I-5-4-71.Padro et al. v. Colvin
Table of Contents
I |
Purpose |
II |
Important Information about the Settlement Agreement |
III |
Determining Class Membership, Notifying Class Members, and Establishing Cases for Eligible Claimants |
IV |
Retrospective Processing and Adjudication |
V |
Prospective Processing and Adjudication |
VI |
Reconciling Implementation Data |
VII |
Inquiries |
Attachment 1 |
Padro Settlement and Order; Approved by the U.S. District Court for the Eastern District of New York on October 18, 2013. |
Attachment 1A |
Notice A – Notice of Retrospective Relief and Response Form |
Attachment 1A-SP |
Notice A – Notice of Retrospective Relief and Response Form (Spanish) |
Attachment 1B |
Notice B — Padro Notice of Decision – Unfavorable (Prospective Relief) |
Attachment 1B-SP |
Notice B — Padro Notice of Decision – Unfavorable (Prospective Relief)(Spanish) |
Attachment 1B-FinDec |
Notice B — Padro Notice of Decision After Court Remand – Unfavorable (Prospective Relief) |
Attachment 1B-FinDec-SP |
Notice B – Padro Notice of Decision After Court Remand – Unfavorable (Prospective Relief) (Spanish) |
Attachment 1C |
Notice C — Padro Notice of Decision– Partially Favorable (Prospective Relief) |
Attachment 1C-SP |
Notice C — Padro Notice of Decision – Partially Favorable (Prospective Relief) (Spanish) |
Attachment 1C-FinDec |
Notice C — Padro Notice of Decision After Court Remand – Partially Favorable (Prospective Relief) |
Attachment 1C-FinDec-SP |
Notice C — Padro Notice of Decision After Court Remand – Partially Favorable (Prospective Relief) (Spanish) |
Attachment 1D |
Notice D — Appeals Council Return Order |
Attachment 1D-SP |
Notice D — Appeals Council Return Order (Spanish) |
Attachment 1D |
Notice E – Notice of Proposed Class Action Settlement and Fairness Hearing |
Attachment 1E-SP |
>Notice E – Notice of Proposed Class Action Settlement and Fairness Hearing (Spanish) |
Attachment 1E (Revised) |
Notice E – Notice of Proposed Class Action Settlement and Fairness Hearing |
Attachment 1E-SP (Revised) |
Notice E – Notice of Proposed Class Action Settlement and Fairness Hearing (Spanish) |
Attachment 2 |
Route Slip/Case Flag with Alert: Possible Padro Class Action Case for Screening |
Attachment 3 |
Padro Case Retrospective Relief Screening Sheet |
Attachment 4 |
Routing and Transmittal Slip for Forwarding of Padro Class Claim |
Attachment 5 |
Padro Notice of Non-Class Membership/Ineligibility for Retrospective Relief |
Attachment 5a |
Padro Notice of Non-Class Membership/Ineligibility for Retrospective Relief (Spanish) |
Attachment 6 |
Route Slip for Forwarding Padro Class Action Claim File(s) When Eligibility Determination is Disputed |
ISSUED: November 4, 2013
UPDATED: May 20, 2014
REVISED: October 2, 2017
I. Purpose
This Temporary Instruction sets forth the procedures for implementing a
joint settlement agreement, approved by the United States District Court
for the Eastern District of New York on October 18, 2013, in the
Padro et al. v. Colvin
(Padro) class action. A copy of the settlement
agreement is located in Attachment 1. The Padro
case involves allegations of “general bias” by five
administrative law judges (ALJ) against claimants for disability benefits.
The five ALJs named in the class action are Michael D. Cofresi, Seymour
Fier, Marilyn P. Hoppenfeld, David Z. Nisnewitz, and Hazel C. Strauss.
II. Important Information about the Settlement Agreement
A. Background
On April 12, 2011, plaintiffs filed a class action lawsuit against the
Commissioner of Social Security, in the United States District Court for
the Eastern District of New York. Plaintiffs alleged that five ALJs in the
Social Security Administration's (SSA) Queens hearing office exhibited
“general bias” against claimants for disability benefits.
On May 4, 2011, plaintiffs filed an Amended Complaint, adding three named
plaintiffs and supplementing the prior allegations.
On October 18, 2013, the District Court approved a class action settlement
agreement in Padro. Under the settlement, SSA
agreed to take certain actions on all unfavorable and partially favorable
decisions issued by the five ALJs through a specified time period.
As discussed below, the Commissioner has agreed to offer two types of
relief under Padro – retrospective and
prospective. The type of relief a class member will receive will depend on
when he or she was issued an unfavorable or partially favorable decision
by one of the named ALJs.
B. Definition
of Class
The class potentially eligible for relief under
Padro consists of all claimants for Social
Security Disability Insurance Benefits (title II) and/or Supplemental
Security Income (title XVI) payments based on disability who:
Received an unfavorable or partially favorable decision on a claim from
any of the five named ALJs between January 1, 2008 and October 18, 2013.
These claimants may be eligible for retrospective relief; or
Received an unfavorable or partially favorable decision on a claim from
one of the five named ALJs between October 19, 2013 and April 18, 2016.
These claimants may be eligible for prospective relief.
To be considered part of the class, the claimant must also meet the more
detailed eligibility criteria for either retrospective or prospective
relief, as described below.
C. Eligibility
for Relief
1. Retrospective
Relief
A class member eligible for retrospective relief is a claimant who
received an unfavorable or partially favorable decision on a disability
claim – including age 18 disability redeterminations and Continuing
Disability Reviews (CDR) – from any of the five named ALJs between
January 1, 2008 and October 18, 2013, with certain exceptions described
below.
A claimant is not eligible for retrospective relief if:
a United States District Court affirmed the ALJ decision, and the claimant
did not have a motion to alter or amend the Court's judgment pending as of
December 18, 2013; or
a United States District Court remanded the claim in an order that
expressly declined to reassign the remanded claim to a different ALJ, and
the claimant did not have a motion to alter or amend the Court's judgment
pending as of December 18, 2013; or
the claimant was already found eligible for all benefits for which he or
she could be eligible based on the claim decided by one of the named ALJs;
or
the claimant already received a new decision on his or her claim by an ALJ
who is not a named ALJ; or
the claim decided by a named ALJ is pending with a different ALJ (other
than one of the ALJs named above) at the time the claimant requests
relief.
For retrospective relief under Padro, the
Commissioner will readjudicate the title II and title XVI disability
claims of those eligible members of the class who request readjudication.
All readjudications will occur at the hearing or Appeals Council (AC)
levels, and will be conducted by an ALJ not involved in the class-action
lawsuit, an attorney advisor (if a fully favorable decision based on the
record is warranted), or the AC.
The time period readjudicated starts with the period at issue in the
unfavorable or partially favorable decision that led to class membership,
and continues through the earlier of:
the date of the new decision;
the day before the established onset date of a later allowance (subject to
reopening provisions);
the day before the date of a decision issued by an ALJ not named in the
settlement agreement or the AC on a later claim (subject to reopening
provisions), or
the date last insured in a claim for Disability Insurance Benefits (DIB),
age 22 in a claim for Childhood Disability Benefits (CDB), or the end of
the prescribed period in a claim for Disabled Widow(er)'s Benefits
(DWB).
The readjudication will be based on all evidence in the file, including
newly obtained evidence relevant to the period at issue. Claimants who
receive unfavorable or partially favorable readjudication decisions will
have full appeal rights (i.e., AC and judicial review).
2. Prospective
Relief
A potential class member eligible for prospective relief is a claimant
who, during the 30 month period beginning October 19, 2013, is issued an
unfavorable or partially favorable decision on a claim for disability
benefits under title II or title XVI of the Social Security Act –
including Age 18 disability redeterminations and CDRs – by any of
the five named ALJs.
Although a potential class member, a claimant who receives a partially
favorable decision from any of the five named ALJs, must specifically
request AC review of the decision or, if the decision is a partially
favorable decision after court remand, must file written exceptions or
proceed with a civil action in order to receive prospective relief. See
section V.A.3-4.
D. Implementing
Padro
1. Retrospective
Relief
As discussed below, the Padro Screening Unit
(PSU) will screen requests for retrospective relief, notify individuals of
the eligibility determination, issue return orders, and forward case files
to appropriate locations. The PSU will consist of Office of Appellate
Operations (OAO) staff from Court Case Preparation and Review Branches
(CCPRB) and the Executive Director's Office (EDO).
2. Prospective
Relief
As discussed below, specialized OAO staff will implement the prospective
relief required under the Padro settlement.
III. Determining Class Membership, Notifying Class Members, and Establishing Cases for Eligible Claimants
The following instructions apply in determining and notifying a claimant
who may be entitled to retrospective relief under
Padro.
A. Notifying
Claimants Affected by the Settlement
1. Sending
Written Notice
Relying on data collected from multiple sources, OAO will compile a list
of all claimants who were issued an unfavorable or partially favorable
decision on the merits of a claim for disability benefits by one of the
named ALJs between January 1, 2008 and October 18, 2013. The Office of the
Chief Administrative Law Judge (OCALJ) sent a copy of Notice
“A” (attached to the settlement agreement) on February 13,
2014 to the last known address of any claimant identified on the list as a
potential class member eligible for retrospective relief, and to the
appointed representative, if any. The claimant will have 60 days from the
date he or she receives the notice, unless extended for good cause, to
request readjudication under the terms of Padro
by submitting a written request to the PSU. SSA will presume receipt of
the notice within five days after the date of the notice, unless the
notice is returned as undeliverable or the claimant establishes that
receipt actually occurred later.
Prior to final approval of the settlement, SSA mailed a Notice of Proposed
Class Action Settlement and Fairness Hearing to all claimants identified
as potential class members for retrospective relief. The PSU attempted to
update addresses for those claimants whose copy of the Notice of Proposed
Class Action Settlement and Fairness Hearing was returned as
undeliverable. If no updated address was found for the claimant, SSA will
not send the claimant Notice A. Instead, the PSU will include the
claimant's name and last known address on the list mentioned in A.4
below.
2. Receiving
a Response to Notice A
If the PSU receives a response to Notice A, the PSU will establish a case
in the Appeals Review Processing System (ARPS) according to the
instructions provided below.
a.
No Request for Review (RR) on the Padro claim
If the claimant did not request AC review of the
Padro claim, but the claimant responds to Notice
A, the PSU will manually establish a case in ARPS under the Supplemental
Review Court Remand (SRR) workload. (See ARPS Module 3 - Establish a Case
for instructions on how to manually establish a case in ARPS.) Use the
civil action number for the Padro case,
1:11-cv-01788-CBA-RLM, for the entry. Enter the jurisdiction as EDNY.
b.
Pending RR on the Padro claim
If the claimant has a request for review on the
Padro claim currently pending with the AC, the
claimant responds to Notice A, and the claimant is screened out as not
eligible for Padro relief, the PSU will still use ARPS to manually
establish a case under the SRR workload (see ARPS Module 3 - Establish a
Case for instructions on how to manually establish a case in ARPS). Use
the civil action number for the Padro case,
1:11-cv-01788-CBA-RLM, for the entry. Enter the jurisdiction as EDNY.
The PSU will inform the disability processing branch (DPB) currently
working the request for review of the screening result, and, when the case
is screened out, close out the SRR level case according to the
instructions in III.D.2.
If the claimant responds to Notice A, and is eligible for Padro relief,
the PSU will add the “PDRO” case characteristic in ARPS, and
notify the DPB where the Padro claim is pending.
The DPB will close out the request for review according to the
instructions in III.D.1.
c.
RR closed on the Padro claim - No Civil Action
Pending
If the claimant requested AC review of the Padro
claim after the ALJ decision, the AC has already acted on the case and has
closed it in ARPS, no court level case has been created, and the claimant
responds to “Notice A,” the PSU will create a CR level record
in ARPS by reactivating the closed RR. (See ARPS Module 3 - Establish a
Case for instructions on how to create an ARPS case by reactivation.) Use
“Court Remand” as the reason for reactivation. Use the civil
action number for the Padro case
(1:11-cv-01788-CBA-RLM) for the entry. Enter the jurisdiction as EDNY. The
PSU will close out the new CR level case according to the instructions in
III.D.1. or III.D.2. depending on whether the case is screened in or
screened out.
d.
Civil Action for Padro claim - No Court Remand
If a court case is established in ARPS but has not been remanded, and the
claimant responds to Notice A, the PSU must first determine whether the
court case is pending or closed.
If there is a pending civil action, the PSU must notify the EDO and OGC in
Region II before screening to determine whether the claimant is eligible
for retrospective relief. If the claimant is screened in and the pending
civil action is the Padro claim, no action can be
taken until remand is obtained from the court. See III.C.2. This applies
even when there is no open case in ARPS.
Once a court remand is obtained on a court level
Padro claim pending under an “EOT,”
“FDR,” “NCC,” “RRV,”
“RVR,” “SRC,” “SRE,”
“SRO,” or “SRR” workload type in ARPS, the PSU
will enter Special Dismissal (SPDI) as the recommended action in the case
analysis, and will close out the open record(s) in ARPS. Once closed, the
PSU will create a new court remand case in ARPS. Use the civil action
number for the Padro case (1:11-cv-01788-CBA-RLM)
for the claimant's court claim. The PSU will close out the new court
remand case according to the instructions in III.D.1. or III.D.2.
depending on whether the case is screened in or screened out.
If there is no pending civil action, there is a court level
Padro claim closed in ARPS, and there is no court
remand, the PSU will create a new ARPS case by reactivating the prior
court level entry. (See ARPS Module 3 - Establish a Case for instructions
on how to create an ARPS case by reactivation.) Use “Court
Remand” as the reason for reactivation. Use the civil action number
for the Padro case (1:11-cv-01788-CBA-RLM) for
the entry. Enter the jurisdiction as EDNY. The PSU will close out the
court remand case according to the instructions in III.D.1. or III.D.2.
depending on whether the case is screened in or screened out.
e. Court
Remand on the Padro claim - No Final Decision
(FinDec) Issued
If the Padro claim is pending with the AC as a CR
at the time the claimant responds to Notice A, and the claimant is
screened out as not eligible for Padro relief, the PSU will still use ARPS
to manually establish a case under the SRR workload (see ARPS Module 3
– Establish a Case for instructions on how to manually establish a
case in ARPS). Use the civil action number for the
Padro case, 1:11-cv-01788-CBA-RLM, for the entry.
Enter the jurisdiction as EDNY.
The PSU will inform the CCPRB currently working the court remand of the
screening result, and, when the case is screened out, close out the SRR
level case according to the instructions in III.D.2.
If the claimant responds to Notice A, and is eligible for Padro relief,
the PSU will add the “PDRO” characteristic in the existing CR
level in ARPS, and notify the CCPRB where the
Padro claim is pending. The CCPRB will close out
the court remand according to the instructions in III.D.1.
If the claimant filed a civil action on the Padro
claim, the AC subsequently remanded the claim to an HO, and the claimant
responds to Notice A, the PSU will manually establish a case in ARPS under
the SRR workload. (See ARPS Module 3 - Establish a Case for instructions
on how to manually establish a case in ARPS.) Use the civil action number
for the Padro case (1:11-cv-01788-CBA-RLM) for
the entry. Enter the jurisdiction as EDNY. The PSU will close out the SRR
case according to the instructions in III.D.1 or III.D.2 depending on
whether the case is screened in or screened out.
f.
New Pending FinDec on Padro Claim
If the claimant responds to Notice A, the Padro
claim was a FinDec, there is a pending FinDec in ARPS, and the claimant is
screened out as not eligible for Padro relief, the PSU will use ARPS to
manually establish a case under the SRR workload. (See ARPS Module 3 -
Establish a Case for instructions on how to manually establish a case in
ARPS.) Use the civil action number for the Padro
case (1:11-cv-01788-CBA-RLM) for the entry. Enter the jurisdiction as
EDNY.
The PSU will inform the CCPRB currently working the FinDec that the claim
is not eligible for Padro relief, and will close out the SRR level case
according to the instructions in III.D.2.
If the claimant is screened in as a Padro claim, the PSU will add the
“PDRO” case characteristic in ARPS, and notify the CCPRB where
the Padro claim is pending. The CCPRB will close
out the FinDec according to the instructions in III.D.1.
g. Closed
FinDec on the Padro claim
If the claimant responds to Notice A, and the
Padro claim is a closed FinDec with no subsequent
federal court case, the PSU will create a new court remand by reactivating
the closed FinDec entry. (See ARPS Module 3 - Establish a Case for
instructions on how to create an ARPS case by reactivation.) Use Court
Remand as the reason for reactivation. Use the civil action number for the
Padro case (1:11-cv-01788-CBA-RLM) for the entry.
Enter the jurisdiction as EDNY. The PSU will close out the court remand
level case according to the instructions in III.D.1 or III.D.2. depending
on whether the case is screened in or screened out.
h. Pending
RR on subsequent claim (non-Padro)
If the claimant has a subsequent claim pending at the time the claimant
responds to Notice A, the PSU will determine whether the individual is
eligible for Padro relief. The PSU will ask the disability processing
branch (DPB) to halt processing on the subsequent claim until screening is
complete.
If the prior case is screened out, the PSU will use ARPS to manually
establish a case under the SRR workload. (See ARPS Module 3 - Establish a
Case for instructions on how to manually establish a case in ARPS.) Use
the civil action number for the Padro case
(1:11-cv-01788-CBA-RLM) for the entry. Enter the jurisdiction as EDNY. The
PSU will close out the SRR level case according to the instructions in
III.D.2. The PSU will then ask the DPB to continue processing the
subsequent claim.
If the prior case is screened in as a Padro case,
the PSU will create a CR level for the prior
Padro claim by reactivation. (See ARPS Module 3 -
Establish a Case for instructions on how to create an ARPS case by
reactivation.) Use “Court Remand” as the reason for
reactivation. Use the civil action number for the
Padro case (1:11-cv-01788-CBA-RLM) for the entry.
Enter the jurisdiction as EDNY. The PSU will add the “PDRO”
case characteristic in ARPS on the CR level, and then transfer the case to
the DPB. The DPB will work the RR on the pending subsequent claim using
normal procedures, and act on the CR level case in accordance with the
instructions in IV.C.
3. Tracking
Responses to Notice A
If the claim is paper, the PSU will place the Notice A response form in
the case file once it is received (see III.B. below). If the claim is
electronic, the PSU will scan the response into the B section of the
electronic folder, using a barcode with the “Misc Jurisdictional
Documents/notice” document type. It will also be necessary to
annotate the note field of this entry in eView with “Notice A
response.” The PSU will code receipt of all reply forms into an
internal database.
A claimant eligible for retrospective relief must request relief. If we do
not receive such a request and there is no indication that the claimant
did not receive Notice A (see subsection 4 below), the agency will not
disturb the prior decision.
If SSA later learns of a claimant who may be eligible or who claims to be
eligible for retrospective relief as a class member, but who did not
receive Notice A, the PSU will review available records to determine
whether the claimant meets the requirements for retrospective relief. The
PSU will code the screening outcome into an internal database.
If the individual asserting class membership makes the assertion to a
field office (FO) employee, the FO will contact the PSU by sending an
email to ^ODAR HQ OAO Padro. The PSU will code the screening outcome into
an internal database.
If the reply is untimely, the PSU will evaluate good cause using the
standards in 20 CFR
404.911 and
416.1411. If
good cause is established, the PSU will annotate the internal database. If
good cause is not established, the PSU will appropriately annotate the
internal database, and send the claimant a notice explaining that the
request for retrospective relief will not be considered because the
request was not timely submitted. (See Attachment 5.)
4. Notice
A Returned as Undeliverable
If a Notice A is returned as undeliverable, the PSU will associate the
information with the claim file(s) and annotate the internal database. In
addition to appropriately identifying the claimant, the PSU must also note
the address to which the notice was mailed in the internal database. If a
claimant on this list later submits a request for retrospective relief
under the settlement, the PSU will evaluate good cause.
This list will also include the names and addresses of claimants for whom
no updated address could be found after the return of an undeliverable
Notice of Proposed Class Action Settlement and Fairness Hearing. See Part
III.A.1. NOTE. OGC will provide Class Counsel with a copy of the list.
5. Change
in Address
The PSU must annotate the internal database, and update ARPS, if the
claimant indicates a change of address on the response form or at any
other time.
B. Referring
the File to the PSU
If the Padro claim is paper, the PSU will request
the file once a claimant's response to Notice A is received. Paper
Padro claim files will be forwarded to OAO at the
following address (location code Y46):
Appeals Council
Office of Disability Adjudication and Review
Padro
Screening Unit
5107 Leesburg Pike
Falls Church, VA
22041-3255
As necessary, the PSU will request and track claim files needed for
screening. The PSU will annotate the internal database whenever a paper
claim file is requested. The information will be necessary to do the final
class membership reconciliation. See Part VI.
If we cannot locate the claim file(s), the PSU will attempt to determine a
claimant's eligibility for retrospective relief by using system queries.
If information contained in the queries or otherwise obtained clearly
indicates that the claimant is not a class member, or is not eligible for
retrospective relief, we will not reconstruct the file.
We anticipate that information from system queries will contain
information about whether the claimant received a decision from one of the
named ALJs between January 1, 2008 and October 18, 2013. If eligibility
cannot be determined via queries, but the PSU determines it is more likely
than not that the claimant was issued a qualifying decision, class
membership will be presumed. The PSU will forward any information to the
appropriate HO for reconstruction and readjudication.
C. Alerting
Processing Components of Possible Padro Class
Membership
1. Claim(s)
Pending at AC
If a claim is pending before the AC at the time the response to Notice A
is received, the PSU will notify the appropriate DPB that there is a
potential Padro claim involved. The PSU will
notify the DPB of the outcome of the screening. No action should be taken
on the claim until the DPB is notified of the screening outcome. See Part
III.A.2.
A DPB should not treat a case as a Padro claim
unless the PSU has designated the case as such. If a claimant with claim
pending before the AC alleges Padro class
membership but has not been designated as such, the DPB will contact the
PSU for assistance by sending an email to ^ODAR HQ OAO Padro.
2. Civil
Action Pending
If the claim is currently pending in court, no action can be taken until
remand is obtained from the District Court. The PSU must notify OGC in
Region II when the response to Notice A is received.
If the claimant is screened in, and the claim pending in court is the
potential class member claim, the PSU will forward the claim file(s) to
the appropriate CCPRB for action. The CCPRB will immediately notify OGC
that the claimant has a class member claim pending in court. If
appropriate, OGC will then notify the Assistant United States Attorney
(AUSA) in order to obtain remand from the court. No other action can be
taken until the claim is remanded by the court.
OGC will notify the CCPRB once remand of the court claim is obtained. The
CCPRB will then process the court remand using the instructions in III.D.
below.
If the claim pending in court is not the class member claim, the CCPRB
will return the claim file(s) to the PSU. The PSU will notify OGC, and
follow the instructions in III.D.1.b. below.
3. No
Active Claim Pending
If there is no active claim pending administrative review, but the file is
located in the Office of Hearings Operations (OHO) Headquarters or the
Office of Analytics, Review, and Oversight (OARO) pending possible receipt
of a request for review, written exceptions, or notification that a civil
action has been filed, the PSU will handle the matter. If the file is
paper, the PSU determines that the claimant is not a class member eligible
for relief, and the claimant does not dispute the denial of eligibility of
relief, the PSU will return the file to the office that previously held
the file.
D. Determining
Eligibility for Retrospective Relief and Initial OAO Processing
When a potential class member responds to Notice A, the PSU will determine
whether the claimant is eligible for retrospective relief by:
Establishing a case in ARPS under the “SRR,” “RR,”
or “CR” workloads in accordance with the instructions provided
in section III.A.2.;
Considering all unfavorable or partially favorable decisions on the merits
of a claim for disability benefits under title II or title XVI of the Act
that were issued by one of the five named ALJs from January 1, 2008
through October 18, 2013;
Following all instructions on the screening sheet;
Signing and dating the original screening sheet;
Associating the screening sheet with the claim file(s) by placing it in
section B of a paper modular disability folder, or scanning the sheet into
the B section of the electronic folder using a barcode with the
“Misc Jurisdictional Documents/notices” document type. (Be
sure to also add “screening sheet” to the note field in
eView.);
Annotating the internal database about the screening outcome; and
Entering the case characteristic “PDRO” in ARPS.
1. Eligible
for Retrospective Relief
a. Padro
claim currently pending review with the AC
If the claim entitling the claimant to retrospective relief is currently
pending review with the AC, the PSU will add the “PDRO” case
characteristic and transfer the case to the processing DPB or CCPRB to
prepare the remand order (unless a fully favorable decision is
warranted).
If there are reasons for remand other than the
Padro settlement, use a REM 45, CREM 10 or CREM
45 (remand order), as appropriate, stating the reasons for remand. If the
pending case is an RR, and there is no other basis for review present, use
a REM 45 that grants review based on a broad policy or procedural issue
that may affect the general public interest. If the pending case is a CR,
use a CREM 10 or CREM 45 in accordance with ordinary procedures. In all
cases, the remand order will direct reassignment of the claim to an ALJ
other than one of the five named in the Padro
settlement, and will direct consolidation when appropriate (see IV.B.4.).
Include the following sentence in the remand:
“The Appeals Council considered this case in accordance with the
Padro v. Colvin class action
settlement.”
After remanding the case, close the ARPS record according to standard
procedures.
b. Padro
claim not currently pending review with the AC
If the PSU determines a claimant is eligible for retrospective relief, and
the Padro claim is not currently pending review
with the AC, the PSU will:
Note “Appropriate Action Taken (NACT)” as the recommendation
in the ARPS case analysis if the SRR workload was created; OR
Note “REM1” as the recommendation in the ARPS case analysis if
the RR or CR workload was created. If REM1 is used, enter
“Miscellaneous” in Group 1 of the Remand reasons, and
“Other” as Reason 1.
Add the following in the “Remarks” box on the case analysis
tab in ARPS: “Claimant determined to be class member eligible for
retrospective relief pursuant to the Padro
settlement.”;
Click the “Save and Mark Final Complete” button;
Draft an AC return order (see Attachment 1D). Create the AC return order
by opening a REM 45, CREM 10, CREM 45, or blank remand order (as
appropriate) in DGS. Enter the claimant's SSN, and hit the “Retrieve
Information” button, selecting the appropriate ARPS record. Skip to
the “Signature” tab, select eSign if the case is electronic or
Imprinted if paper, and the ARPS Case option in the Select Code 1 box. Hit
Done. Save the document as appropriate.
Once DGS generates the notice, change the word “Remanding” in
the bolded title to “Returning.” Then delete the text under
the “What This Order Means” subheading, and replace it with
the language provided in Attachment 1D. Enter the hearing office
address.
In the “If You Have Any Questions” section, copy and paste the
paragraph in Attachment 1D containing the contact information for class
counsel.
In the body of the order, replace “REMANDING” with
“RETURNING.” Select the text in the order and replace it with
the language provided in Attachment 1D.
If there is a current claim pending at disability determination services
(DDS) or HO, and the other conditions for consolidation apply, the AC's
return order will direct consolidation of both claims. The AC's return
order will also indicate whether folder reconstruction is necessary.
Once the AC return order is complete, if the claim is electronic, lock it
for approval according to ordinary OAO policies and procedures concerning
eSign. If paper, print the order and bring it to an adjudicator in the
Division of Civil Actions (DCA) using the usual OAO procedures.
Change the case status in ARPS to A/AO Review of Recommendation (ARRC)
with an adjudicator in DCA.
Once the adjudicator has approved the recommendation and order, he or she
will return the case to a CCPRB in “Ready to Mail Final”
status. The CCPRB will then take the following actions:
Associate the AC order with the file;
In electronic cases, unless the eSign process outlined above was used, the
CCPRB will scan the AC order into the A section in eView, using a barcode
with document type “AC Order.” If the case is paper, a copy of
the AC order will be associated in the claim folder.
Send copies to the claimant and his or her representative of record, if
any;
Close the case in ARPS; and
Return the case to the HO.
If the claim file is paper, the CCPRB will use Attachment 4 when returning
the file. The CCPRB will identify the HO that will readjudicate the claim
based on the claimant's residence, and will note the address of the HO on
the Padro Flag/Alert used to forward the claim.
