Responding to an OPM Disability Denial: The Mixed Case

Of course, it can be readily argued that every case is a “mixed” one — meaning thereby that the disability case itself cannot ever be merely based upon interpreting the facts presented (or, in the case specifically of a Federal or Postal Disability Retirement claim, interpreting the medical documentation), but necessarily includes case law and statutory criteria beyond the facts of the case.

That being so, it is all the more relevant to recognize that in a Federal Employee Disability Retirement case, mere recitation of the medical documentation does not resolve any differences of analysis.  OPM systematically either fails to recognize the applicable laws in denying the Federal or Postal employee’s application for Federal Disability Retirement, or acts as if they are an autocratic bureaucracy unrestricted and uninhibited by any statutory or judicial mandate of the governing laws.

The fact is that every Federal or Postal Disability Retirement case is a mixed case where the precedents of prior similar cases have rendered legal decisions impacting upon specific issues inherent in every disability retirement application, and the core disputes which arise rarely focus upon the medical documentation, but more often upon the legal interpretation arising from the application of the relevant laws upon the medical documentation.

That is why the U.S. Office of Personnel Management (OPM) is so often wrong in their initial determination in denying a Federal Disability Retirement application — because the “medical specialists” at OPM are not lawyers and therefore are not conversant in the relevance and impact of the ever-growing body of laws governing Federal Disability Retirement.

That being said, in responding to a denial of a Federal or Postal Disability Retirement claim by the U.S. Office of Personnel Management, it is important to always respond with the force of the law and to continually remind OPM that their failure to approve your case is not merely a difference of analytical opinion, but is a clear and blatant violation of the applicable laws governing the issues concerning your Federal Disability Retirement application.

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.

 

FERS Medical Retirement: Response to the Shotgun Denial

When the U.S. Office of Personnel Management issues its Initial Denial of a Federal/Postal Disability Retirement application, the usual methodology of argumentation they employ is likened to a shotgun blast — with very little aim or focus.

It is a frustrating narrative to read, and all the more so because they have had an unlimited amount of time to formulate and write the denial, whereas the denied applicant is provided a very short response time.  The Denial Letter can appear extensive in scope, and the initial reaction is to try and rebut each and every line of the denial letter — which is the wrong approach to take.

The “right” and most effective responsive approach to take when responding to an OPM Denial of the Initial application is to categorize the various issues into a manageable number of subcategories, and then to respond to each in a systematic manner, and as to each, to cite a supportive case law that favors your argument.

Remember always that OPM’s purpose in denying your case is two-fold — either in hopes that you will not respond in a timely manner or not at all (thereby obviating the need to do anything further because you will have lost your administrative right to proceed any further in the process); or, that the process will appear so complex that you will fail to respond adequately to the multiple points of the denial letter.

Do not get caught up in the “fairness” issues — for, the entire bureaucratic process is unfairly weighted in favor of OPM at every turn, and to become embroiled in arguing against the unfairness will only lead to endless frustration and get you nowhere.

Instead, contact an OPM Disability Attorney who is familiar with FERS Disability Retirement Law, and begin to prepare and formulate an effective response to OPM’s Shotgun Denial of your Federal Disability Application under FERS.

Sincerely,

Robert R. McGill
FERS 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 Disability Retirement Application Denied: The Response

How do we learn how to respond?  Are all responses appropriate?

If a person you pass along the street says, “Hi, how are you doing?” — is the appropriate response to actually stop and give an hour-long dissertation about your life history, how your cat recently was run over by a car, and about your kid’s problems in school?  Or, do we just tip our head with a quick nod and respond with: “Good. Have a nice day”?

And of that irritating car in front of you in a one-lane road going 25 mph when the speed limit is 50 — do we honk aggressively, try to pass even though there is a solid yellow line, and finally accelerate illegally on the shoulder, on the right side, and speed past him?  Of course, when the police officer stops you and tickets you, it is hardly a response to say, “But officer! He was going 25 in a 50 mph zone!”

Every society possesses established conventions to follow, and “appropriateness” is generally defined by recognition of, and adherence to, such conventions.

And to an OPM Denial in a Federal Disability Retirement case:  Do you write a long dissertation and attack each point — or do you call a Federal or Postal Attorney who specializes in Federal Disability Retirement Law?  Or, even if you haven’t filed, but you know that you cannot reach retirement age because of your deteriorating health — do you just submit a letter of resignation and walk away?

