Federal Gov. and USPS Disability Retirement: Overlapping Patchwork

When multiple hands work on a single project from different directions, the patchwork of designs may reveal the lack of coordination; yet, the beauty of the diversity in pattern, color, dimension and creativity may make up for such lack of uniformity.  Thus, lack of uniformity need not mean that the end-result lacks beauty; and, indeed, lack of conformity can in and of itself be a form of delicate attraction.

But human beings possess an innate desire for a sense of logical comprehension, and while overlapping patterns may possess a beauty of diversity, anarchical presentation of exploding colors and patterns must ultimately be brought together into some semblance of coordination.

There is, of course, a distinction to be made between art and mathematics; between artistic endeavors, which may bend the rules of uniformity, as opposed to a cohesive and comprehensible presentation in the form of a persuasive argument.  In law, an overlapping patchwork of arguments may unintentionally hit the mark; but you would not want to rely upon such an imprecise approach.

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, the approach of culling together a patchwork of arguments — borrowing a report from one’s OWCP doctor; arguing that because one received a percentage rating from the Department of Veterans Affairs, the relevance upon an OPM disability retirement application should be of X consequence; extrapolating language from an SSDI decision — while all of these are of some consequence, each must ultimately be garnered into a coherent whole.

It may well be that one’s Federal Disability Retirement application began as a patchwork of information; in the end, however, it should be the hand of a single artist who reworks the pattern into a cohesive whole.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement for Federal Workers: Listing, Prioritizing and Weaving

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, the Federal or Postal employee who is formulating the Applicant’s Statement of Disability on Standard Form 3112D must describe the medical conditions which will be proven to impact upon one’s inability to perform one or more of the essential elements of one’s job.

Submission of the “list” of medical conditions will concretize and place boundaries around the issue to be litigated. Once submitted through the Agency or the U.S. Postal Service, then forwarded to Boyers, PA and assigned a CSA Number, the medical conditions described will be the only ones which can be argued.  Further, once a Federal Disability Retirement application is approved, the approval letter will have an attachment which describes and identifies those medical conditions which the Office of Personnel Management found the applicant to be disabled for (is this the feared split infinitive?).

Thus, by way of example, if a Federal or Postal employee filed for Federal Disability Retirement benefits based upon medical conditions X, Y and Z, and OPM based its approval only upon medical condition Y, then for any future Medical Questionnaire requesting an updated status on the annuitant’s medical condition, it is only medical condition Y which would be relevant.

As such, in the very preparation of the applicant’s statement of disability, important decisions must be made which will have significant future consequences:  which medical conditions to list; how to prioritize the medical conditions; whether to weave secondary conditions into the applicant’s statement, and to what extent, etc.

While some of the issues will be determined by the medical narrative report(s) prepared by the treating doctors, it is ultimately the responsibility of the Federal or Postal employee who is considering filing for Federal Disability Retirement benefits — along with his or her attorney — to set the course for future events in a manner which will ensure not only present success, but future security.

Sincerely,

Robert R. McGill, Esquire

CSRS & FERS Medical Disability Retirement: The Aggregate of Conditions

In debate, there are two primary methodologies of attacking:  the micro-approach, where each individual strand of an opponent’s argument is dismantled, leaving the opposition with no singular weapon to use; or the macro-approach, where — because some of the individual arguments may withstand scrutiny — the universal umbrella of the argument as a whole is attacked, thereby dismantling the entirety of the whole.

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS, OPM will utilize one of the two approaches.  At times, OPM will selectively choose one or two of the medical conditions, barely mentioning the rest, then attack the lack of documentary support on those particularized medical conditions.  Or, at other times, OPM will make sweeping generalizations and fail to specifically identify, and selectively ignore, the details of individual medical conditions.  Regardless of the methodology of approach, the ultimate result of either approach is a denial.

The question is how one responds to either approach.

The answer is often based upon the construction of the Applicant’s Statement of Disability.  This is where it is important to weave the particular with the aggregate, where the construction of each individual medical condition is argued to depend upon the greater whole, and where the cumulative impact of the various medical conditions constitute an inseparable whole.  The flexibility of language allows for this; the medical narrative report should reflect this.

This is why spending valuable time at the front end of a Federal Disability Retirement case is important; for the later stages of the administrative process may well depend upon it.

Sincerely,

Robert R. McGill, Esquire

FERS & CSRS Disability Retirement for Federal and USPS Workers: Which Medical Conditions to List II

If you list all of the medical conditions you suffer from on the Applicant’s Statement of Disability (SF 3112A) in filing an application for Federal Disability Retirement benefits under FERS or CSRS, then you take the risk that the Office of Personnel Management may approve your disability retirement application based upon a condition which is only marginally serious (which can lead to some future problems, if OPM requests that you respond to an OPM Medical Questionnaire, inquiring about your current status and your disability).  On the other hand, if you fail to mention a medical condition, and you file your Federal Disability Retirement application, once you are assigned a CSA Number, you are precluded from amending or adding to the list of medical conditions described in your Applicant’s Statement of Disability.  Thus, discretionary decisions must be made.  You must strike a proper balance between listing the major medical conditions, and deciding which medical conditions truly impact your ability/inability to perform the essential elements of your job, and discern which conditions and symptoms are likely to remain chronic, or continue to deteriorate.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement Benefits for Federal & Postal Employees: Are all Doctors Necessary?

In a Federal Disability Retirement case under FERS or CSRS, is it necessary to obtain the medical opinion of each and every doctor for each and every medical condition listed on the Applicant’s Statement of Disability (SF 3112A)?  To put the question in another way, Must there be a one-to-one correspondence between the medical condition listed or described, and the doctor who is specifically treating the medical condition? 

Certainly, in today’s world of medicine, where specialization is the key to treatment because of the complexity of each field of medicine and the successful treatment of diseases and medical conditions, it has become a fact of life that patients are “referred out” to various specialists.  Thus, the Primary Care Physician is often merely the “gate-keeper” of referrals, coordinating the medical treatment of a patient by overseeing the referrals to various specialists who treat various medical conditions.

An applicant for Federal or Postal Disability Retirement benefits under FERS or CSRS who must prove, by a preponderance of the evidence, his or her eligibility for Federal OPM Disability Retirement benefits, must submit substantiating medical documentation to prove his or her entitlement. 

As with all such questions, the answer to the above question is, “It depends”.  A one-to-one correspondence is not necessarily required; where helpful, of course, the referral specialist’s medical opinion should be used.  However, one should never underestimate the importance and force of the coordinating physician — the Primary Care Physician himself/herself.

Sincerely,

Robert R. McGill, Esquire