If the claim is electronic, the CCPRB will annotate the HO's code and
address on the Alerts/Messages tab in eView.
2. Not
Eligible for Retrospective Relief
If the PSU determines the claimant is not a class member eligible for
relief, the PSU will:
Notify the EDO and OGC of the determination via email to ^ODAR HQ OAO
Padro and ^NY OGC Padro;
Add the following in the “Remarks” box on the case analysis
tab in ARPS: “Claimant determined not to be class member eligible
for retrospective relief under the Padro
settlement;”
Use Special Dismissal (SPDI) to close the case in ARPS;
Notify the claimant and representative, if any, that he or she was
determined not to be a Padro class member or was
found to be ineligible for retrospective relief by completing the
screen-out notice and indicating the reason(s) for the determination (see
Attachment 5);
Associate a copy of the notice in the paper claim file(s) or scan the
notice into the B section of the claimant's electronic folder using a
barcode with the “AC Correspondence” document type; and
Retain, or otherwise hold, the claim file(s) for 65 days pending a
possible class membership dispute.
a. Class
Membership Disputes
The claimant or his or her representative of record may ask class counsel
to review the PSU determination. The PSU will send the file to OGC in
Region II, when requested, by using the pre-addressed route slip in
Attachment 6.
OGC will notify the PSU of the determination, and will return the claim
file if paper. If OGC resolves the dispute in the claimant's favor, the
PSU will:
Reopen the ARPS record and document that the claimant was determined to be
eligible for retrospective relief (following the instructions in
III.D.1.);
Prepare a revised screening sheet;
Identify the appropriate HO for readjudication;
Draft an AC return order following the procedure in III.D.1.; and
Annotate the internal database and, if a paper file is involved, send the
paper file by priority mail to the identified HO.
If the dispute is not resolved in the claimant's favor, the PSU will:
Retain any paper file for 195 days pending possible court action. Once the
court appeal period or court action is over, the PSU will send the file to
the appropriate storage facility; and
Include a notation in the file that no request for court review was
received. (This information will be annotated in the Alerts/Messages tab
of eView in electronic cases).
E. Determining
Eligibility for Prospective Relief
No screening is required to determine eligibility for prospective relief.
During the 30-month period beginning October 19, 2013, HO personnel will
add the “CAPA” case characteristic in CPMS on all cases in
which one of the five named ALJs issues an unfavorable or partially
favorable decision on a claim for disability benefits under title II or
title XVI, including age 18 rederminations and medical CDRs.
IV. Retrospective Processing and Adjudication
A. In
General
For information relating to eligibility for retrospective relief,
including the period at issue, evidence issues, and appeal rights, refer
to II.C.1. above.
Except as noted in the following information, an HO or the AC will process
Padro class member cases using current practices
and procedures, including coding, developing evidence, and routing.
Social
Security Ruling 13-3p will be applied when appropriate. Do not assign
any Padro class member cases returned by the AC
to any of the five ALJs named in the settlement.
B. HO
Processing Considerations
1. Notice
of Hearing
In a case designated as a Padro class member
case, the Notice of Hearing will include the following statement:
“The hearing will be held pursuant to the
Padro Settlement Agreement and Order approved by
the United States District Court for the Eastern District of New York on
October 18, 2013.”
In order to preserve the ability to send the notice of hearing through
central print, HO employees should add this language in the “More
Issues” text box in the DGS template (on the “Type of Notice
of Hearing & More Issues” tab, or the “Additional
Issues” tab in the Widow/Widower template).
2. Subsequent
Applications
If the claimant filed a subsequent application after the decision that
entitled him or her to Padro relief, the
adjudicator must consider the outcome of the subsequent application
consistent with reopening provisions. See
HALLEX I-2-9-0.
3. AC
Return or Remand
Once a Padro claim has been returned or remanded
to an HO, the HO will add the “CAPA” case characteristic in
CPMS. The case characteristic will be added even if the
Padro claim is consolidated with a
non-Padro claim.
If the Padro class member claim was already
remanded by the AC and is pending before one of the five named ALJs, the
case will be reassigned to an ALJ who was not named in the settlement,
even if a hearing has already been held. In that case, the ALJ to whom the
claim has been reassigned must offer the claimant an opportunity for a
de novo hearing, unless a fully favorable
decision can be issued on the record, or one of the other conditions is
present to decide a case without a hearing. See
20 CFR 404.948
and 416.1448.
4. Consolidating
Claims
Claims should only be consolidated if practicable. If it is practicable to
consolidate the claims, dismiss the non-Padro
application using CPMS code SPDI, and add the “CAPA” case
characteristic to the prior Padro claim.
If consolidating a prior Padro claim will
unreasonably delay a decision on the non-Padro
claim, consolidation is not appropriate. When the claims are not
consolidated, add the “CAPA” case characteristic to both CPMS
cases. To the extent practicable, both claims should be adjudicated by the
same ALJ. Neither claim should be adjudicated by one of the five ALJs
named in the Padro settlement.
If the claimant has a non-Padro claim pending at
the DDS level and the ALJ or AC determines consolidation is warranted, the
DDS level case must be escalated to the hearing level for consolidation
with the prior Padro claim. If the
non-Padro claim is paper, the HO must contact the
DDS and have them forward the non-Padro claim to
the HO. If both claims are electronic, the HO will use the eView Join
Claims function to ask the DDS to stop processing.
At the hearing level, irrespective of whether a hearing has been scheduled
or held, if the claimant has a request for hearing on a
non-Padro claim pending with one of the five
named ALJs, the claim will be consolidated with the prior
Padro claim and reassigned to an ALJ not named in
the Padro settlement.
The ALJ to whom the claim has been reassigned must offer the claimant an
opportunity for a de novo hearing, unless a fully
favorable decision can be issued on the record, or one of the other
conditions is present to decide a case without a hearing. See
20 CFR 404.948
and 416.1448.
If the claimant has a request for hearing on a
non-Padro claim pending with an ALJ other than
one of the five named ALJs, the Padro claim and
the non-Padro claim will be consolidated and
adjudicated by the ALJ assigned to the non-Padro
claim.
If the consolidated claims are reassigned because the ALJ who conducted
the hearing in the non-Padro claim is now
unavailable to issue the decision, pursuant to
HALLEX I-2-8-40, the
case will not be reassigned to one of the five named ALJs.
C. Subsequent
Application Pending at AC
If a subsequent application is pending at the AC and the prior claim(s) is
designated as a Padro case, the PSU will notify
the branch chief in the branch processing the subsequent application. If
the Padro claim is paper, the PSU will forward it
and the completed screening sheet to the branch chief. If electronic files
are involved, the PSU will annotate the current segment by entering
“Prior Padro claim” in the Alerts/Messages tab in eView.
The AC action taken on the non-Padro claim could
determine the disposition of the Padro claim.
Therefore, if either the Padro claim or the
non-Padro claim is paper, the AC must keep the
claim files together until the action on the
non-Padro claim is complete.
1. AC
Dismisses, Denies Review, or Issues Unfavorable Decision on
non-Padro Claim
If the subsequent claim does not cover the entire prior period to be
readjudicated in the Padro claim(s), the AC will
proceed with its intended action on the non-Padro
claim. Once the AC completes its action on the
non-Padro claim, one of the following
instructions will apply:
If both the non-Padro and
Padro claims are paper, the branch will return
the files to the PSU. The PSU will attach a Padro
case flag (Attachment 4) to the prior Padro claim
and associate a copy of the Padro case flag in
the non-Padro claim file. The PSU will send the
prior Padro claim file to the appropriate HO for
action. The AC will handle the non-Padro file
using standard operating procedures.
If the non-Padro claim is paper, but the prior
Padro claim is electronic, the PSU will add a
Padro case flag to the
non-Padro claim file (specifically noting that
the Padro case is a prior electronic folder), and
use the procedures in III.D.1. to return the prior
Padro claim to the appropriate HO for action. The
AC will handle the non-Padro file using standard
operating procedures.
If the non-Padro claim is electronic, but the
prior Padro claim is paper, the PSU will attach a
Padro case flag to the prior
Padro claim, annotate the record associated with
the non-Padro claim by adding “Prior Padro
claim” in the Alerts/Messages tab of eView, and otherwise follow the
instructions in III.D.1. to return the prior
Padro claim to the appropriate HO for action.
If both the prior Padro claim and the
non-Padro claim are electronic, the PSU will
annotate the record associated with the non-Padro
claim by adding “Prior Padro claim” in the Alerts/Messages tab
of eView, and otherwise follow the instructions in III.D.1. to return the
prior Padro claim to the appropriate HO for
action.
2. AC
Remands the non-Padro Claim to an ALJ
The AC remand order will direct the ALJ to consolidate the prior
Padro claim with the action on the
non-Padro claim, unless the
non-Padro claim and the prior
Padro claim do not have any common issues. The
remand order will state that the consolidated claims are to be assigned to
an ALJ who is not named in the Padro case.
Include the following sentence in the remand order: “The Appeals
Council has also considered your prior case in accordance with the
Padro v. Colvin class action
settlement.”
Do not close the “PDRO” case characteristic when taking final
action on these cases.
3. AC
Issues a Favorable Decision on the non-Padro
Claim
If the AC issues a favorable decision on the
non-Padro claim(s), and the decision is fully
favorable with respect to all issues raised in the prior
Padro claim(s), the AC will consolidate the
claims, readjudicate the prior Padro claim, and
issue a favorable decision that adjudicates both applications. The AC's
decision will state that the AC readjudicated the prior
Padro claim pursuant to the
Padro Settlement and Order.
The following sentence should be included in the AC action document:
“The Appeals Council considered this case in accordance with the
Padro v. Colvin class action
settlement.”
If the AC's favorable decision would not be fully favorable with respect
to all issues raised by the prior Padro claim,
the AC will proceed with its intended action on the
non-Padro claim. Once the AC completes its action
on the non-Padro claim, the DPB will act on the
Padro claim following the instructions in
III.D.1.b. The non-Padro claim will be sent for
effectuation.
If the AC makes a partially favorable decision that adjudicates any part
of the period at issue in the Padro claim and the
Padro case file is paper, the PSU will monitor
the effectuation of the AC's decision and once effectuated will retrieve
the folder before taking any further action.
V. Prospective Processing and Adjudication
A. HO
Processing
1. Unfavorable
Decision Issued by an ALJ Named in the Settlement - No Court Remand
Any claimant who receives an unfavorable decision from an ALJ named in the
settlement agreement, within the 30 month period beginning October 19,
2013, is eligible for prospective relief.
These claimants will receive an unfavorable Padro
notice of decision instead of the standard notice of decision. See
Attachment 1B. The unfavorable Padro notice of
decision informs the claimant that:
Any request for review of a prospective unfavorable decision will be
assigned to designated staff within OAO;
The claimant will be deemed to have requested review by the AC even if the
claimant does not do so within 65 days after the date of the unfavorable
decision;
If the decision is remanded for a new hearing, the hearing after remand
will be conducted by an ALJ other than one of the five ALJs named in the
Padro case; and
The claimant may opt out of Padro relief, but he
or she must do so within the time period stated in the notice.
HO personnel will draft the decision using the “Findings Integrated
Templates (FIT) Unfavorable Decision” template in DGS. Once the
decision is generated, HO personnel should copy and paste the
“Padro Notice of Decision –
Unfavorable” (Attachment 1B) over the standard notice of decision.
HO personnel will add the claimant's SSN and address, and the
representative's address, in the spaces indicated. HO personnel will then
continue processing the decision according to normal HO business
procedures.
2. Unfavorable
Decision Issued by an ALJ Named in the Settlement After Court Remand
Any claimant who receives an unfavorable decision after court remand from
an ALJ named in the settlement agreement within the 30 month period
beginning October 19, 2013 is eligible for prospective relief.
These claimants will receive an unfavorable Padro
notice of decision after court remand instead of the standard notice of
decision after court remand. See Attachment 1B-FinDec. The unfavorable
Padro notice of decision after court remand
informs the claimant that:
Any written exceptions to an unfavorable decision after court remand will
be assigned to designated staff within OAO;
The claimant will be deemed to have filed written exceptions to the
unfavorable decision after court remand on the day the decision is issued.
The claimant will have the opportunity to withdraw the deemed written
exceptions and/or submit additional written exceptions;
The claimant must submit any additional written exceptions within 65 days
after the date of the unfavorable decision after court remand;
If an unfavorable decision after court remand is remanded for a new
hearing, the hearing will be conducted by an ALJ other than one of the
five named ALJs;
If the claimant withdraws the deemed written exceptions, the AC does not
assume jurisdiction over the claim under
20 CFR 404.984
and 416.1484,
the claimant files or pursues a civil action in Federal court, and the
Federal court remands the claim for a new hearing, the hearing will be
conducted by an ALJ other than one of the five named in
Padro; and
The claimant may opt out of Padro relief, but he
or she must do so within the time period stated in the notice.
HO personnel will draft the decision using the “FIT Unfavorable
Decision” template in DGS. Once the decision is generated, HO
personnel will copy and paste the “Padro
Notice of Decision After Court Remand – Unfavorable”
(Attachment 1B-FinDec) over the standard notice of decision. HO personnel
will add the claimant's SSN and address, and the representative's address,
in the spaces indicated. HO personnel will then continue processing the
decision according to normal HO business procedures.
3. Partially
Favorable Decision Issued by an ALJ Named in the Settlement - No Court
Remand
Any claimant who receives a partially favorable decision from an ALJ named
in the settlement agreement, within the 30 month period beginning October
19, 2013 may be eligible for prospective relief if he or she requests AC
review of the decision.
These claimants will receive a partially favorable
Padro notice of decision instead of the standard
notice of decision. See Attachment 1C. The partially favorable
Padro notice of decision informs the potential
class member that:
The claimant must request AC review of a partially favorable decision in
order to be entitled to Padro relief;
Any request for review of a partially favorable decision will be assigned
to designated staff within OAO;
If a partially favorable decision is remanded for a new hearing, the
hearing will be conducted by an ALJ other than one of the five named in
Padro; and
The claimant may opt out of Padro relief, but he
or she must do so within the time period stated in the notice.
HO personnel will draft the decision using the appropriate FIT decision
template in DGS. Once the decision is generated, HO personnel will copy
and paste the “Padro Notice of Decision
– Partially Favorable” (Attachment 1C) over the standard
notice of decision. HO personnel will add the claimant's SSN and address,
and the representative's address, in the spaces indicated. HO personnel
will then continue processing the decision according to normal HO business
procedures.
4. Partially
favorable Decision Issued by an ALJ Named in the Settlement After Court
Remand
Any claimant who receives a partially favorable decision from an ALJ named
in the settlement agreement within the 30 month period beginning October
19, 2013 may be eligible for prospective relief.
These claimants will receive a partially favorable
Padro notice of decision after court remand
instead of the standard notice of decision after court remand. See
Attachment 1C-FinDec. This Padro FinDec notice
informs the potential class member that:
The claimant must submit written exceptions to a partially favorable
decision after court remand, or file a civil action, in order to be
entitled to Padro relief;
Any written exceptions to a partially favorable decision after court
remand will be assigned to designated staff within OAO;
The claimant must submit any written exceptions within 65 days after the
date of the partially favorable decision after court remand;
If the claimant files written exceptions to a partially favorable decision
after court remand, and the designated staff remands the claim for a new
hearing, the hearing will be conducted by an ALJ other than one of the
five named in Padro;
If the claimant does not file written exceptions to a partially favorable
decision after court remand, the AC does not assume jurisdiction over the
claim under 20 CFR
404.984 and
416.1484, the
claimant files or pursues a civil action in Federal court, and the Federal
court remands the claim for a new hearing, the hearing will be conducted
by an ALJ other than one of the five named in
Padro; and
The claimant may opt out of Padro relief, but he
or she must do so within the time period stated in the notice.
HO personnel will draft the decision using the appropriate FIT decision
template in DGS. Once the decision is generated, HO personnel will copy
and paste the “Padro Notice of Decision
After Court Remand – Partially Favorable” (Attachment 1C) over
the standard notice of decision. HO personnel will add the claimant's SSN
and address, and the representative's address, in the spaces indicated. HO
personnel will then continue processing the decision according to normal
HO business procedures.
B. HO
Actions After Case Closure
Any paper files in which an unfavorable decision was issued by one of the
five named ALJs must be routed to the AC. The HO will forward the files
to:
Appeals Council
Office of Disability Adjudication and Review
Padro
Unit
5107 Leesburg Pike
Falls Church, VA 22041-3255
HOs will forward paper files with partially favorable decisions to the
effectuating component for effectuation. The AC will monitor these cases
and will request the paper folders once effectuation is complete.
C. AC
Actions
OAO staff will annotate an internal database to document all claim
dispositions. Once the AC completes one of the actions discussed below,
OAO staff will document the action in the internal database.
1. In
General
Specified OAO staff will evaluate the unfavorable and/or partially
favorable decision that entitles the claimant to
Padro prospective relief.
The staff will make a recommendation as to whether the ALJ's decision is
legally sufficient or contains an error of law or abuse of discretion. The
staff will consider, among other things, whether the ALJ correctly:
Evaluated treating source opinions;
Assessed credibility;
Developed the record; and
Conducted the hearing(s).
As applicable, the AC will:
Use the standards ordinarily applicable to requests for review in
20 CFR 404.967
and 416.1467;
Consider whether there is a basis to grant the request for review under
the regulatory criteria in
20 CFR 404.970
and 416.1470;
and
Take appropriate action according to those regulations.
In any case in which the AC remands an unfavorable or partially favorable
decision issued by one of the five named ALJs, the AC remand order must
direct that the case be assigned to an ALJ not named in the
Padro case.
However, if the unfavorable or partially favorable decision was issued
after a court remand, the staff, as applicable, will consider exceptions
as provided under 20
CFR 404.984 and
416.1484, and
will take appropriate action according to those regulations.
If the recommendation is to deny review or not assume jurisdiction, the AC
action document will include the following sentence:
“We considered your case in accordance with the
Padro v. Colvin class action
settlement.”
If the recommendation is to remand, or issue an AC decision, the AC action
document will include the following sentence:
“The Appeals Council considered this case in accordance with the
Padro v. Colvin class action
settlement.”
2. Withdrawal
at Class Member's Request
A claimant has the right to withdraw any claim to the extent provided by
applicable rules and regulations.
3. Unfavorable
Decision Issued by an ALJ Named in the Settlement - No Court Remand
Any request for review or “deemed” request for review of an
unfavorable decision issued by a named ALJ during the 30 month period
beginning October 19, 2013 will be assigned to specified OAO staff. Upon
receipt of the claimant's request for review, or notification of a deemed
request for review, and creation of the appropriate record in ARPS, OAO
staff will add the “PDRP” case characteristic. OAO staff will
evaluate the claimant's request for review in accordance with section
V.C.1. above.
As explained previously, if a claimant does not request AC review within
65 days after the date of the unfavorable decision, he or she will be
deemed to have made such a request.
4. Unfavorable
Decision Issued After Court Remand by an ALJ Named in the Settlement
The claimant will be deemed to have filed written exceptions to the
unfavorable decision after court remand on the day the decision is issued
by one of the five named ALJs. Written exceptions – deemed or
submitted – to unfavorable decisions after court remand issued by a
named ALJ during the 30 month period beginning on October 19, 2013 will be
assigned to specified OAO staff in OAO's CCPRBs.
Under the terms of the Padro settlement,
claimants have 60 days to file additional written exceptions, or request
withdrawal of the deemed written exceptions to the unfavorable decision
after court remand. As such, the specified CCPRB staff will not act until
the 66th day after the unfavorable decision after court remand
was issued. Requests for extensions of time to file additional written
exceptions will be evaluated in accordance with current rules and
regulations.
Upon receipt of the case file, if paper, or upon notification from the EDO
if electronic, specified staff in the CCPRBs will create an appropriate
ARPS record and add the “PDRP” case characteristic. The
specified CCPRB staff will evaluate the claimant's written exceptions in
accordance with V.C.1. above.
5. Partially
Favorable Decision Issued by an ALJ Named in the Settlement - No Court
Remand
The claimant must request AC review of a partially favorable decision in
order to be eligible for Padro relief. Requests
for review of partially favorable decisions issued by a named ALJ during
the 30 month period beginning October 19, 2013 will be assigned to
specified OAO staff. The standard rules and regulations concerning the
timeliness of requests for review apply.
Upon receipt of the claimant's request for review and creation of the
appropriate ARPS record, OAO staff will add the “PDRP” case
characteristic. The specified OAO staff will evaluate the claimant's
request for review according to V.C.1. above.
6. Partially
Favorable Decision Issued After Court Remand by an ALJ Named in the
Settlement
Written exceptions to partially favorable decisions issued after court
remand by a named ALJ during the 30 month period beginning October 19,
2013 will be assigned to specified staff in OAO's CCPRBs. Upon receipt of
the case file, if paper, or upon notification from the EDO if electronic,
specified staff in the CCPRBs will create the appropriate ARPS record and
add the “PDRP” case characteristic.
Under the terms of the Padro settlement,
claimants have 60 days to file additional written exceptions. Specified
staff in OAO's CCPRBs should not act until the 66th day after
the partially favorable decision after court remand was issued. Requests
for extensions of time to file additional written exceptions will be
evaluated in accordance with current rules and regulations.
Specified CCPRB staff will evaluate the claimant's written exceptions in
accordance with V.C.1. above.
VI. Reconciling Implementation Data
At appropriate intervals, information concerning the implementation of the
Padro settlement will be reconciled via database
queries and review of the internal database mentioned above. This internal
OAO database will be a computer-based record of AC and HO implementation
activity (i.e., a record of cases screened by the PSU, and a record of
cases readjudicated at both the hearings and AC levels), as reported by
HOs, the PSU, and OAO.
VII. Inquiries
HO personnel should direct any questions to the Regional Office. Regional
Office personnel may direct questions to the appropriate contact in the
Division of Field Procedures in the Office of the Chief Administrative Law
Judge.
OAO personnel should direct any questions to the Executive Director's
Office.
SETTLEMENT AGREEMENT
WHEREAS, Plaintiffs are applicants for Social Security Disability
Insurance Benefits and/or Supplemental Security Income payments based on
disability. On April 12, 2011, Plaintiffs, on behalf of a putative class,
filed against the Social Security Administration (“SSA”) a
Complaint alleging that five Administrative Law Judges
(“ALJs”) in SSA's Queens Office of Disability Adjudication and
Review (“ODAR”) have exhibited “general bias”
against claimants for disability benefits. On May 4, 2011, Plaintiffs
filed an Amended Complaint in this action (hereinafter referred to as
“the Case”), which added three named plaintiffs and
supplemented the allegations;
WHEREAS, the Commissioner of Social Security expressly denies any
wrongdoing, as alleged in the Case or otherwise, and does not admit or
concede any actual or potential fault, wrongdoing or liability in
connection with any facts or claims that have been or could have been
alleged in the Case. Nonetheless, the Commissioner considers it desirable
to settle the Case on the terms set forth in this Settlement Agreement;
WHEREAS, Plaintiffs and the Commissioner of Social Security (collectively
“the Parties”) wish to avoid further litigation in this matter
and to bring the Case to a close, and have determined to settle the Case,
including all claims that Plaintiffs, the proposed Class (as defined
below), and the members of that Class have brought or could have brought
in the Case;
WHEREAS, the purpose of this Settlement Agreement is to make a full,
complete, and final resolution of all claims and causes of action that
have been or could have been asserted in the Case against the Commissioner
by the Plaintiffs, the proposed Class (as defined below), and the members
of that Class arising out of the conduct alleged therein;
NOW, THEREFORE, in reliance on the mutual promises, covenants, releases,
and obligations as set out in this Settlement Agreement, and for good and
valuable consideration, the Parties hereby stipulate and agree to resolve
all claims that were or could have been at issue in this Case as
follows:
I. DEFINITIONS
As used in this Settlement Agreement:
The terms “ALJ” and “an administrative law judge”
refer to an individual appointed in accordance with 5 U.S.C. § 3105,
who conducts hearings and makes decisions on claims for disability
benefits as provided in 20 C.F.R. §§ 404.929 and 416.1429.
The term “Appeals Council” refers to the component of SSA's
Office of Disability Adjudication and Review that, under direct delegation
from the Commissioner of Social Security, provides the final level of
administrative review for claims filed under Titles II and XVI of the
Social Security Act (hereinafter referred to as “the Act”).
The term “Class member” refers to an individual who meets the
criteria set forth in section II.
The term “days” means calendar days.
The “date the Class member receives” a notice refers to the
date five (5) days after the date on the notice, unless the Class member
can show that he or she received the notice later.
The “date of final approval” refers to the date on which an
order granting approval of this Settlement Agreement is entered, via the
Electronic Case Filing System of the U.S. District Court for the Eastern
District of New York, on the docket of this Case.
The “date on which the Settlement becomes effective” refers to
the date as of which no timely appeals may be taken from the Court's order
granting approval of this Settlement Agreement, and as of which any and
all appeals of such an order have been resolved.
The term “good cause” means good cause as used in 20 C.F.R.
§§ 404.911 and 416.1411.
The term “Named ALJs” refers to the administrative law judges
identified in the Amended Complaint as Michael D. Cofresi, Seymour Fier,
Marilyn P. Hoppenfeld, David Z. Nisnewitz, and Hazel C. Strauss.
The term “Noticing Party” refers to a Party seeking
enforcement of section III pursuant to the provisions in section V.
The term “Plaintiffs” refers to Lorraine Padro, Sarah
Rodriguez, Dhanasar Raman, Toby Marlow as court-appointed guardian for
Judith Blumensohn, Carmen Duran, John Edwards, Julia Juan, and Jane
Doe.
The term “Post-Settlement Claim” refers to a claim for
disability benefits under Titles II and/or XVI of the Act that is the
predicate for a decision that forms the basis for prospective relief as
described in paragraph III.B.1 of this Agreement.
The term “Responding Party” refers to the party from whom
enforcement is sought pursuant to the provisions in section V.
The term “Retrospective Claim” refers to a claim for
disability benefits under Titles II and/or XVI of the Act that is the
predicate for an ALJ decision that forms the basis for retrospective
relief, as described in paragraph III.A.1 of this Agreement.
The terms “section” and “paragraph” refer to the
numbered and lettered parts of this Settlement Agreement.
The terms “unfavorable decision” and “partially
favorable decision” refer to decisions by an ALJ, in which the ALJ
finds either that a claimant is not entitled to disability benefits
(unfavorable decision) or is not entitled to all of the disability
benefits sought in the underlying claim (partially favorable decision).
The terms “unfavorable decision after court remand” and
“partially favorable decision after court remand” refer to an
“unfavorable decision” or “partially favorable
decision” that is issued after a claim is remanded by a federal
court for further consideration, as provided in 20 C.F.R. §§
404.984, 416.1484. The Parties agree that an order of dismissal under 20
C.F.R. §§ 404.957, 416.1457 will not be considered an
“unfavorable decision” or a “partially favorable
decision” when determining whether an individual is eligible for
relief under the Settlement Agreement.
The terms “unfavorable Post-Settlement Decision” and
“partially favorable Post- Settlement Decision” refer to an
unfavorable or partially favorable ALJ decision that forms the basis for a
Class member's eligibility for prospective relief as described in
paragraph III.B.1 of this Agreement. An “unfavorable Post-
Settlement Decision” is a decision described in paragraph III.B.1(a)
and a “partially favorable Post-Settlement Decision” is a
decision described in paragraph III.B.1(b).
II. CLASS
Class Defined: The Parties agree to the certification by the
Court upon Plaintiffs' motion, for purposes of this Settlement Agreement
only, of a plaintiff class (hereinafter referred to as “the
Class”) defined as follows: all claimants for Social Security
Disability Insurance Benefits and/or Supplemental Security Income payments
based on disability who, during the period beginning January 1, 2008 and
ending thirty (30) months after the date of final approval of the
Settlement Agreement, have been or will be issued an unfavorable or
partially favorable decision on a claim for disability benefits under
Title II or Title XVI of the Act from any of the five Named ALJs and who
also meet the criteria for relief set forth in section III below.
