next age category are routinely considered borderline.” Gregory,
2021 WL 3415183, at *4.
The Fourth Circuit has not yet spoken to what is required of an ALJ in his or her decision
– does he or she need to actually articulate the rationale motivating his “consideration” of the older
age category, or do such reasons need not be stated in writing? Id. at *5. Still, “several district
courts within the Fourth Circuit have required that [the] ALJ [] provide some analysis and make
express findings in borderline age situations.” Id. (collecting cases); see also Arnett v. Berryhill,
2017 WL 1659060, at *4 (W.D.N.C. Apr. 4, 2017) (“boilerplate language in a decision stating the
claimant’s birthday, the claimant’s age when he or she filed the application, and a citation to 20
C.F.R. § 416.963 is insufficient to satisfy the ALJ’s requirement to consider a borderline age
category…The Court agrees with those courts that have held that an ALJ must, at a minimum,
acknowledge a claimant’s borderline age category and provide this Court with sufficient reasoning
to conduct meaningful review”); Brown v. Colvin, 2014 WL 1658751, at *4 (W.D.N.C. Apr. 25,
2014); Mitchell v. Astrue, 2011 WL 5037134, at *3-*4 (W.D.N.C. Oct. 24, 2011).5
Further supporting the position that some minimum explanation of the ALJ’s thought
process in a borderline age situation is prudent is the indication in an internal agency manual that
an “ALJ will explain in the decision that he or she considered the borderline age situation, state
whether he or she applied the higher age category or the chronological age, and note the specific
5 In Williford v. Colvin, although the undersigned only recommended remand as to Plaintiff’s second assignment of
error rather than on the borderline age issue, the undersigned at least suggested that the ALJ should substantiate and
“further clarify” the discussion of the borderline age issue on remand. 2015 WL 7730978, at *5 (W.D.N.C. Oct. 28,
2015) (“because the undersigned [] recommend[ed] remand to address [a separate assignment of error], the
undersigned suggest[ed] that on remand the ALJ further clarify the consideration given to Plaintiff’s age”).
Furthermore, as will subsequently be explained in this Order, the Social Security Administration amended its internal
guidance after the Williford Memorandum and Recommendation was issued, now clearly stating that ALJs should
explicitly discuss the borderline age issue where one arises. See Trevino v. Berryhill, 2018 WL 1629211, at *10, n.10
(S.D. Tex. Mar. 16, 2018) (“the HALLEX provision regarding the borderline age situation has recently been
amended[] [a]s of March 25, 2016”).
factor(s) he or she considered.” HALLEX I-2-2-42, 2016 WL 1167001, at *3 (Mar. 25, 2016).
Although this internal Social Security Administration manual likely does not have “force of law,”
it at least tips the balance on a question that is a close call without guidance from the Fourth Circuit
on borderline age consideration at this point. Rogers v. Berryhill, 2018 WL 1308952, at *4
(W.D.N.C. Mar. 13, 2018).
In this case, although it is a close call, the undersigned will direct that the case be remanded
on this issue so that the ALJ can provide further explanation for his choice of age category. The
ALJ did not acknowledge that Plaintiff was in a borderline age situation. Indeed, all that the ALJ
recited was Plaintiff’s birthday, her age, and the age category that she was currently in – “an
individual closely approaching advanced age.” (Tr. 21). He failed to recognize that at the time of
his decision, Plaintiff was just over five months from turning 55 – which would have placed her
in the older age category, thus presenting a borderline age situation. His analysis is devoid of any
recognition of this fact. Although the ALJ relied in part upon the testimony of a vocational expert
at Step Five, remand is nevertheless appropriate because there is ample support from district courts
in the Fourth Circuit for requiring that ALJs “[s]how [their] work.” Patterson v. Comm’r of Soc.
Sec’y Admin., 846 F.3d 656, 663 (4th Cir. 2017); see infra p. 14. The undersigned will remand
this case for further explanation by the ALJ of his choice of age category given the borderline age
situation.6
6 The undersigned will not address Defendant’s argument that Plaintiff did not show additional vocational adversities
that would justify application of the older age category. See (Document No. 9, p. 10). Remand in this case is
appropriate because the ALJ failed to explain at all his choice of age category or even acknowledge the borderline
age situation.
IV. CONCLUSION
Based on the analysis above, the undersigned finds that this matter should be remanded for
further consideration. The undersigned finds that there is not “such relevant evidence as a
reasonable mind might accept as adequate to support a conclusion,” and thus substantial evidence
does not support the Commissioner’s decision. Richardson v. Perales, 402 U.S. 389, 401 (1971);
Johnson v. Barnhart, 434 F.3d 650, 653 (4th Cir. 2005). As such, the undersigned will direct that
the Commissioner’s decision be vacated.
IT IS, THEREFORE, ORDERED | that: Plaintiffs “Motion For Summary
Judgment” (Document No. 18) is DENIED; the “Defendant’s Motion For Summary
Judgment” (Document No. 22) is DENIED; and the Commissioner’s determination is
VACATED. This matter shall be REMANDED for reconsideration consistent with this Order.
SO ORDERED.
Signed: May 20, 2022
DCm
David C. Keesler ey
United States Magistrate Judge af
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