Treatment FAQ

applying for federal employee disability when still seeking treatment

by Arianna Kutch Published 2 years ago Updated 2 years ago
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You apply by filing forms with your federal agency. But if you've been separated from federal service for more than 31 days, you should submit your disability application directly to the Office of Personnel Management rather than to your federal agency.

Full Answer

How to apply for federal disability retirement?

5 Steps to Filing an Application for Federal Disability Retirement 1. Confirm Your Eligibility. To be eligible, a FERS federal employee must have completed at least 18 months of service... 2. Establish Evidence of Your Disability. Second, the federal employee or postal worker must be medically ...

Are federal employees eligible for disability retirement?

Outside of that, employees may be eligible for disability retirement benefits through the Federal Employees Retirement System (FERS). Federal employees are considered disabled under FERS if you can’t perform “useful and efficient service in your current position” due to a medical condition or injury.

Are there any common mistakes in filing a federal disability retirement application?

While there are innumerable mistakes that can be made in preparing and submitting a Federal Disability Retirement application, this article will limit them to 10 common ones seen over the many years of practicing Federal Disability Retirement Law. They are: This is, certainly, the “basics” in filing for Federal Disability Retirement benefits.

How do I qualify for FERS disability benefits?

To be eligible, a FERS federal employee must have completed at least 18 months of service in a position covered by FERS. A CSRS federal employee must have five years of creditable service in a position under the CSRS (the system of federal retirement benefits until 1987). 2. Establish Evidence of Your Disability

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Can federal employees apply for disability?

All Federal Civilian Employees, except Postal Workers (USPS employees), can enroll in group Short Term Disability (STD) and Long Term Disability (LTD) to supplement your leave and disability retirement programs and fill the gaps in your benefits.

What conditions qualify for federal disability retirement?

1. You must have completed at least 18 months of Federal civilian service which is creditable under FERS. 2. You must, while employed in a position subject to the retirement system, have become disabled, because of disease or injury, for useful and efficient service in your current position.

What does the federal government consider a disability?

(a) The law defines disability as 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.

How do I get medically retired from work?

The employee must be substantially incapacitated from the performance of duty. This “substantial incapacity” must be due to a medical condition of permanent or extended and uncertain duration (lasting longer than 6 months), on the basis of competent medical opinion.

What is the most approved disability?

1. Arthritis. Arthritis and other musculoskeletal disabilities are the most commonly approved conditions for disability benefits. If you are unable to walk due to arthritis, or unable to perform dexterous movements like typing or writing, you will qualify.

Is it hard to get federal disability retirement?

My experience representing individuals seeking federal disability retirement for federal and postal workers is that most workers underestimate the difficulty of winning these vitally important benefits provided by the FERS and CSRS retirement systems.

Is anxiety a disability under ADA?

Essentially any chronic condition which significantly limits a bodily function is going to qualify, and cognitive thinking and concentration are bodily functions. In most cases, chronic stress and anxiety disorders are covered by the ADA.

Is anxiety considered a disability?

Anxiety disorders, such as OCD, panic disorders, phobias or PTSD are considered a disability and can qualify for Social Security disability benefits. Those with anxiety can qualify for disability if they are able to prove their anxiety makes it impossible to work.

Is anxiety a schedule a disability?

If your depression or anxiety makes it hard for you to sleep, work, concentrate, think, regulate your emotions, or care for yourself, for example, then it is a disability under the ADA.

Is it better to go on disability or retire?

In most cases, it is better to receive disability benefits until you reach full retirement age. If you collect early retirement, your benefits are permanently reduced. If you receive SSDI payments until you reach full retirement age, there is no permanent reduction in your retirement benefits.

Can you medically retire from the federal government?

If you are a federal employee who has a medical condition that prevents you from performing “useful and efficient” service in your position, you may be able to qualify for Federal Disability Retirement.

What happens if I have to retire early due to ill health?

Ill health benefits can be paid to you at any age. Your benefits will not be reduced because they are being paid early. In some cases, your pension will be increased to make up for your early retirement. The level of benefits depends on how likely you are to be capable of gainful employment after you leave.

Establish Evidence of Your Disability

Second, the federal employee or postal worker must be medically disabled. For the purposes of federal disability retirement, a federal employee is...

