Medical Retirement for Federal Workers: Post Submissions

In preparing, formulating and filing a Federal Disability Retirement application under FERS or CSRS, the best of all worlds would be for the diverse and scattered elements of information which must be compiled, gathered and compacted for a completed OPM Disability Retirement packet, to be accomplished as a unified whole within a single state of time and being.  

But doctor’s reports are prepared based upon the time, schedule and availability of each medical provider; and other documentary evidence may not be obtained or available within a reasonable timeframe of each other.  As such, submitting some of the medical evidence after the packet has been sent to the Office of Personnel Management, is perfectly acceptable, with certain caveats:  Since a Federal Disability Retirement application cannot be altered or amended to “add” any medical conditions once a CSA number has been assigned to a case, it is important to include any and all medical conditions which form the basis of post-submissions.  

While legal arguments which were not previously part of the original OPM Disability Retirement packet can be supplemented, amended and added, the Federal or Postal employee who is filing for Federal Disability Retirement benefits cannot add any new medical conditions which were previously formulated on the Applicant’s Statement of Disability (SF 3112A).  Thus, any additional medical narratives, reports or diagnostic tests submitted after the assignment by the Office of Personnel Management of a CSA Number, cannot reflect a “new” and previously undisclosed medical condition.

Post submissions are perfectly acceptable, but they must reflect medical conditions which have already been identified.  As always, preparation is the key to success, and properly preparing, formulating and filing an OPM Disability Retirement application must necessarily include anticipating the medical conditions which might be discussed in any submission presented after the fact.

Sincerely,

Robert R. McGill, Esquire

Federal Worker Disability Retirement: The “Grab-bag” Approach

In preparing, formulating, and filing a Federal Disability Retirement application under FERS or CSRS, there is always the question of which medical conditions to include in the Applicant’s Statement of Disability (prepared on SF 3112A).  One approach which many Federal and Postal employees take (which, in my opinion is the wrong one to embrace), is to name every medical condition, symptom and suspected symptom one has suffered from, or is suffering from.  This might be characterized as the “shotgun” or “grab-bag” approach. 

One must be sympathetic to this approach, of course, if only because of the following reason:  OPM regulations and case-law supports the position that once an application for Federal Disability Retirement benefits has been filed with the Office of Personnel Management, a Federal or Postal employee cannot amend or add any further medical conditions without withdrawing the application and re-filing. 

Thus, a Federal or Postal employee who prepares and files an application for Federal Disability Retirement benefits is “locked into” what is stated on one’s SF 3112A.  Because of this, many Federal and Postal employees who prepare the application without the assistance of competent legal representation will take the “grab-bag” approach of listing every possible medical condition known to man. 

While this may seem like a reasonable, “safe” approach to take, remember that such an approach can have unintended consequences:  Upon an approval of the Federal Disability Retirement application, the approval letter may approve the Disability Retirement application based upon a minor medical condition which you no longer suffer from.  This, of course, can have negative consequences down the road.

Sincerely,

Robert R. McGill, Esquire

Federal Disability Retirement Benefits for Federal & Postal Employees: The Developing Medical Issue

There is a legitimate concern in preparing a Federal Disability Retirement application, that if an Applicant’s Statement (Standard Form 3112A both for FERS & CSRS employees) is not prepared properly, there may be some unforeseen repercussions down the road, including being barred from “adding” to the list of diagnosed medical conditions, to being found “disabled” based upon a minor, peripheral medical condition which may become “cured” within a short timeperiod.  This is true also of a “developing” medical condition — where symptoms abound, but the doctor is unsure of the specific diagnosis to ascribe to the patient.  That is why much of preparing a Federal Disability Retirement application under FERS or CSRS is more of an art form than a strict application of “the law” .  Yes, it is important to understand and apply the law.  Yes, it is important to extract prior experiences and weave the essential elements, both of the law, of facts, of medical descriptions, etc., into a meaningful narrative in bridging the two essential fields of evidentiary substance:  the medical evidence and the type of job which is impacted.  But more than that, one must know how to interconnect all of the necessary elements — the law, the facts, the medical basis, the essential elements of one’s job — into a coherent whole.  As for any developing medical issues, the same methodology can be applied — in an artful way, such that an unnamed diagnosis will have been “covered” by a description of the symptoms.

Sincerely,

Robert R. McGill, Esquire

Medical Retirement Benefits for Federal & Postal Employees: Listing the Medical Conditions (Continued…)

If an individual who has filed for Federal Disability Retirement benefits under FERS or CSRS later finds, during the process of waiting for a decision or, between the time of an initial denial and during the Reconsideration Stage or an appeal to the Merit Systems Protection Board — that a previously unlisted medical condition has worsened, can he “add” that medical condition to his Federal Disability Retirement Application?  Can he file an “amended” SF 3112A, Applicant’s Statement of Disability?  The general answer is, “No”. 

However, one can certainly submit a medical report concerning such “previously-unlisted” medical condition if one can reasonably argue that the previously-unlisted medical condition was in fact listed, right there for everyone (i.e., the Office of Personnel Management) to see.  This issue comes up often enough to be of concern, especially because of the valuable time lost in being forced to “withdraw” an application for OPM Disability Retirement and to start all over again in order to add a “new” medical condition.  To safeguard against such a potential event, it is wise to read through the multiple medical conditions when putting together an OPM Disability Retirement packet, and decide which primary diagnoses to include, and at the same time, to “weave” into the narrative of the description of medical conditions, symptoms and areas of pain which can be reasonably interpreted to encapsulate potentially underlying medical diagnoses which may later become prominent and require greater focal emphasis.

Sincerely,

Robert R. McGill, Esquire