Eligibility Issues

July 18, 2009

Does LTD Carrier Have a Claim on Auxillary Benefits Paid to Your Kids

I regularly receive questions from unhappy Social Security claimants who are facing the prospect of having to send their lump sum Social Security disability checks to their LTD carriers.   Many LTD policies, especially group policies, include provisions that offset LTD payments by any amount received by Social Security.  In other words, if the LTD benefit is $1,800 per month and Social Security awards $1,500 per month, the LTD carrier's obligation becomes only $300 per month once SSDI is awarded.

Since the lump sum payment arises from months in which the claimant was also receiving long term disability, the LTD carrier contractually requires the claimant to turn over his Social Security lump sum payment to the LTD insurance company.

Not surprisingly, folks subject to this type of arrangement are not very happy about it.  Why should the LTD carrier swoop in an grab that $25,000 or $30,000 check?

As I noted in a 2007 blog post about LTD offsets to Social Security claims, the LTD carriers justify this money grab by contending that the price of the group LTD policy reflects an expectation of a Social Security offset.  In other words, the cost of group LTD insurance would, in theory, be higher if there was no offset.

Whether you believe this or not, I think it is safe to say that group LTD policy handbooks do not feature this offset obligation.  Often the first time that SSDI claimants learn that their struggle and stress of pursuing Social Security result in zero dollars is after their SSDI hearings.

Now, apparently, there is a new twist.   Read more on Does LTD Carrier Have a Claim on Auxillary Benefits Paid to Your Kids…

Filed under Auxiliary benefits, Eligibility Issues, LTD issues by

April 2, 2009

Am I Getting the Right Amount of Money – Understanding Social Security's Date Calculations

I received a question from one of my blog readers asking about date calculations.   I wish I could tell you that understanding Social Security's date calculations and acronyms was easy but I can' t say that.  I will try to offer some explanation about this confusing area.

i got an amended date signed by the judge but the  social ser, office only went back to 2005 when i had the hearing  and not the amended date that i was told they would go too. can you help me undersatnd this date stuff.
–Sandra

My reponse: Sandra, for sake of this blog post, I am going to talk mainly about SSDI benefits.  I'll touch on SSI but I'll make SSI date calculations the subject of a later post.

So that everyone is on the same page, when I speak about SSDI, I am talking about Title II disability – the kind of disability that you receive if you have worked and paid money into the system.  In order to qualify for SSDI, you have to be "insured" and have enough credits.  I am going to assume that Sandra has enough credits and that there is no issue regarding her eligibility for SSDI.

When you apply for SSDI, you will be asked about the "onset date" for your disability.  Since you are contending that you no longer have the capacity to work, I usually find that a good onset date is the day that you left your last full time job.   You can voluntarily change your onset date – sometimes I discover that my client chose a date that was many months after he was able to work and I amend the onset date to an earlier date.   In other cases, I find that my client used an onset date that was two or three years before she stopped working – in that case I might recommend that we amend the onset date forward as it is hard to argue that my client is disabled when she was still working full time. Read more on Am I Getting the Right Amount of Money – Understanding Social Security's Date Calculations…

Filed under Earnings requirements, Monthly benefits by

February 25, 2009

How Does the Judge Decide if You are Approved for SSI or SSDI

I regularly get questions from readers of my blog and web site about SSI, SSDI and the differences between the two.  The biggest difference:  you will be eligible for SSDI if you have worked and paid Social Security taxes into the system.  Generally to be fully insured, you need to have worked and paid taxes for 5 out of the last 10 years.

If you have worked consistently for 10 years then stopped working, therefore, you "insurability" will follow you for approximately 5 years.

One of the pieces of information I always look for is my client's "date last insured" for SSDI.   If you have not worked regularly or if there is a big gap between dates that you worked, your date last insured could be an issue.  In order to recover SSDI, your onset date has to be earlier than your date last insured. Read more on How Does the Judge Decide if You are Approved for SSI or SSDI…

Filed under Earnings requirements, Eligibility Issues, SSI issues by

February 11, 2009

Can Claimant With Sporadic Work History Collect on Working Spouse's Earnings Record?

