Category Archives: OPM Disability Process

OPM Disability Retirement: The Frustrating Process

Every administrative and bureaucratic process is a frustrating one, and waiting for an OPM Disability Retirement application to be approved is likely the epitome of frustration.

Thus, it is essential to understand at the outset that filing a Federal Disability Retirement application with the U.S. Office of Personnel Management is a long and arduous process that will likely take many years to accomplish, and nothing short of a miracle will expedite the time required.

One’s own efforts in attempting to take shortcuts will have minimal impact upon the ultimate outcome.  Still, an Federal Attorney who specializes in Federal Disability Retirement Law can undoubtedly enhance the chances of an earlier approval.  Even then, however, Federal and Postal workers need to understand that a great deal of the process merely involves waiting.

Filing quickly does not result in OPM rendering a quicker decision.  Often the contrary is true: By preparing an application quickly, it is likely not as strong a case as it could have been and when OPM finally gets around to reviewing it, a likely denial will be issued, further prolonging the waiting period because of needing to go to the next, “Reconsideration” Stage of the process.

And while every bureaucratic process inherently possesses its unique set of frustrations, OPM Disability Retirement has the added feature of contending with a serious medical issue, which tends to magnify the frustrations involved.

Can anything be done about it?  The short answer is, Not Really.  Calls to OPM will often only exasperate the level of frustration, and while “doing something…anything” may temporarily appease the frustration in the short term by making it appear that some progress is being made, almost all such efforts come to naught, and all that remains is to await OPM’s response.

Once received, of course, the entire process can be a further stage of frustration.  For, if an approval is received, there are further battles in getting the annuity payments started, and that doesn’t even touch upon whether the annuity is correctly calculated.  On the other hand, if a denial is issued, the bureaucratic frustration is further extended, especially because of the short timeframe provided in preparing and submitting a response.

Any Federal or Postal employee contemplating preparing, formulating, and filing a Federal Disability Retirement application under the FERS system to be submitted to the U.S. Office of Personnel Management, must be prepared for a long and frustrating administrative process.

And if you want further insight into this lengthy and frustrating process, you may want to first consult with a Federal Attorney who specializes in Federal Disability Retirement Law.

Sincerely,

Robert R. McGill
Lawyer exclusively representing Federal and Postal employees to secure their Federal Disability Retirement benefits under FERS from the U.S. Office of Personnel Management.

 

Postal and Federal Disability Retirement: Persuasion

Persuasion is a funny animal; when it is effective, success is determined by the reversal of an opponent’s viewpoint, but if it is ineffective, mere silence ensues, and unless prompted by subsequent queries, one never knows how close one came to persuading another and what further evidence or argumentation may have pushed the other side over the edge.

Then, of course, there is always the question of whether the opposing party is open to persuasion or not, and what are the conditions within which it may occur.  The danger lies especially when an organization or bureaucracy has become so powerful or autocratic that it need not ever be persuaded because there are no consequences to being left unpersuaded.

The presence of outside safeguards is often necessary for persuasion to have its salutary effect, as a more obscure sense of “fair play” is often not enough to make a difference.  All of this, of course, doesn’t even touch upon the substantive content of what constitutes a persuasive argument, as context is often just as important as content (anyone who has been married will immediately understand the truth of this statement).

For Federal employees and U.S. Postal workers who have submitted a FERS Medical Retirement claim with the U.S. Office of Personnel Management (also known for its acronym “OPM”) and have received an initial denial and must now respond to the denial at the Reconsideration Stage of the Process, “persuasiveness” becomes the battle cry in preparing the proper response.

OPM has all the time in the world in preparing its denial and needs little basis in its persuasive content.  They merely need to have some minimal basis of reasons to issue a denial.  On the other hand, the denied Federal or Postal applicant has (A) a very short timeframe in responding and (B) must advance a heavy burden of proof in order to overcome the denial, despite the often scatter-brained content of an OPM Denial.

Furthermore, in preparing a reconsideration Response, one should always keep in mind that the targeted audience is not just OPM, but the next stage in the event that OPM remains unpersuaded — that of the Admin Judge at the U.S. Merit Systems Protection Board (MSPB).  That is why any response to an OPM Initial Denial should include a recitation of the relevant case laws discussing why your particular case meets the legal criteria for an approval.

As with spousal arguments and discussions around the Holiday dinner table, context matters as much as context when trying to persuade the other side.  And also in preparing a persuasive response, you may want to consider consulting with a Federal Disability Retirement Lawyer specializing exclusively in FERS Medical Retirement Law.

Sincerely,

Robert R. McGill,

Lawyer exclusively representing Federal and Postal employees to secure their Federal Disability Retirement benefits under FERS from the U.S. Office of Personnel Management.

