The Recency Element of Past Relevant Work

The Recency Element of Past Relevant Work

Social Security will deny a disability claim if they find the claimant can do “Past Relevant Work” (PRW), either as it was actually performed or as that type of work is generally performed based on the appropriate Dictionary of Occupational Titles code.[1] In order for a prior job to be PRW it must meet three elements: Substantial Gainful Activity (SGA), Duration and Recency.[2]

  1. SGA

This element is satisfied if the work met the definition of SGA under 20 CFR Sections 404.1571-404.1575 and 416.971-416.975.

  1. Duration

This element is satisfied if the job lasted long enough for the claimant to have learned the skills necessary to resume that type of work and achieve average performance without significant re-training.

  1. Recency

This element is met if the job was performed within the 15 years prior to the date of adjudication or the Date Last Insured, whichever comes first. The scope of this period may be extended if there is a continuity of skills, knowledge and processes that can be established between such work and the claimant’s more recent work. However, the scope of this period may not be shortened.

In the interest of certainty, Social Security has formulated rules for decision-makers to follow. Some rules seem “black and white” and I often tell my clients “Social Security has to draw the line somewhere.” However, in certain cases, these rules would produce an unfair result when the exact language of the rule is not matched but the underlying rational behind the rule is present. For most of these rules Social Security has created exceptions that prevent unfair results. For example, there are several exceptions to the SGA guidelines, including the subsidized work environment[3] and the unsuccessful work attempt.[4] In the context of the Grid rules, Social Security acknowledges that in some cases it would be unfair for the rules to change overnight when the claimant reaches a certain age, so the borderline age situation was developed.[5] In the context of transferrable skills, Social Security recognizes that as a claimant gets older, obtaining employment would be increasingly more difficult unless only a minimal amount of adjustment is required, such that the claimant could be expected to perform “at a high degree of proficiency with a minimal amount of job orientation.”[6]

These concepts should be applied to the PRW 15 year rule. For example, take an individual of advanced age (55-60), who worked in manual labor for the last 14 years but is now reduced to the sedentary exertional level. The Grid rules would ordinarily direct a finding of disability.[7] However, if this individual worked as a telemarketer for three months 14.5 years ago, the Grid rules would direct a denial (unless other limitations prevent the claimant from doing that work). In this case, using the rational above, vocational analysis of PRW should address whether any significant changes have occurred in telemarketing work since the claimant last performed it. This might reveal two things: First, that there are currently comparable jobs available but in fewer numbers. Second, that despite the claimant’s prior work experience, telemarketing is so different now that the knowledge from this experience is obsolete and the claimant would need to be completely retrained. In this case, the rational behind the recency element is not met, and telemarketing should not be found to be PRW.

This could be a critical issue in your Disability case. Consider a free consultation with a disability attorney who is familiar with these rules and regulations.

 

By Charles Sagert

[1] 20 CFR § 404.1560; SSR 82-62.

[2] SSR 82-62.

[3] SSR 83-33.

[4] SSR 05-02.

[5] 20 CFR § 404.1563(b); HALLEX II-5-3-2.

[6] SSR 82-41.

[7] 20 CFR Part 404, Subpart P, Appendix 2.


Does Social Security Consider Anything Other Than My Medical Conditions

In order to receive Social Security disability benefits, the Social Security Administration (SSA) must find that you are unable to do a full time job due to your medical conditions. The general rule is that they cannot consider whether someone will hire you, or whether you can find a job. However, because the SSA recognizes that older workers may have more trouble adapting to new types of employment, it will consider factors other than just your medical conditions when you reach a certain age.

The SSA groups disability claimants into 4 basic categories:

  1. Younger individuals (18 through 49)
  2. Closely approaching advanced age (50 to 54)
  3. Advanced age (55 and over), and
  4. Closely approaching retirement age (60 and over)

 

If you are in the first age group, the SSA will not consider you disabled if you are capable of ANY kind of work, including sedentary, unskilled work (i.e., simple jobs that do not require lifting over 10 pounds, or standing/walking for prolonged periods of time). However, if you are in the closely approaching advanced age, you could still be found disabled even if you are able to do sedentary work. At this age category, the SSA decision-maker will look, with the help of a vocational expert (i.e., an expert on jobs and employment related matters), to see whether you have skills that could be used in sedentary work. These skills could come from your education (i.e., a college degree or vocational training), or your past work (i.e., whether you had the power to hire and fire employees, set schedules, or do bookkeeping). If you do have skills, you would be found not disabled. If you do not have skills, you would be found disabled. When you are in the next age categories, you can still be found disabled if you do not have skills that would transfer to light work, even if you are capable of that type of work (i.e., jobs that involve lifting up to 20 pounds, and standing/walking about half the day, and sitting the other half).

There are also other ways to prove that skills are not transferable, even if you do have them. One way is if you have a severe psychological condition that would prevent you from doing skilled work. Due to the complicated nature of these rules, it is always a good idea to hire an experienced disability attorney to help you navigate this complex system.

 

By Scott J. Bowers


NY Lawsuit Alleges Judicial Bias Against Disabled

A class action lawsuit was filed on April 12, 2011 alleging bias against disability applicants. The Complaint was filed against the Office of Disability Adjudication and Review (ODAR) in Queens, New York. The plaintiffs’ claims are based on infringement of their right to a complete and fair hearing in front of an unbiased judge, violating the Social Security Act, the Administrative Procedure Act, and the Due Process Clause of the Fifth Amendment to the Constitution.

The complaint identifies the Chief administrative law judge (ALJ) for the Queens office along with four other ALJs. The class of plaintiffs includes Social Security Income (SSI) and Social Security Disability (SSD) claimants who received unfavorable decisions from the identified ALJs and claimants that will be assigned to the ALJs. The claims are based on reviews of opinions issued by the five judges. The Complaint alleges that the judges have a high rate of denial, fail to comply with the law and develop the record, and made incorrect determinations of  credibility. The Complaint describes the lawsuit as a final resort after the Commissioner of Social Security failed to take action.

Additionally, the Complaint notes the fact that ALJs have insufficient accountability to the public. Each Office’s Chief ALJ, along with the Regional Chief ALJ, takes part in investigations of claims of misconduct. In the present case, the Queens Office’s Chief ALJ is one of the accused ALJs, meaning he would take part in an investigation of his own misconduct. The plaintiffs claim that Court intervention is necessary to prevent this conflict of interest and provide a remedy for plaintiffs harmed by biased ALJs.

Source:

Class Action Alleges Bias of Five ALJs, 33 NOSSCR Social Security Forum 3 (April 2011).

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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