Pineiro-Sanchez v. SHHS

USCA1 Opinion









December 26, 1995 [NOT FOR PUBLICATION]

UNITED STATES COURT OF APPEALS
FOR THE FIRST CIRCUIT

__________________
No. 95-1496

ISRAEL PI EIRO-SANCHEZ,

Plaintiff, Appellant,

v.

SECRETARY OF HEALTH AND HUMAN SERVICES,

Defendant, Appellee.

__________________


APPEAL FROM THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF PUERTO RICO


[Hon. Jaime Pieras, Jr., Senior U.S. District Judge] __________________________

__________________

Before

Cyr, Boudin and Lynch
Circuit Judges. ______________

__________________

Raymond Rivera Esteves and Juan A. Hernandez Rivera on brief ______________________ ________________________
for appellant.
Guillermo Gill, United States Attorney, Jose Vazquez Garcia, ______________ ___________________
Assistant United States Attorney, Arthur J. Fried, General _________________
Counsel for Social Security, Randolph W. Gaines, Acting Principal __________________
Deputy General Counsel for Social Security, A. George Lowe, _______________
Acting Associate General Counsel, Litigation Division, and
Richard Fox, Attorney, Office of the General Counsel, Social ____________
Security Administration, on brief for appellee.

__________________


__________________















Per Curiam. After Israel Pi eiro-Sanchez (or "claim- __________

ant") was denied an administrative hearing to review a partial

denial of Social Security disability benefits, the district court

held that the hearing denial did not constitute a "final" deci-

sion for purposes of 42 U.S.C. 405(g),1 and that it therefore

lacked subject matter jurisdiction to review the decision of the

Social Security Administration ("SSA"). Claimant appealed. We

now reverse and remand for further administrative proceedings.

In a Notice of Award dated February 26, 1992, the SSA

determined that claimant was entitled to benefits from a disabil-

ity onset date subsequent to that originally alleged by claimant,

and it reduced the requested award accordingly. The Notice of

Award informed the claimant: "You have 60 days to ask for an

appeal. The 60 days start the day after you receive this let-

ter." The critical factual dispute in the case is whether the

claimant filed a timely appeal from this decision. The resolu-

tion of the dispute turns on when claimant received the Notice,

and when he requested a hearing.

Claimant's counsel, Juan Hernandez Rivera, Esquire,

("Hernandez"), avers that he did not receive the Notice in San

Juan, Puerto Rico, until March 9, 1992 12 days after the SSA

mailed it from Baltimore, Maryland.2 Hernandez further asserts

____________________

1Section 405(g) provides that "any final decision of the
Secretary made after a hearing" is judicially reviewable in the
district court. 42 U.S.C.A. 405(g) (West 1991 & Supp. 1995).

2There is no indication as to when, if ever, claimant him-
self received the Notice.

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that he requested a hearing on behalf of the claimant in a letter

dated April 28, 1992. On the other hand, the Secretary contends

that the deadline for filing an appeal was May 1, and that

claimant missed the deadline because his hearing request was not

received in the district office in Manati, Puerto Rico, until May

7. Consequently, in September 1992, an administrative law judge

("ALJ") sent a letter to Hernandez inquiring whether there was

"good cause" to excuse the late filing. In response, Hernandez

explained that he had not received the Notice until March 9, and

that he had requested a hearing within 60 days thereafter.

Ultimately, the ALJ issued an order of dismissal after

determining that claimant had failed to show "good cause" for

failing to file the hearing request on time. Specifically, the

ALJ found that: (1) counsel's representation that he had received

the Notice on March 9 was not credible because mail normally ___ ________ ________

takes no more than five days to reach Puerto Rico from Baltimore;

and (2) counsel probably posted the hearing request on May 5, ________

rather than April 28, since the district office received it on ________ __ __

May 7.3 The ALJ thereupon dismissed the appeal as untimely. ___ _

Claimant then sought review by the Appeals Council, which con-

cluded that SSA regulations afford no basis for reviewing an

ALJ's discretionary dismissal. See infra note 5. ___ _____

District court dismissals for lack of subject matter

jurisdiction are reviewed de novo. Torres v. Secretary of Health __ ____ ______ ___________________
____________________

3In contrast to the affidavit the Secretary submitted to the
district court, the order of dismissal lists May 3 as the filing
deadline.

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and Human Services, 845 F.2d 1136, 1137 n.1 (1st Cir. 1988). The __________________

parties cite to a number of inapposite authorities addressing the

discretionary power to deny requests for deadline extensions.4 __________

Here, however, the question is whether the claimant's hearing

request was filed on time in the first instance. If so, we __ ____ __ ___ _____ ________

cannot doubt that he has been denied his statutory right to a

hearing.5 Absent controlling authority to the contrary, we find

that the district court had jurisdiction under section 405(g) to

review the agency decision denying claimant's request for a

hearing in the first instance. See Matsibekker v. Heckler, 738 ___ ___________ _______

F.2d 79, 81-82 (2d Cir. 1984).

The ALJ proceeded on the assumption that claimant's

request for hearing in the first instance was late, then asked

claimant to demonstrate "good cause" for missing the deadline.

The district court implicitly indulged the same assumption in

dismissing the complaint. On the other hand, the record on

appeal includes a date-stamped copy of the back of the Notice of

Award, which claimant contends demonstrates that Hernandez

received the Notice on March 9, 1992. The mail supervisor at the

Hernandez law firm submitted an affidavit corroborating this

position as well. The Secretary countered with an affidavit
____________________

4See 20 C.F.R. 416.1403(8) (1995) (a denial of a request ___
to extend the time for filing an appeal is not reviewable by the ______
"Appeals Council" or by the courts).

542 U.S.C.A. 405(b)(1) (West 1991 & Supp. 1995) (pro-
viding "reasonable notice and opportunity for a hearing" to
review adverse decisions); see also 20 C.F.R. 404.909(a)(1) ___ ____
(1995) (describing procedure for requesting reconsideration of
initial determination).

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substantially incorporating the ALJ's "findings."



On this record, the ALJ's determination that the appeal

was untimely filed was unreasonable and cannot stand. We there-

fore remand to the ALJ for further proceedings. If the SSA seeks

a hearing to offer evidence that, despite the clear implication

of the evidence before us, including the date stamp and the mail

clerk's affidavit, the appeal was not timely filed, we do not

rule out such a hearing.6 However, the SSA may, in the inter-

ests of efficiency, wish to avoid waste of time and effort by

foregoing such a hearing; in this event, the ALJ should proceed

to the merits of claimant's appeal.

The judgment of the district court is vacated and the _______________________________________________________

case is remanded to the Secretary for further proceedings consis- _________________________________________________________________

tent with this opinion. ______________________










____________________

6We note, however, that in addition to the evidence that the
Notice of Award was received on March 9, 1992, the claimant also
produced credible evidence that he requested a hearing on April
28, that is, within the deadline urged by the Secretary. The ALJ ______
appeared to believe that a hearing request is deemed filed when
the district office receives it; this was error. Dietsch v. _______
Schweiker, 700 F.2d 865, 868 (2d Cir. 1983) (date of mailing _________
controls). Moreover, the Secretary adverts to no evidence as to
the processing of hearing requests in the district office, such
as might rule out the possibility of delay in preparing the dis-
trict office form that reflects May 7 as the date of receipt.

5