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In re Ybarra, In re
(SSA Office of Hearings & Apps. Mar. 29, 1996) ; Clearinghouse Number: 51127
Description
Appeals Council Remands Disability Claim to Determine Claimant's Condition When He Stopped and Resumed Gainful Activity
Abstract
The Appeals Council has remanded this claim for disability benefits
for further consideration pursuant to the sequential evaluation
process. Claimant alleged that he was unable to work after November
25, 1993, because of psoriasis and hepatitis C. On November 22,
1994, claimant returned to his former job. The administrative law
judge (ALJ) determined that claimant was not disabled pursuant to
20 C.F.R. § 404.1520(b) because he returned to substantial
gainful activity within 12 months of his alleged disability onset
date. The Appeals Council found that the ALJ's conclusion did
not accord with Acquiescence Ruling 92-6(10), which provides that a
claim for disability benefits in which the claimant returns to work
within 12 months of the established onset date should be allowed
and the claimant granted a trial work period if (1) the claimant
establishes that the impairment was still expected to last for at
least 12 consecutive months from the disability onset date; (2) the
claimant returns to work after any necessary waiting period; and
(3) the return to work demonstrating ability to engage in
substantial gainful activity occurred either before or after the
approval of the award. The Appeals Council held that, because
claimant did not return to work until after the necessary
five-month waiting period had expired and because there was no
showing that claimant's impairment did not last for 12
consecutive months following claimant's alleged disability
onset date, further consideration was necessary to determine
whether claimant was disabled and unable to engage in substantial
gainful activity before he returned to work.
