Phernetton v. Astrue, CIVIL NO. 2:11 cv 129

Decision Date10 November 2011
Docket NumberCIVIL NO. 2:11 cv 129
PartiesERIC J. PHERNETTON, Plaintiff v. MICHAEL J. ASTRUE, Commissioner, Social Security Administration, Defendant
CourtU.S. District Court — Northern District of Indiana
OPINION AND ORDER

This matter is before the court on the Motion to Dismiss for Failure to State a Claim on Which Relief Can Be Granted [DE 22] filed by the defendant, Michael J. Astrue, Commissioner of Social Security, on September 26, 2011, and the Motion to Show Cause [DE 28] filed by the plaintiff, Eric J. Phernetton, on October 7, 2011. For the following reasons, the Social Security Administration's motion [DE 22] is GRANTED. Because it is not clear what relief Phernetton is seeking in his Motion to Show Cause and the motion appears to set forth the merits of Phernetton's claim and to ask the court to allow his claims to proceed to trial, the court construes his Motion to Show Cause as part of his response to the Social Security Administration's Motion to Dismiss.

Background

The plaintiff, Eric J. Phernetton, applied for and was denied Disability Insurance Benefits, Supplemental SecurityIncome, and Child's Insurance Benefits by the Social Security Administration. After receiving notice that his claim was denied, Phernetton requested a hearing before an Administrative Law Judge. The ALJ conducted a hearing and issued a partially favorable decision on October 23, 2009. Phernetton never requested a review of the ALJ's decision, and on April 12, 2011, he filed a pro se complaint with this court. In his complaint, Phernetton alleges that the Social Security Administration was negligent in assisting him with the proper paperwork and interfered with his right to relocate to Georgia causing him emotional distress.

The Social Security Administration filed a motion to dismiss on September 26, 2011, arguing that Phernetton failed to exhaust his administrative remedies because he did not appeal the ALJ's decision to the Appeals Council as required by the Social Security Act. In response, Phernetton submitted two letters and a document entitled "Motion to Show Cause". In the "Motion to Show Cause", Phernetton explains that he wants back pay, to be allowed to return to Georgia, and damages for emotional distress.

Discussion

Federal Rule of Civil Procedure 12(b)(6) allows for a complaint to be dismissed if it fails to "state a claim upon which relief can be granted." Allegations other than those of fraudand mistake are governed by the pleading standard outlined in Federal Rule of Civil Procedure 8(a)(2), which requires a "short and plain statement" to show that a pleader is entitled to relief. The Supreme Court clarified its interpretation of the Rule 8(a)(2) pleading standard in a decision issued in May 2009. While Rule 8(a)(2) does not require the pleading of detailed allegations, it nevertheless demands something more "than an unadorned, the-defendant-unlawfully-harmed-me accusation." Ash-croft v. Iqbal, __ U.S. __, 129 S.Ct. 1937, 1949, 173 L.Ed.2d 868 (2009). In order to survive a Rule 12(b)(6) motion, a complaint "must contain sufficient factual matter, accepted as true, to 'state a claim to relief that is plausible on its face.'" Iqbal, 129 S.Ct. at 1949 (quoting Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)); Joren v. Napolitano, 633 F.3d 1144, 1146 (7th Cir. 2011). This pleading standard applies to all civil matters. Iqbal, 129 S.Ct. at 1953.

The decision in Iqbal discussed two principles that underscored the Rule 8(a)(2) pleading standard announced by Twombly. See Twombly, 550 U.S. at 555, 127 S.Ct. at 1965 (discussing Rule 8(a)(2)'s requirement that factual allegations in a complaint must "raise a right to relief above the speculative level"). First, a court must accept as true only factual allegations pledin a complaint: "[t]hreadbare recitals of the elements of a cause of action" that amount to "legal conclusions" are insufficient. Iqbal, 129 S.Ct. at 1949. Next, only complaints that state "plausible" claims for relief will survive a motion to dismiss: if the pleaded facts do not permit the inference of more than a "mere possibility of misconduct," then the complaint has not met the pleading standard outlined in Rule 8(a)(2). Iqbal, 129 S.Ct. at 1949-50. See also Brown v. JP Morgan Chase Bank, 2009 WL 1761101, *1 (7th Cir. June 23, 2009)(defining "facially plausible" claim as a set of facts that allows for a reasonable inference of liability).