Rule 23(b)(2) class: The Parties agree, for purposes of this
Settlement Agreement only, to certification of the Class pursuant to
Federal Rule of Civil Procedure 23(b)(2). Upon certification of the Class
by the Court and as of the date on which the Settlement becomes effective,
all Class members eligible for relief who are not given the right by this
Settlement Agreement (including its attachments) to opt out of the terms
of this Settlement Agreement, and all those who are given the right to opt
out who do not opt out, are bound by the terms of the Settlement
Agreement.
III. INDIVIDUAL RELIEF
Retrospective Relief
Eligibility for Retrospective Relief: A Class member
eligible for retrospective relief is someone who, during the period from
January 1, 2008 through the date of final approval of the Settlement
Agreement, was issued an unfavorable or partially favorable decision on
the merits of a claim for disability benefits under Title II or Title XVI
of the Act by any of the Named ALJs, provided that the exceptions in
paragraphs III.A.1(a) through III.A.1(d) do not apply. The ALJ decision
will not entitle the individual to retrospective relief if:
a) a United States District Court affirmed the ALJ decision described in
paragraph III.A.1, above, in an order as to which no motion under Rule 59
of the Federal Rules of Civil Procedure is pending with the Court as of
the date on which the Settlement becomes effective; or
b) a United States District Court remanded the claim described in
paragraph III.A.1, above, in an order that expressly declined to reassign
such remanded claim to a different ALJ, and as to which no motion under
Rule 59 of the Federal Rules of Civil Procedure is pending with the Court
as of the date on which the Settlement becomes effective; or
c) the potential Class member has already been found eligible for all
benefits for which he or she could be eligible pursuant to the claim
described in paragraph III.A.1, above; or
d) the claim described in paragraph III.A.1, above, has either: (i)
already been readjudicated by an ALJ other than a Named ALJ, or (ii) is
pending readjudication by an ALJ other than a Named ALJ at the time of the
potential Class member's request for relief.
Retrospective Relief -- Readjudication: Each Class member
who is eligible for retrospective relief will be entitled to
readjudication of his or her Retrospective Claim, provided the Class
member requests this relief within the time limit set forth in paragraph
III.A.3, below. Readjudication shall be conducted by an ALJ other than a
Named ALJ, or may be provided by an attorney advisor or the Appeals
Council in accordance with existing SSA rules and regulations. If a claim
to be readjudicated has been remanded by the Appeals Council and is
pending before a Named ALJ at the time of the Class member's request for
readjudication, the claim shall be reassigned. If the Class member has
another claim pending either at the Appeals Council or before an ALJ other
than a Named ALJ, or has more than one Retrospective Claim, SSA may
consolidate all such claims for any given claimant and review them
simultaneously, provided that this would not cause unreasonable delay. A
Class member eligible for retrospective relief: shall have the right to
appeal any new hearing decision received pursuant to this Settlement
Agreement, as set forth in 42 U.S.C. § 405(g) and its implementing
regulations; and shall have the right to withdraw the claim to the extent
provided by applicable SSA rules and regulations.
Retrospective Relief -- Time to Request Readjudication: A
Class member eligible for retrospective relief must affirmatively request
readjudication within sixty (60) days after the date the Class member
receives the notice informing him or her of his or her right to relief
(described herein as “Notice A”), using the procedures
described in that notice, unless the Class member can demonstrate that
this deadline was missed for good cause.
Notice of Retrospective Relief (“Notice A”):
Notice A shall advise Class members eligible for retrospective relief
that, as a result of the Settlement Agreement, they may request
readjudication of Retrospective Claims. Further, Notice A shall inform
Class members eligible for retrospective relief that in order to obtain
this readjudication, they must affirmatively opt for readjudication within
sixty (60) days after the date the Class member receives Notice A. Notice
A shall also set forth the procedures Class members must follow to obtain
readjudication. Notice A shall provide contact information for Class
counsel. SSA shall send Notice A within sixty (60) days after the date on
which the Settlement becomes effective by first class mail to: the last
known address in SSA's records for each Class member eligible for
retrospective relief; and the Class member's appointed representative, if
any such representative is identified in SSA's records. SSA shall bear the
cost of Notice A. SSA shall provide Class counsel with a list of the names
and addresses to which Notice A was mailed; in the event that any Notice A
mailings are returned to SSA as undeliverable, the list will identify the
mailings that were returned to SSA as undeliverable. This list shall be
considered Confidential Information pursuant to section VI, below.
Attached to this Settlement Agreement is Notice A (Exh. A), the language
of which has been agreed to by the Parties and the terms of which are
incorporated into this Agreement. Personal information such as a Class
member's address, appropriate field office, and similar information, will
be included by SSA in Notice A. The bracketed dates and website address
will be added prior to mailing.
Prospective Relief
Eligibility for Prospective Relief: A Class member eligible
for prospective relief is someone who:
a) During the thirty (30) month period beginning on the day after the date
of final approval of the Settlement Agreement, is issued an unfavorable
decision on a claim for disability benefits under Title II or Title XVI of
the Act by any of the Named ALJs; or
b) During the thirty (30) month period beginning on the day after the date
of final approval of the Settlement Agreement, is issued a partially
favorable decision on a claim for disability benefits under Title II or
Title XVI of the Act by any of the Named ALJs, and either requests Appeals
Council review of that decision or (if the decision is a partially
favorable decision after court remand) files written exceptions or
proceeds with a civil action seeking review of that decision.
Prospective Relief -- Appeals Council Review: SSA's Office
of Disability Adjudication and Review, Office of Appellate Operations,
will assign specified Staff (hereinafter referred to as
“Staff”) to review Class members' unfavorable and partially
favorable Post- Settlement Decisions as follows:
a) The Staff shall report through normal supervisory chains and ultimately
to the Executive Director of the Office of Appellate Operations, Office of
Disability Adjudication and Review.
b) The Staff shall consider requests for review or written exceptions (as
appropriate) filed by Class members eligible for prospective relief who
appeal from unfavorable or partially favorable Post-Settlement Decisions,
or who are deemed to have filed an appeal or written exceptions regarding
an unfavorable Post-Settlement Decision as provided in paragraph
III.B.2(c).
c) If, as of sixty five (65) days after the date an unfavorable
Post-Settlement Decision is issued, a Class member eligible for
prospective relief has not requested Appeals Council review of that
Decision, the Class member shall be deemed to have requested Appeals
Council review under 20 C.F.R. §§ 404.967, 416.1467; or,
alternately, if the Post-Settlement Decision is an unfavorable decision
after court remand, the Class member will be deemed to have filed written
exceptions as provided in 20 C.F.R. §§ 404.984, 416.1484 on the
day the decision is issued, but shall be given an opportunity to withdraw
these exceptions or to submit additional written exceptions.
Prospective Relief -- Standards for Review of Claims and Related
Rights: The Staff will consider a Class member's Post-Settlement
Claim to determine whether the ALJ decision is legally sufficient, or
contains an error of law or abuse of discretion, including but not limited
to an error related to (1) evaluating treating source opinions, (2)
assessing credibility, (3) developing the record, and (4) conducting
hearings. The Staff will use the standards ordinarily applicable to
requests for review under 20 C.F.R. §§ 404.967, 416.1467; will
consider whether there is a basis to grant the request for review under
the regulatory criteria set forth at 20 C.F.R. §§ 404.970,
416.1470; and will take appropriate action in accordance with those
regulations; except that if the Post-Settlement Decision is a decision
after court remand, the Staff will consider exceptions as provided under
20 C.F.R. §§ 404.984, 416.1484; and will take appropriate action
in accordance with those regulations. A Class member shall have the right
to withdraw such a claim to the extent provided by applicable SSA rules
and regulations.
Prospective Relief -- Rehearing before New ALJ: If a
Post-Settlement Claim is remanded for a new hearing, the hearing after
remand shall be conducted by an ALJ other than a Named ALJ. If the
Post-Settlement Claim is appealed more than once, any subsequent hearings
after remand shall be assigned in accordance with ordinary agency
procedures, except that no subsequent hearings regarding such Claim may be
conducted before a Named ALJ. Pursuant to existing SSA rules and
regulations, readjudication may also be provided by an attorney advisor or
the Appeals Council.
Notices of Prospective Relief (“Notice B” and
“Notice C”): Notice B shall be sent to each claimant
for disability benefits who is issued an unfavorable Post-Settlement
Decision, except that a modified version of Notice B (attached hereto as
Notice B – Decision After Court Remand) shall be sent to each
claimant for disability benefits who is issued an unfavorable decision
after court remand. Both versions of Notice B shall advise such claimant:
that, as a result of the Settlement Agreement, any request for
administrative review of an unfavorable Post-Settlement Decision will be
directed to Staff at the Appeals Council; that, if a Post-Settlement Claim
is remanded for a new hearing, the hearing after remand will be conducted
by an ALJ other than a Named ALJ; and that the claimant may opt out of the
terms of this Agreement but, if he or she wishes to opt out, he or she
must do so in a manner specified in Notice B either at the time of his or
her request for further administrative review or within sixty (60) days
after the date the Class member receives Notice B. Notice B will further
advise the claimant that, if he or she does not request review by the
Appeals Council within sixty five (65) days after the date an unfavorable
Post-Settlement Decision is issued, he or she will be deemed to have made
such a request; while the modified version of Notice B will advise that a
claimant who receives an unfavorable decision after court remand will be
deemed to have filed written exceptions regarding that decision on the day
the decision is issued, but will be given an opportunity to withdraw those
exceptions or to submit additional written exceptions.
Notice C shall be sent to each claimant for disability benefits who is
issued a partially favorable Post-Settlement Decision, except that a
modified version of Notice C (attached hereto as Notice C – Decision
After Court Remand) shall be sent to each claimant for disability benefits
who is issued a partially favorable decision after court remand. Both
versions of Notice C shall advise such claimant that: as a result of the
Settlement Agreement, any request for administrative review of a partially
favorable Post-Settlement Decision shall be directed to Staff at the
Appeals Council; and any subsequent hearings will be heard by an ALJ other
than a Named ALJ. Notice C shall further advise that: in order to obtain
relief under this Settlement Agreement, the claimant must seek further
administrative or court review of his or her claim; and he or she may opt
out of the terms of this Agreement but, if he or she wishes to do so, he
or she must do so in a manner specified in Notice C either at the time of
his or her request for further administrative review or within sixty (60)
days after the date the Class member receives Notice C.
SSA shall send Notice B and/or Notice C, as appropriate, at the same time
an unfavorable or partially favorable Post-Settlement Decision is mailed
to the claimant. The notice will be sent to the same address or addresses
as the decision, and may be sent in the same manner and in the same
envelope as the decision. SSA shall bear the cost of Notice B and Notice
C. Attached to this Settlement Agreement are Notice B and Notice C (Exhs.
B & C), the language of which has been agreed to by the Parties and
the terms of which are incorporated into this Agreement. Personal
information such as a Class member's address, appropriate field office,
and similar information, will be included by SSA in Notice B and Notice C.
The bracketed dates and website address will be added prior to mailing.
Additional language will be included if required by law or internal
procedures applicable to the issuance of hearing decisions.
Establishing the Right to Retrospective or Prospective
Relief: If SSA learns of an individual who may be entitled to
relief as a Class member under this Settlement Agreement but who did not
receive Notice A, B, or C, or if an individual contacts SSA and claims to
be entitled to relief as a Class member under this Settlement Agreement
but did not receive Notice A, B, or C, SSA shall review available records
to determine whether the individual meets the requirements for
retrospective or prospective relief, and shall determine within a
reasonable time whether the individual is eligible. If SSA determines that
such an individual is entitled to relief, SSA shall issue Notice D, a copy
of which is attached (Exh. D), and the language of which has been agreed
to by the Parties and the terms of which are incorporated into this
Agreement. If the individual is entitled to prospective relief, SSA may
alternately resend Notice B or Notice C as appropriate. Personal
information such as a Class member's address, appropriate field office,
and similar information, will be included by SSA in Notice D, and the
bracketed website address will be added prior to mailing. If SSA
determines that the individual is not entitled to relief, SSA shall notify
the individual in writing of the reason for the determination.
IV. OTHER RELIEF
SSR: SSA shall issue a Social Security Ruling
(“SSR”) regarding agency procedures for addressing allegations
of an unfair ALJ hearing, ALJ bias, and ALJ misconduct. Plaintiffs agree
that they will not have an opportunity to review the SSR prior to its
publication in the Federal Register and that SSA makes no commitment to
issue the SSR by a date certain.
Training: In calendar year 2012 or 2013, SSA shall conduct
(and may already have conducted by the time of approval of this Settlement
Agreement) training programs designed to instruct experienced ALJs on the
following issues: (1) evaluating treating source opinions; (2) assessing
credibility; (3) developing the record; and (4) conducting hearings. SSA
retains discretion to determine the timing and content of the training
provided in such training programs, as well as which among its ALJs will
be required to participate. SSA shall also provide mentors for experienced
ALJs. Such mentors will be available to ALJs as a resource with respect to
the substantive issues covered in the training described above, and also
to provide feedback to the ALJs on the manner in which their decisions
reflect the issues covered in the training. SSA retains discretion to
determine the roles and responsibilities of such mentors, as well as which
among its ALJs will be required to consult with a mentor. Nothing in this
agreement shall preclude SSA from exercising its discretion in pursuing
any training and/or mentoring it deems appropriate.
V. ENFORCEMENT
The Court shall not retain jurisdiction over this action after the date on
which the Settlement becomes effective, except with respect to the
enforcement of section III, and such jurisdiction will be only as set
forth in this section V. Specifically, a Party may seek enforcement only
of the paragraphs listed herein, and only as follows:
A Noticing Party may not seek enforcement (or review of any kind)
regarding the composition of the Staff which has been assigned pursuant to
paragraph III.B.2.
A Noticing Party seeking enforcement of any term in section III shall
serve on the Responding Party a written notice that describes the alleged
breach or violation with particularity. Such notice must include the
following: (a) an identification of the term(s) that has allegedly been
violated; (b) a description of the specific errors or omissions upon which
the alleged violation is based; and (c) a description of the corrective
action sought. Such notice must be served within a reasonable time, but
not to exceed sixty (60) days, after the Noticing Party becomes aware, or
reasonably should have become aware, of a potential violation. If the
alleged breach relates to a decision or Class membership determination
regarding an individual Class member, notice must be served within sixty
(60) days from the date of any contested decision or Class membership
determination, unless the Noticing Party can demonstrate that the deadline
was missed for good cause.
Within forty-five (45) days of the Responding Party's receipt of a written
notice of breach or violation, counsel for the Noticing and Responding
Parties will meet and confer, and otherwise begin to address the
allegation. The Noticing and Responding Parties shall make their best
efforts to resolve any and all allegations of breach or violation without
the Court's involvement. If requested to do so, the Noticing Party shall
provide to the Responding Party any discoverable information and materials
reasonably available to the Noticing Party that constitutes evidence of
the alleged breach or violation.
If the Responding Party fails to respond to a notice of breach or
violation within forty-five (45) days, or the Noticing and Responding
Parties otherwise cannot resolve the issue or issues raised in that
notice, the Noticing Party may move for enforcement as early as
seventy-five (75) days after the date on which the notice was served, but
no later than one hundred thirty-five (135) days after the date on which
the notice was served, unless the Parties otherwise agree in writing. The
Parties agree that any such motion for enforcement shall not include a
request that any Party or non-party be held in contempt.
Except to his or her counsel, the Noticing Party shall not disclose the
allegation of a breach or violation to the Court or to any individual or
party other than the Responding Party unless: (a) at least seventy-five
(75) days have passed since the written notice was submitted to the
Responding Party; and (b) the Noticing Party and the Responding Party have
not agreed on corrective action pursuant to the process specified
above.
VI. PRESERVATION OF CONFIDENTIALITY
The provisions set forth in the November 15, 2011 Stipulation and Order
for the Protection of Confidential Documents and Testimony shall remain in
effect with regard to all further proceedings relating to this Settlement
Agreement, and with regard to any Confidential Information (as that term
is defined in the November 15, 2011 Stipulation and Order) disclosed
pursuant to this Settlement Agreement.
VII. PROCEDURES FOR APPROVAL OF SETTLEMENT
Preliminary approval: Following its execution, the Parties
shall promptly present the Settlement Agreement to the Court with a
request that the Court preliminarily approve the Settlement Agreement. The
Parties shall further request that upon such preliminary approval the
Court will schedule a hearing pursuant to Rule 23(e) of the Federal Rules
of Civil Procedure (hereinafter referred to as the “Fairness
Hearing”), after which the Court will determine whether to grant its
final approval of the Settlement Agreement. At the same time, Plaintiffs
will move for certification of the Class defined above, with such
Certification being for the purposes of this Settlement Agreement only and
being conditional upon final approval of this Settlement Agreement.
Notice of Proposed Class Action Settlement and Fairness
Hearing: Within thirty (30) days after the date on which the Court
preliminarily approves the Settlement Agreement, SSA will mail a Notice of
Proposed Class Action Settlement and Fairness Hearing (“Notice
E”) (Exh. E), the language of which has been agreed to by the
Parties, or such other notice as is ordered by the Court. Notice E
contains a brief description of the claims advanced by Plaintiffs and the
Commissioner's denial of liability for such claims, a summary of the terms
of the proposed settlement, and information regarding the upcoming
Fairness Hearing. SSA will send such notice to each individual for whom,
during the period from January 1, 2008 until the date on which the notices
are prepared, a Named ALJ issued an unfavorable or partially favorable
decision on a claim for disability benefits under Title II or Title XVI of
the Act. The notice will be sent by first class mail to the last known
address shown in SSA's records for each such individual, as well as to the
individual's appointed representative, if any such representative is
identified in SSA's records. SSA shall bear the cost of such notice.
VIII. PUBLICATION
Within ten (10) days after the date on which the Court preliminarily
approves the Settlement Agreement, SSA shall: (i) deliver for publication
a copy of Notice E, or such other notice as ordered by the Court, to two
(2) newspapers of general circulation in the New York Metropolitan area
with instructions that the Notice be published at least once per week for
three (3) successive weeks as a one-eighth (1/8th) page
advertisement; (ii) post a copy of Notice E, or such other notice as
ordered by the Court, on its official public website,
www.socialsecurity.gov;
and (iii) post a copy of Notice E, or such other notice as ordered by
the Court, in the Queens ODAR.
IX. DISMISSAL AND SETTLEMENT AGREEMENT
Plaintiffs agree to the dismissal of the Case with prejudice under Federal
Rules of Civil Procedure 41(a)(1) and 23(e), subject to the terms of the
Settlement Agreement and to the Court's continuing jurisdiction as set
forth in section V. In accordance with the terms of this Settlement
Agreement, Plaintiffs will move for dismissal of the Case with prejudice
to be effective on the date of final approval of this Settlement
Agreement.
X. RELEASES
Plaintiffs, the members of the Class defined above, and their heirs,
administrators, representatives, attorneys, successors, and assigns, and
each of them hereby RELEASE, WAIVE, ACQUIT, and FOREVER DISCHARGE the
United States and the Commissioner from, and are hereby FOREVER BARRED and
PRECLUDED from prosecuting, any and all claims, causes of action, or
requests for any injunctive and/or monetary and/or any other form of
relief, including, but not limited to, damages, tax payments, debt relief,
costs, attorneys' fees, expenses, and/or interest, whether presently known
or unknown, that have been or could have been asserted in the Case by
reason of, with respect to, in connection with, or which arise out of, any
matters alleged in the Case. The Parties agree that the terms of this
section are not designed otherwise to interfere with the rights of
Plaintiffs, the members of the Class defined above, and their heirs,
administrators, representatives, attorneys, successors, and assigns under
42 U.S.C. § 405(g) and its implementing regulations.
XI. NO ADMISSION OF LIABILITY
Neither this Settlement Agreement nor any order approving it constitutes
an admission by the Commissioner and/or the United States of the truth of
any allegation or the validity of any claim asserted in the Case, or of
the liability of the Commissioner and/or the United States, nor a
concession or an admission of any fault or omission of any act or failure
to act, or of any statement, written document, or report heretofore
issued, filed or made by the Commissioner and/or the United States.
Neither this Settlement Agreement nor any confidential papers related to
the Agreement and created for settlement purposes only, nor any of the
terms of either, may be offered or received as evidence of discrimination
or unfair treatment in any civil, criminal, or administrative action or
proceeding, nor shall they be the subject of any discovery or construed by
anyone for any purpose whatsoever as an admission or presumption of any
wrongdoing on the part of the Commissioner and/or the United States, or as
an admission by any Party to this Settlement Agreement that the
consideration to be given under the terms of this Agreement represents the
relief that could have been recovered after trial.
XII. DUTIES CONSISTENT WITH LAW AND REGULATIONS
Nothing contained in this Settlement Agreement shall impose on the
Commissioner and/or the United States any duty, obligation, or
requirement, the performance of which would be inconsistent with law, as
set forth in federal statutes, federal regulations, or elsewhere in effect
at the time of such performance.
XIII. INTEGRATION
This Settlement Agreement and its Exhibits constitute the entire agreement
of the Parties, and no prior statement, representation, or agreement that
is not contained herein, will have any force or effect.
XIV. MODIFICATION
This Settlement Agreement may be modified with the written agreement of
the Parties and with the approval of the District Court, upon such notice
to the Class, if any, as the District Court may require.
XV. DUTY TO DEFEND
The Parties to this Settlement Agreement shall defend against any
challenges to it in any forum.
XVI. SEVERABILITY
Should any non-material provision of this Settlement Agreement be found by
a court to be invalid or unenforceable, then (A) the validity of other
provisions of this Settlement Agreement shall not be affected or impaired,
and (B) such provisions shall be enforced to the maximum extent
possible.
XVII. CONDITIONS THAT RENDER SETTLEMENT AGREEMENT VOID OR
VOIDABLE
This Settlement Agreement shall be void if it is disapproved at any stage
by the Court and/or if the Court denies the motion for dismissal mentioned
in section IX above.
XVIII. EFFECT OF SETTLEMENT AGREEMENT IF VOIDED
Should this Settlement Agreement become void after its execution, the
Commissioner will not object to reinstatement of this action in the same
posture and form as it was pending as of the date of execution of this
Agreement.
All negotiations in connection herewith, and all statements made by the
Parties at or submitted to the District Court during the Fairness Hearing
shall be without prejudice to the Parties to this Settlement Agreement and
shall not be deemed or construed to be an admission by a Party of any
fact, matter, or proposition.
The Commissioner retains all defenses, arguments, and motions as to all
claims that have been or might later be asserted in the Case, and nothing
in this Settlement Agreement shall be raised or construed by any
Plaintiffs, Class members, or Plaintiffs' counsel, to defeat or limit any
defenses, arguments, or motions asserted by the Commissioner. Neither this
Settlement Agreement, nor the fact of its having been made, nor any
exhibit or other document prepared in connection with this Settlement
Agreement, shall be admissible, entered into evidence, or used in any form
or manner in discovery in the Case or in any other action or proceeding
for any purpose inconsistent with Rule 408 of the Federal Rules of
Evidence.
The provisions set forth in section XI will apply even if the Settlement
Agreement is otherwise rendered void.
XIX. ATTORNEY FEES
The Parties agree that the amount of $125,000 will be paid to Plaintiffs'
counsel the Urban Justice Center, as attorney fees. Those funds are the
only funds to be paid by the Commissioner and/or the United States under
this Settlement Agreement and/or otherwise in connection with this action
(aside from any payments made to cover the costs associated with Notices
A, B, C, D, and E as set forth above). Plaintiffs' counsel Gibson, Dunn
& Crutcher has agreed to waive additional fees incurred in connection
with this action.
Within seven (7) calendar days of the date on which the Settlement becomes
effective, Plaintiffs' counsel will notify the Commissioner and the
Commissioner's counsel in writing of the identity of the account and bank
designated for the deposit of funds, and will provide any necessary tax
reporting information as well as all information necessary and appropriate
to direct any and all deposits provided for in this Settlement
Agreement.
Upon receipt of the information described in paragraph B above, the
Commissioner shall promptly complete any intra-governmental forms and
documentation that are required from SSA in order to issue payment.
XX. COUNTERPARTS
This Settlement Agreement may be executed in counterparts. All executed
counterparts and each of them shall be deemed to be one and the same
instrument.
XXI. WARRANTY
Plaintiffs' counsel and the Commissioner's counsel warrant that they are
authorized to stipulate to settlement of the Case in accordance with the
provisions set forth in the Settlement Agreement.
Social Security Administration
Important Information
Notice of Padro et al. v. Colvin Class Action Settlement
And 60 Day
Deadline to Ask for a New Hearing and Decision
You May Be Eligible For A New Hearing And Decision On Your Disability
Claim – Please Mail Us The Enclosed Form Within 60 Days After You
Get This Notice
Our records show that you received an unfavorable or partially favorable
decision between January 1, 2008 and October 18, 2013, on a claim for
Social Security Disability Insurance Benefits and/or Supplemental Security
Income. Your decision was issued by one of the following five
Administrative Law Judges (ALJs): Michael D. Cofresi, Seymour Fier,
Marilyn P. Hoppenfeld, David Z. Nisnewitz, and Hazel C. Strauss, at the
Queens, New York Office of Disability Adjudication and Review.
On October 18, 2013, the United States District Court for the Eastern
District of New York approved a settlement in the class-action lawsuit
Padro et al. v. Colvin. This lawsuit challenged
unfavorable and partially favorable decisions on claims for disability
benefits made by the ALJs named above.
Because of the settlement, you may be eligible for a new hearing and
decision on your claim. The new decision would be made by an ALJ who is
not one of the ALJs named above or, in certain circumstances, by an
attorney advisor or the Appeals Council.
You may be eligible for a new hearing and decision unless:
You appealed the decision you received from one of the ALJs named above to
a United States District Court, and:
The United States District Court affirmed the ALJ's decision, and you did
not have a motion to alter or amend the Court's judgment pending as of
December 18, 2013; or
The United States District Court remanded your claim, the Court's order
said the claim did not need to be assigned to a different ALJ, and you did
not have a motion to alter or amend the Court's judgment pending as of
December 18, 2013; or
You were already found eligible for all benefits for which you could be
eligible based on the claim decided by one of the ALJs named above; or
You already received a new decision on your claim by an ALJ who is not an
ALJ named above; or
The claim decided by one of the ALJs named above is pending with a
different ALJ (other than the five ALJs named above) at the time you
return the enclosed form.
This notice explains what you must do if you want a new hearing and
decision on the disability claim that one of the ALJs named above decided
between January 1, 2008 and October 18, 2013.
How To Ask for A New Hearing and Decision
To ask for a new hearing and decision, you must fill out the enclosed
request form. You must do this even if you have appealed your decision
to the Appeals Council.
You must mail the enclosed form back to us within 60 days after you
get this notice. We will assume that you got the notice 5 days after the
date of the notice, unless you show that you got the notice later. We have
included an envelope for you to use.
If you do not respond within 60 days, you may lose your chance for a
new hearing and decision. We will not consider a late request unless
you show you had a good reason for not responding in time.
What We Will Do If You Ask For A New Hearing And Decision
If you send back the form, we will check to see if you are eligible for
relief under the settlement.
If you are eligible, and an appeal of your claim is pending in a United
States District Court, we will contact you, or your attorney if you have
one.
If you are eligible, and you do not have an appeal pending in a United
States District Court, we will write to tell you that we are sending your
claim to an ALJ for a new hearing and decision. The new decision will be
made by an ALJ who is not one of the five named above or, in certain
circumstances, by an attorney advisor or the Appeals Council.
If you are not eligible for a new hearing and decision, we will send you a
notice that tells you why.
If You Have Any Questions
If you have any questions about this notice, please visit or call your
local Social Security office, or call Social Security's toll-free phone
number at 1-800-772-1213. If you are deaf or hard of hearing, please use
our TTY number at 1-800-325-0778.
More information about the Padro et al. v. Colvin
settlement is also available on our website at
http://www.socialsecurity.gov/padrosettlement/.
If you call or visit an office, please have this letter with you. It will
help us answer your questions.
If a representative was helping you with your claim for disability
benefits, you should contact that person to let him or her know about this
notice. If we have information about your representative, we will send
that person a copy of this notice. That person's name will also be listed
below.
You can also contact the Urban Justice Center, the lawyers who brought the
Padro et al. v. Colvin lawsuit, by writing to
them at Urban Justice Center, Padro Class Counsel, Church Street Station,
P.O. Box 3363, New York, NY 10008-3363, or calling them at (646)
459-3068.