Establish Continuity of Your Disability

Third, the federal employee must be able to show "continuity"; that is, that the disabling medical condition is expected to continue for at least o...

Prove You Could Not Be Accommodated Or Reassigned

Fourth, the federal employee must show that he or she has not declined a reasonable offer of reassignment to a vacant position, and that the employ...

File For Social Security Disability Insurance

If you are under age 62, FERS requires federal employees to apply for Social Security Disability Insurance (SSDI) benefits. For more information, s...

File The Application and Supporting Documentation

Fill out the following forms. 1. Form SF 3107, Application for Immediate Retirement, and 2. Form SF 3112, Documentation In Support of Disability Re...

Next: File A Timely Appeal

If OPM denies your application for federal disability retirement, you must appeal in a timely manner. You must first request reconsideration. If OP...

If Your Benefits Are Terminated

The OPM can decide that you are "restored to earning capacity" or "medically recovered" and stop paying you your federal disability retirement. Thi...

When do federal unemployment benefits stop?

Benefits will stop if have medically recovered or you are reemployed by the federal government in a position equivalent to what you held at retirement. They will also stop if your income during a calendar year is at least 80 percent of the current rate of basic pay from the position you retired from.

What is residual disability?

This is known as a residual disability benefit, and it essentially makes up the difference between what you earned before disability and what you can still earn with your disability.

Why do you need to talk to your insurance carrier?

Because of how federal benefits are calculated, you will need to talk to the carrier or your agent to determine how the insurer is quantifying your existing government benefits. Insurance companies may calculate your existing coverage differently. Knowing a carrier’s calculation method before you buy can help you avoid having too little coverage from the private insurer.

How much of your salary is covered by disability?

If neither scenario applies, then your disability benefit essentially covers 60 percent of your salary for the first 12 months. After that, you’ll receive either 40 percent of your last salary or your “earned” retirement annuity amount, whichever is higher.

When do you get your retirement annuity?

If your disability occurs at either age 62 or if you meet the age and service requirements for immediate voluntary retirement, you receive your “earned” retirement annuity based on the general FERS annuity computation.

What is the benefit of having your own individual policy?

Another benefit of having your own individual policy is that it provides protection if you decide to leave the federal workforce. In fact, many individual policies have a future increase rider that you can use if you lose your federal coverage or have another major life event. A future increase rider enables you to increase your coverage amount without going through underwriting a second time.

Do private insurance companies take disability benefits into account?

However, the private insurer will take in account the amount of your government disability benefits when determining how much coverage they will sell you. This is done to avoid a situation where you become overinsured and have an incentive to become disabled and miss work. Carriers also do this in cases where people are covered by a private group plan through their employers.

Joyce: Do you know how many claims are submitted each year for this program and how often they are approved? Also, about how long does it take to get approved?

Cheri: There are no statistics that we can find on approval rates. The OPM statistics on this program’s use, however, are interesting. In 2016, OPM reports that there were 136 CSRS disability applications and 6486 FERS applications, for a total of 6622.

Joyce: How does this work with the Social Security disability that Greg mentioned earlier? Do you have to be approved for that to get FERS Disability Retirement?

Cheri: The FERS Disability retirement rules require you to apply for Social Security Disability benefits prior to making FERS application for benefits and you will have to provide proof of such application when you submit your FERS application.

Joyce: What does someone need to do to apply for FERS Disability Retirement? Who decides whether they are accepted into the program?

Cheri: There are a great deal of forms to fill out, as with any application for a federal benefit.

Joyce: What happens if you recover once you are on FERS Retirement Disability?

Cheri: If you recover, you will lose your benefits. OPM will periodically ask you and your physician to re-certify your disability status and you will need to provide proof of on-going disability when you are asked. This request could come annually or more or less often.

Joyce: And what happens to this benefit once you reach retirement age?

Cheri: Once you reach retirement age (62), your disability retirement will end and your regular FERS annuity will kick in. You should be in contact with OPM, prior to your 62 nd birthday regarding this issue.

Joyce: What if you are injured on the job and have a short or long-term disability as a result?

Cheri: An on the job injury would result in you filing a workers’ compensation claim under the Federal Employees Compensation Act (FECA). Worker’s compensation covers on the job injuries (which you must show were incurred on the job). You must apply for that benefit with the Department of Labor, not OPM.