I regularly get calls from potential clients who apply for Social Security disability, only to discover that they do not have enough credits to pursue a Title II SSDI claim.  In such cases, the only other option would be to pursue a Title XVI SSI claim.  However, SSI benefits are usually lower ($674 per month for an individual in 2009) and, more importantly, SSI payments are subject to offset if the claimant has a spouse who works.

I see this a lot among self employed people, or salespeople who are paid in cash and do not have money withheld for Social Security taxes.   Here is an email I received from the wife of such a claimant:

I have worked and paid into social security since 1965.  My husband worked on and off for the past 30 years, but has not regularly paid in to social security.  Ten years ago he was diagnosed with MS and he has been unable to work at all.  I went to Social Security to ask if I could get disability payments for him and they told me that I earned too much money ($45,000 annually).  I am now about to retire at age 60 and would like to collect disability for him.  I've gone through web searches and there is such a mire of information – I don't know where to begin.  Can he collect against the money I've paid in?  He is completely dependent on me.

Jonathan's response: unfortunately I think that you are out of luck. Read more on Can Claimant With Sporadic Work History Collect on Working Spouse's Earnings Record?…

Filed under Earnings requirements, Eligibility Issues, Multiple Sclerosis and disability, SSI issues by

September 29, 2008

May an Incarcerated Felon Receive Social Security Disability Benefits?

I recently received an email question from a blog reader about the eligibility of a convicted felon for Social Security disability benefits.  There is a simple answer here – you may not collect disability benefits during the time you are incarcerated.  Social Security ruling 83-28 addresses this situation directly.

Read more on May an Incarcerated Felon Receive Social Security Disability Benefits?…

Filed under Eligibility Issues, Starting the disability process by

September 23, 2008

Will Child be Eligible for Dependent's Benefits When "Out of the Picture" Father is Approved

I get a lot of questions from mothers who are caring for the children of fathers who are out of the picture.  Susan's situation is a fairly common one so I will answer it here:

Read more on Will Child be Eligible for Dependent's Benefits When "Out of the Picture" Father is Approved…

Filed under Auxiliary benefits, Lump Sum Awards by

August 11, 2008

What is my "Date Last Insured?"

Back in January, I answered a question from a blog reader about Social Security disability credits.  That reader wondered why Social Security had advised her that she had "run out of credits."

Read more on What is my "Date Last Insured?"…

Filed under Earnings requirements, Eligibility Issues, Internet disability resources by

October 8, 2007

My Work History Has Not Been Consistent – Can I Still Claim SSDI Benefits?

I was diagnosed last Thursday by my neurologist with post traumatic stress syndrome resulting from three MVA's.  I have other related injuries and have tried to do several jobs, after a long career, and cannot do it.  Is there any relief for me?

I did pay into social security from 1982 to 1989 but from 1988 to 2005 was in the school system that did not pay in.  We did pay in to medicare, etc. however. 

Am I eligible for any benefits?
–Jeff

Read more on My Work History Has Not Been Consistent – Can I Still Claim SSDI Benefits?…

Filed under Earnings requirements, Mental illness and disability by

September 26, 2007

How Do I Know if my SSDI Monthly Benefit Payment Amount is Correct?

I have found your site and have been reading your comments.  I have been on SSDI since 2002.  I was a registered nurse for 15 years- always working with no lapses.  At on point I was working two full time jobs (no sleep). I worked the two full time jobs for about a year and 1/2.  I earned a very decent living.  I saw in one of your posts that SSDI is usually about $1500 a month.  Mine started at $1200/month- now it is up to $1300/month.  Why the difference in amounts?  I would desperately like to go back to work- but it doesn't look good.  Every penny counts now.  In this situation does a person have any recall?  Thanks.
–Deb

Read more on How Do I Know if my SSDI Monthly Benefit Payment Amount is Correct?…

Filed under Earnings requirements, Lump Sum Awards by

September 12, 2007

Wife's Income Offset's Husband's SSI Benefit Claim

My husband had a spinal cord injury and is totally disabled but SS denied his claim because I(his wife) makes too much money.  I make $62,000 a year and we have a child in college. Does this denial make sense?  He made about $25,000 per year before the injury.  We have gone bankrupt and risk losing the house.
Ms. B

Read more on Wife's Income Offset's Husband's SSI Benefit Claim…

Filed under Earnings requirements, Eligibility Issues by

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