Enclosure(s):
Padro et al. v. Colvin Request Form
Return Envelope
cc:
[Representative of Record]
[Representative Payee]
Padro et al. v. Colvin - Request Form
(Request for Retrospective Relief)
IMPORTANT
Return This Form Within 60 Days
If You Want A New Hearing And Decision
[Name] [Date]
[Address] [Social Security Number]
[City State Zip]
If you want a new hearing and decision, please sign and date this form and
return it in the enclosed pre-paid envelope within 60 days after you get
this notice.
I want a new hearing and decision.
SIGNATURE
DATE
If your address is different from the one shown above, please write your
correct address.
ADDRESS (Number and Street, Apartment Number, Post Office Box, or Rural
Route)
CITY AND STATE ZIP CODE
Administración del Seguro Social
Información Importante
Aviso del acuerdo colectivo Padro et al. v.
Colvin y el límite de tiempo de 60 días para solicitar una
nueva audiencia y un nuevo fallo
Es posible que usted tenga derecho a una nueva audiencia y un nuevo
fallo en su reclamación de los beneficios por incapacidad – Por
favor devuélvanos el formulario incluido dentro de 60 días que
comienzan a partir de la fecha en que reciba este aviso
De acuerdo con nuestros registros, usted recibió un fallo
desfavorable o desfavorable en parte entre las fechas de 1 de enero de
2008 y 18 de octubre de 2013 en su reclamación de los beneficios de
Seguro Social por incapacidad o la Seguridad de Ingreso Suplementario. Su
fallo fue emitido por uno de los siguientes cinco Jueces de Derecho
Administrativo (ALJ): Michael D. Cofresi, Seymour Fier, Marilyn P.
Hoppenfeld, David Z. Nisnewitz y Hazel C. Strauss, de la Oficina de
Adjudicación y Revisiones de Reclamaciones de Beneficios por
Incapacidad en Queens, Nueva York.
El 18 de octubre de 2013, el Tribunal de Distrito de los Estados Unidos
para el Distrito del Este de Nueva York aprobó un acuerdo de la
demanda colectiva Padro et al. v. Colvin. Esta
demanda retó las reclamaciones que recibieron fallos desfavorables y
desfavorables en parte, que fueron emitidos por los ALJ anteriormente
nombrados, en reclamaciones de los beneficios por incapacidad.
Como parte del acuerdo, es posible que usted tenga derecho a una nueva
audiencia y un nuevo fallo en su reclamación. El nuevo fallo
será emitido por un ALJ, pero no será uno de los ALJ
anteriormente nombrados o, en ciertos casos, por un abogado asesor o por
el Consejo de Apelaciones.
Usted puede tener derecho a una nueva audiencia y un nuevo fallo a menos
que:
Ya haya apelado a un Tribunal de Distrito de los Estados Unidos el fallo
que emitido por uno de los ALJ anteriormente nombrados, y:
El Tribunal de Distrito de los Estados Unidos afirmó el fallo del ALJ
y usted no presentó una moción para modificar o enmendar el
fallo del Tribunal que está pendiente a partir de diciembre 18, 2013;
o
El Tribunal de Distrito de los Estados Unidos regresó su
reclamación, la orden del Tribunal estipulaba que la reclamación
no necesariamente tenía que ser asignada a un ALJ diferente y usted
no presentó una moción para modificar o enmendar el fallo del
Tribunal que está pendiente a partir de la fecha de diciembre 18,
2013; o
Ya se le aprobaron todos los beneficios a los que usted tenía derecho
a recibir basados en la reclamación en las que falló uno de los
ALJ anteriormente nombrados; o
Ya recibió un nuevo fallo de su reclamación por un ALJ quien no
es uno de los ALJ anteriormente nombrados; o
La reclamación en la que fallo uno de los ALJ anteriormente nombrados
está pendiente con un ALJ diferente (otro ALJ que no es uno de los
cinco ALJ anteriormente nombrados) en el momento en que usted
devolvió el formulario incluido con este aviso.
Esto aviso le explica lo que tiene que hacer si quiere una nueva audiencia
y un fallo nuevo en su reclamación de beneficios por incapacidad en
la que uno de los ALJ anteriormente nombrados fallo entre las fechas de 1
de enero de 2008 y 18 de octubre de 2013.
Cómo solicitar una nueva audiencia y un nuevo fallo
Para solicitar una nueva audiencia y un nuevo fallo, necesita llenar el
formulario que incluimos con este aviso. Tiene que llenar el formulario
aunque ya haya apelado el fallo con el Consejo de Apelaciones.
Tiene que devolvernos el formulario dentro de 60 días a partir
de la fecha en el encabezamiento de este aviso. Supondremos que
recibió este aviso 5 días a partir de la fecha que aparece en el
encabezamiento de este aviso, a menos que pueda probarnos que recibió
el aviso más de cinco días después. Hemos incluido un sobre
de correos para que su conveniencia.
Si no responde a este aviso dentro de los 60 días, se corre el
riesgo de perder su oportunidad de solicitar una nueva audiencia y un
nuevo fallo. No tomaremos en consideración ninguna solicitud
tardía a menos que pueda probar una razón justificada por no
haber respondido a tiempo.
Lo que nosotros haremos si usted solicita una nueva audiencia y un
nuevo fallo
Si ya devolvió el formulario, nosotros investigaremos si usted tiene
derecho a mitigación según las estipulaciones del acuerdo.
Si tiene derecho y su apelación referente a su reclamación de
beneficios está pendiente en el Tribunal de Distrito de los Estados
Unidos, nos comunicaremos con usted o su abogado, si es que ha contratado
a un abogado.
Si tiene derecho y pero no tiene pendiente una apelación referente a
su reclamación de beneficios en el Tribunal de Distrito de los
Estados Unidos, le escribiremos haciéndole saber que enviaremos su
reclamación de beneficios a un ALJ para una nueva audiencia y un
nuevo fallo. El nuevo fallo lo emitirá un ALJ pero no será uno
de los cinco anteriormente nombrados o, en algunos casos, el fallo
será emitido por un abogado asesor o el Consejo de Apelaciones.
Si no tiene derecho a una nueva audiencia o a un nuevo fallo, le
enviaremos un aviso haciéndole saber el por qué.
Si tiene más preguntas
Si tiene más preguntas acerca de este aviso, por favor visite o llame
a su oficina local del Seguro Social o llame al número gratis del
Seguro Social 1-800-772-1213. Si es sordo o tiene problemas de
audición, por favor llame a nuestro número de teléfono TTY
1-800-325-0778.
Puede encontrar más información acerca del acuerdo de
Padro et al. v. Colvin en nuestra página de
Internet,
http://www.socialsecurity.gov/padrosettlement/
(solo disponible en inglés). Si llama o visita una de nuestras
oficinas, por favor tenga este aviso consigo. Esto nos ayudará a
contestar sus preguntas.
Si un abogado u otro representante aprobado le estaba ayudando con su
reclamación de beneficios por incapacidad, usted debe comunicarse con
esa persona y hacerle saber que recibió este aviso. Si nosotros
tenemos la información de su abogado o representante, le enviaremos
una copia de este aviso directamente al abogado o su representante. Si
tiene un abogado o representante, el nombre de esa persona aparece al pie
de este aviso.
También puede comunicarse con el «Urban Justice Center»,
los abogados que presentaron la demanda de Padro et
al. v. Colvin, escribiéndoles a la siguiente dirección:
Urban Justice Center, Padro Class Counsel, Church
Street Station, P.O. Box 3363, New York, NY 10008-3363, o llamándolos
al (646) 459-3068.
Anejo(s):
Padro et al. v. Colvin Formulario de solicitud
Sobre de retorno
cc:
[Representative of Record]
[Representative Payee]
Padro et al. v. Colvin – Formulario de solicitud
(Solicitud para mitigación retroactiva)
IMPORTANTE
Devuelva este formulario dentro de 60 días
Si quiere una nueva audiencia y un nuevo fallo
[Name] [Date]
[Address] [Social Security Number]
[City State Zip]
Si quiere una nueva audiencia y un nuevo fallo, por favor firme y feche
este formulario y devuélvalo dentro de 60 días, a partir de la
fecha en que usted recibió este aviso, en el sobre de retorno
franqueado que incluimos.
Yo quiero una nueva audiencia y un nuevo fallo.
FIRMA __________
FECHA
Si su dirección postal no es la misma que aparece en el
encabezamiento de este formulario, por favor escriba su dirección
postal correcta.
DIRECCIÓN (Número de casa y nombre de la calle, número de
apartamento, casilla de correos o ruta rural)
CIUDAD Y ESTADO CÓDIGO POSTAL
[standard header will be used]
Notice of Decision – Unfavorable
I carefully reviewed the facts of your case and made the enclosed
decision. Please read this notice and my decision.
If You Disagree With My Decision
If you disagree with my decision, you may file an appeal with the Appeals
Council. This notice will explain your options, including how to file an
appeal.
Special Review Procedures Under the Padro et al.
v. Colvin Class-Action Settlement
On October 18, 2013, the U.S. District Court for the Eastern District of
New York approved a settlement in the class-action lawsuit
Padro et al. v. Colvin. This lawsuit challenged
decisions on disability claims made by certain administrative law
judges.
Under the settlement agreement, my decision will be reviewed using special
review procedures. These special review procedures include: (1) assigning
your claim to be reviewed by a specified group of staff at the Appeals
Council, (2) if your claim is returned for a new hearing and decision, it
will not be assigned to me but instead will be assigned to an
administrative law judge who was not involved in the
Padro et al. v. Colvin class-action lawsuit, and
(3) if you have not filed a written appeal on the 65th day
following this notice, the Appeals Council will deem you to have filed a
timely request for review. We call these special review procedures
“Padro review.” We will apply these
procedures unless you write and tell us you do not want
Padro review.
How to File an Appeal
To file an appeal you or your representative must ask in writing that the
Appeals Council review my decision. You may use our Request for Review
form (HA-520) or write a letter. The form is available at
www.socialsecurity.gov. Please put the Social Security number shown above
on any appeal you file. Please also refer to the
Padro et al v. Colvin settlement. We will assume
that you want Padro review unless you tell us you
do not. If you need help, you may file in person at any Social Security or
hearing office.
Please send your request to:
Appeals Council
Office of Disability Adjudication and
Review
Padro Staff
5107 Leesburg Pike
Falls
Church, VA 22041-3255
Time Limit to File an Appeal
You must file your written appeal within 60 days of the date you
get this notice. The Appeals Council assumes you got this notice 5 days
after the date shown above unless you show you did not get it within the
5-day period.
If You Do Not File an Appeal
Under the terms of the Padro et al. v. Colvin
settlement, if you do not file your written appeal within 60 days after
you receive this notice, the Appeals Council will deem you to have filed a
timely request for review. This will happen on the 65th day
after the date on this notice, unless you tell us that you do not want
Padro review.
If You Do Not Want Padro Review
If you do not want my decision reviewed under the special review
procedures, you must write and tell the Appeals Council that you do not
want Padro review. You can do this either with or
without filing an appeal.
To file an appeal without Padro review, you must
tell the Appeals Council that you do not want
Padro review at the time you file the appeal.
This will mean that (1) your claim may not be assigned to a specified
group of staff at the Appeals Council, and (2) if your claim is returned
for a new hearing and decision, it may be returned to me or to one of the
other administrative law judges who were involved in the
Padro et al. v. Colvin class-action lawsuit.
If you do not want the Appeals Council to deem you to have filed a request
for review, you must send us a request in writing. You must say that you
do not want Padro review, and also do not want to
file an appeal. You must do this within 60 days of the date you get
this notice. The time limit is the same as the time limit to file an
appeal, and you should write to the Appeals Council at the same address.
This will mean that the Appeals Council may not review my decision at all,
and that my decision may become final.
If you tell the Appeals Council that you do not want
Padro review, the settlement relief and
limitations will not apply to you. You will have the right to appeal as if
there were no class-action settlement.
What Else You May Send Us
You or your representative may send us a written statement about your
case. You may also send us new evidence. You should send your written
statement and any new evidence with your appeal. Sending your
written statement and any new evidence with your appeal may help us review
your case sooner.
How a Written or Deemed Appeal Works
The Appeals Council will consider your entire case. It will consider all
of my decision, even the parts with which you agree. Review can make any
part of my decision more or less favorable or unfavorable to you.
Under the terms of the Padro et al. v. Colvin
settlement, we will assign your case to a specified group of staff within
the Appeals Council. This staff will use the same rules for considering
your case that would apply if you tell us you do not want
Padro review. The rules the Appeals Council uses
are in the Code of Federal Regulations, Title 20, Chapter III, Part 404
(Subpart J) and Part 416 (Subpart N).
The Appeals Council may:
Deny your written or deemed appeal,
Return your case to me if you decline Padro
review, or, if you accept Padro review, return
your case to another administrative law judge for a new decision,
Issue its own decision, or
Dismiss your case.
The Appeals Council will send you a notice telling you what it decides to
do.
Under the terms of the Padro et al. v. Colvin
settlement, if the Appeals Council returns your case for a new decision,
your case will be assigned to an administrative law judge who was not
involved in the Padro et al. v. Colvin
class-action lawsuit. Any subsequent hearing will be conducted by that
other administrative law judge.
If you tell us you do not want Padro review, and
the Appeals Council returns your case for a new decision, your case may be
assigned to me or to another administrative law judge who was involved in
the class-action lawsuit. If the Appeals Council denies your appeal, my
decision will become the final decision.
The Appeals Council May Review My Decision On Its Own
The Appeals Council may review my decision even if you do not appeal, and
even if you tell us you do not want Padro review.
They may decide to review my decision within 60 days after the date of the
decision. The Appeals Council will mail you a notice of review if they
decide to review my decision.
When There Is No Appeals Council Review
If you tell us you do not want Padro review, do
not appeal, and the Appeals Council does not review my decision on its
own, my decision will become final. A final decision can be changed only
under special circumstances. You will not have the right to Federal court
review.
[The following language will be included only if the claimant is
unrepresented:
Your Right to Representation
You may choose to have an attorney or other person help you. Many
representatives do not charge a fee unless you win your appeal. Groups are
available to help you find a representative or, if you qualify, to give
you free legal services. Your local Social Security office has a list of
groups that can help you in this process.
If you get someone to help you with your appeal, you or that person must
let the Appeals Council know. If you hire someone, we must approve the fee
before he or she is allowed to collect it.]
New Application
You have the right to file a new application at any time, but filing a new
application is not the same as appealing this decision. If you disagree
with my decision and you file a new application instead of appealing, you
might lose some benefits or not qualify for benefits at all. My decision
could also be used to deny a new application for benefits if the facts and
issues are the same. If you disagree with my decision, you should file an
appeal within 60 days.
If You Have Any Questions
We invite you to visit our website located at www.socialsecurity.gov to
find answers to general questions about social security. You may also call
(800) 772-1213 with questions. If you are deaf or hard of hearing, please
use our TTY number (800) 325-0778.
More information about the Padro et al. v. Colvin
settlement is available on our website located at
http://www.socialsecurity.gov/padrosettlement.
You can also contact the Urban Justice Center, the lawyers who brought the
Padro et al. v. Colvin lawsuit, by writing to
them at Urban Justice Center, Padro Class Counsel, Church Street Station,
P.O. Box 3363, New York, NY 10008-3363, or calling them at (646)
459-3068.
If you have any other questions, please call, write, or visit any Social
Security office. Please have this notice and decision with you. The
telephone number of the local office that serves your area is
[field office phone number]. Its address is:
[FIELD OFFICE ADDRESS]
[ALJ Name]
Administrative Law Judge
Enclosures:
Decision Rationale
Form HA-L39 (Exhibit List)
cc: [Representative of Record]
[standard header will be used]
Aviso del Fallo – Desfavorable
Yo revise detenidamente los hechos de su caso y emití el fallo
adjunto. Por favor lea este aviso y mi fallo.
Si no está de acuerdo con mi fallo
Si no está de acuerdo con mi fallo, usted puede presentar una
apelación al Consejo de Apelaciones. En este aviso le explica sus
opciones disponibles, incluso cómo presentar una apelación.
Procedimientos especiales de revisión en conformidad con el
Acuerdo de la Demanda Colectiva Padro et al. v.
Colvin
El 18 de octubre de 2013, el Tribunal de Distrito de los Estados Unidos
para el Distrito del Este de Nueva York aprobó un acuerdo de la
demanda colectiva Padro et al. v. Colvin. Esta
demanda retó las reclamaciones que recibieron fallos que fueron
emitidos por ciertos jueces de derecho administrativo en reclamaciones de
los beneficios por incapacidad.
En conformidad con el acuerdo de la demanda colectiva, mi fallo será
revisado usando unos procedimientos especiales. Estos procedimientos
especiales de revisión incluyen: (1) asignar su reclamación para
ser revisado por un grupo específico de los miembros del Consejo de
Apelaciones, (2) si su reclamación es devuelta para una nueva
audiencia y un nuevo fallo, no será asignada a mi persona, sino que
será asignada a un juez de derecho administrativo quien no tuvo nada
que ver con la demanda colectiva de Padro et al. v.
Colvin, y (3) si usted no ha presentado una apelación por
escrito, a no más tardar del día número 65 después de
la fecha de este aviso el Consejo de Apelaciones juzgará que su
solicitud para una revisión ha sido presentada dentro del tiempo
límite establecido. Ha estos procedimientos especiales para una
revisión le llamamos «revisiones
Padro». Aplicaremos estos procedimientos a
menos que usted nos escriba y nos diga que no quiere una revisión
Padro.
Cómo presentar una apelación
Para presentar una apelación, usted o su abogado o representante
tienen que hacerlo por escrito, solicitando que el Consejo de Apelaciones
revise mi fallo. Puede usar nuestro formulario (HA-520) titulado,
«Request for Review» o escriba una carta. El formulario
está disponible por Internet en www.segurosocial.gov. Por favor
escriba en sus apelaciones el número de Seguro Social que aparece en
el encabezamiento de este aviso. También, escriba que la
apelación es referente al acuerdo de la demanda colectiva
Padro et al v. Colvin. Supondremos que solicita
una revisión Padro a menos que nos
indique lo contrario. Si necesita ayuda, puede ir personalmente a
cualquier oficina del Seguro Social o a una de las oficinas de audiencias
del Seguro Social y presentar su apelación.
Por favor envíe su petición a:
Appeals Council
Office of Disability Adjudication and
Review
Padro Staff
5107 Leesburg Pike
Falls
Church, VA 22041-3255
Tiempo límite para presentar su apelación
Tiene que presentar su apelación dentro de 60 días a
partir de la fecha de este aviso. El Consejo de Apelaciones supone que
usted recibió este aviso 5 días después de la fecha que
aparece en el encabezamiento de este aviso, a menos que usted pueda probar
que no lo recibió dentro de este periodo de 5 días.
Si no presenta una apelación
Conforme a las condiciones del acuerdo de la demanda colectiva
Padro et al. v. Colvin, si usted no presenta por
escrito una apelación dentro de los 60 días después que
recibe este aviso, el Consejo de Apelaciones juzgará que usted ha
presentado a tiempo una solicitud para revisión. Esto sucederá
el día número 65, a partir de la fecha en el encabezamiento de
este aviso, a menos que nos haga saber que no quiere una
revisión Padro.
Si usted no quiere una revisión
Padro
Si usted no quiere que mi fallo sea emitido conforme a los procedimientos
especiales de revisión, entonces tiene que hacerle saber por escrito
al Consejo de Apelaciones que no quiere una revisión
Padro. Usted puede hacer saber sus deseos ya sea
que presente o no presente una apelación.
Para presentar una apelación sin que se utilice una
revisión Padro, entonces, en el
momento en que presente su apelación, tiene que hacerle saber al
Consejo de Apelaciones que usted no quiere que se utilice una
revisión Padro. Esta acción de
su parte significará que (1) posiblemente su reclamación no sea
asignada a un grupo especial dentro del Consejo de Apelaciones, y (2) si
su reclamación es devuelta para que se celebre una nueva audiencia y
un nuevo fallo, es posible que me la devuelvan a mi persona o a uno de los
Jueces de Derecho Administrativo que fue nombrado en la demanda colectiva
del caso Padro et al. v. Colvin.
Si no quiere que el Consejo de Apelaciones juzgue que usted ha presentado
una solicitud para una revisión de su caso, entonces debe enviarnos
una petición por escrito haciéndonos saber sus deseos. En su
petición por escrito debe especificar que usted no quiere que se
utilice una revisión Padro y que
usted tampoco quiere presentar una apelación. Esta petición por
escrito se debe presentar a no más tardar de 60 días a
partir de la fecha en el encabezamiento de este aviso. Este límite de
tiempo es el mismo límite de tiempo que se les otorga a las personas
para presentar una apelación. La dirección a la que debe enviar
su petición por escrito es la misma dirección que aparece en
este aviso para el Consejo de Apelaciones. Al hacer este tipo de
petición, de no quiere que se utilice una revisión
Padro y que usted tampoco quiere presentar una
apelación, significará que es posible que el Consejo de
Apelaciones no revise mi fallo y que mi fallo posiblemente se convierta en
el fallo final.
Si le hace saber al Consejo de Apelaciones que no quiere que se utilice
una revisión Padro, el acuerdo de
mitigación y sus limitaciones no se aplicarán en su caso. Usted
tendrá el derecho a apelar el fallo, como si no existiera un acuerdo
derivado de una demanda colectiva.
Qué otros documentos nos puede enviar
Usted o su abogado o la persona que lo representa pueden enviarnos una
declaración por escrito referente a su caso. También puede
enviarnos documentos de evidencia nueva. Debe enviar su declaración
escrita y toda nueva evidencia junto con su apelación. Al
incluir su declaración escrita y la nueva evidencia junto con su
apelación nos ayudará a revisar su caso con más
prontitud.
Cómo funciona una apelación por escrito o que se juzga que
apeló
El Consejo de Apelaciones tomará en consideración su caso en su
totalidad. Tomará en consideración mi fallo, incluso las partes
del caso con la usted está de acuerdo. La revisión puede cambiar
mi fallo a un fallo menos favorable o desfavorable para usted, de
cualquier parte de su caso.
En conformidad con las condiciones establecidas por el acuerdo
Padro et al. v. Colvin, asignaremos su caso a un
grupo específico dentro del Consejo de Apelaciones. Este grupo
específico utilizará los mismos reglamentos para revisar su caso
que aplicarían si usted nos hiciera saber que no quiere que se
utilice una revisión Padro. Los
reglamentos que el Consejo de Apelaciones utiliza se encuentran en el tomo
del Código de Reglamentos Federales (Code of Federal Regulations),
título 20 (Title 20), capítulo III (Chapter III), parte 404
(inciso J) (Part 404 [Subpart J]) y la parte 416 (inciso N) (Part
416 [Subpart N]).
El Consejo de Apelaciones puede:
Denegar su solicitud de su apelación escrita o que este cuerpo juzga
que usted solicita,
Devolverme el caso si usted rechaza que se utilice una
revisión Padro, o si usted acepta que
se utilice una revisión Padro, es
posible que devuelvan su caso a otro Juez de Derecho Administrativo para
un nuevo fallo,
Emitir su propio fallo en su caso, o
Desestimar su caso.
El Consejo de Apelaciones le enviará un aviso haciéndole saber
su fallo.
En conformidad con las condiciones establecidas por el acuerdo de la
demanda colectiva Padro et al. v. Colvin, si el
Consejo de Apelaciones devuelve su caso para que se emita un nuevo fallo,
su caso será asignado a un Juez de Derecho Administrativo que no fue
uno de los que se nombra en la demanda colectiva del caso
Padro et al. v. Colvin. Cualquier audiencia
subsiguiente será celebrada por ese otro Juez de Derecho
Administrativo.
Si usted nos hace saber que no quiere que se utilice una
revisión Padro, entonces si el
Consejo de Apelaciones devuelve su caso para que se emita un nuevo fallo,
es posible que su caso sea asignado a mi persona o a uno de los Jueces de
Derecho Administrativo que fue nombrado en la demanda colectiva. Si el
Consejo de Apelaciones rechaza su apelación, entonces mi fallo se
convierte en el fallo final.
El Consejo de Apelaciones puede revisar mi fallo por su propia
cuenta
Es posible que el Consejo de Apelaciones revise mi fallo, aunque usted no
presente una apelación y ni tampoco quiera que se utilice una
revisión Padro. El Consejo puede
decidir el revisar mi fallo dentro de 60 días después de la
fecha de emisión del mismo. El Consejo de Apelaciones le enviará
un aviso de que revisará su caso, si el Consejo decide revisar mi
fallo.
En caso de que el Consejo de Apelaciones no revise el fallo
Si usted nos hace saber que no quiere que se utilice una
revisión Padro, ni tampoco presenta
una apelación y el Consejo de Apelaciones decide no revisar mi fallo
por su propia cuenta, entonces mi fallo se convierte en el fallo final. Un
fallo final solo se puede cambiar de acuerdo a ciertas circunstancias
especiales. Usted no tendrá el derecho de peticionar a un tribunal
federal para que el tribunal revise su caso.
[The following language will be included only if the claimant is
unrepresented:
Su derecho a representación
Usted puede elegir a un abogado u otra persona para que le ayude. Muchos
abogados no cobran un honorario a menos que ganen su apelación.
También existen grupos que están disponibles para ayudarle a
conseguir un abogado o, si usted reúne los requisitos, proveerle
servicios legales de gratis. Su oficina local del Seguro Social tiene una
lista de grupos que pueden ayudarle en este proceso.
Si retiene los servicios de alguien para que le ayude con su
apelación, usted y la persona que usted contrate tienen que hacerle
saber al Consejo de Apelaciones. Si contrata los servicios de alguna
persona, nosotros tenemos que aprobar el honorario a cobrar antes de que
la persona pueda cobrarlo.]
Una nueva solicitud
Usted tiene el derecho a presentar una nueva solicitud en cualquier
momento, pero debe entender que el presentar una nueva solicitud no es lo
mismo que apelar este fallo. Si no está de acuerdo con mi fallo y
decide presentar una nueva solicitud en vez de una apelación, existe
la posibilidad que pierda algunos beneficios o que no tenga derecho a
recibir ninguno de los beneficios disponibles. Mi fallo también puede
usarse como base para denegar su nueva solicitud, si es que los hechos y
asuntos presentados son los mismos. Si no está de acuerdo con mi
fallo, usted debe presentar una apelación dentro de 60 días.
Si tiene preguntas
Le invitamos a que visite nuestro sitio de Internet en
www.segurosocial.gov para encontrar respuestas a sus preguntas en general
referentes a los servicios y programas administrados por el Seguro Social.
También puede llamarnos con sus preguntas al 1-(800)-772-1213. Si es
sordo o tiene problemas de audición, por favor marque nuestro
número TTY 1-(800)-325-0778.
Para informarse mejor acerca del acuerdo de la demanda colectiva
Padro et al. v. Colvin, puede visitar la
página de Internet
http://www.socialsecurity.gov/padrosettlement
(solo disponible en inglés). También puede comunicarse con el
«Urban Justice Center», que son los abogados que presentaron la
demanda colectiva Padro et al. v. Colvin,
escribiéndoles a: Urban Justice Center, Padro Class Counsel, Church
Street Station, P.O. Box 3363, New York, NY 10008-3363, o llamándoles
al (646) 459-3068.
Si tiene preguntas adicionales, por favor llame, escriba o visite
cualquier oficina del Seguro Social. Por favor, tenga consigo este aviso y
el fallo. El número de teléfono de su oficina local que le
presta servicio es [field office phone number]. La
dirección física es:
[FIELD OFFICE ADDRESS]
[ALJ Name]
Juez
de Derecho Administrativo
Anejos:
Racional del fallo
Formulario
número HA-L39 (Lista de prueba documental)
cc:
[Representative of Record]
[standard header will be used]
Notice of Decision – Unfavorable
I carefully reviewed the facts of your case and made the enclosed
decision. Please read this notice and my decision.
If You Disagree With My Decision
If you disagree with my decision, you or your representative may submit
written exceptions to the Appeals Council. “Written
exceptions” are your statements explaining why you disagree with my
decision. This notice will explain your options, including how to submit
written exceptions and the time limits to file a civil action in Federal
court.