What is a federal employee disabled?

For the purposes of federal disability retirement, a federal employee is disabled if a medical condition has caused a "service deficiency in performance, conduct, or attendance" or an inability to perform "useful and efficient service.". What does that mean?

When will subjective evidence of disability and pain be given evidentiary weight?

Your subjective evidence of disability and pain (for example, your written statements and testimony) will be given evidentiary weight only when it is supported by competent medical evidence. For that reason, I recommend you have a lawyer's help in working with your doctor to create a well-prepared medical analysis of your condition and its effect on your ability to perform the job duties of your position.

How long do you have to be a FERS employee?

First, the federal employee or postal worker must be found "eligible.". To be eligible, a FERS federal employee must have completed at least 18 months of service in a position covered by FERS. A CSRS federal employee must have five years of creditable service in a position under the CSRS ...

Can you get reinstated from a federal disability annuity?

This sometime happens when the civil service annuity was granted for a mental health condition in which there is a possibility of recovery or medical improvement. If OPM has terminated your disability retirement because your condition improved, you can get it reinstated if your condition gets worse again--if you are under age 62. The standards for seeking reinstatement are somewhat different depending on whether your annuity was terminated because you recovered or because you were restored to earning capacity. If you are going to seek reinstatement of previously terminated federal disability retirement benefits, you apply with the OPM.

How much of your disability is automatically assigned?

Automatically assigning you 20% of your eligible benefit amount. In other words, your public benefits affect your private benefits, and you may not know how until you talk to a carrier or licensed disability insurance expert.

Why are federal employees so tricky?

“Federal employees are tricky because often they are unaware of the benefits they’ll receive from public plans.”. This is true for carriers, too. With group coverage for private sector employees, ...

What is private disability insurance?

Disability benefits through FERS are typically barebones and don’t provide the tailored coverage that many people might need. A private disability insurance policy, on the other hand, can be customized with additional benefits such as: Rehabilitation riders help pay for vocational ...

What are the benefits of FERS?

Disability benefits through FERS are typically barebones and don’t provide the tailored coverage that many people might need. A private disability insurance policy, on the other hand, can be customized with additional benefits such as: 1 Rehabilitation riders help pay for vocational training after a disability. 2 Partial or residual coverage gives partial benefits if your hours are cut back or you otherwise can’t work to your full potential to receive the same income as you previously did. 3 Future purchase options allows you to increase your coverage in the future without going through the underwriting process again.

How does group coverage work for private sector employees?

With group coverage for private sector employees, a carrier will simply subtract the employer benefit from the maximum amount you can get under a supplemental policy. However, when it comes to federal employees, different insurance companies use different calculations to assume how much coverage you’d receive under FERS.

How many days of paid leave can a public employee get?

Public employees are generally eligible for up to 30 days paid leave for sickness or injury, similar to short-term disability insurance plans. Outside of that, employees may be eligible for disability retirement benefits through the Federal Employees Retirement System (FERS).

Do disability insurance companies want to overinsure?

Disability insurance companies don’t want people to be overinsured. That’s why when an applicant has coverage through another source — say, through their employer — an insurance carrier will take that into account when considering how much coverage a person needs.

When Am I Eligible for FERS Disability?

Eligibility starts with your length of creditable service with the government. For employees covered under FERS, you must have at least 18 months of creditable federal civilian service to qualify.

What happens if you recover from disability?

Accordingly, if you recover from your disability your benefits will stop. There are two other main reasons why you may lose your federal disability: Your income from wages and self-employment equals at least 80% of your base pay from the position you retired from; or.

What happens if the administrative judge denies your benefits?

If the administrative judge also denies your benefits, you can appeal to the MSPB board . After that, you will have exhausted your administrative remedies, giving you the right to take your case to the United States Court of Appeals for the Federal Circuit.

What are reasonable accommodations for short term disability?

Reasonable accommodations may include leave, job restructuring, telework, ergonomic equipment, or another option which would allow the employee to perform the duties of his or her position.

What are the reasons for disability?

There are two other main reasons why you may lose your federal disability: 1 Your income from wages and self-employment equals at least 80% of your base pay from the position you retired from; or 2 You obtained employment in Federal service at an equivalent position.

Can you keep FERS benefits?

