Federal Employee Medical Retirement: Choosing the Medical Conditions

Often, in preparing, formulating and filing a Federal Disability Retirement application under FERS or CSRS, the question is asked as to which medical conditions should be included in a Federal Disability Retirement application.  The obvious answer, of course, is to identify the “most serious” of the medical conditions, with a secondary consideration being the ones which impact one’s ability to perform the essential elements of one’s job.  

Whether to list “all of them” is a separate question, and then there are the subtleties which further delve into a more detailed analysis of the creation of an effective nexus between one’s medical conditions, the job description which one is supposed to be doing, and the provability of the medical conditions identified and described.  

Inasmuch as a Federal Disability Retirement application under FERS or CSRS is a “paper presentation” to the Office of Personnel Management (and yes, the concept of a “paper presentation” still applies even if and when OPM converts entirely to the technological next-step of a paperless system; the Federal or Postal employee must still present a formatted application), the admixture of legal and medical issues will ultimately come about.  

The conceptual distinction between the diagnosis and the symptomatologies; the extent of willingness of what a treating doctor will state; the concordance between the diagnosis, the symptoms described, and their impact upon the particular elements of one’s position description; the potential impact of being found “disabled” by the Office of Personnel Management based upon a “minor” medical condition which may resolve itself in the future, as opposed to a more serious-listed one; the nebulous areas of “syndromes” (as in Chronic Fatigue Syndrome) and the description of symptoms and making sure to relate the symptoms to a particular medical condition — these are all “subtleties” which involve an intersection between the legal standard of proof and the medical “facts”, in formulating a Federal Disability Retirement application under FERS or CSRS.  But that it were as easy as simply listing one’s medical conditions.  But, alas, OPM is a Federal bureaucracy, and the combination of “the law” and “a bureaucracy” can only lead to one result:  a conundrum.

Sincerely,

Robert R. McGill, Esquire

Postal and Federal Disability Retirement: Medical & Legal Issues

In preparing, formulating and filing a Federal Disability Retirement application under FERS or CSRS, sometimes there is an inevitable intersection between the Medical Issues involving the patient and doctor, and the Legal Issue embracing the Client-Lawyer-Doctor.  

Often, in terms of filing for FMLA protection, or taking too much sick leave, being placed on leave-restriction by the Agency, etc., or in the very question as to whether it will reflect negatively upon a Federal Disability Retirement application if one continues to work without taking any sick leave — these “mixed questions” will intersect between the medical and legal arenas.  

The conceptual distinction and bifurcation of the two issues is important to maintain.  First and foremost, one’s medical condition should always be considered as the primacy of concern.  Obtaining the proper medical care and taking care of one’s health and medical needs should be absolute and inviolate.  The secondary question of how it will reflect upon a Federal Disability Retirement application, inasmuch as it is a “paper presentation” to the Office of Personnel Management, should be an afterthought.  For, after all, the whole purpose of filing for Federal Disability Retirement benefits is to take care of the primary consideration — that of one’s health and medical needs.  If one takes care of “first things first”, then the “second” things will naturally fall into place.  

Now, having said that, how an Agency attempts to characterize a Federal or Postal employee’s attempt to attend to one’s medical conditions can of course sometimes impact a Federal Disability Retirement application, and should be responded to aggressively and in a timely manner.  But the substance of any such response, if it is based upon the medical condition, will always “correct” any such agency mis-statement.  

Integrity in a situation always prevails, and that is the whole purpose of having Federal Disability Retirement benefits and the laws which govern such benefits, in order for the Federal or Postal employee to attend to one’s medical conditions first, and then to “move on” in life.

Sincerely,

Robert R. McGill, Esquire