Special Review Procedures Under the Padro et al.
v. Colvin Class-Action Settlement
On October 18, 2013, the U.S. District Court for the Eastern District of
New York approved a settlement in the class-action lawsuit
Padro et al. v. Colvin. This lawsuit challenged
decisions on disability claims made by certain administrative law judges
(ALJs).
Under the settlement agreement, my decision may be reviewed using special
review procedures. These special review procedures include: (1) deeming
you to have filed general written exceptions on the date of this notice,
which you can choose to withdraw or supplement, (2) assigning your claim
to be reviewed by a specified group of staff at the Appeals Council, and
(3) if your claim is returned for a new hearing and decision, it will not
be assigned to me but instead will be assigned to an ALJ who was not
involved in the Padro et al. v. Colvin
class-action lawsuit. “Deeming you to have filed general written
exceptions” means that your case will be treated as if you asked the
Appeals Council to review my decision.
We call these special review procedures
“Padro review.” We will apply these
procedures unless you write and tell us you do not want
Padro review.
How To File Written Exceptions
Under the terms of the Padro et al. v. Colvin
settlement, your case will be treated as if you filed
“general” written exceptions on the date of this notice. You
may also file “specific” written exceptions (explaining in
greater detail why you disagree with my decision) within 60 days of
the date you get this notice.
If you file specific written exceptions, please put the Social Security
number shown above on any written exceptions you send. Please also
refer to the Padro et al v. Colvin settlement. We
will assume that you want Padro review unless you
tell us you do not.
Please send your specific written exceptions to:
Appeals Council
Office of Disability Adjudication and
Review
Padro Staff
5107 Leesburg Pike
Falls
Church, VA 22041-3255
If you need help, you may file in person at any Social Security or hearing
office.
Time Limit To File Specific Written Exceptions (60 Days)
You must file your specific written exceptions with the Appeals Council
within 60 days of the date you get this notice. The Appeals Council
assumes that you got this notice within 5 days after the date of the
notice unless you show that you did not get it within the 5-day period.
If you need more time to file your specific written exceptions, you must
file a written request with the Appeals Council. You must file the request
for an extension within 60 days of the date you get this notice. If you
request more than 30 days, you must explain why you need the extra time.
The Appeals Council will decide whether to grant your request for more
than a 30-day extension.
If You Want to Withdraw the Deemed General Written Exceptions
Under the terms of the Padro et al. v. Colvin
settlement, your case will be treated as if you asked the Appeals Council
to review my decision. If you do not want my decision to be reviewed by
the Appeals Council, you may write and tell us that you want to withdraw
the general written exceptions. You may do this by writing to the Appeals
Council at the address given above within 60 days of the date you
get this notice.
[The following language will be included only if the claim was
remanded pursuant to Sentence 4:
You would only choose this option if you do not plan to file specific
written exceptions. This means that if you write to tell us that you want
to withdraw the general written exceptions, and the Appeals Council does
not review my decision on its own, you may file a new civil action in
Federal court. We discuss the time limits for filing a civil action
below.]
[The following language will be included only if the claim was
remanded pursuant to Sentence 6:
You would only choose this option if you do not plan to file specific
written exceptions. This means that if you write to tell us that you want
to withdraw the general written exceptions, and the Appeals Council does
not review my decision on its own, you will have the right to pursue your
civil action with the court. We discuss the time limits for pursuing your
civil action with the court below.]
We will assume that you want the rest of Padro
review unless you tell us you do not. This will mean that if you file a
civil action in Federal court and your claim is returned for a new hearing
and decision, it will be assigned to an ALJ who was not involved in the
Padro et al. v. Colvin class-action lawsuit.
If You Do Not Want the Padro Special Review
Procedures
If you do not want my decision reviewed under the special review
procedures, whether you want to file written exceptions, file a new civil
action, or take no action on your case, you must write to the Appeals
Council at the address above and tell them that you do not want
Padro review within 60 days of the date
you get this notice. If you file written exceptions, you must say that you
do not want Padro review at the time you file
your exceptions.
If you tell the Appeals Council that you do not want
Padro review, the relief and limitations of the
settlement will not apply to you. This means that: (1) your deemed general
exceptions will be withdrawn, (2) your claim may not be assigned to a
specified group of staff at the Appeals Council, and (3) if your claim is
returned for a new hearing and decision, it may be returned to me or to
one of the other administrative law judges who were involved in the
Padro et al. v. Colvin class-action lawsuit.
You will still have the right either to file specific written exceptions
within 60 days of receiving my decision or to pursue your case through
Federal district court as described below as if there were no class action
settlement.
The Appeals Council May Review My Decision On Its Own
The Appeals Council may review my decision even if you do not file written
exceptions. The Appeals Council will notify you within 60 days of the date
of this notice if it decides to review your case.
How Written Exceptions Work
The Appeals Council will consider your entire case. It will consider all
of my decision, even the parts with which you agree. The Appeals Council's
action may be more or less favorable or unfavorable to you.
Under the terms of the Padro et al. v. Colvin
settlement, we will assign your case to a specified group of staff within
the Appeals Council. This staff will use the same rules for considering
your case that would apply if you tell us you do not want
Padro review. The rules the Appeals Council uses
are in the Code of Federal Regulations, Title 20, Chapter III, Part 404
(Subpart J), Part 416 (Subpart N), Part 404 (Subpart J) and Part 416
(Subpart N).
The Appeals Council may:
Find that there is no reason to change my decision,
Dismiss your case,
Return your case to me if you decline Padro
review or, if you accept Padro review, return
your case to another ALJ for a new decision, or
Issue its own decision.
The Appeals Council will send you a notice telling you what it decides to
do. If the Appeals Council does not change my decision, my decision will
become the final decision after remand. Any future claim you file will not
change a final decision on this claim if the facts and issues are the
same.
Under the terms of the Padro et al. v. Colvin
settlement, if the Appeals Council returns your case for a new decision,
your case will not be assigned to me but instead will be assigned to an
ALJ who was not involved in the Padro et al. v.
Colvin class-action lawsuit. Any subsequent hearing will be conducted
by that other ALJ.
If you tell us you do not want Padro review, and
the Appeals Council returns your case for a new decision, your case may be
assigned to me or to another ALJ who was involved in the class-action
lawsuit. If the Appeals Council does not change my decision, my decision
will become the final decision.
Filing An Action In Federal District Court
[The following language will be included only if the claim was
remanded pursuant to Sentence 4:
If you withdraw the deemed general written exceptions, do not file
specific written exceptions, and the Appeals Council does not review my
decision on its own, my decision will become final on the 61st
day following the date of this notice. After my decision becomes final,
you will have 60 days to file a new civil action in Federal district
court. You will lose the right to a court review if you do not file a
civil action during the 60-day period starting with the day my decision
becomes final. However, you can ask the Appeals Council to give you more
time to file a civil action. The Appeals Council will grant your request
for more time only if you can show a good reason for needing more time. We
will not send you any more notices about your right to file in Federal
district court.]
[The following language will be included only if the claim was
remanded pursuant to Sentence 6:
If you withdraw the deemed general written exceptions, do not file
specific written exceptions, and the Appeals Council does not review your
case on its own, my decision and a transcript of your case record will be
sent to the Office of the United States Attorney for filing with the court
when required. You have the right to pursue your civil action with the
court.]
New Application
You have the right to file a new application at any time, but filing a new
application is not the same as filing exceptions to my decision or filing
a civil action in Federal court. If you disagree with my decision and you
file a new application instead of filing written exceptions or appealing
to Federal court, you might lose some benefits or not qualify for benefits
at all. My decision could also be used to deny a new application for
benefits if the facts and issues are the same. If you think my decision is
wrong, you should file your exceptions within 60 days or file a new civil
action between the 61st and 121st days after the
date of this notice.
Your Right To Representation
If you file written exceptions, you may choose to have an attorney or
other person help you. Many representatives do not charge a fee unless you
win. Groups are available to help you find a representative or, if you
qualify, to give you free legal services. Your local Social Security
office has a list of groups that can help you in this process.
If you get someone to help with filing specific written exceptions, you or
that person must let the Appeals Council know. If you hire someone, we
must approve the fee before he or she is allowed to collect it.
If You Have Any Questions
We invite you to visit our website located at www.socialsecurity.gov to
find answers to general questions about social security. You may also call
(800) 772-1213 with questions. If you are deaf or hard of hearing, please
use our TTY number (800) 325-0778.
More information about the Padro et al. v. Colvin
settlement is available on our website located at
http://www.socialsecurity.gov/padrosettlement.
You can also contact the Urban Justice Center, the lawyers who brought the
Padro et al. v. Colvin lawsuit, by writing to
them at Urban Justice Center, Padro Class Counsel, Church Street Station,
P.O. Box 3363, New York, NY 10008-3363, or calling them at (646)
459-3068.
If you have any other questions, please call, write, or visit any Social
Security office. Please have this notice and decision with you. The
telephone number of the local office that serves your area is
[field office phone number]. Its address is:
[FIELD OFFICE ADDRESS]
[ALJ Name]
Administrative Law Judge
Enclosures:
Decision Rationale
Form HA-L39 (Exhibit List)
cc: [Representative of Record]
[standard header will be used]
Aviso del Fallo – Desfavorable
Yo revise detenidamente los hechos de su caso y emití el fallo
adjunto. Por favor lea este aviso y mi fallo.
Si no está de acuerdo con mi fallo
Si no está de acuerdo con mi fallo, usted o su representante pueden
presentar excepciones por escrito al Consejo de Apelaciones. Las
«excepciones por escritos» son declaraciones explicando el por
qué usted no está de acuerdo con mi fallo. En este aviso le
explicaremos sus opciones, incluso cómo presentar excepciones por
escrito y los límites de tiempo para presentar una acción civil
en el tribunal federal.
Procedimientos especiales de revisión en conformidad con el
Acuerdo de la Demanda Colectiva Padro et al. v.
Colvin
El 18 de octubre de 2013, el Tribunal de Distrito de los Estados Unidos
para el Distrito del Este de Nueva York aprobó un acuerdo de la
demanda colectiva Padro et al. v. Colvin. Esta
demanda retó las reclamaciones que recibieron fallos que fueron
emitidos por ciertos Jueces de Derecho Administrativo (ALJ) en
reclamaciones de los beneficios por incapacidad.
En conformidad con el acuerdo de la demanda colectiva, mi fallo será
revisado usando unos procedimientos especiales. Estos procedimientos
especiales de revisión incluyen: (1) juzgar que usted ha presentado
excepciones por escrito en la fecha de este aviso, las cuales puede elegir
a retirarlas o suplementarlas, (2) asignar su reclamación para ser
revisado por un grupo específico de los miembros del Consejo de
Apelaciones, (3) si su reclamación es devuelta para una nueva
audiencia y un nuevo fallo, no será asignada a mi persona, sino que
será asignada a un juez de derecho administrativo quien no tuvo nada
que ver con la demanda colectiva de Padro et al. v.
Colvin. El « juzgar que usted ha presentado excepciones generales
por escrito» significa que su caso será tratado como si usted
hubiera solicitado que el Consejo de Apelaciones revisara mi fallo.
Ha estos procedimientos especiales para una revisión le llamamos
«revisiones Padro». Aplicaremos
estos procedimientos a menos que usted nos escriba y nos diga que no
quiere una revisión Padro.
Cómo presentar excepciones por escrito
En conformidad con las condiciones del acuerdo de la demanda colectiva
Padro et al. v. Colvin, su caso será
procesado como si hubiera presentado excepciones por escrito «en
general» en la fecha que se emitió este aviso. También
puede presentar excepciones por escrito «en específico»
(explicando con lujo de detalles el por qué usted no está de
acuerdo con mi fallo) dentro de 60 días a partir de la fecha
que aparece en el encabezamiento de este aviso.
Si presenta excepciones específicas por escrito, por favor escriba el
número de Seguro Social que aparece en el encabezamiento de este
aviso en todas las excepciones por escrito que presente. También,
escriba que la apelación es referente al acuerdo de la demanda
colectiva Padro et al v. Colvin. Supondremos que
solicita una revisión Padro a menos
que nos indique lo contrario.
Por favor envíe sus excepciones específicas por escrito a:
Appeals Council
Office of Disability Adjudication and
Review
Padro Staff
5107 Leesburg Pike
Falls
Church, VA 22041-3255
Si necesita ayuda, puede presentar su petición personalmente en
cualquiera de las oficinas del Seguro Social o de las oficinas de
audiencias del Seguro Social.
Tiempo límite para presentar sus excepciones específicas por
escrito (60 días)
Tiene que presentar excepciones específicas por escrito, por favor
escriba el número de Seguro Social que aparece en el encabezamiento
de este aviso al Consejo de Apelaciones dentro de 60 días a
partir de la fecha en el encabezamiento de este aviso. El Consejo de
Apelaciones supone que usted recibió este aviso 5 días
después de la fecha que aparece en el encabezamiento de este aviso, a
menos que usted pueda probar que no lo recibió dentro de este periodo
de 5 días.
Si quiere retractar las excepciones generales por escrito que han sido
juzgadas como que usted las presentó
En conformidad con las condiciones del acuerdo de la demanda colectiva
Padro et al. v. Colvin, su caso será
procesado como si usted hubiera peticionado al Consejo de Apelaciones que
revisara mi fallo. Si no quiere que mi fallo sea revisado por el Consejo
de Apelaciones, puede escribirnos haciéndonos saber que quiere
retractar las excepciones generales por escrito. Puede hacerlo
escribiéndole directamente al Consejo de Apelaciones a la
dirección que aparece más arriba dentro de 60 días a
partir de la fecha que aparece en el encabezamiento de este aviso.
[The following language will be included only if the claim was
remanded pursuant to Sentence 4:
Usted solo podría usar esta opción si no planifica presentar
excepciones por escrito. Esto significa que nos escribe para hacernos
saber que quiere retractar excepciones en general por escrito y el Consejo
de Apelaciones no revisa mi fallo por su propia cuenta, usted puede
presentar una nueva acción civil en la tribunal federal. Los
límites de tiempo para presentar una acción civil, los
discutimos más adelante.]
[The following language will be included only if the claim was
remanded pursuant to Sentence 6:
Usted solo podría usar esta opción si no planifica presentar
excepciones específicas por escrito. Esto significa que nos escribe
para hacernos saber que quiere retractar excepciones en general por
escrito y el Consejo de Apelaciones no revisa mi fallo por su propia
cuenta, usted tendrá el derecho de presentar su acción civil en
la tribunal federal. Los límites de tiempo para presentar una
acción civil, los discutimos más adelante.]
Nosotros supondremos que usted quiere la otra parte de la
revisión Padro, a menos que nos diga
lo contrario. Esto significará que si usted presenta una acción
civil en la tribunal federal y su reclamación es devuelta para una
nueva audiencia y un nuevo fallo, la reclamación será asignada a
un ALJ que no tuvo nada que ver con la demanda colectiva
Padro et al. v. Colvin.
Si usted no quiere los procedimientos especiales de una
revisión Padro
Si usted no quiere que mi fallo sea revisado conforme a los procedimientos
especiales de revisión, ya sea que quiera presentar excepciones por
escrito, presentar una nueva acción civil o que no se tome
acción ninguna en su caso, entonces tiene que hacerle saber por
escrito al Consejo de Apelaciones que no quiere una revisión
Padro dirigiendo su correspondencia a la
dirección que aparece arriba y hacerle saber que no quiere una
revisión Padro dentro de 60
días a partir de la fecha que aparece en el encabezamiento de
este aviso. Si presenta excepciones por escrito, tiene que declarar que
quiere una revisión Padro cuando
presente sus excepciones.
Si le escribe al Consejo de Apelaciones haciéndole saber que no
quiere que se utilice una revisión
Padro, entonces, las mitigaciones y limitaciones
del acuerdo no serán aplicadas a su caso. Esta acción de su
parte significará que (1) sus excepciones generales que han juzgado
que ha presentado serán retractadas, (2) posiblemente su
reclamación no sea asignada a un grupo especial dentro del Consejo de
Apelaciones y (2) si su reclamación es devuelta para que se celebre
una nueva audiencia y un nuevo fallo, es posible que me la devuelvan a mi
persona o a uno de los Jueces de Derecho Administrativo que fue nombrado
en la demanda colectiva del caso Padro et al. v.
Colvin.
Usted todavía tendrá el derecho de presentar excepciones
específicas por escrito dentro de 60 días después de
recibir mi fallo o proseguir con su caso a un Tribunal de Distrito de los
Estados Unidos según se explica más adelante, como si no
existiera un acuerdo derivado de una demanda colectiva.
El Consejo de Apelaciones puede revisar mi fallo por su propia
cuenta
Es posible que el Consejo de Apelaciones revise mi fallo, aunque usted no
presente ninguna excepción por escrito. El Consejo de Apelaciones le
enviará un aviso dentro de 60 días a partir de la fecha en el
encabezamiento de este aviso, si el Consejo decide revisar su caso.
Cómo funcionan las excepciones por escrito
El Consejo de Apelaciones tomará en consideración su caso en su
totalidad. Tomará en consideración mi fallo en su totalidad,
incluso las partes del caso con la usted está de acuerdo. La
acción que tome el Consejo de Apelaciones puede ser menos favorable o
desfavorable para usted.
En conformidad con las condiciones establecidas por el acuerdo
Padro et al. v. Colvin, asignaremos su caso a un
grupo específico dentro del Consejo de Apelaciones. Este grupo
específico utilizará los mismos reglamentos para revisar su caso
que aplicarían si usted nos hiciera saber que no quiere que se
utilice una revisión Padro. Los
reglamentos que el Consejo de Apelaciones utiliza se encuentran en el tomo
del Código de Reglamentos Federales (Code of Federal Regulations),
título 20 (Title 20), capítulo III (Chapter III), parte 404
(inciso J) (Part 404 [Subpart J]) y la parte 416 (inciso N) (Part
416 [Subpart N]).
El Consejo de Apelaciones puede:
Encontrar que no hay razón alguna por qué cambiar mi fallo,
Desestimar su caso,
Devolverme el caso si usted rechaza que se utilice una
revisión Padro, o si usted acepta que
se utilice una revisión Padro, es
posible que devuelvan su caso a otro Juez de Derecho Administrativo para
un nuevo fallo, o
Emitir su propio fallo en su caso.
El Consejo de Apelaciones le enviará un aviso haciéndole saber
su fallo. Si el Consejo de Apelaciones no cambia mi fallo, entonces mi
fallo se convierte en el fallo final después de ser devuelto.
Cualquier reclamación que usted presente en el futuro no
cambiará una decisión final en esta reclamación, si los
hechos y asuntos presentados son los mismos.
En conformidad con las condiciones establecidas por el acuerdo de la
demanda colectiva Padro et al. v. Colvin, si el
Consejo de Apelaciones devuelve su caso para que se emita un nuevo fallo,
su caso no será asignado a mi otra vez, sino que su caso será
asignado a un Juez de Derecho Administrativo que no fue uno de los que se
nombra en la demanda colectiva del caso Padro et al.
v. Colvin. Cualquier audiencia subsiguiente será celebrada por
ese otro Juez de Derecho Administrativo.
Si usted nos hace saber que no quiere que se utilice una
revisión Padro, entonces si el
Consejo de Apelaciones devuelve su caso para que se emita un nuevo fallo,
es posible que su caso sea asignado a mi persona o a uno de los Jueces de
Derecho Administrativo que fue nombrado en la demanda colectiva. Si el
Consejo de Apelaciones rechaza su apelación, entonces mi fallo se
convierte en el fallo final.
Presentando una acción en el Tribunal Federal de Distrito
[The following language will be included only if the claim was
remanded pursuant to Sentence 4:
Si retracta las excepciones generales por escrito que se juzgan que usted
ha presentado, usted no presenta excepciones específicas por escrito
y el Consejo de Apelaciones no revisa mi fallo por sí mismo, mi fallo
se convierte en el fallo final el día número 61 a partir de la
fecha que aparece en el encabezamiento de este aviso. Después que mi
fallo se convierte en el fallo final, usted tendrá 60 días para
presentar una nueva acción civil en el Tribunal Federal de Distrito.
Usted perderá su derecho a que la tribunal revise su caso si no
presenta una acción civil durante el periodo de 60 días a partir
de la fecha en que mi fallo se convierte en el fallo final. No obstante,
usted puede peticionar al Consejo de Apelaciones para que le permita
más tiempo para presentar una acción civil. El Consejo de
Apelaciones le otorgará su petición para más tiempo solo si
usted puede justificar la necesidad de más tiempo. No le enviaremos
más avisos acerca de su derecho a presentar su caso en el Tribunal
Federal de Distrito.]
[The following language will be included only if the claim was
remanded pursuant to Sentence 6:
Si retracta las excepciones generales por escrito que han sido juzgadas
como que usted las presentó y usted no presenta excepciones
específicas por escrito y el Consejo de Apelaciones no revisa su caso
por sí mismo, entonces mi fallo y la transcripción de su caso y
el registro del mismo serán enviados a la Oficina del Abogado de los
Estados Unidos para presentarlos al tribunal cuando sea necesario. Usted
tiene el derecho de continuar con su acción civil con el
tribunal.]
Una nueva solicitud
Usted tiene el derecho a presentar una nueva solicitud en cualquier
momento, pero debe entender que el presentar una nueva solicitud no es lo
mismo que presentar excepciones a mi fallo o el presentar una acción
civil en un tribunal federal. Si no está de acuerdo con mi fallo y
decide presentar una nueva solicitud en vez de presentar excepciones o una
apelación en un tribunal federal, existe la posibilidad que pierda
algunos beneficios o que no tenga derecho a recibir ninguno de los
beneficios disponibles.
Mi fallo también puede usarse como base para denegar su nueva
solicitud para recibir los beneficios, si es que los hechos y asuntos
presentados son los mismos. Si cree que mi fallo es incorrecto, tiene que
presentar sus excepciones dentro de 60 días o presentar una nueva
acción civil entre los días números 61 y el 121 a partir de
la fecha que aparece en el encabezamiento de este aviso.
Su derecho a representación
Usted puede elegir a un abogado u otra persona para que le ayude. Muchos
abogados no cobran un honorario a menos que ganen su apelación.
También existen grupos que están disponibles para ayudarle a
conseguir un abogado o, si usted reúne los requisitos, proveerle
servicios legales de gratis. Su oficina local del Seguro Social tiene una
lista de grupos que pueden ayudarle en este proceso.
Si retiene los servicios de alguien para que le ayude con su
apelación, usted y la persona que usted contrate tienen que hacerle
saber al Consejo de Apelaciones. Si contrata los servicios de alguna
persona, nosotros tenemos que aprobar el honorario a cobrar antes de que
la persona pueda cobrarlo.
Si tiene preguntas
Le invitamos a que visite nuestro sitio de Internet en
www.segurosocial.gov para encontrar respuestas a sus preguntas en general
referentes a los servicios y programas administrados por el Seguro Social.
También puede llamarnos con sus preguntas al 1-(800)-772-1213. Si es
sordo o tiene problemas de audición, por favor marque nuestro
número TTY 1-(800)-325-0778.
Para informarse mejor acerca del acuerdo de la demanda colectiva
Padro et al. v. Colvin, puede visitar la
página de Internet
http://www.socialsecurity.gov/padrosettlement
(solo disponible en inglés). También puede comunicarse con el
«Urban Justice Center», que son los abogados que presentaron la
demanda colectiva Padro et al. v. Colvin,
escribiéndoles a: Urban Justice Center, Padro Class Counsel, Church
Street Station, P.O. Box 3363, New York, NY 10008-3363, o llamándoles
al (646) 459-3068.
Si tiene preguntas adicionales, por favor llame, escriba o visite
cualquier oficina del Seguro Social. Por favor, tenga consigo este aviso y
el fallo. El número de teléfono de su oficina local que le
presta servicio es [field office phone number]. La
dirección física es:
[FIELD OFFICE ADDRESS]
[ALJ Name]
Juez de Derecho Administrativo
Anejos:
Racional del fallo
Formulario número HA-L39 (Lista de prueba documental)
cc: [Representative of Record]
[standard header will be used]
Notice of Decision – Partially Favorable
I carefully reviewed the facts of your case and made the enclosed
partially favorable decision. Please read this notice and my decision.
Another office will process my decision [the following language
will be included only for Title XVI or concurrent claims: and decide
if you meet the non-disability requirements for Supplemental Security
Income payments]. That office may ask you for more information. If you
do not hear anything within 60 days of the date of this notice, please
contact your local office. The contact information for your local office
is at the end of this notice.
If You Disagree With My Decision
If you disagree with my decision, you may file an appeal with the Appeals
Council. This notice will explain how to file an appeal.
Special Review Procedures Under the Padro et al.
v. Colvin Class-Action Settlement
On October 18, 2013, the U.S. District Court for the Eastern District of
New York approved a settlement in the class-action lawsuit
Padro et al. v. Colvin. This lawsuit challenged
decisions on disability claims made by certain administrative law
judges.
Under the settlement agreement, if you appeal my decision, my decision
will be reviewed using special review procedures. These special review
procedures include: (1) assigning your claim to be reviewed by a specified
group of staff at the Appeals Council, and (2) if your claim is returned
for a new hearing and decision, it will not be assigned to me but instead
will be assigned to an administrative law judge who was not involved in
the Padro et al. v. Colvin class-action lawsuit.
We call these special review procedures
“Padro review.” If you appeal my
decision, we will apply these procedures unless you write and tell us you
do not want Padro review. If you do not want
Padro review, you must tell us when you file your
appeal.
How to File an Appeal
To file an appeal you or your representative must ask in writing that the
Appeals Council review my decision. You may use our Request for Review
form (HA-520) or write a letter. The form is available at
www.socialsecurity.gov. Please put the Social Security number shown above
on any appeal you file. Please also refer to the
Padro et al v. Colvin settlement. If you file an
appeal, we will assume that you want Padro review
unless you tell us you do not. If you need help, you may file in person at
any Social Security or hearing office.
Please send your request to:
Appeals Council
Office of Disability Adjudication and
Review
Padro Staff
5107 Leesburg Pike
Falls
Church, VA 22041-3255
Time Limit to File an Appeal
You must file your written appeal within 60 days of the date you
get this notice. The Appeals Council assumes you got the notice 5 days
after the date shown above unless you show you did not get it within the
5-day period.
The Appeals Council will dismiss a late request unless you show you had a
good reason for not filing it on time.
If You Tell Us You Do Not Want Padro
Review
If you appeal and tell us that you do not want
Padro review, the settlement relief and
limitations will not apply to you. You will have the right to appeal as if
there were no class-action settlement.
This will mean that (1) your claim may not be assigned to a specified
group of staff at the Appeals Council, and (2) if your claim is returned
for a new hearing and decision, it may be assigned to me or to one of the
other administrative law judges who were involved in the
Padro et al. v. Colvin class-action lawsuit.
What Else You May Send Us
You [the following language will be included only if the claimant
is represented: or your representative] may send us a written
statement about your case. You may also send us new evidence. You should
send your written statement and any new evidence with your appeal.
Sending your written statement and any new evidence with your appeal may
help us review your case sooner.
How an Appeal Works
The Appeals Council will consider your entire case. It will consider all
of my decision, even the parts with which you agree. Review can make any
part of my decision more or less favorable or unfavorable to you.
Under the terms of the Padro et al. v. Colvin
settlement, we will assign your case to a specified group of staff within
the Appeals Council if you appeal. We will do this unless you tell us you
do not want Padro review. This staff will use the
same rules for considering your case that would apply if you tell us you
do not want Padro review. The rules the Appeals
Council uses are in the Code of Federal Regulations, Title 20, Chapter
III, Part 404 (Subpart J) and Part 416 (Subpart N).
You must appeal my decision if you want us to assign your case to a
specified group of staff within the Appeals Council.
The Appeals Council may:
Deny your appeal,
Return your case to me if you decline Padro
review, or, if you accept Padro review, return
your case to another administrative law judge for a new decision,
Issue its own decision, or
Dismiss your case.
The Appeals Council will send you a notice telling you what it decides to
do.
Under the terms of the Padro et al. v. Colvin
settlement, if the Appeals Council returns your case for a new decision,
your case will be assigned to an administrative law judge who was not
involved in the Padro et al. v. Colvin
class-action lawsuit. Any subsequent hearing will be conducted by that
other administrative law judge.