 

FERS Disability: Formulating the Reconsideration Rebuttal

It is a frustrating process when the U.S. Office of Personnel Management (OPM) issues a denial and the Federal employee or Postal Service worker must respond effectively within a limited prescribed time.  OPM has all the time in the world to prepare the denial letter, and will often take as long as they want in preparing a lengthy denial letter.

Once received, the denied Federal applicant has 30 days from the date of the denial to “Request Reconsideration” and will be granted 30 additional days beyond the time requested in order to submit any legal response and additional documentary evidence in support of your case.  Then, within that prescribed time period, a response must be prepared and submitted.

It is this formulation of substantive responsiveness that will determine the future course of the next steps — whether a subsequent denial will require a further appeal to the U.S. Merit Systems Protection Board, or with approval of the application, the end of the bureaucratic process has occurred and the next frustrating phase of waiting for the payment department to begin issuing annuity payments will ensue.

As with all things with unlimited time on one’s hands, OPM will extract every word and phrase from doctor’s notes and office visits, take them out of context and interpret everything in favor of denial.

It is often an overwhelming process of a “shotgun approach” where OPM attempts to make it appear as though (A) You were ridiculous in even trying to file for Federal Disability Retirement benefits and/or (B) what you had submitted previously was entirely insufficient and need not even be considered any further.

The net effect of the denial letter is to leave you with the impression that you should forget about the whole thing and just give up.  Don’t be fooled by this tactic, because that is all that it is — a ploy to just convince you to give up.

Instead, break down OPM’s arguments into manageable categories, of which the two primary ones are: (1) lack of showing of a deficiency in performance, conduct, or attendance and/or (2) insufficient medical documentation.  Then, attempt to gather any further documentation to reinforce those weak links and argue how the caselaw or statute is met with the additional supportive documents.

One other reminder: So long as you have met the timeframe of requesting reconsideration  within that 30-day period, you have a chance at winning your case —so, make sure you file the request in a timely fashion.  And, furthermore, you may want to contact an OPM Disability Lawyer who specializes in Federal Disability Retirement Law to help you formulate an effective response.

Sincerely,

Robert R. McGill,

Lawyer exclusively representing Federal and Postal employees to secure their Federal Disability Retirement benefits under FERS from the U.S. Office of Personnel Management.

 

FERS Medical Retirement: Reconsideration & OPM’s Hope

Federal Disability Retirement can be a long, arduous, and frustrating administrative process and the U.S. Office of Personnel Management does not help to make it a smooth one.  You will likely get denied at the Initial Stage of the process, and furthermore, the initial Denial Letter from OPM will have you scratching your head in a state of anger and confusion as to its inherent lack of coherence or logic.

That is because it is OPM’s hope that you will simply give up and go away.  However, the mantra which you must always adopt is:  Never give up, and keep persisting, no matter what OPM says in their denial.  If you don’t win at the Reconsideration Stage, then you still have a chance at appealing it to the next stage – before an Administrative Judge at the U.S. Merit Systems Protection Board.

At both stages of the bureaucratic process, it is a good idea to contact an experienced FERS Attorney who specializes in Federal Disability Retirement Law, who can properly evaluate the strengths and weaknesses of your case, and thus respond accordingly.  For, while persistence and refusing to go away is the first step in beating back OPM’s denials, such persistence must also be followed by a competent understanding and application of the legal criteria to rebut OPM’s attempt to marginalize your Federal Disability Retirement claim under the FERS system.

Contact a FERS Disability Lawyer who specializes in Federal Disability Retirement Law, and don’t succumb to OPM’s hope that you will just give up and go away.

Sincerely,

Robert R. McGill
Lawyer exclusively representing Federal and Postal employees to secure their Federal Disability Retirement benefits under FERS from the U.S. Office of Personnel Management.

 

The 2nd OPM and 3rd MSPB Stages: The True Reconsideration

Filing for a FERS Disability Retirement application is a long, arduous, and complicated bureaucratic process.  Preferably, one would like to obviously be approved at the First (INITIAL) Stage of the Process.  But these days as the U.S. Office of Personnel Management (OPM) is not easily inclined to approve a case at the first stage, it is the Second (Reconsideration Stage) which is a crucial and important event in the process.

At the Reconsideration Stage, 2 important factors are presented:  First, you have the chance to correct any alleged deficiencies which OPM points out, and; Second, and just as importantly, you can begin to prepare the way for an MSPB Judge to see the strength and coherence of your medical case.  For, if OPM denies you FERS Disability Retirement benefits a second time, it will then have to be appealed to the Third Stage of the process — an appeal to the U.S Merit Systems Protection Board (MSPB).

But as most opportunities are presented, the best way to approach this 2nd OPM Stage is to see it as a dual-purpose response:  First as a response to OPM’s Denial, and concurrently, as a legal argument to the potential MSPB Judge.