The Supreme Court has suggested a two-step process for a court to follow when considering a motion to dismiss. First, any "well-pleaded factual allegations" should be assumed to be true by the court. Next, these allegations can be reviewed to determine if they "plausibly" give rise to a claim that would entitle the complainant to relief. Iqbal, 129 S.Ct. at 1949-50; Bonte v. U.S. Bank, N.A., 624 F.3d 461, 465 (7th Cir. 2010). Reasonable inferences from well-pled facts must be construed in favor of the plaintiff. Murphy v. Walker, 51 F.3d 714, 717 (7th Cir. 1995); Maxie v. Wal-Mart Store, 2009 WL 1766686, *2 (N.D. Ind. June 19, 2009)(same); Banks v. Montgomery, 2009 WL 1657465, *1 (N.D. Ind. June 11, 2009)(same).

"As a pro se litigant, [a] [p]laintiff is permitted a more lenient standard with respect to his pleadings than that imposed on a practicing attorney." Cintron v. St. Gobain Abbrassives, Inc., 2004 WL 3142556, *1 (S.D. Ind. Nov. 18, 2004). Although the court recognizes that pro se litigants face special challenges that litigants represented by counsel do not, pro se litigants are not excused from following procedural rules simply because the "rules of procedure are based on the assumption that litigation is normally conducted by lawyers." Lee v. Wal-Mart Stores, 1994 WL 899240, *1 (N.D. Ind. Apr. 12, 1994).

[The court] ha[s] never suggested that procedural rules in ordinary civil litigation should be interpreted so as to excuse mistakes by those who proceed without counsel. As we have noted before, "in the long run, experience teaches that strict adherence to the procedural requirements specified by the legislature is the best guarantee of even-handed administration of the law."
Lee, 1994 WL 899240 at *1 (quoting Mohasco Corp. v. Silver, 447 U.S. 807, 826, 100 S.Ct. 2486, 2497, 65 L.Ed.2d 532 (1980))

Phernetton filed a pro se complaint explaining that the Social Security Administration did not properly assist him in filing the correct paperwork and interfered with his right to relocate, causing emotional distress. Phernetton requests back pay and compensation for his emotional distress. It is not clear from Phernetton's complaint whether he is requesting review ofthe ALJ's decision so he may receive Social Security benefits or stating an independent claim for negligence.

The Social Security Administration provides benefits to those individuals who can establish a "disability" under the terms of the Social Security Act. 42 U.S.C. §423(a)(1)(E). A successful claimant must show that he is unable "to engage in any substantial gainful activity by reason of any medically determi-nable 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).

The Social Security Act is the exclusive basis for judicial review in cases arising under the Act. 42 U.S.C. §405(g). To obtain judicial review under the Act, a claimant first must obtain a final decision from the Commissioner of Social Security. 42 U.S.C. §405(g). The term "final decision" is not defined by the Act, however the regulations provide that the claimant must complete the four step administrative appeals process before seeking judicial review. 20 C.F.R. §404.900. See Weinberger v. Salfi, 422 U.S. 749, 767, 95 S.Ct. 2457, 2468, 45 L.Ed.2d 522 (1975).

First, the claimant must file an application for benefits with the Social Security Administration. 20 C.F.R. §§404.902,416.1402. The Social Security Administration will consider the application and issue an initial determination of benefits. 20 C.F.R. §404.902. If dissatisfied with this determination, the claimant may ask for reconsideration. 20 C.F.R. §§404.907, 416.1407. If the claimant receives a second unfavorable decision, he may request a hearing before an ALJ. 20 C.F.R. §§404.900, 404.914, 404.916. The ALJ must conduct a hearing and issue a written decision. 20 C.F.R. §404.916. The claimant may appeal the ALJ's decision to the Appeals Council if he is dissatisfied. 20 C.F.R. §§404.967, 416.1467. The Appeals Council either will deny the request for review and allow the ALJ's decision to stand as the final decision of the Commissioner or will grant the request and issue its own decision. 20 C.F.R. §§404.981, 416.1481. The claimant has 60 days from receiving notice of the Appeals Council's action to file an appeal in the appropriate federal district court. 20 C.F.R. §§404.900(a), 404.981. The claimant obtains a judicially reviewable decision only if he completes the administrative appeals process and receives a decision by the Appeals Council or a notice from the Appeals Council denying his request for review of the ALJ's decision. 20 C.F.R. §§404.981, 416.1482, 422.210.

It is undisputed that Phernetton failed to appeal the ALJ's decision to the Appeals Council. By failing to seek review,Phernetton did not exhaust his administrative remedies and cannot seek judicial review. Phernetton has not provided any justification to show why he should be permitted to bypass the administrative appeals process. Absent special circumstances, the court must yield to the administrative agency to complete review. To the extent that Phernetton requests benefits under the Social Security Act, this court is without authority...

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