If you tell us you do not want Padro review, and
the Appeals Council returns your case for a new decision, your case may be
assigned to me or to another administrative law judge who was involved in
the class-action lawsuit. If the Appeals Council denies your appeal, my
decision will become the final decision.
You must appeal my decision if you want a new hearing and decision to
be made by an administrative law judge who was not involved in the
Padro et al. v. Colvin class action lawsuit
should the Appeals Council grant review and remand your case.
The Appeals Council May Review My Decision On Its Own
The Appeals Council may review my decision even if you do not appeal. They
may decide to review my decision within 60 days after the date of the
decision. The Appeals Council will mail you a notice of review if they
decide to review my decision.
When There Is No Appeals Council Review
If you do not appeal and the Appeals Council does not review my decision
on its own, my decision will become final. A final decision can be changed
only under special circumstances. You will not have the right to Federal
court review.
[The following language will be included only if the claimant is
unrepresented:
Your Right to Representation
You may choose to have an attorney or other person help you. Many
representatives do not charge a fee unless you win your appeal. Groups are
available to help you find a representative or, if you qualify, to give
you free legal services. Your local Social Security office has a list of
groups that can help you in this process.
If you get someone to help you with your appeal, you or that person must
let the Appeals Council know. If you hire someone, we must approve the fee
before he or she is allowed to collect it.]
New Application
You have the right to file a new application at any time, but filing a new
application is not the same as appealing this decision. If you disagree
with my decision and you file a new application instead of appealing, you
might lose some benefits or not qualify for benefits at all. My decision
could also be used to deny a new application for benefits if the facts and
issues are the same. If you disagree with my decision, you should file an
appeal within 60 days.
If You Have Any Questions
We invite you to visit our website located at www.socialsecurity.gov to
find answers to general questions about social security. You may also call
(800) 772-1213 with questions. If you are deaf or hard of hearing, please
use our TTY number (800) 325-0778.
More information about the Padro et al. v. Colvin
settlement is available on our website located at
http://www.socialsecurity.gov/padrosettlement.
You can also contact the Urban Justice Center, the lawyers who brought the
Padro et al. v. Colvin lawsuit, by writing to
them at Urban Justice Center, Padro Class Counsel, Church Street Station,
P.O. Box 3363, New York, NY 10008-3363, or calling them at (646)
459-3068.
If you have any other questions, please call, write, or visit any Social
Security office. Please have this notice and decision with you. The
telephone number of the local office that serves your area is
[field office phone number]. Its address is:
[FIELD OFFICE ADDRESS]
[ALJ Name]
Administrative Law Judge
Enclosures:
Decision Rationale
Form HA-L39 (Exhibit List)
cc: [Representative of record]
[standard header will be used]
Aviso del Fallo – Parcialmente Desfavorable
Yo revise detenidamente los hechos de su caso y emití el fallo
parcialmente desfavorable adjunto. Por favor lea este aviso y mi fallo
Otra oficina procesará mi fallo [the following language will
be included only for Title XVI or concurrent claims: y tomará una
decisión referente a si usted reúne los requisitos que no
están relacionados con su incapacidad para ver si puede recibir los
beneficios de Seguridad de Ingreso Suplementario]. Esa oficina
posiblemente solicite que usted presente más información. Si la
oficina no se comunica con usted dentro de 60 días a partir de la
fecha en el encabezamiento de este aviso, por favor comuníquese con
su oficina local del Seguro Social. La información de la oficina
local del Seguro Social se encuentra al final de este aviso.
Si no está de acuerdo con mi fallo
Si no está de acuerdo con mi fallo, usted puede presentar una
apelación al Consejo de Apelaciones. En este aviso le explica sus
opciones disponibles, incluso cómo presentar una apelación.
Procedimientos especiales de revisión en conformidad con el
Acuerdo de la Demanda Colectiva Padro et al. v.
Colvin
El 18 de octubre de 2013, el Tribunal de Distrito de los Estados Unidos
para el Distrito del Este de Nueva York aprobó un acuerdo de la
demanda colectiva Padro et al. v. Colvin. Esta
demanda retó las reclamaciones que recibieron fallos que fueron
emitidos por ciertos jueces de derecho administrativo en reclamaciones de
los beneficios por incapacidad.
En conformidad con el acuerdo de la demanda colectiva, mi fallo será
revisado usando unos procedimientos especiales. Estos procedimientos
especiales de revisión incluyen: (1) asignar su reclamación para
ser revisado por un grupo específico de los miembros del Consejo de
Apelaciones, (2) si su reclamación es devuelta para una nueva
audiencia y un nuevo fallo, no será asignada a mi persona, sino que
será asignada a un juez de derecho administrativo quien no tuvo nada
que ver con la demanda colectiva de Padro et al. v.
Colvin, y (3) si usted no ha presentado una apelación por
escrito, a no más tardar del día número 65 a partir de la
fecha en el encabezamiento de este aviso el Consejo de Apelaciones
juzgará que su solicitud para una revisión ha sido presentada
dentro del tiempo límite establecido. Ha estos procedimientos
especiales para una revisión le llamamos «revisiones
Padro». Si usted apela mi fallo, aplicaremos
estos procedimientos a menos que usted nos escriba y nos diga que no
quiere una revisión Padro. Si que no quiere una
revisión Padro, tiene que
hacérnoslo saber cuando presente su apelación.
Cómo presentar una apelación
Para presentar una apelación, usted o su abogado o representante
tienen que hacerlo por escrito, solicitando que el Consejo de Apelaciones
revise mi fallo. Puede usar nuestro formulario (HA-520) titulado,
«Request for Review» o escriba una carta. El formulario
está disponible por Internet en www.segurosocial.gov. Por favor
escriba en sus apelaciones el número de Seguro Social que aparece en
el encabezamiento de este aviso. También, escriba que la
apelación es referente al acuerdo de la demanda colectiva
Padro et al v. Colvin. Supondremos que solicita
una revisión Padro a menos que nos
indique lo contrario. Si necesita ayuda, puede ir personalmente a
cualquier oficina del Seguro Social o a una de las oficinas de audiencias
del Seguro Social y presentar su apelación.
Por favor envíe su petición a:
Appeals Council
Office of Disability Adjudication and
Review
Padro Staff
5107 Leesburg Pike
Falls
Church, VA 22041-3255
Tiempo límite para presentar su apelación
Tiene que presentar su apelación dentro de 60 días a
partir de la fecha en el encabezamiento de este aviso. El Consejo de
Apelaciones supone que usted recibió este aviso 5 días
después de la fecha que aparece en el encabezamiento de este aviso, a
menos que usted pueda probar que no lo recibió dentro de este periodo
de 5 días.
El Consejo de Apelaciones desestimará una petición tardía a
menos que usted muestre que tuvo una razón justificada para no
presentar su apelación a tiempo.
Si nos hace saber que usted no quiere una revisión
Padro
Si usted apela y nos hace saber que no quiere una revisión
Padro, el acuerdo de mitigación y sus
limitaciones no se aplicarán en su caso. Usted tendrá el derecho
a apealar, como si no existiera un acuerdo derivado de una demanda
colectiva.
Esta acción de su parte significará que (1) posiblemente su
reclamación no sea asignada a un grupo especial dentro del Consejo de
Apelaciones, y (2) si su reclamación es devuelta para que se celebre
una nueva audiencia y un nuevo fallo, es posible que me la devuelvan a mi
persona o a uno de los Jueces de Derecho Administrativo que fue nombrado
en la demanda colectiva del caso Padro et al. v.
Colvin.
Qué otros documentos nos puede enviar
Usted [the following language will be included only if the claimant
is represented: o la persona que lo representa] pueden enviarnos
una declaración por escrito referente a su caso. También puede
enviarnos documentos de evidencia nueva. Debe enviar su declaración
escrita y toda nueva evidencia junto con su apelación. Al
incluir su declaración escrita y la nueva evidencia junto con su
apelación nos ayudará a revisar su caso con más
prontitud.
Cómo funciona una apelación
El Consejo de Apelaciones tomará en consideración su caso en su
totalidad. Tomará en consideración mi fallo en su totalidad,
incluso las partes del caso con la usted está de acuerdo. La
revisión puede cambiar mi fallo a un fallo menos favorable o
desfavorable para usted, de cualquier parte de su caso.
En conformidad con las condiciones establecidas por el acuerdo
Padro et al. v. Colvin, asignaremos su caso a un
grupo específico dentro del Consejo de Apelaciones. Este grupo
específico utilizará los mismos reglamentos para revisar su caso
que aplicarían si usted nos hiciera saber que no quiere que se
utilice una revisión Padro. Los
reglamentos que el Consejo de Apelaciones utiliza se encuentran en el tomo
del Código de Reglamentos Federales (Code of Federal Regulations),
título 20 (Title 20), capítulo III (Chapter III), parte 404
(inciso J) (Part 404 [Subpart J]) y la parte 416 (inciso N) (Part
416 [Subpart N]).
Usted tiene que apelar mi fallo si quiere que le asignemos su caso a un
grupo específico dentro del Consejo de Apelaciones.
El Consejo de Apelaciones puede:
Denegar su solicitud de su apelación escrita o que este cuerpo juzga
que usted solicita,
Devolverme el caso si usted rechaza que se utilice una
revisión Padro, o si usted acepta que
se utilice una revisión Padro, es
posible que devuelvan su caso a otro Juez de Derecho Administrativo para
un nuevo fallo,
Emitir su propio fallo en su caso, o
Desestimar su caso.
El Consejo de Apelaciones le enviará un aviso haciéndole saber
su fallo.
En conformidad con las condiciones establecidas por el acuerdo de la
demanda colectiva Padro et al. v. Colvin, si el
Consejo de Apelaciones devuelve su caso para que se emita un nuevo fallo,
su caso será asignado a un Juez de Derecho Administrativo que no fue
uno de los que se nombra en la demanda colectiva del caso
Padro et al. v. Colvin. Cualquier audiencia
subsiguiente será celebrada por ese otro Juez de Derecho
Administrativo.
Si usted nos hace saber que no quiere que se utilice una
revisión Padro y el Consejo de
Apelaciones devuelve su caso para que se emita un nuevo fallo, es posible
que su caso sea asignado a mi persona o a otro Juez de Derecho
Administrativo que fue nombrado en la demanda colectiva del caso
Padro et al. v. Colvin. Si el Consejo de
Apelaciones deniega su apelación, entonces mi fallo se convierte en
el fallo final.
Usted tiene que apelar mi fallo si quiere que se celebre una nueva
audiencia y que se emita un nuevo fallo por un Juez de Derecho
Administrativo que no tuvo nada que ver en la demanda colectiva
Padro et al. v. Colvin si es que el Consejo de
Apelaciones le honra con una revisión y devuelve su caso.
El Consejo de Apelaciones puede revisar mi fallo por su propia
cuenta
Es posible que el Consejo de Apelaciones revise mi fallo, aunque usted no
presente una apelación. El Consejo puede decidir el revisar mi fallo
dentro de 60 días después de la fecha de emisión del mismo.
El Consejo de Apelaciones le enviará un aviso de que revisará su
caso, si el Consejo decide revisar mi fallo.
Cuando el Consejo de Apelaciones no revisa el caso
Si usted no presenta una apelación y el Consejo de Apelaciones decide
no revisar mi fallo por su propia cuenta, entonces mi fallo se convierte
en el fallo final. Un fallo final solo se puede cambiar de acuerdo a
ciertas circunstancias especiales. Usted no tendrá el derecho de
peticionar a un tribunal federal para que el tribunal revise su caso.
[The following language will be included only if the claimant is
unrepresented:
Su derecho a representación
Usted puede elegir a un abogado u otra persona para que le ayude. Muchos
abogados no cobran un honorario a menos que ganen su apelación.
También existen grupos que están disponibles para ayudarle a
conseguir un abogado o, si usted reúne los requisitos, proveerle
servicios legales de gratis. Su oficina local del Seguro Social tiene una
lista de grupos que pueden ayudarle en este proceso.
Si retiene los servicios de alguien para que le ayude con su
apelación, usted y la persona que usted contrate tienen que hacerle
saber al Consejo de Apelaciones. Si contrata los servicios de alguna
persona, nosotros tenemos que aprobar el honorario a cobrar antes de que
la persona pueda cobrarlo.]
Una nueva solicitud
Usted tiene el derecho a presentar una nueva solicitud en cualquier
momento, pero debe entender que el presentar una nueva solicitud no es lo
mismo que apelar este fallo. Si no está de acuerdo con mi fallo y
decide presentar una nueva solicitud en vez de una apelación, existe
la posibilidad que pierda algunos beneficios o que no tenga derecho a
recibir ninguno de los beneficios disponibles. Mi fallo también puede
usarse como base para denegar su nueva solicitud, si es que los hechos y
asuntos presentados son los mismos. Si no está de acuerdo con mi
fallo, usted debe presentar una apelación dentro de 60 días.
Si tiene preguntas
Le invitamos a que visite nuestro sitio de Internet en
www.segurosocial.gov para encontrar respuestas a sus preguntas en general
referentes a los servicios y programas administrados por el Seguro Social.
También puede llamarnos con sus preguntas al 1-(800)-772-1213. Si es
sordo o tiene problemas de audición, por favor marque nuestro
número TTY 1-(800)-325-0778.
Para informarse mejor acerca del acuerdo de la demanda colectiva
Padro et al. v. Colvin, puede visitar la
página de Internet
http://www.socialsecurity.gov/padrosettlement
(solo disponible en inglés). También puede comunicarse con
el «Urban Justice Center», que son los abogados que presentaron
la demanda colectiva Padro et al. v. Colvin,
escribiéndoles a: Urban Justice Center, Padro Class Counsel, Church
Street Station, P.O. Box 3363, New York, NY 10008-3363, o llamándoles
al (646) 459-3068.
Si tiene preguntas adicionales, por favor llame, escriba o visite
cualquier oficina del Seguro Social. Por favor, tenga consigo este aviso y
el fallo. El número de teléfono de su oficina local que le
presta servicio es [field office phone number]. La
dirección física es:
[FIELD OFFICE ADDRESS]
[ALJ Name]
Juez de Derecho Administrativo
Anejos:
Racional del fallo
Formulario número HA-L39 (Lista de prueba documental)
cc: [Representative of record]
[standard header will be used]
Notice of Decision – Partially Favorable
I carefully reviewed the facts of your case and made the enclosed
decision. Please read this notice and my decision.
If You Disagree With My Decision
If you disagree with my decision, you or your representative may submit
written exceptions to the Appeals Council. “Written
exceptions” are your statements explaining why you disagree with my
decision. This notice will explain your options, including how to submit
written exceptions.
Special Review Procedures Under the Padro et al.
v. Colvin Class-Action Settlement
On October 18, 2013, the U.S. District Court for the Eastern District of
New York approved a settlement in the class-action lawsuit
Padro et al. v. Colvin. This lawsuit challenged
decisions on disability claims made by certain administrative law judges
(ALJs).
Under the settlement agreement, if you file written exceptions to my
decision or file a civil action in Federal district court and your claim
is remanded to the Commissioner, my decision will be reviewed using
special review procedures. These special review procedures are: (1) if you
file written exceptions, your claim will be reviewed by a specified group
of staff at the Appeals Council, and (2) if your claim is returned for a
new hearing and decision, it will not be assigned to me but instead will
be assigned to an ALJ who was not involved in the
Padro et al. v. Colvin class-action lawsuit. We
call these special review procedures “Padro
review.” We will use these procedures unless you write and tell us
you do not want Padro review.
How To File Written Exceptions
Please put the Social Security number shown above on any written
exceptions you send. Please also refer to the Padro
et al v. Colvin settlement. We will assume that you want
Padro review unless you tell us you do not.
Please send your written exceptions to:
Appeals Council
Office of Disability Adjudication and
Review
Padro Staff
5107 Leesburg Pike
Falls
Church, VA 22041-3255
If you need help, you may file in person at any Social Security or hearing
office.
Time Limit To File Written Exceptions (60 Days)
You must file your written exceptions with the Appeals Council within
60 days of the date you get this notice. The Appeals Council assumes
that you got this notice within 5 days after the date of the notice unless
you show that you did not get it within the 5-day period.
If you need more time to file your written exceptions, you must file a
written request with the Appeals Council. You must file the request for an
extension within 60 days of the date you get this notice. If you request
more than 30 days, you must explain why you need the extra time. The
Appeals Council will decide whether to grant your request for more than a
30-day extension.
If You Do Not Want Padro Review
If you do not want my decision reviewed under the special review
procedures, you must write and tell the Appeals Council that you do not
want Padro review. You can do this either with or
without filing written exceptions.
If you do file written exceptions, you must tell the Appeals Council that
you do not want Padro review at the time you file
your exceptions. This will mean that (1) your claim may not be assigned to
a specified group of staff at the Appeals Council, and (2) if your claim
is returned for a new hearing and decision, it may be returned to me or to
one of the other ALJs who were involved in the Padro
et al. v. Colvin class-action lawsuit.
If you do not file written exceptions, you may still tell the Appeals
Council that you do not want Padro review. You
must do this within 60 days of the date you get this notice. The
time limit is the same as the time limit to file written exceptions, and
you should write to the Appeals Council at the same address. You must say
that you do not want Padro review, and also do
not want to file written exceptions. This will mean that (1) the Appeals
Council may not review my decision at all, and that my decision may become
final, (2) if the Appeals Council does review my decision, your claim may
not be assigned to a specified group of staff at the Appeals Council, and
(3) if you file a civil action in Federal district court and your claim is
returned for a new hearing and decision, it may be returned to me or to
one of the other ALJs who were involved in the Padro
et al. v. Colvin class-action lawsuit.
If you tell the Appeals Council that you do not want
Padro review, the relief and limitations of the
settlement will not apply to you. You will have the right to file written
exceptions or a new civil action as if there were no class-action
settlement.
The Appeals Council May Review My Decision On Its Own
The Appeals Council may review my decision even if you do not file written
exceptions. The Appeals Council will notify you within 60 days of the date
of this notice if it decides to review your case.
How Written Exceptions Work
The Appeals Council will consider your entire case. It will consider all
of my decision, even the parts with which you agree. The Appeals Council's
action may be more or less favorable or unfavorable to you.
Under the terms of the Padro et al. v. Colvin
settlement, we will assign your case to a specified group of staff within
the Appeals Council. This staff will use the same rules for considering
your case that would apply if you tell us you do not want
Padro review. The rules the Appeals Council uses
are in the Code of Federal Regulations, Title 20, Chapter III, Part 404
(Subpart J), Part 416 (Subpart N), Part 404 (Subpart J) and Part 416
(Subpart N).
You must file written exceptions if you want us to assign your case to
a specified group of staff within the Appeals Council, and have a new
hearing and decision made by an administrative law judge who was not
involved in the Padro et al. v. Colvin
class action lawsuit should the Appeals Council assume jurisdiction and
remand your case.
The Appeals Council may:
Find that there is no reason to change my decision,
Dismiss your case,
Return your case to me if you decline Padro
review or, if you accept Padro review, return
your case to another ALJ for a new decision, or
Issue its own decision.
The Appeals Council will send you a notice telling you what it decides to
do. If the Appeals Council does not change my decision, my decision will
become the final decision after remand. Any future claim you file will not
change a final decision on this claim if the facts and issues are the
same.
Under the terms of the Padro et al. v. Colvin
settlement, if the Appeals Council returns your case for a new decision,
your case will not be assigned to me but instead will be assigned to an
ALJ who was not involved in the Padro et al. v.
Colvin class-action lawsuit.
If you tell us you do not want Padro review, and
the Appeals Council returns your case for a new decision, your case may be
assigned to me or to another ALJ who was involved in the class-action
lawsuit. If the Appeals Council does not change my decision, my decision
will become the final decision.
Filing An Action In Federal District Court
[The following language will be included only if the claim was
remanded pursuant to Sentence 4:
If you do not file written exceptions, and the Appeals Council does not
review my decision on its own, my decision will become final on the
61st day following the date of this notice. After my decision
becomes final, you will have 60 days to file a new civil action in Federal
district court. You will lose the right to a court review if you do not
file a civil action during the 60-day period starting with the day my
decision becomes final. However, you can ask the Appeals Council to give
you more time to file a civil action. The Appeals Council will grant your
request for more time only if you can show a good reason for needing more
time. We will not send you any more notices about your right to file in
Federal district court.]
[The following language will be included only if the claim was
remanded pursuant to Sentence 6:
If you do not file written exceptions, and the Appeals Council does not
review your case on its own, my decision and a transcript of your case
record will be sent to the Office of the United States Attorney for filing
with the court when required. You have the right to pursue your civil
action with the court.]
If you accept Padro relief, and your claim is
returned for a new hearing and decision by a Federal district court, it
will be assigned to an ALJ who was not involved in the
Padro et al. v. Colvin class-action lawsuit.
New Application
You have the right to file a new application at any time, but filing a new
application is not the same as filing exceptions to my decision or filing
a civil action in Federal court. If you disagree with my decision and you
file a new application instead of filing written exceptions or appealing
to Federal court, you might lose some benefits or not qualify for benefits
at all. My decision could also be used to deny a new application for
benefits if the facts and issues are the same. If you think my decision is
wrong, you should file your exceptions within 60 days or file a new civil
action between the 61st and 121st days after the
date of this notice.
Your Right To Representation
If you file written exceptions, you may choose to have an attorney or
other person help you. Many representatives do not charge a fee unless you
win. Groups are available to help you find a representative or, if you
qualify, to give you free legal services. Your local Social Security
office has a list of groups that can help you in this process.
If you get someone to help with filing written exceptions, you or that
person must let the Appeals Council know. If you hire someone, we must
approve the fee before he or she is allowed to collect it.
If You Have Any Questions
We invite you to visit our website located at www.socialsecurity.gov to
find answers to general questions about social security. You may also call
(800) 772-1213 with questions. If you are deaf or hard of hearing, please
use our TTY number (800) 325-0778.
More information about the Padro et al. v. Colvin
settlement is available on our website located at
http://www.socialsecurity.gov/padrosettlement.
You can also contact the Urban Justice Center, the lawyers who brought the
Padro et al. v. Colvin lawsuit, by writing to
them at Urban Justice Center, Padro Class Counsel, Church Street Station,
P.O. Box 3363, New York, NY 10008-3363, or calling them at (646)
459-3068.
If you have any other questions, please call, write, or visit any Social
Security office. Please have this notice and decision with you. The
telephone number of the local office that serves your area is
[field office phone number]. Its address is:
[FIELD OFFICE ADDRESS]
[ALJ Name]
Administrative Law Judge
Enclosures:
Decision Rationale
Form HA-L39 (Exhibit List)
cc: [Representative of Record]
[standard header will be used]
Aviso del Fallo – Parcialmente Desfavorable
Yo revise detenidamente los hechos de su caso y emití el fallo
adjunto. Por favor lea este aviso y mi fallo.
Si no está de acuerdo con mi fallo
Si no está de acuerdo con mi fallo, usted o su representante pueden
presentar excepciones por escrito al Consejo de Apelaciones. Las
«excepciones por escritos» son declaraciones explicando el por
qué usted no está de acuerdo con mi fallo. En este aviso le
explicaremos sus opciones, incluso cómo presentar excepciones por
escrito.
Procedimientos especiales de revisión en conformidad con el
Acuerdo de la Demanda Colectiva Padro et al. v.
Colvin
El 18 de octubre de 2013, el Tribunal de Distrito de los Estados Unidos
para el Distrito del Este de Nueva York aprobó un acuerdo de la
demanda colectiva Padro et al. v. Colvin. Esta
demanda retó las reclamaciones que recibieron fallos que fueron
emitidos por ciertos Jueces de Derecho Administrativo (ALJ) en
reclamaciones de los beneficios por incapacidad.
En conformidad con el acuerdo de la demanda colectiva, si usted presenta
excepciones por escrito contra mi fallo o presenta una acción civil
en el Tribunal federal de distrito y su reclamación es devuelta al
Comisionado, mi fallo será revisado usando unos procedimientos
especiales. . Estos procedimientos especiales de revisión son: (1) si
usted presentó excepciones por escrito, su reclamación para ser
revisado por un grupo específico de los miembros del Consejo de
Apelaciones y (2) si su reclamación es devuelta para una nueva
audiencia y un nuevo fallo, no será asignada a mi persona, sino que
será asignada a un juez de derecho administrativo quien no tuvo nada
que ver con la demanda colectiva de Padro et al. v.
Colvin. Ha estos procedimientos especiales para una revisión le
llamamos «revisiones Padro».
Aplicaremos estos procedimientos a menos que usted nos escriba y nos diga
que no quiere una revisión Padro.
Cómo presentar excepciones por escrito
Por favor escriba el número de Seguro Social que aparece en el
encabezamiento de este aviso en todas las excepciones por escrito que
presente. También, escriba que la apelación es referente al
acuerdo de la demanda colectiva Padro et al v.
Colvin. Supondremos que solicita una revisión
Padro a menos que nos indique lo contrario.
Por favor envíe sus excepciones específicas por escrito a:
Appeals Council
Office of Disability Adjudication and
Review
Padro Staff
5107 Leesburg Pike
Falls
Church, VA 22041-3255
Si necesita ayuda, puede presentar su petición personalmente en
cualquiera de las oficinas del Seguro Social o de las oficinas de
audiencias del Seguro Social.
Tiempo límite para presentar sus excepciones por escrito (60
días)
Tiene que presentar excepciones por escrito, por favor escriba el
número de Seguro Social que aparece en el encabezamiento de este
aviso al Consejo de Apelaciones dentro de 60 días a partir de
la fecha en el encabezamiento de este aviso. El Consejo de Apelaciones
supone que usted recibió este aviso 5 días después de la
fecha que aparece en el encabezamiento de este aviso, a menos que usted
pueda probar que no lo recibió dentro de este periodo de 5
días.
Si necesita más tiempo para presentar excepciones por escrito, tiene
que presentar por escrito una petición al Consejo de Apelaciones.
Tiene que presentar su petición para una extensión de tiempo
dentro de 60 días a partir de la fecha en el encabezamiento de este
aviso. Si solicita una extensión de tiempo de más de 30
días, tendrá que justificar el por qué necesita el tiempo
adicional. El Consejo de Apelaciones decidirá si se le otorgará
su petición de extensión de tiempo mayor de 30 días.
Si usted no quiere los procedimientos especiales de una
revisión Padro
Si usted no quiere que mi fallo sea revisado conforme a los procedimientos
especiales de revisión, entonces tiene que hacerle saber por escrito
al Consejo de Apelaciones que no quiere una revisión
Padro. Usted puede solicitar esto, ya sea que
presente o no presente excepciones por escrito.
Si presenta excepciones por escrito, tiene que hacerle al Consejo de
Apelaciones que no quiere una revisión
Padro en el momento en que presenta sus
excepciones por escrito. Esta acción de su parte significará que
(1) posiblemente su reclamación no sea asignada a un grupo especial
dentro del Consejo de Apelaciones y (2) si su reclamación es devuelta
para que se celebre una nueva audiencia y un nuevo fallo, es posible que
me la devuelvan a mi persona o a uno de los Jueces de Derecho
Administrativo que fue nombrado en la demanda colectiva del caso
Padro et al. v. Colvin.
Si no presenta excepciones por escrito, todavía puede hacerle al
Consejo de Apelaciones que no quiere una revisión
Padro. Tiene hacerle saber su decisión al
Consejo de Apelaciones dentro de 60 días a partir de la fecha
en que reciba este aviso. El límite de tiempo es el mismo límite
de tiempo establecido para presentar excepciones por escrito y debe
dirigir su correspondencia para el Consejo de Apelaciones a la misma
dirección que aparece más arriba. Tiene que declarar que no
quiere una revisión Padro y que no
quiere presentar excepciones por escrito. Esta acción de su parte
significará que (1) es posible que el Consejo de Apelaciones no
revise mi fallo y que mi fallo se convertirá en el fallo final, (2)
si el Consejo de Apelaciones decide revisar mi fallo, posiblemente su
reclamación no sea asignada a un grupo específico dentro del
Consejo de Apelaciones y (3) si presenta un acción civil en un
Tribunal federal de distrito y su reclamación es devuelta para que se
celebre una nueva audiencia y un nuevo fallo, es posible que me la
devuelvan a mi persona o a uno de los Jueces de Derecho Administrativo que
fue nombrado en la demanda colectiva del caso Padro
et al. v. Colvin.