No; the proper response is to contact a FERS Disability Retirement Attorney who specializes in Federal Disability Retirement Law, and to discuss the strategy and the proper response in order to file an effective Federal Disability Retirement application to the U.S. Office of Personnel Management, under FERS.  For, in every endeavor of life in this complex world of conundrums and perplexities, there is a “response”, and then there is the “proper 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.

 

Disability Attorney Representation After an OPM Application Denial: The Missing Piece

That is the height of frustration — of assembling something, perhaps a mechanical device, a complex toy for a child (or for the adult, for that matter), or going through a computer downloading process, etc. — and realizing that there is a “missing piece”.  Even in reading a book on a technical subject matter; of realizing that the author is assuming that the reader already knows about a concept being discussed, a historical event being referred to.

What did we all do before the capacity to “google” a subject?  Is that why rote memorization is no longer required — because we can all whip out our Smartphones and instantly become an expert on any subject by regurgitating upon the subject-matter description as provided by the internet?

The “missing piece” is often in the body of a denial rendered by the U.S. Office of Personnel Management in a denied Federal Disability Retirement application under FERS.

There may be many reasons given for the denial, but it is often a single missing piece of the puzzle which would have persuaded and convinced OPM to approve the case.  It would have been better, of course, to have anticipated the “missing piece” and to have preemptively made the proper argumentation in the original submission of the Federal Disability Retirement application.

Whatever the case may be, it is important to have a disability attorney recognize and identify, then to “fill in” the missing piece in preparing, formulating and filing an effective Federal Disability Retirement application under FERS, or in rebutting an OPM Denial, whether for the Reconsideration Stage or even for the MSPB appeal.

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.

 

Attorney Representation for Denied OPM Disability Claims: The Appearance of Substance

It is like a Jonathan Franzen novel (apologies to those who are fans of his), as opposed to a Hemingway masterpiece (is the bias too obvious by merely connecting “novel” to the first writer as opposed to “masterpiece” to the second?).  The fluff is fairly obvious.  Pages after pages of meandering nothingness, wondering where the story is going, what the plot is, why it is that one is trying to make one’s way through a long and meaningless road?

The appearance of substance is always a problem.  How does one gauge it?  It is like the old adage of throwing away good money after bad — after a long investment of time in trying to read it, you hate to give up before you get to the end.

OPM denials in a FERS Disability Retirement case often “feels” like that — of long extrapolated regurgitations from medical records, then at the end, a mere statement: “It has not been shown that you suffer from a medical condition which prevents you from performing the essential elements of your position”.

So, either one of two things is going on:  Either the previously-quoted extrapolations self-evidently speak form themselves, or the OPM Medical Specialist simply wants an appearance of substance without having to explain or discuss the relevance of the extrapolated paragraphs.  Volume is not the same as substance; just compare a balloon as opposed to a boulder sitting atop a mountain in Colorado.

For Federal employees and U.S. Postal workers who have received a denial from the U.S. Office of Personnel Management for his or her Federal Disability Retirement application, contact an OPM Medical Retirement Attorney who specializes in Federal Disability Retirement Law, and consider that the appearance of substance is no substitute for a substantive legal rebuttal.

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.

 

Office of Personnel Management (OPM) Disability Retirement: Leaving Chunks Out

Sometimes, if done carefully, the abbreviated story “works” better — if the punch line makes sense despite leaving the chunks out.

For many years, I had been under the impression that I had read the full text of a major novel of stupendous length (you can guess which one it is — yes, of the Russian sort).  I later realized that it was an “abridged” version.  When I then read the unabridged version, my conclusions were: the editors of the abridged edition did a better job; the chunks left out did not add to the story, and should likely have been edited out to begin with, leaving a shorter abridged edition without identifying it as an abridged edition.  And finally: The Russian author was clearly too impressed with his own verbosity.

“Leaving chunks out” is often done in other contexts, as well — as in, responding to a spouse’s question, “What took you so long to come home?” — you leave out the fact that you had stopped off at a local bar and sat and drank for a couple hours.  Of course, the next obvious question in that context is: “How come you smell of alcohol”?

Leaving chunks out when the motive and intent is underlined by a nefarious paradigm is where the problem resides.

The U.S. Office of Personnel Management does this all of the time in their denial letters:  They extrapolate only the selective portions of the medical record which will support a denial; they will ignore “the law” and the application of the law; they will make statements which “imply” certain consequences, and multiple other actions (or inactions) which leave chunks of information out.