Furthermore, what OPM never tells FERS applicants is that a further “reconsideration” — a re-reconsideration — will occur if OPM denies the case a second time and an appeal is filed to the MSPB.

This is because the OPM Legal Specialist who will represent OPM at the MSPB will automatically review the case in its entirety, and re-reconsider it anew from an entirely different perspective – that from a legally sufficient perspective — in the same way, that the MSPB Judge will view it.

This is because the MSPB is a legal forum and not a bureaucratic forum —which brings us back o the “second” point in responding to an OPM Denial at the Reconsideration Stage — not only to correct any alleged deficiencies pointed out by the Office of Personnel Management, but moreover, to make persuasive legal arguments which point to the legally sufficient cogency of your application.

Thus, the Reconsideration Response should always include a Responsive legal memorandum arguing the applicable case law in preemptively preparing for the MSPB.  This not only prepares the way for arguing the merits of your case with the MSPB Administrative Judge but also gives a warning to OPM that your case will be legally invincible if and when it is appealed to the MSPB.

The best approach is to do things well from the very beginning, but even if your disability claim was already denied at the First Stage, for more reasons now, you need to contact a FERS Lawyer who specializes in Federal Disability Retirement law and prepare your disability case for the first appeal and reconsideration, but who also will assist you with the preparation of the “true reconsideration” stage — the re-review at the MSPB.

Sincerely,

Robert R. McGill
Specialized attorney exclusively representing Federal and Postal employees to secure their FERS Disability Retirement benefits from the U.S. Office of Personnel Management.

 

FERS Disability Law: The MSPB and Consistency of Argumentation

Is it even important, anymore?  Lawyers, of course, are notorious for making alternate arguments, presenting to a Judge or a Jury different explanations, alternative legal theories and justifications, often within the span of a single sentence, and even sometimes contradicting each other.

It is only when the contradiction occurs within the confines of a single theory that the Judge may say, “Wait, counsel — hoooooold on there!  Are you trying to argue X and Not-X at the same time?”  The answer by the clever lawyer: “No, your honor, I am merely pointing out that X could be, and Not-X is also credible, leaving my client to appear not only as an innocent bystander but, moreover, a not-guilty one as well!”

In some forums, that may hold; but in a Federal Disability Retirement case, the only way that inconsistency of argumentation works is when an OPM Medical Specialist says so.  OPM denies cases systematically without any regard to consistency of argumentation.  This is because there is no accountability at the U.S. Office of Personnel Management.  They can review a case, deny it, and it is out of the hands of the Medical Specialist who made the decision.

Then, at the Reconsideration Stage, a completely different Medical Specialist will make a brand new determination, based upon his or her own perspective and viewpoint, and it need not have any consistency of argumentation with the previous decision.

Fortunately, however, when it goes before an Administrative Judge at the U.S. Merit Systems Protection Board, Consistency of Argumentation becomes an important factor.  For, that is one of the primary basis upon which an MSPB Federal Disability Retirement case is lost — when consistency of argumentation based upon the evidence becomes questionable.

Inconsistency is the downfall of most cases at the MSPB; consistency — even with less than adequate evidence of a compelling nature — will often overcome much, and win the case.  The one thing that Administrative Law Judges at the MSPB dislike above all else: Inconsistency in testimony, Inconsistency in evidence, and Inconsistency in the closing argument of an attorney.

Sincerely,

Robert R. McGill
Lawyer exclusively representing Federal and Postal employees to secure their Federal Disability Retirement benefits under FERS from the U.S. Office of Personnel Management.

 

U.S. Merit Systems Protection Board & Disability Retirement: The Quiet Case

There are a significant amount — of the one’s without a fanfare, no formal MSPB opinion, but nevertheless, a “win”.

Many Federal and Postal employees get to that Stage — Stage 3 — an appeal to the U.S. Merit Systems Protection Board.  At this Stage, all reasonable attempts to persuade the medical specialists at the U.S. Office of Personnel Management have failed.

At the First Stage of the process, you filed your best shot and provided the utmost of medical documentation, but they denied you, anyway.  Perhaps it was because your previous year’s performance ratings were excellent, and you may have even received a cash award.  Or, maybe the medical opinions of your doctors were not sufficient.  Maybe OPM wasn’t persuaded that your condition would last at least 12 months.

Whatever the reasons, you had to go through the Second Stage of the process — the Reconsideration Stage.  You gathered whatever else you could, and submitted it within the timeframe allotted.  You hoped for the best.  When the denial came — the Second Denial — you knew you were in trouble.  The MSPB?  How are you going to maneuver through that complex maze before an Administrative Judge?