Si le hace saber al Consejo de Apelaciones haciéndole saber que no
quiere que se utilice una revisión
Padro, entonces, las mitigaciones y limitaciones
del acuerdo no serán aplicadas a su caso. Usted tendrá el
derecho de presentar excepciones por escrito o una acción civil como
si no existiera un acuerdo de una demanda colectiva.
El Consejo de Apelaciones puede revisar mi fallo por su propia
cuenta
Es posible que el Consejo de Apelaciones revise mi fallo, aunque usted no
presente ninguna excepción por escrito. El Consejo de Apelaciones le
enviará un aviso dentro de 60 días a partir de la fecha en el
encabezamiento de este aviso, si el Consejo decide revisar su caso.
Cómo funcionan las excepciones por escrito
El Consejo de Apelaciones tomará en consideración su caso en su
totalidad. El Consejo de Apelaciones tomará en consideración mi
fallo en su totalidad, incluso las partes del caso con la usted está
de acuerdo. La acción que tome el Consejo de Apelaciones puede ser
menos favorable o desfavorable para usted.
En conformidad con las condiciones establecidas por el acuerdo
Padro et al. v. Colvin, asignaremos su caso a un
grupo específico dentro del Consejo de Apelaciones. Este grupo
específico utilizará los mismos reglamentos para revisar su caso
que aplicarían si usted nos hiciera saber que no quiere que se
utilice una revisión Padro. Los
reglamentos que el Consejo de Apelaciones utiliza se encuentran en el tomo
del Código de Reglamentos Federales (Code of Federal Regulations),
título 20 (Title 20), capítulo III (Chapter III), parte 404
(inciso J) (Part 404 [Subpart J]) y la parte 416 (inciso N) (Part
416 [Subpart N]).
Usted tiene que presentar excepciones por escrito si quiere que se
asigne su caso a un grupo específico dentro del Consejo de
Apelaciones y que se celebre una audiencia y que se emita un fallo por un
Juez de Derecho Administrativo que no tuvo nada que ver con la demanda
colectiva Padro et al. v. Colvin, si es
que el Consejo de Apelaciones asume la jurisdicción de su caso y lo
devuelve.
El Consejo de Apelaciones puede:
Encontrar que no hay razón alguna por qué cambiar mi fallo,
Desestimar su caso,
Devolverme el caso si usted rechaza que se utilice una
revisión Padro, o si usted acepta que
se utilice una revisión Padro, es
posible que devuelvan su caso a otro Juez de Derecho Administrativo para
un nuevo fallo, o
Emitir su propio fallo en su caso.
El Consejo de Apelaciones le enviará un aviso haciéndole saber
su fallo. Si el Consejo de Apelaciones no cambia mi fallo, entonces mi
fallo se convierte en el fallo final después de ser devuelto.
Cualquier reclamación que usted presente en el futuro no
cambiará una decisión final en esta reclamación, si los
hechos y asuntos presentados son los mismos.
En conformidad con las condiciones establecidas por el acuerdo de la
demanda colectiva Padro et al. v. Colvin, si el
Consejo de Apelaciones devuelve su caso para que se emita un nuevo fallo,
su caso no será asignado a mi otra vez, sino que su caso será
asignado a un Juez de Derecho Administrativo que no fue uno de los que se
nombra en la demanda colectiva del caso Padro et al.
v. Colvin.
Si usted nos hace saber que no quiere que se utilice una
revisión Padro, entonces si el
Consejo de Apelaciones devuelve su caso para que se emita un nuevo fallo,
es posible que su caso sea asignado a mi persona o a uno de los Jueces de
Derecho Administrativo que fue nombrado en la demanda colectiva. Si el
Consejo de Apelaciones rechaza su apelación, entonces mi fallo se
convierte en el fallo final.
Presentando una acción en el Tribunal Federal de Distrito
[The following language will be included only if the claim was
remanded pursuant to Sentence 4:
Si no presenta excepciones por escrito y el Consejo de Apelaciones no
revisa mi fallo por sí mismo, entonces mi fallo se convierte en el
fallo final el día número 61 a partir de la fecha que aparece en
el encabezamiento de este aviso. Después que mi fallo se convierte en
el fallo final, usted tendrá 60 días para presentar una nueva
acción civil en el Tribunal Federal de Distrito. Usted perderá
su derecho a que el tribunal revise su caso si no presenta una acción
civil durante el periodo de 60 días a partir de la fecha en que mi
fallo se convierte en el fallo final. No obstante, usted puede peticionar
al Consejo de Apelaciones para que le permita más tiempo para
presentar una acción civil. El Consejo de Apelaciones le
otorgará su petición para más tiempo solo si usted puede
justificar la necesidad de más tiempo. No le enviaremos más
avisos acerca de su derecho a presentar su caso en el Tribunal Federal de
Distrito.]
[The following language will be included only if the claim was
remanded pursuant to Sentence 6:
Si no presenta las excepciones generales por escrito y el Consejo de
Apelaciones no revisa su caso por sí mismo, entonces mi fallo y la
transcripción de su caso y el registro del mismo serán enviados
a la Oficina del Abogado de los Estados Unidos para presentarlos al
tribunal cuando sea necesario. Usted tiene el derecho de continuar con su
acción civil con el tribunal.]
Si acepta las mitigaciones del acuerdo Padro y su
reclamación es devuelta para que se celebre una nueva audiencia y se
emita un nuevo fallo por un Tribunal Federal de Distrito, su caso
será asignado a un Juez de Derecho Administrativo que no fue uno de
los que se nombra en la demanda colectiva del caso
Padro et al. v. Colvin.
Una nueva solicitud
Usted tiene el derecho a presentar una nueva solicitud en cualquier
momento, pero debe entender que el presentar una nueva solicitud no es lo
mismo que presentar excepciones a mi fallo o el presentar una acción
civil en un tribunal federal. Si no está de acuerdo con mi fallo y
decide presentar una nueva solicitud en vez de presentar excepciones o una
apelación en un tribunal federal, existe la posibilidad que pierda
algunos beneficios o que no tenga derecho a recibir ninguno de los
beneficios disponibles. Mi fallo también puede usarse como base para
denegar su nueva solicitud para recibir los beneficios, si es que los
hechos y asuntos presentados son los mismos. Si cree que mi fallo es
incorrecto, tiene que presentar sus excepciones dentro de 60 días o
presentar una nueva acción civil entre los días números 61
y el 121 a partir de la fecha que aparece en el encabezamiento de este
aviso.
Su derecho a representación
Usted puede elegir a un abogado u otra persona para que le ayude. Muchos
abogados no cobran un honorario a menos que ganen su apelación.
También existen grupos que están disponibles para ayudarle a
conseguir un abogado o, si usted reúne los requisitos, proveerle
servicios legales de gratis. Su oficina local del Seguro Social tiene una
lista de grupos que pueden ayudarle en este proceso.
Si retiene los servicios de alguien para que le ayude con su
apelación, usted y la persona que usted contrate tienen que hacerle
saber al Consejo de Apelaciones. Si contrata los servicios de alguna
persona, nosotros tenemos que aprobar el honorario a cobrar antes de que
la persona pueda cobrarlo.
Si tiene preguntas
Le invitamos a que visite nuestro sitio de Internet en
www.segurosocial.gov para encontrar respuestas a sus preguntas en general
referentes a los servicios y programas administrados por el Seguro Social.
También puede llamarnos con sus preguntas al 1-(800)-772-1213. Si es
sordo o tiene problemas de audición, por favor marque nuestro
número TTY 1-(800)-325-0778.
Para informarse mejor acerca del acuerdo de la demanda colectiva
Padro et al. v. Colvin, puede visitar la
página de Internet
http://www.socialsecurity.gov/padrosettlement
(solo disponible en inglés). También puede comunicarse con el
«Urban Justice Center», que son los abogados que presentaron la
demanda colectiva Padro et al. v. Colvin,
escribiéndoles a: Urban Justice Center, Padro Class Counsel, Church
Street Station, P.O. Box 3363, New York, NY 10008-3363, o llamándoles
al (646) 459-3068.
Si tiene preguntas adicionales, por favor llame, escriba o visite
cualquier oficina del Seguro Social. Por favor, tenga consigo este aviso y
el fallo. El número de teléfono de su oficina local que le
presta servicio es [field office phone number]. La
dirección física es:
[FIELD OFFICE ADDRESS]
[ALJ Name]
Juez de Derecho Administrativo
Anejos:
Racional del fallo
Formulario número HA-L39 (Lista de prueba documental)
cc: [Representative of Record]
[standard header will be used]
NOTICE OF ORDER OF APPEALS COUNCIL
RETURNING CASE TO ADMINISTRATIVE LAW JUDGE
[Claimant Name]
[Claimant Street Address]
[Claimant City, State, Zip]
What This Order Means
You have requested and are eligible for relief pursuant to the settlement
in the Padro et al v. Colvin class action
lawsuit. Based on your eligibility for relief, we have sent this case back
to an Administrative Law Judge who is not a named Administrative Law Judge
in the settlement agreement. In the enclosed order, we explain why we did
this and what the Administrative Law Judge will do about this claim.
We are forwarding the claim file to:
Hearing Office Chief Administrative Law Judge
Office of Disability Adjudication and Review
[Hearing Office]
[Hearing Office Address]
[Hearing Office City, State, Zip]
What Happens Next
An Administrative Law Judge will contact you to tell you what you need to
do.
If You Have Any Questions
If you have any questions, you may call, write, or visit any Social
Security office. If you do call or visit an office, please have this
notice with you. The telephone number of the local office that serves your
area is xxx-xxx-xxxx. Its address is:
SOCIAL SECURITY
[Street Address]
[City, State, Zip]
More information about the Padro et al. v. Colvin
settlement is available on our website located at
http://www.socialsecurity.gov/padrosettlement.
You can also contact the lawyers who brought the
Padro et al. v. Colvin lawsuit by writing to them
at Urban Justice Center, Padro Class Counsel, Church Street Station, P.O.
Box 3363, New York, NY 10008-3363, or calling them at (646) 459-3068.
<OSB>
<BSP>[Judge's Name]</BSP>
<BSP>Administrative Appeals Judge</BSP>
cc:
Representative of Record
Representative Payee
SOCIAL SECURITY ADMINISTRATION
OFFICE OF DISABILITY ADJUDICATION AND REVIEW
ORDER OF APPEALS COUNCIL
RETURNING CASE TO ADMINISTRATIVE LAW JUDGE
The claimant is eligible for relief pursuant to the settlement in the
Padro et al v. Colvin class action lawsuit.
Therefore, the Appeals Council returns this case pursuant to the terms of
the settlement agreement. Specifically, this case must be assigned to an
Administrative Law Judge who is not named in the class action.
[if it is unclear whether consolidation of the
Padro claim with a
non-Padro claim is warranted, insert this
language]
The claimant filed a subsequent claim for [Title II][Title
XVI] benefits on . On return, the Administrative Law Judge will
consider whether the subsequent claim should be consolidated with the
current claim(s).
[end conditional for when it is unclear whether consolidation of the
Padro claim with a
non-Padro claim is warranted]
[if consolidation of the Padro claim with a
non-Padro claim is warranted, insert this
language]
The claimant filed [a] subsequent claim[s] for [Title
II][Title XVI][Title II and for Title XVI] benefits on
. The Appeals Council's action with respect to the prior claim renders the
subsequent claims duplicate. Therefore, the Administrative Law Judge will
offer the claimant the opportunity for a hearing, take any further action
needed to complete the administrative record, will associate the claim
files and issue a new decision on the associated claims.
[end conditional for when consolidation of the
Padro claim with a
non-Padro claim is warranted]
In compliance with the above, the Administrative Law Judge will offer the
claimant the opportunity for a hearing, take any further action needed to
complete the administrative record and issue a new decision.
APPEALS COUNCIL
<BSP></BSP>
<OSB>______________________________
[Judge's <BSP>Name]<
<BSP>Administrative Appeals Judge</BSP>
Date:
[standard header will be used]
AVISO DE LA ORDEN DEL CONSEJO DE APELACIONES
DEVOLVIENDO EL CASO AL JUEZ DE DERECHO ADMINISTRATIVO
[Claimant Name]
[Claimant Street Address]
[Claimant City, State, Zip]
Lo que esta orden significa
Usted solicitó mitigación de su caso y tiene derecho a ello en
conformidad con el acuerdo de la demanda colectiva del caso
Padro et al v. Colvin. Basándonos en su
derecho a mitigación de su caso, hemos devuelto su caso a un Juez de
Derecho Administrativo quien no es uno de los Jueces de Derecho
Administrativo nombrados en el acuerdo de la demanda. En la orden judicial
que incluimos, explicamos el por qué hicimos esto y lo que el Juez de
derecho Administrativo hará referente a esta reclamación.
Estamos enviando registro de reclamación de los beneficios a:
Hearing Office Chief Administrative Law Judge
Office of Disability Adjudication and Review
[Hearing Office]
[Hearing Office Address]
[Hearing Office City, State, Zip]
Próximos pasos
Un Juez de Derecho Administrativo se comunicará con usted y le
hará saber lo que necesita hacer.
Si tiene alguna pregunta
Si tiene preguntas nos puede llamar, escribir o visitar una de las
oficinas del Seguro Social. Si decide llamar o visitar una de nuestras
oficinas, por favor tenga este aviso consigo. El número de
teléfono de la oficina local del Seguro Social que presta servicios
en su comunidad es xxx-xxx-xxxx. La dirección física es:
SOCIAL SECURITY
[Street Address]
[City, State, Zip]
Para informarse mejor acerca del acuerdo de la demanda colectiva
Padro et al. v. Colvin está disponible en
nuestro sitio de Internet
http://www.socialsecurity.gov/padrosettlement
(solo disponible en inglés). También puede comunicarse con el
«Urban Justice Center», que son los abogados que presentaron la
demanda colectiva Padro et al. v. Colvin,
escribiéndoles a: Urban Justice Center, Padro Class Counsel, Church
Street Station, P.O. Box 3363, New York, NY 10008-3363, o llamándoles
al (646) 459-3068.
[Judge's Name]
Juez de Derecho Administrativo
de Apelaciones
cc:
[Representative of Record]
[Representative Payee]
Notice of Proposed Class Action Settlement and Fairness
Hearing
Regarding Decisions by Certain Administrative Law Judges in
Queens, New York about
Social Security Disability Benefits
This notice is about a proposed settlement in a class action lawsuit
concerning decisions about Social Security disability benefits by certain
Administrative Law Judges (ALJs) in Queens, New York. Social Security
disability benefits include both Disability Insurance Benefits and
Supplemental Security Income (SSI) payments based on disability.
The proposed settlement may affect your rights if you received or
will receive an unfavorable or partially favorable decision about your
claim for disability benefits from one of the five ALJs in Queens, New
York listed below, during the period that begins January 1, 2008, and ends
30 months after the settlement becomes final. The proposed settlement will
become final when the Court approves it.
The lawsuit was brought in the United States District Court for the
Eastern District of New York, in Brooklyn, New York. The Court will hold a
public hearing before deciding whether to give final approval to the
proposed settlement.
This notice describes the lawsuit and the terms of the proposed
settlement. This notice also describes the process that the Court will use
to decide whether to approve the proposed settlement, and what you can do
if you have comments or object to the proposed settlement.
What Is The Lawsuit About?
The lawsuit is called Padro et al. v. Astrue.
Plaintiffs claimed that certain ALJs in Queens, New York (Michael D.
Cofresi, Seymour Fier, Marilyn P. Hoppenfeld, David Z. Nisnewitz, and
Hazel C. Strauss) were “generally biased” against people
applying for Social Security disability benefits. The Social Security
Administration denies any wrongdoing or liability. However, the parties
are proposing to settle the lawsuit.
Who Are Members Of The Class?
You may be a Class member if you received or will receive an unfavorable
or partially favorable decision from one of the five ALJs listed above
during the period beginning January 1, 2008, and ending 30 months after
the date the proposed settlement becomes final.
What Are The Terms Of The Proposed Settlement?
This notice contains only a summary of the proposed settlement. To fully
understand the proposed settlement, you should read the entire proposed
settlement agreement. Information about where you can find a copy of the
entire proposed settlement agreement appears below.
The proposed settlement provides that:
Class members whose claims were denied by one of the five ALJs named above
between January 1, 2008, and the date the proposed settlement becomes
final will have the right to a new hearing and decision on that claim. The
new decision will be made by an ALJ who is not one of the five listed
above or, in certain circumstances, may be made by a Social Security
Administration attorney advisor or the Social Security Administration's
Appeals Council.
Class members whose claims are denied by the five ALJs named above during
the 30-month period after the date the proposed settlement becomes final
will have their claims reviewed by a specified group of staff at the
Appeals Council. If a class member's claim is sent for another hearing
after an appeal, the claim will be assigned to an ALJ who is not one of
the five listed above.
The Social Security Administration will provide other relief. This relief
relates to ALJ training and to procedures the agency uses to review
complaints that an ALJ hearing was unfair.
As part of the settlement, lead counsel for class plaintiffs—Gibson,
Dunn & Crutcher—agreed to waive its fees. Gibson Dunn's
co-counsel, a not-for-profit organization called the Urban Justice Center,
will be paid fees of $125,000 for work done on this lawsuit. Those fees
are the only funds to be paid by the Social Security Administration in
connection with this lawsuit, except for the costs associated with sending
the notices described in the proposed settlement.
How Can You Get A Copy of The Proposed Settlement?
You can get a copy of the proposed settlement in one of the following
ways:
You can read the proposed settlement on the internet at:
http://www.socialsecurity.gov/padrosettlement
You can contact the Urban Justice Center, the lawyers who brought the
Padro et al. v. Astrue lawsuit, at (646)
459-3068.
How Will The Court Decide Whether To Approve The Proposed
Settlement?
The Court will need to approve the proposed settlement before it becomes
final.
The Court will hold a public hearing, called a fairness hearing, to decide
if the proposed settlement is fair. The hearing will be held on July 24,
2013 at 2:30 p.m., at the following address:
United States District Court
Eastern District of New York
225 Cadman
Plaza East
Brooklyn, New York 11201
Courtroom 10D South
Because the date and time of the hearing could change, please check with
the Court before attending.
What Can You Do If You Object To The Settlement Or Have Other
Comments?
IF YOU AGREE with the proposed settlement, you do not have to do anything
at this time. You have the right to attend the fairness hearing, at the
time and place above.
IF YOU DISAGREE OR HAVE COMMENTS about the proposed settlement, you can
write to the Court or ask to speak at the hearing. You must do this by
writing to the Clerk of the Court, at either:
The following mailing address:
Clerk of the Court
United States District Court
Eastern District of
New York
225 Cadman Plaza East
Brooklyn, New York 11201
Or the following email address:
11cv1788@nyed.uscourts.gov
Your written comments or request to speak at the fairness hearing must be
postmarked or e-mailed by June 24, 2013.
The Clerk will provide copies of written comments to the lawyers who
brought the lawsuit and to the Social Security Administration by filing
the comments on the court's electronic case filing system.
If your comments involve your health or other personal information, and
you do not want such information to be widely available, you may ask the
Court to keep your comments private by requesting that they be filed
“under seal.” If you do this, your comments will be seen by
the Court and the lawyers and the Social Security Administration, but the
comments will not be made public. If you do not say that you want your
comments “under seal,” they will become a part of the public
record. This means that they will be available online through the Court's
public access service. They may be read, downloaded, or distributed by
anyone who has an account.
The Court will decide who gets to speak at the fairness hearing.
What Can You Do If You Have Questions?
If you have any questions about this lawsuit or about the proposed
settlement, please contact the lawyers who brought the lawsuit at:
Urban Justice Center
Padro Class Counsel
123 William Street,
16th Floor
New York, New York 10038-3800
Tel. (646)
459-3068
Fax. (212) 533-4598
Aviso del Acuerdo Propuesto de la Demanda Colectiva y de la Audiencia
de Equidad referente a los fallos que emitieron ciertos Jueces de Derecho
Administrativo en Queens, Nueva York con respecto a solicitudes para
recibir los beneficios de Seguro Social por incapacidad
Este aviso es referente a la propuesta del acuerdo de la demanda colectiva
referente a los fallos sobre de las solicitudes para recibir los
beneficios de Seguro Social por incapacidad emitidos por ciertos Jueces de
Derecho Administrativos (ALJs) en Queens, Nueva York. Los beneficios por
incapacidad administrados por el Seguro Social incluyen ambos los
beneficios de Seguro Social por incapacidad y los pagos de la Seguridad de
Ingreso Suplementario (SSI) basados en una incapacidad.
El acuerdo propuesto posiblemente afecte sus derechos si
recibió o recibirá un fallo desfavorable o favorable en parte
referente a su solicitud para recibir los beneficios por incapacidad que
uno de los cinco ALJs, nombrados más adelante, en Queens, Nueva York,
emitió, durante el periodo de tiempo que comienza el 1° de enero
de 2008 y termina 30 meses después de la fecha en que el acuerdo se
finaliza. El acuerdo propuesto se finalizará cuando el Tribunal lo
apruebe.
La demanda fue ventilada en el Tribunal de Distrito de los Estados Unidos
para el Distrito Este de Nueva York, en Brooklyn, Nueva York. El Tribunal
celebrará una vista pública antes de fallar en lo referente a si
darle la aprobación final al acuerdo propuesto.
Este aviso describe la demanda y los términos del acuerdo propuesto.
Este aviso también describe el procedimiento que el Tribunal
usará para fallar en si aprueba o no el acuerdo propuesto y qué
medidas usted puede tomar si tiene comentarios u objeta al acuerdo
propuesto.
¿A qué viene la demanda?
La demanda se conoce como Padro et al. v. Astrue.
Los demandantes reclaman que ciertos ALJs en Queens, Nueva York (Michael
D. Cofresi, Seymour Fier, Marilyn P. Hoppenfeld, David Z. Nisnewitz, y
Hazel C. Strauss) estaba «en términos generales
prejuiciados» en contra de las personas que solicitan los beneficios
de Seguro Social por incapacidad. La Administración del Seguro Social
deniega cualquier acto ilegal o responsabilidad. No obstante, las partes
interesadas proponen llegar a un acuerdo de la demanda.
¿Quiénes son los miembros de la Demanda Colectiva?
Es posible que usted sea un miembro de la Demanda Colectiva si
recibió o recibirá un fallo desfavorable o favorable en parte de
uno de los cinco ALJs anteriormente nombrados durante el periodo de tiempo
que comienza el 1° de enero de 2008 y termina 30 meses después
de la fecha en que el acuerdo se finaliza
¿Cuáles son los términos del acuerdo propuesto?
Este aviso contiene solo un resumen del acuerdo propuesto. Para poder
comprender el acuerdo propuesto debe leer la propuesta del acuerdo de la
demanda colectiva en tu totalidad. Más adelante encontrará
información acerca de dónde puede encontrar una copia de la
propuesta del acuerdo en tu totalidad.
El acuerdo propuesto estipula que:
Los miembros de la Demanda Colectiva cuyas solicitudes fueron denegadas
por uno de los cinco ALJs anteriormente nombrados entre las fechas del
1° de enero de 2008 y la fecha en que el acuerdo se finaliza,
tendrán el derecho a una nueva audiencia y un nuevo fallo de su
solicitud. El nuevo fallo será emitido por un ALJ que no es uno de
los cinco ALJs anteriormente mencionados o, bajo ciertas circunstancias,
es posible que el fallo sea emitido por un abogado asesor de la
Administración del Seguro Social o el Consejo de Apelaciones de la
Administración del Seguro Social.
Los miembros de la Demanda Colectiva cuyas solicitudes serían
denegadas por uno de los cinco ALJs anteriormente nombrados durante el
periodo de tiempo de 30 meses después que el acuerdo se finalice,
tendrán sus solicitudes revisadas por un grupo específico del
Consejo de Apelaciones. Si la solicitud de uno de los miembros de la
Demanda Colectiva se le programa otra audiencia después de una
apelación, dicha solicitud será asignada a un ALJ quien no es
uno de los cinco ALJs anteriormente nombrado.
La Administración del Seguro Social proveerá otra
mitigación. Cuando nos hacemos referencia a mitigación, nos
referimos a la capacitación de los ALJs y a los procedimientos que la
agencia utiliza para revisar las querellas referentes a si una audiencia
con un ALJ fue parcial.
Como parte del acuerdo, los abogados principales de la Demanda
Colectiva—Gibson, Dunn & Crutcher—acordaron no exigir
honorarios. A los abogados adjuntos al bufete de Gibson Dunn, una
organización sin fines de lucro llamada Urban Justice Center, se les
pagará honorarios por la cantidad de $125,000 por sus servicios
prestados en referencia a esta demanda. Estos honorarios serán los
únicos fondos que pagará la Administración del Seguro
Social en conexión a esta demanda, excepto por los gastos asociados
con el envío de los avisos descritos en el acuerdo propuesto.
¿Cómo puedo conseguir una copia del acuerdo propuesto?
Puede conseguir una copia del acuerdo propuesto por medio de una de estas
maneras:
Puede leer el acuerdo propuesto en esta página de Internet:
www.segurosocial.gov/padrosettlement (solo disponible en inglés).
Puede comunicarse con el «Urban Justice Center», los abogados
que presentaron la demanda de Padro et al. v.
Astrue, llamándolos al (646) 459-3068.
¿Cómo decidirá el Tribunal si aprobar o no el acuerdo
propuesto?
El Tribunal necesitará aprobar el acuerdo propuesto antes de que
éste se finalice.
El Tribunal celebrará una vista pública, conocida como una
audiencia de equidad, para decidir si el acuerdo propuesto es justo. La
vista pública se celebrará el 24 de julio de 2013, a las 2:30
p.m., en la siguiente dirección:
United States District Court
Eastern District of New York
225 Cadman
Plaza East
Brooklyn, New York 11201
Courtroom 10D South
Ya que es posible que cambie la fecha y hora de la vista pública,
así que por favor comuníquese con el Tribunal antes de
presentarse.
¿Qué debe hacer si objeta al acuerdo o tiene otros
comentarios?
SI ESTÁ DE ACUERDO con el acuerdo propuesto, no tiene que hacer nada
más. Usted tiene el derecho de asistir a la audiencia de equidad, a
la hora y en la dirección antes indicada.
SI NO ESTÁ DE ACUERDO O TIENE OTROS COMENTARIOS acerca del acuerdo
propuesto, puede escribirle directamente al Tribunal o puede ventilar su
desacuerdo o sus comentarios durante la vista pública. Para hacerle
saber al Tribunal su intención, tiene que hacerlo por escrito
dirigiéndose al «Clerk of the Court» (Secretario del
Tribunal) a una de las dos siguientes direcciones:
Dirección postal:
Clerk of the Court
United States District Court
Eastern District of
New York
225 Cadman Plaza East
Brooklyn, New York 11201
O a la siguiente dirección de correo electrónico:
11cv1788@nyed.uscourts.gov
Sus comentarios o su petición para poder ventilar su desacuerdo o sus
comentarios durante la audiencia de equidad por escrito tienen que estar
franqueadas o enviadas por correo electrónico hasta el 24 de junio de
2013.
El Secretario del Tribunal le proporcionará copias de sus comentarios
por escrito a los abogados que presentaron la demanda colectiva, al igual
que a la Administración del Seguro Social, de manera de presentar los
comentarios en el sistema electrónico de presentar casos mantenido
por el Tribunal.
Si sus comentarios incluyen asuntos pertinentes a su salúd o alguna
otra información personal y si no quiere que esta información
sea divulgada, usted le puede pedir al Secretario del Tribunal que
mantenga sus comentarios en privado de manera que se mantendrán
«sellados». Si decide hacer esto, sus comentarios estarán a
la disposición del Tribunal, los abogados y la Administración
del Seguro Social, pero los comentarios no se publicarán. Si no
expresa que no quiere que sus comentarios sean «sellados»,
entonces sus comentarios vendrán a ser parte del registro
público. Esto significa que estarán disponibles por Internet por
medio del servicio de acceso público del Tribunal. Sus comentarios
podrán ser leídos, descargados o distribuidos por cualquier
persona que tenga una cuenta con el Tribunal.
