Reopening a prior Disability Claim

Often, Social Security Disability claimants have previously applied for benefits, unsuccessfully. In these situations, it is always a question as to whether the previous application can be reopened in a current claim. Many factors are involved in answering this question. Generally speaking, however, it must be said that reopening a final decision from an administrative law judge is an unlikely occurrence, as great weight is given to previous decisions absent clear evidence that the decision was incorrect. Often claimants continue to allege that they have been disabled since their previous application, which then presents the possibility of reopening that claim.

First, the current application must allege an onset date that involves the previous application period, otherwise there is no need to examine the previous application, as it is not at issue in the case unless the argument is made

Second, a prior claim must be related to the current claim. This means that a previous application for schizophrenia cannot be reopened in a claim alleging only degenerative disc disease. In other words, the conditions alleged in the previous application must be involved in the present application.

Third, the age of the claim is relevant. If the previous claim is less than a year old, either a Disability Insurance Benefits (DIB) claim or a Supplemental Security Income (SSI) claim may be reopened at will by the Social Security Administration. If the claim is more than a year old, Social Security may reopen an SSI claim that is two years old or less if there is good cause. For DIB claims, any claim four years old or less may be reopened for good cause. “Good cause” generally means new evidence is available or that an egregious error occurred.

While reopening previous claims is possible, it generally is not likely. Consult with your Social Security Disability Attorney to determine if it is wise to attempt to reopen a previous claim.

 

By Adam Kachelski


Will a Congressional Inquiry Help me Get Approved?

Applying for social security benefits can be a long and overwhelming process. By far, the waiting is the most frustrating for the majority of claimants. Some claimant’s will look to their congressman or state senator to intervene. A congressional inquiry is a “status check” of your disability claim. When the inquiry is received, social security will respond by providing the status of your case. This request can also prompt social security to get cases moving along a much faster pace. Unfortunately, many claimants confuse the purpose of a congressional inquiry.

The inquiry starts by sending a letter to your local senator or representative’s office requesting that they find out more information about your claim. Be sure to include the length of time you’ve been waiting, medical conditions, and the need for the inquiry. Sometimes a case may be in the process of being approved at the time of the inquiry. Understandably, it is assumed that the case was approved due to the inquiry. Disability examiners and judges cannot be influenced to approve a case because of an inquiry.

A congressional inquiry that is submitted at the lower level of the claim has very little influence, if any at all. Disability examiners rely heavily on medical records that describes a claimants functional limitations. The time frame in which disability examiners can come to a decision is based on how fast the medical facilities comply with the request for records.

At the hearing level, if a claimant is experiencing financial hardship, a congressional inquiry can help a case get scheduled a lot faster. Providing evidence of financial hardship is critical when trying to get a sooner hearing date.

For more information, please contact Hoglund, Chwialkowski, Mrozik, PLLC.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

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How Subsidies can Help you Earn more while Applying for Disability

Social Security’s definition of disability is “ . . . the inability to do any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.” (20 C.F.R. §404.1505). Substantial gainful activity (“SGA”) essentially means full time work, which is usually defined as earning $1,070 per month, gross (or $1,800 if you are blind).
So what does this mean in layman’s terms? Essentially, if you are unable to gross more than $1,070 per month, you are disabled. Therefore, if you are working while applying for disability, you are generally not able to earn more than this amount, or you will be denied. So why do I keep using qualifying words such as “generally” and “usually?” Because there are many nuances and exceptions to this rule.
One such exception is Social Security’s Subsidy and Special Conditions allowances. Work is considered subsidized “. . . if the true value of your work, when compared with the same or similar work done by unimpaired persons, is less than the actual amount of earnings paid to you for your work.” (20 C.F.R. §404.1574). Examples of these sorts of subsidies and conditions include on the job coaches, doing work under continuous supervision, working in a sheltered or special environment, or even being paid full wages, despite doing less work than co-workers. If any of these conditions or subsidies exist, Social Security will attempt to determine the value the work a claimant performs contacting the claimant, and/or the claimant’s employer, supervisor(s), co-workers, job-coach, or anyone else who may have knowledge regarding the claimant’s work activity. If they find that the claimant’s work is subsidized, even if technically over SGA, that claimant may still be found disabled.
SGA, in general, is a complicate topic with many rules and exceptions. This is why it is a good idea to hire a lawyer to help explain all the ins and outs of how much you can work if you are applying for disability.

Written by Hoglund Law

The attorneys of Hoglund law are licensed in Minnesota, Wisconsin and Ohio. Hoglund, Chwialkowski & Mrozik, PLLC is based in Roseville, Minnesota. In addition to handling cases involving bankruptcy & social security, Hoglund, Chwialkowski & Mrozik, PLLC handles faulty drugs and toxic exposure.

View all author posts →