Contact an OPM Attorney who specializes in Federal Disability Retirement Law, and make sure and force OPM to do what they are supposed to do: Of being an objective and uninterested party in the determination of your Federal or Postal Disability Retirement application under FERS.

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 Retirement Application Denial: OPM’s Corner of Truth

The term is often applied in economics, where market “forces” represent a quantifiable share of profits and monopolies rule — that such-and-such company has “cornered” the market.  Then, of truth, but in a negative way — that no one has a corner on truth.

In a Federal Disability Retirement case, the U.S. Office of Personnel Management expresses their “corner of truth” in a denial letter — by taking selective extrapolations from medical reports and detailing (sometimes) why certain statements “prove” that a person is not disabled in a Federal Disability Retirement case; or, by asserting that there were no “deficiencies” in one’s past performance reviews; no attendance problems; no conduct issues.

It is a matter of coming up with enough proverbial “holes” in one’s Federal Disability Retirement case, then concluding that the Federal Disability Retirement applicant has “failed” to meet the “criteria” in a Federal Disability Retirement case — and these, in their totality, constitute OPM’s corner of truth.

How to counter this, and what to do to rebut OPM’s corner of truth?  By gathering additional medical documentation; applying the case-law which provides a countervailing view; creating the necessary nexus between the facts, the law, and the medical evidence, and presenting it to OPM in a sufficiently coherent manner as to change OPM’s corner of truth into a truthful tale which tabulates the totality of one’s actual case.

Contact an OPM Medical Lawyer who specializes in Federal Disability Retirement Law and make sure that OPM’s corner of truth is not the dominant quarter; for, in the end, no one has a corner on truth — but merely one of many corners.

Sincerely,

Robert R. McGill, Lawyer

 

OPM Disability Retirement Application: Denials for the Unrepresented

Why are denial letters issued to those Federal Disability Retirement applicants different in nature from those with legal representation?  Why should there be a difference in quality and content?  Why, indeed?

It is an “indication”, of course, of a lack of objectivity in how the U.S. Office of Personnel Management approaches cases.  For, the denial letter issued to an unrepresented individual is often characterized by language which makes it appear as if the person filing for Federal Disability Retirement benefits “never had a chance”.  You were a fool to have even tried.  Your application has no merit and should be summarily dismissed!

On the other hand, a denial letter to an individual who is represented by an attorney often will point out some of the legitimate deficiencies; questions about lack of performance deficits; and a greater amount of logical argumentation.

In the end, one might argue — does it matter?  For, both still constitute an OPM Disability Retirement denial.  The answer: Yes.

Not every FERS Disability Retirement application prepared by a lawyer will pass through at the First Stage with an approval.  However, most should at least come close to satisfying the threshold, and those which do not, can always be supplemented at the Reconsideration Level, or with an appeal to the MSPB.

Contact a FERS Disability Attorney who specializes in Federal Disability Retirement Law and make sure that your legal presentation to the U.S. Office of Personnel Management is given the best shot possible.

Sincerely,

Robert R. McGill, Lawyer

 

Federal Disability Retirement under FERS: Name Dropping

We all know, or have heard of, Such people — people who “name drop” the names of other people, or make reference to others as a way of showing (A) by naming someone else, their own status is somehow elevated by mere association, (B) by making reference to someone else, it makes them look intelligent, sophisticated, important, etc., or (C) by dropping a name, some relevant implication is to be discerned.

In a Federal Disability Retirement case, the U.S. Office of Personnel Management consistently engages in choice C above.  They will state, in various forms: “You filed for Social Security disability benefits and, as of this writing, you were denied by Social Security.”

Yes, well…everyone who is filing for OPM Disability Retirement benefits is required by statutory law to file for SSDI and, since almost everyone filing for FERS Disability Retirement is still employed by the Federal government or the U.S. Postal Service, an automatic denial is almost guaranteed.  Thus, to be denied by Social Security should have no relevance.  However, by name dropping “Social Security”, OPM wants you to walk away with the following implication: You were denied by the Social Security Administration; therefore, you are not disabled.

Contact an Federal Disability Attorney who specializes in Federal Disability Retirement Law and consider the relevance of any name dropping in preparing, formulating and filing an effective Federal Disability Retirement application with OPM.

Sincerely,

Robert R. McGill, Lawyer