Generally, once you’ve been approved for FERS disability you will keep your benefits as long as you remain disabled. However, OPM may require you to get periodic medical exams to continue receiving benefits. Accordingly, if you recover from your disability your benefits will stop.

Can I receive SSDI while receiving an OPM?

In such a case, you would generally receive your full SSDI benefit while receiving a reduced disability annuity from OPM. Unfortunately, keeping track of all the eligibility requirements can be difficult, especially if you’ve never worked with federal disability benefits in the past.

How to apply for a federal job?

To apply for a federal job vacancy, you must first create a USAJOBS Account using your e-mail address, and then complete your Account Profile. USAJOBS also provides step by step guidance about the federal application process.

How do I apply for federal employment?

In competitive service, an individual must go through a competitive process (i.e., competitive examining) that is open to all applicants. To apply through this type of service, simply submit your application online through the USAJOBS website.

What is excepted service?

Excepted service jobs (non-competitive appointments) are based on a law, Executive Order or an action taken by OPM creating exceptions to the competitive service rules, thus providing eligible individuals with another way to apply for and be hired into federal jobs.

What is the federal government hiring process?

It uses a variety of hiring authorities and programs authorized by Congressional statutes and Office of Personnel Management (OPM) regulations. The Federal Government also has placed greater emphasis on increasing the number of employees with disabilities in the federal workforce. Section 501 of the Rehabilitation Act of 1973 and its implementing regulations require federal agencies to affirmatively employ individuals with disabilities.

What is the Veterans Employment Initiative?

The Veterans Employment Initiative is a government-wide strategy directed toward increasing the recruitment and employment of military veterans in the Federal Government. There are several special hiring authorities, in both the competitive service and excepted service, designed for eligible veterans.

What is the federal government's emphasis on?

The Federal Government also has placed greater emphasis on increasing the number of employees with disabilities in the federal workforce. Section 501 of the Rehabilitation Act of 1973 and its implementing regulations require federal agencies to affirmatively employ individuals with disabilities.

How to be consistent in your application?

Ensure that each piece of the application package reinforces your qualifications for the position. Be consistent in the skills and abilities you highlight in your resume, cover letter, questionnaire and other application materials.

What is the fourth criteria for federal disability?

here is, certainly, a “fourth’ criteria in order to become eligible for Federal Disability Retirement — that of incompatibility between the medical condition and the essential elements of one’s job . This can certainly happen, where a medical condition reaches a stage of acute debilitation such that a Federal or Postal employee must file for Federal Disability Retirement benefits. In such a case, however, it is imperative that one garners the support of one’s treating doctor, in order to prove the incompatibility criteria.

What is a disability retirement?

Federal Disability Retirement is a benefit provided to all Federal and Postal employees under FERS, who have a minimum of 18 months of creditable Federal Service. It is tantamount to an “insurance policy” in that, in the event of an injury or a medical condition which prevents the Federal or Postal employee from performing one or more of the “essential elements” of one’s Federal or Postal job, one can become eligible for an early retirement, with a lifetime annuity.

What is the assumption of federal disability retirement?

In Federal Disability Retirement Law, a similar assumption goes like this: “I have a medical condition; therefore, I must be able to qualify for Federal Disability Retirement benefits.” It is assumed that the first part of the statement is true when a person begins to prepare a Federal Disability Retirement application.

How long does the federal disability statute of limitations last?

This is, certainly, the “basics” in filing for Federal Disability Retirement benefits. Perhaps if the 1-year Statute of Limitations is about to expire in a matter of days, you may be forced to take this approach.

What is the second dependent clause in a federal retirement application?

However, it is the second, dependent clause, that often defeats a Federal Disability Retirement application at the outset. A Federal Disability Retirement application is a “paper presentation” to the U.S. Office of Personnel Management — the Federal Agency that reviews and adjudicates all Federal Disability Retirement applications.

What are the three types of mistakes made in disability?

Mistakes made can often be categorized into three identifiable types: Lack of knowledge, Wrong knowledge based upon error-filled or incomplete information, and. With knowledge, but failing to heed it. Most failed attempts in filing a Federal Disability Retirement application results from mistakes 1 & 2.

Why are there common mistakes in disability?

Common mistakes are made precisely because mistakes made are common to us all. The trick is to minimize such mistakes, thus maximizing the chances for success in filing a Federal Disability Retirement application.

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