El Tribunal decidirá a quién le permitirá ventilar sus
desacuerdos o comentarios durante la audiencia de equidad.
¿Qué debe hacer si tiene alguna pregunta?
Si tiene alguna pregunta referente a esta demanda colectiva o referente al
acuerdo propuesto, por favor comuníquese a la siguiente
dirección y teléfono con los abogados que presentaron esta
demanda colectiva:
Urban Justice Center
Padro Class Counsel
123 William Street,
16thFloor
New York, New York 10038-3800
Tel. (646)
459-3068
Fax. (212) 533-4598
Notice of Proposed Class Action Settlement and Fairness Hearing
Regarding Decisions by Certain Administrative Law Judges in Queens, New
York about
Social Security Disability Benefits
This notice is about a proposed settlement in a class action lawsuit
concerning decisions about Social Security disability benefits by certain
Administrative Law Judges (ALJs) in Queens, New York. Social Security
disability benefits include both Disability Insurance Benefits and
Supplemental Security Income (SSI) payments based on disability.
The proposed settlement may affect your rights if you received or
will receive an unfavorable or partially favorable decision about your
claim for disability benefits from one of the five ALJs in Queens, New
York listed below, during the period that begins January 1, 2008, and ends
30 months after the settlement becomes final. The proposed settlement will
become final when the Court approves it.
The lawsuit was brought in the United States District Court for the
Eastern District of New York, in Brooklyn, New York. The Court is holding
a public hearing before deciding whether to give final approval to the
proposed settlement.
This notice describes the lawsuit and the terms of the proposed
settlement. This notice also describes the process that the Court will use
to decide whether to approve the proposed settlement, and what you can do
if you have comments or object to the proposed settlement.
What Is The Lawsuit About?
The lawsuit is called Padro et al. v. Colvin.
Plaintiffs claimed that certain ALJs in Queens, New York (Michael D.
Cofresi, Seymour Fier, Marilyn P. Hoppenfeld, David Z. Nisnewitz, and
Hazel C. Strauss) were “generally biased” against people
applying for Social Security disability benefits. The Social Security
Administration denies any wrongdoing or liability. However, the parties
are proposing to settle the lawsuit.
Who Are Members Of The Class?
You may be a Class member if you received or will receive an unfavorable
or partially favorable decision from one of the five ALJs listed above
during the period beginning January 1, 2008, and ending 30 months after
the date the proposed settlement becomes final.
What Are The Terms Of The Proposed Settlement?
This notice contains only a summary of the proposed settlement. To fully
understand the proposed settlement, you should read the entire proposed
settlement agreement. Information about where you can find a copy of the
entire proposed settlement agreement appears below.
The proposed settlement provides that:
Class members whose claims were denied by one of the five ALJs named above
between January 1, 2008, and the date the proposed settlement becomes
final will have the right to a new hearing and decision on that claim. The
new decision will be made by an ALJ who is not one of the five listed
above or, in certain circumstances, may be made by a Social Security
Administration attorney advisor or the Social Security Administration's
Appeals Council.
Class members whose claims are denied by the five ALJs named above during
the 30-month period after the date the proposed settlement becomes final
will have their claims reviewed by a specified group of staff at the
Appeals Council. If a class member's claim is sent for another hearing
after an appeal, the claim will be assigned to an ALJ who is not one of
the five listed above.
The Social Security Administration will provide other relief. This
relief relates to ALJ training and to procedures the agency uses to review
complaints that an ALJ hearing was unfair.
As part of the settlement, lead counsel for class
plaintiffs—Gibson, Dunn & Crutcher—agreed to waive its
fees. Gibson Dunn's co-counsel, a not-for-profit organization called the
Urban Justice Center, will be paid fees of $125,000 for work done on this
lawsuit. Those fees are the only funds to be paid by the Social Security
Administration in connection with this lawsuit, except for the costs
associated with sending the notices described in the proposed
settlement.
How Can You Get A Copy of The Proposed Settlement?
You can get a copy of the proposed settlement in one of the following
ways:
You can read the proposed settlement on the internet at:
http://www.socialsecurity.gov/padrosettlement
You can contact the Urban Justice Center, the lawyers who brought the
Padro et al. v. Colvin lawsuit, at (646)
459-3068.
How Will The Court Decide Whether To Approve The Proposed
Settlement?
The Court will need to approve the proposed settlement before it becomes
final.
The Court is holding a public hearing, called a fairness hearing, to
decide if the proposed settlement is fair. The hearing, which began on
July 24, 2013, will continue on September 16, 2013 at 9:30 a.m., at the
following address:
United States District Court
Eastern District of New York
225 Cadman
Plaza East
Brooklyn, New York 11201
Ceremonial Courtroom 2D
North
Because the date and time of the hearing could change, please check with
the Court before attending.
What Can You Do If You Object To The Settlement Or Have Other
Comments?
IF YOU AGREE with the proposed settlement, you do not have to do anything
at this time. You have the right to attend the fairness hearing, at the
time and place above.
IF YOU DISAGREE OR HAVE COMMENTS about the proposed settlement, you can
write to the Court or ask to speak at the hearing. You must do this by
writing to the Clerk of the Court, at either:
The following mailing address:
Clerk of the Court
United States District Court
Eastern District of
New York
225 Cadman Plaza East
Brooklyn, New York 11201
Or the following email address:
11cv1788@nyed.uscourts.gov
Your written comments or request to speak at the fairness hearing must be
postmarked or e-mailed by September 3, 2013.
The Clerk will provide copies of written comments to the lawyers who
brought the lawsuit and to the Social Security Administration by filing
the comments on the court's electronic case filing system.
If your comments involve your health or other personal information, and
you do not want such information to be widely available, you may ask the
Court to keep your comments private by requesting that they be filed
“under seal.” If you do this, your comments will be seen by
the Court and the lawyers and the Social Security Administration, but the
comments will not be made public. If you do not say that you want your
comments “under seal,” they will become a part of the public
record. This means that they will be available online through the Court's
public access service. They may be read, downloaded, or distributed by
anyone who has an account.
The Court will decide who gets to speak at the fairness hearing.
What Can You Do If You Have Questions?
If you have any questions about this lawsuit or about the proposed
settlement, please contact the lawyers who brought the lawsuit at:
Urban Justice Center
Padro Class Counsel
123 William Street,
16th Floor
New York, New York 10038-3800
Tel. (646)
459-3068
Fax. (212) 533-4598
Aviso del Acuerdo Propuesto de la Demanda Colectiva y de la Audiencia
de Equidad referente a los fallos que emitieron ciertos Jueces de Derecho
Administrativo en Queens, Nueva York con respecto a solicitudes para
recibir los beneficios de Seguro Social por incapacidad
Este aviso es referente a la propuesta del acuerdo de la demanda colectiva
referente a los fallos sobre de las solicitudes para recibir los
beneficios de Seguro Social por incapacidad emitidos por ciertos Jueces de
Derecho Administrativos (ALJs) en Queens, Nueva York. Los beneficios por
incapacidad administrados por el Seguro Social incluyen ambos los
beneficios de Seguro Social por incapacidad y los pagos de la Seguridad de
Ingreso Suplementario (SSI) basados en una incapacidad.
El acuerdo propuesto posiblemente afecte sus derechos si
recibió o recibirá un fallo desfavorable o favorable en parte
referente a su solicitud para recibir los beneficios por incapacidad que
uno de los cinco ALJs, nombrados más adelante, en Queens, Nueva York,
emitió, durante el periodo de tiempo que comienza el 1 de enero de
2008 y termina 30 meses después de la fecha en que el acuerdo se
finaliza. El acuerdo propuesto se finalizará cuando el Tribunal lo
apruebe.
La demanda fue ventilada en el Tribunal de Distrito de los Estados Unidos
para el Distrito Este de Nueva York, en Brooklyn, Nueva York. El Tribunal
está celebrando una vista pública antes de fallar en lo
referente a si darle la aprobación final al acuerdo propuesto.
Este aviso describe la demanda y los términos del acuerdo propuesto.
Este aviso también describe el procedimiento que el Tribunal
usará para fallar en si aprueba o no el acuerdo propuesto y qué
medidas usted puede tomar si tiene comentarios u objeta al acuerdo
propuesto.
¿A qué viene la demanda?
La demanda se conoce como Padro et al. v. Colvin.
Los demandantes reclaman que ciertos ALJs en Queens, Nueva York (Michael
D. Cofresi, Seymour Fier, Marilyn P. Hoppenfeld, David Z. Nisnewitz, y
Hazel C. Strauss) estaba «en términos generales
prejuiciados» en contra de las personas que solicitan los beneficios
de Seguro Social por incapacidad. La Administración del Seguro Social
deniega cualquier acto ilegal o responsabilidad. No obstante, las partes
interesadas proponen llegar a un acuerdo de la demanda.
¿Quiénes son los miembros de la Demanda Colectiva?
Es posible que usted sea un miembro de la Demanda Colectiva si
recibió o recibirá un fallo desfavorable o favorable en parte de
uno de los cinco ALJs anteriormente nombrados durante el periodo de tiempo
que comienza el 1 de enero de 2008 y termina 30 meses después de la
fecha en que el acuerdo se finaliza.
¿Cuáles son los términos del acuerdo propuesto?
Este aviso contiene solo un resumen del acuerdo propuesto. Para poder
comprender el acuerdo propuesto debe leer la propuesta del acuerdo de la
demanda colectiva en tu totalidad. Más adelante encontrará
información acerca de dónde puede encontrar una copia de la
propuesta del acuerdo en tu totalidad.
El acuerdo propuesto estipula que:
Los miembros de la Demanda Colectiva cuyas solicitudes fueron denegadas
por uno de los cinco ALJs anteriormente nombrados entre las fechas del 1
de enero de 2008 y la fecha en que el acuerdo se finaliza, tendrán el
derecho a una nueva audiencia y un nuevo fallo de su solicitud. El nuevo
fallo será emitido por un ALJ que no es uno de los cinco ALJs
anteriormente mencionados o, bajo ciertas circunstancias, es posible que
el fallo sea emitido por un abogado asesor de la Administración del
Seguro Social o el Consejo de Apelaciones de la Administración del
Seguro Social.
Los miembros de la Demanda Colectiva cuyas solicitudes serían
denegadas por uno de los cinco ALJs anteriormente nombrados durante el
periodo de tiempo de 30 meses después que el acuerdo se finalice,
tendrán sus solicitudes revisadas por un grupo específico del
Consejo de Apelaciones. Si la solicitud de uno de los miembros de la
Demanda Colectiva se le programa otra audiencia después de una
apelación, dicha solicitud será asignada a un ALJ quien no es
uno de los cinco ALJs anteriormente nombrado.
La Administración del Seguro Social proveerá otra
mitigación. Cuando nos hacemos referencia a mitigación, nos
referimos a la capacitación de los ALJs y a los procedimientos que la
agencia utiliza para revisar las querellas referentes a si una audiencia
con un ALJ fue parcial.
Como parte del acuerdo, los abogados principales de la Demanda
Colectiva—Gibson, Dunn & Crutcher—acordaron no exigir
honorarios. A los abogados adjuntos al bufete de Gibson Dunn, una
organización sin fines de lucro llamada Urban Justice Center, se les
pagará honorarios por la cantidad de $125,000 por sus servicios
prestados en referencia a esta demanda. Estos honorarios serán los
únicos fondos que pagará la Administración del Seguro
Social en conexión a esta demanda, excepto por los gastos asociados
con el envío de los avisos descritos en el acuerdo propuesto.
¿Cómo puedo conseguir una copia del acuerdo propuesto?
Puede conseguir una copia del acuerdo propuesto por medio de una de estas
maneras:
Puede leer el acuerdo propuesto en esta página de Internet:
www.segurosocial.gov/padrosettlement (solo disponible en inglés).
Puede comunicarse con el «Urban Justice Center», los abogados
que presentaron la demanda de Padro et al. v.
Colvin, llamándolos al (646) 459-3068.
¿Cómo decidirá el Tribunal si aprobar o no el acuerdo
propuesto?
El Tribunal necesitará aprobar el acuerdo propuesto antes de que
éste se finalice.
El Tribunal está celebrando una vista pública, conocida como una
audiencia de equidad, para decidir si el acuerdo propuesto es justo. La
vista pública, que comenzó el 24 de julio de 2013,
continuará el 16 de septiembre de 2013, a las 9:30 a.m., en la
siguiente dirección:
United States District Court
Eastern District of New York
225 Cadman
Plaza East
Brooklyn, New York 11201
Ceremonial Courtroom 2D
North
Ya que es posible que cambie la fecha y hora de la vista pública,
así que por favor comuníquese con el Tribunal antes de
presentarse.
¿Qué debe hacer si objeta al acuerdo o tiene otros
comentarios?
SI ESTÁ DE ACUERDO con el acuerdo propuesto, no tiene que hacer nada
más. Usted tiene el derecho de asistir a la audiencia de equidad, a
la hora y en la dirección antes indicada.
SI NO ESTÁ DE ACUERDO O TIENE OTROS COMENTARIOS acerca del acuerdo
propuesto, puede escribirle directamente al Tribunal o puede ventilar su
desacuerdo o sus comentarios durante la vista pública. Para hacerle
saber al Tribunal su intención, tiene que hacerlo por escrito
dirigiéndose al «Clerk of the Court» (Secretario del
Tribunal) a una de las dos siguientes direcciones:
Dirección postal:
Clerk of the Court
United States District Court
Eastern District of
New York
225 Cadman Plaza East
Brooklyn, New York 11201
O a la siguiente dirección de correo electrónico:
11cv1788@nyed.uscourts.gov
Sus comentarios o su petición para poder ventilar su desacuerdo o sus
comentarios durante la audiencia de equidad por escrito tienen que estar
franqueadas o enviadas por correo electrónico hasta el 3 de
septiembre de 2013.
El Secretario del Tribunal le proporcionará copias de sus comentarios
por escrito a los abogados que presentaron la demanda colectiva, al igual
que a la Administración del Seguro Social, de manera de presentar los
comentarios en el sistema electrónico de presentar casos mantenido
por el Tribunal.
Si sus comentarios incluyen asuntos pertinentes a su salúd o alguna
otra información personal y si no quiere que esta información
sea divulgada, usted le puede pedir al Secretario del Tribunal que
mantenga sus comentarios en privado de manera que se mantendrán
«sellados». Si decide hacer esto, sus comentarios estarán a
la disposición del Tribunal, los abogados y la Administración
del Seguro Social, pero los comentarios no se publicarán. Si no
expresa que no quiere que sus comentarios sean «sellados»,
entonces sus comentarios vendrán a ser parte del registro
público. Esto significa que estarán disponibles por Internet por
medio del servicio de acceso público del Tribunal. Sus comentarios
podrán ser leídos, descargados o distribuidos por cualquier
persona que tenga una cuenta con el Tribunal.
El Tribunal decidirá a quién le permitirá ventilar sus
desacuerdos o comentarios durante la audiencia de equidad.
¿Qué debe hacer si tiene alguna pregunta?
Si tiene alguna pregunta referente a esta demanda colectiva o referente al
acuerdo propuesto, por favor comuníquese a la siguiente
dirección y teléfono con los abogados que presentaron esta
demanda colectiva:
Urban Justice Center
Padro Class Counsel
123 William Street,
16th Floor
New York, New York 10038-3800
Tel. (646)
459-3068
Fax. (212) 533-4598
INSTRUCTIONS FOR COMPLETING PADRO SCREENING SHEET
Complete a screening sheet in cases where the claimant has requested
relief under the Padro settlement.
Questions 1 - 4
You must consider all applications decided during the period covered by
the court order when making the class membership determination. A
SEPARATE SCREENING SHEET MUST BE PREPARED FOR EACH CLAIM NUMBER. If a
claimant has more than one application during the period covered by the
court order, use different screening sheets for each claim. If the claims
are electronic, ensure the screening sheet is uploaded in the
corresponding entry in eView.
Fill in the identifying information as requested. Make sure the Claim
Number, BIC/ID and SSN, are correct and legible. (If SSN is different from
claim number, copy SSN from BOAN/PAN field on alert).
Question 5
Fill in the member/nonmember information in question 5 when the screening
process is completed.
Questions 6 - 17 - General
In a multiple claims case, begin screening with the earliest claim in the
Padro period and stop with the last claim in the
Padro period. Remember, a separate screening
sheet must be completed for each claim number, and for each application in
the period covered in the court order.
Read the Administrative Law Judge (ALJ)/Appeals Council (AC)/U.S.D.C.
(court) decision to answer the questions.
If the decision does not yield enough information to answer the questions,
look further into the record.
If questions 6-8b are answered “NO,” or questions 9-13 are
answered “YES,” check the nonmember block found in item 5.b.
on the screening sheet, then enter the appropriate screen-out code in Item
5.c. as directed in question 14 on the screening sheet.
Remember to follow instructions for members/nonmembers.
Question 6
Review the file and case control queries to determine if the claimant
received an unfavorable or partially favorable decision on the merits of a
claim for disability benefits (including Age 18 Disability
Redeterminations and cessations resulting from continuing disability
reviews) under Title II or Title XVI of the Social Security Act by one of
the 5 ALJs named in the Padro settlement. If
information in the file or the case control queries indicates that the
claimant did not receive an unfavorable or partially favorable decision
from one of the 5 ALJs, the claimant is not a class member eligible for
relief.
Question 7
Screen for the date of the decision, not date of application. Claimants
are potentially eligible for retrospective relief if they were issued an
unfavorable or partially favorable decision on their claim for disability
benefits from one of the 5 ALJs between January 1, 2008 and October 18,
2013.
Question 8
Review the file and case control queries. If necessary, access the civil
action filing through the Public Access to Court Electronic Records
(PACER) system. If the court either affirmed the ALJ's decision, or
remanded but expressly declined to reassign the remanded claim to a
different ALJ, the claimant is not a class member eligible for relief.
However, the claimant may still be eligible for retrospective relief if
there is a motion pending under Rule 59 of the Federal Rules of Civil
Procedure on December 18, 2013. If PACER indicates that a Rule 59
motion is pending, send an email to ^ODAR HQ OAO Padro for further
screening instructions.
Question 9
Review the file and case control queries. Review all subsequent
administrative and judicial determinations to determine if the decision
referred to in Question 6 was changed to a fully favorable decision.
Question 10
Review the file and case control queries. Determine if the claimant
received a fully favorable decision on another claim that amounts to a
fully favorable decision on the potential class member claim. This
requirement would be met if the decision on the other claim resulted in an
award of benefits for the entire time period(s) at issue in the potential
class member claim.
A claim cannot be screened out on the basis of Question 10 unless it is
clear that an ALJ or the Appeals Council issued a fully favorable decision
that adjudicated the entire period covered by the
Padro claim back to the earliest alleged
onset/entitlement date. At the ODAR level, ALJ and Appeals Council
decisions that do not consider the previously adjudicated period usually
will indicate that the previously adjudicated period has not been
reopened. These cases cannot be screened out.
Question 11
Review the file and case control queries to determine if the claimant
received a new hearing and decision (whether favorable or unfavorable),
from an ALJ other than one of the 5 named above, on the potential class
member claim, that considered the entire time period(s) at issue.
Question 12
Review case control queries to determine if the potential class member
claim is currently pending with an ALJ other than one of 5 named above.
Question 13
Review the file and case control queries. Determine whether there is any
other reason that the claimant is not eligible for relief under the
settlement. This may include that the claimant did not return the response
form timely, and did not have good cause.
Question 14
Self-explanatory
Question 15
Fill in the dates of the application(s), decision(s) and the level of
adjudication of the final decision(s) that were reviewed in deciding class
membership for the claim number in item 4. Remember that you must prepare
a separate screening sheet for each claim number, and a separate screening
sheet for each application in the period covered in the court order.
INSTRUCTIONS FOR MEMBERS
Check the “MEMBER ELIGIBLE FOR RELIEF” block in item 5
a. of the screening sheet.
Sign the form. Place it in the claim file if it is paper, or scan it into
the B section of the claimant's electronic folder using a barcode with the
“Misc Jurisdictional Documents/notice” document type if
electronic.
If the claim file is paper, bring a copy of the screening sheet to:
Appeals Council
Office of Disability Adjudication and Review
5170
Leesburg Pike
Suite 1400
Attn: Padro Coordinator
If the claim is electronic, notify the EDO via email to ^ODAR HQ OAO
Padro.
Follow HALLEX I-5-4-71, Part
III.D.
INSTRUCTIONS FOR NONMEMBERS
Check the “NONMEMBER/MEMBER NOT ELIGIBLE FOR RELIEF”
block in item 5 a. and enter the appropriate screen-out code (the number
of the question that determined the claimant is not a class member,
numbers 6-13, see Item 14 on the screening sheet) in item 5.c.
Follow items b and c above.
Prepare and send the class membership denial notice (Attachment 5) to the
claimant with a copy to his/her representative, if any. If the claim is
paper, retain a copy of the denial letter in the claim file. If
electronic, scan it into the B section of the claimant's electronic folder
using a barcode with the “Misc Jurisdictional
Documents/notice” document type. Forward the claim file(s) as
indicated in HALLEX I-5-4-71, Part III.D.
TO:
Initials:
REMARKS
PADRO CASE
Claimant:___________________________
SSN:___________________________
We have determined that this claimant is a Padro
class member entitled to retrospective relief (see screening sheet). We
are forwarding this file to the hearing office, which
should follow normal procedures for updating the file.
Important Information
SOCIAL SECURITY NOTICE
From: Social Security Administration
Claimant Name________________ Date: ______________
Claimant Address_______________ Claim Number:
____________________
____________________________ DOB: ___________________________
THIS NOTICE IS ABOUT YOUR PAST CLAIM FOR SOCIAL SECURITY OR
SUPPLEMENTAL SECURITY INCOME BENEFITS
PLEASE READ IT CAREFULLY!
You asked us to consider your case under the terms of the
Padro et al v. Colvin settlement agreement. We
have looked at your case and decided that you are not eligible for
a new hearing decision (readjudication) under the
Padro settlement agreement.
The reason you are not eligible for a new hearing decision is
checked below.
You did not receive an unfavorable or partially favorable decision issued
between January 1, 2008 and October 18, 2013, by one of the following five
Administrative Law Judges (ALJs): Michael D. Cofresi, Seymour Fier,
Marilyn P. Hoppenfeld, David Z. Nisnewitz, and Hazel C. Strauss (the named
ALJs).
The decision you received from a named ALJ was not about your claim for
Social Security disability benefits or SSI payments based on a
disability.
You appealed a relevant decision of a named ALJ to the United States
District Court, and the Court found either: (1) that the ALJ's decision
was correct, or (2) that the ALJ's decision was incorrect, but there was
no reason for your case to go back to a different ALJ for additional
proceedings on remand.
The unfavorable or partially favorable decision in your case was changed
to a fully favorable decision following appeal, remand, or reopening.
You filed a subsequent claim for benefits and have already received all
the benefits you could receive based on your
Padro claim.
Your Padro claim was remanded and you already
received, or will receive, a new hearing decision by an ALJ other than a
named ALJ.
Your request was not timely.
Other:________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
This Notice Is Not a Determination About Whether You Are
Disabled
It is important for you to understand that we are not making a decision
about whether you are disabled. We are deciding only that you are not
eligible for a new decision under the Padro et al v.
Colvin settlement agreement.
If You Disagree With This Determination
You should contact the Urban Justice Center, the lawyers who brought the
Padro et al. v. Colvin lawsuit,
immediately. The lawyers will have 60 days from the date you
receive this notice to appeal our determination. You can contact the Urban
Justice Center at:
Urban Justice Center
Padro Class Counsel
Church Street
Station
P.O. Box 3363
New York, New York 10008-3363
Tel. (646)
459-3068
Fax. (212) 533-4598
If You Want More Information
More information about the Padro et al. v. Colvin
settlement is available on our website located at
http://www.socialsecurity.gov/padrosettlement.
You can also contact the lawyers who brought the
Padro et al. v. Colvin lawsuit. We have listed
the contact information for the lawyers who brought the
Padro et al. v. Colvin lawsuit in the section
directly above.
Información Importante
AVISO DEL SEGURO SOCIAL
De: La Administración del Seguro Social
ESTE AVISO ES REFERENTE A SU ANTIGUA RECLAMACIÓN PARA RECIBIR LOS
BENEFICIOS DE SEGURO SOCIAL O DE
SEGURIDAD DE INGRESO
SUPLEMENTARIO
¡POR FAVOR LEALO DETENIDAMENTE!
Usted solicitó que nosotros tomáramos en consideración su
caso en conformidad con las condiciones del acuerdo de la demanda
colectiva Padro et al v. Colvin. Hemos revisado
su caso y hemos determinado que usted no tiene derecho a una nueva
audiencia y un nuevo fallo (volver a fallar) en conformidad con el acuerdo
de la demanda colectiva Padro.
La razón por la que usted no tiene derecho a un nuevo fallo
por audiencia se indica a seguir.
Usted no recibió un fallo desfavorable o desfavorable en parte
emitido entre las fechas del 1 de enero de 2008 y 18 de octubre de 2013
por uno de los cinco siguientes Jueces de Derecho Administrativo (ALJ):
Michael D. Cofresi, Seymour Fier, Marilyn P. Hoppenfeld, David Z.
Nisnewitz y Hazel C. Strauss (los ALJ nombrados).
El fallo que emitió uno de los ALJ nombrados en su reclamación
no era en referente a su reclamación para recibir los beneficios por
incapacidad de Seguro Social o de Seguridad de Ingreso Suplementario
(SSI).
Usted apeló a el Tribunal de Distrito de los Estados Unidos un fallo
pertinente emitido por unos de los ALJ nombrados y el Tribunal falló:
(1) que el ALJ había fallado correctamente o (2) que el ALJ
había fallado incorrectamente pero que no existía razón
para justificar que su caso fuera devuelto a un ALJ diferente para
procedimiento judicial adicional.
El fallo favorable o en parte favorable en su reclamación fue
cambiada a un fallo completamente favorable después de una
apelación, devolución del caso o re-apertura del mismo.
Usted presento una reclamación subsiguiente para beneficios y ya
recibió todos los beneficios disponibles que usted podría
recibir en conformidad con el acuerdo de la demanda colectiva
Padro.
Su caso fue devuelto y ya se le celebró o se le celebrará una
nueva audiencia para un fallo por un ALJ que no es uno de los ALJ
nombrados conforme al caso Padro.
No presentó su petición a tiempo.
Otra: _______________________________________________________
_________________________________________________________________
_________________________________________________________________
Este aviso no es una determinación referente a si está o no
está incapacitado
Es importante que usted entienda que no estamos tomando una decisión
referente a si está o no está incapacitado. Nuestra
decisión solo estipula que usted no tiene derecho a un nuevo fallo en
conformidad con el acuerdo de la demanda colectiva del caso
Padro et al v. Colvin.
Si usted no está de acuerdo con esta determinación
Debe comunicarse inmediatamente con el Urban Justice Center, los
abogados que presentaron la demanda colectiva Padro
et al v. Colvin. Los abogados tendrán 60 días a partir de la
fecha en que usted reciba este aviso para apelar nuestro fallo. A seguir,
encontrará la información para comunicarse con el Urban Justice
Center:
Urban Justice Center
Padro Class Counsel
Church Street
Station
P.O. Box 3363
New York, New York 10008-3363
Tel. (646)
459-3068
Fax. (212) 533-4598
Si quiere informarse mejor
Puede informarse mejor acerca del acuerdo de la demanda colectiva del caso
Padro et al v. Colvin en nuestro sitio de
Internet,
www.segurosocial.gov/padrosettlement
(solo disponible en inglés). También puede comunicarse
directamente con los abogados representantes en la demanda colectiva del
caso Padro et al v. Colvin. Hemos divulgado la
información de contacto de los abogados del caso
Padro et al v. Colvin en la sección
anterior.
REMARKS
Padro Case
Claimant: ___________________________
SSN: ___________________________
We have determined that this claimant is not a
Padro class member eligible for retrospective
relief. (See screening sheet and copy of notice of non-class
membership/ineligibility for relief in the attached claim file(s).) We are
forwarding this file to your office because the claimant disputes the
non-class membership determination and has asked to review the file.
Attachment
DO NOT use this form as a RECORD of approvals, concurrences, disposals,
clearances, and similar actions.