And this is essentially the “last stop” — for, if you don’t win it here, you will likely not prevail at a Petition for Review, and going to the Federal Circuit Court of Appeals is prohibitively expensive, and likely not winnable.  Yet, the MSPB opens up a great opportunity — for, what most people don’t realize, is that it is an opportunity for “the Quiet Win”.

Before you ever go to a Hearing on the case; before you have to prepare your Pre-Hearing Submissions — it is an opportunity to listen carefully to the OPM Representative assigned to your case.  If you listen carefully, you will have the opportunity to quietly and behind the scenes, submit additional evidence which could result in that 2.5 Stage of the process — between the Denial of the Reconsideration Stage and the Hearing before an Administrative Judge at the MSPB.

Of course, it will help if you also have an experienced FERS Disability Retirement Attorney involved, who can help you through the “Quiet Case.”

Sincerely,

Robert R. McGill
Lawyer exclusively representing Federal and Postal employees to secure their Federal Disability Retirement benefits under FERS from the U.S. Office of Personnel Management.

 

Federal Government Employee Disability Retirement Help: The Lengthy Process

The wheels of justice churn slowly — a statement, with all of its variances, which we are quite familiar with.  Those who have participated in the judicial system — whether in criminal law, civil litigation or administrative law (which is what filing an OPM Federal Disability Retirement / Medical Retirement applications falls under) — have experienced the reality of the metaphor.

It is often a burdensome endeavor, and one which encompasses, entails and encapsulates a deliberative body of a bureaucratic morass.

Can it be more efficient?  Can the “wheels of justice” be made to proceed faster?  No matter what the venue or forum — unless, perhaps, a case is filed in some sleepy midwestern town with a population of less than 100 — the volume of cases filed often dictates the efficiency of any legal venue entered.

For Federal employees and U.S. Postal workers who are filing for Federal Disability Retirement benefits under FERS, with the U.S. Office of Personnel Management, expect that it will remain a lengthy process.  Within the confines of a lengthy process, however, to make the most of an inefficient system, contact a Federal Retirement Lawyer who specializes in OPM Disability Retirement Law, as an expert in the field will be able to make the most out of an otherwise inefficient system.

Sincerely,

Robert R. McGill, Lawyer

 

Filing for OPM Disability Retirement: Starting the Process

Perhaps you tinker around the issue; you have “thought about it”; you have looked it up on the Internet; but for some reason, you cannot actually take the next step — of starting the process.  Delaying the inevitable; procrastinating for one reason or another; you may have been already told by your doctor that you might want to “consider” going out on disability — but you still have not taken the next step — the “concrete” step — in starting the process.

Federal Disability Retirement is a hard fate to accept; for, in the end, it means the loss of your career (at least in the form that you have become accustomed to), a partial loss of your identity (you’ve been know for many years by the title and designation of you job), and a reduction in your income (although, under FERS Disability Retirement, you can make up to 80% of what your former position currently pays, on top of the 60% of annuity the first year and 40% every year thereafter, thus potentially allowing you to actually make more in the end).

Starting the Process” is indeed a foreboding next step — one that must be thoughtfully engaged.  However, the Federal or Postal employee does not come to such a decision lightly.  Contact an OPM Disability Lawyer who specializes in Federal Disability Retirement Law, and let not the prospect of the process be more onerous than the process itself.

Sincerely,

Robert R. McGill, Esquire

 

OPM FERS Disability Retirement: Coordination of Elements

There is no question about it: It is a complex process.

Administratively, it must be passed through multiple levels of agency review in order to get a completed packet — the Supervisor’s Statement (SF 3112B); Agency’s Efforts for Reassignment and Accommodation (SF 3112D); effectively answering the Applicant’s Statement of Disability such that it provides the proper nexus between each of the questions on SF 3112A — for, although it may not be so obvious, the questions must both be answered separately as well as viewed in the totality of each as being a component fitting in with each other, in order to answer it to completion.

Then, there is the coordination of internal and external elements, and the intersecting impact within and without — of a medical report effectively prepared and consistent with the history of treatment modalities; of a nexus persuasively argued establishing the connective impact between the medical condition and the essential elements of the Federal or Postal job elements; and the interconnectedness of essential elements to the physical or cognitive inability to perform one or more of the essential elements, etc.

Throughout the process — whether for a denial and a rebuttal response at the Reconsideration Stage, or at the initial preparation stage in the First Stage; or, even of an appeal to the U.S. Merit Systems Protection Board — the coordination of elements is important in preparing, formulating and filing an effective Federal Disability Retirement application to be submitted to the U.S. Office of Personnel Management.  Consult with an attorney who specializes in FERS Disability Retirement Law in order to more effectively establish the coordination of elements.

Sincerely,

Robert R. McGill, Esquire