Tag Archives: a possible scenario if your federal disability application is denied on the first try

OPM FERS/CSRS Disability Retirement: Approaching a Reconsideration

The proverbial definition of insanity is to engage in the same repetitive activity with the expectation of receiving a different result.  While such a definition may not provide a clinically accurate or legally acceptable formulation, it does implicate the chaotic character and the futile act of responding in a particularly fruitless manner.

For Federal and Postal employees who have attempted to file for Federal Disability Retirement benefits through the U.S. Office of Personnel Management, whether under FERS or CSRS, and have received an initial denial, the process of having OPM reconsider one’s case must be approached in a 2-tier manner:  First, one must meet the “deadline” of filing for Reconsideration with OPM within thirty (30) days of the denial, or upon receipt of the denial (although, to be on the safe side, it is best to use the former date as opposed to the latter);  next, with the box checked to indicate submission of additional medical documentation, to then gather, prepare, compile and submit additional medical evidence within thirty (30) days thereafter, unless a further extension is needed and requested.

However, one should also understand that in an OPM Reconsideration case, it will not be the same Case Worker who will review the case, but it will be reviewed thoroughly by someone else as if it had never been previously reviewed. As such, there is the confounding conundrum of a dual anomaly: The First Case Worker who issued the denial based the denial upon certain specific points; yet, what the First Case Worker denied the case upon, may have no bearing upon what the Second, Reconsideration Case Worker will evaluate the case upon.

What does one do? Whatever one’s answer is to this complex conundrum, do not engage in the proverbial act of insanity; better to get some legal guidance than to spin one’s wheels in an insane world of futility.

Sincerely,

Robert R. McGill, Esquire

OPM Disability Retirement: Reminding the Agency of the Administrative Process

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether the Federal or Postal employee is under the Federal Employee’s Retirement System (FERS) or the Civil Service Retirement System (CSRS), a reminder is often necessary to the agency which retains the Federal or Postal employee on the active rolls, that it is an administrative process, and not a singular event representing an entitlement to Federal Disability Retirement benefits.

Of course, the Agency itself has a self-interested motive in the outcome of the Federal Disability Retirement application, especially if the Federal or Postal employee continues to occupy the positional slot of the agency.  For, so long as the Federal or Postal employee continues to remain on the rolls, it cannot officially fill the empty slot.

Thus, what often happens if a Federal Disability Retirement application is denied at the First Stage of the administrative process, is that the Agency will immediately attempt to threaten the individual and demand that the Federal or Postal employee return to work by a date certain, or justify the medical basis upon which the continuing absence occurs.  By then, all FMLA rights may have been exhausted; sick leave may be depleted, etc.

At this point, the Agency Human Resources Office needs to be reminded that, as an administrative process, there are multiple levels of appeals, and the mere fact that a Federal Disability Retirement application has been denied at the First Stage is not a basis for the Agency’s demand to return to work.

Agencies tend to be hard of hearing, however, and a law unto themselves.  That’s not surprising for most Federal employees and Postal workers; indeed, you have had to endure such a perspective of self-centered attitude throughout your Federal or Postal careers, and this information is merely reinforcement of what you already knew.

Sincerely,

Robert R. McGill, Esquire