Tag Archives: opm and ssdi two very different disability systems

Federal Disability Retirement: What Are You Trying to Prove?

The word “refrain” is an interesting one for its multifarious definitions — from restraining one’s self (a physical act of self-control) to identifying a phrase or group of phrases which are repeated throughout a verse, song, etc., the application of the word is useful by its very differences.  And, indeed, it is the differences between a Federal Disability Retirement application, whether under FERS or CSRS, from the U.S. Office of Personnel Management, from the entire administrative process of filing for Social Security Disability benefits, or obtaining a higher disability rating from the Veterans Administration, or even attempting to establish causality in a Federal OWCP, Department of Labor case — which makes all the difference.

Such a tautology and redundancy, while rather puzzling, is what must be kept in mind when preparing, formulating and filing for Federal Disability Retirement benefits.  It is indeed the differences which make for the difference.  Thus, as to the refrain, “What are you trying to prove?”, goes to the very heart and essence of the differences.  That which one is trying to prove strikes at the essence of how you will approach a Federal Disability Retirement case, distinctly and differently from what you are trying to prove for an increased VA rating, OWCP case or a Social Security Disability case.

Furthermore, normally the “shotgun” approach will not be the most effective — i.e., that approach of shooting at everything and in every direction and hoping that you will somehow hit the mark.  Federal Disability Retirement requires certain specific elements to prove, different and distinct from OWCP, VA or SSDI, and it is indeed that which one needs to prove, which will make all the difference in a case.

Sincerely,

Robert R. McGill, Esquire

Postal and Federal Disability Retirement: The Inherent Complexities

It is often asked why filing for Federal Disability Retirement under FERS or CSRS is more complex, and therefor often more difficult to obtain, than (for example) Social Security Disability, or even Federal Worker’s Comp.  The simple answer is that one cannot compare apples and oranges (to quote an oft-used metaphor), but the greater inherent complexity of answering such a question involves more space than can be allotted here.

Social Security Disability, of course, has a higher standard of eligibility.  In abbreviated explanation, this means that one must essentially be “totally disabled” in order to qualify for Social Security Disability, as opposed to the “lower” legal standard of being “unable to perform one or more of the essential elements of one’s job”.  Thus, Social Security Disability cuts a wider swathe, and is generally considered to require a more onerous standard, and the resulting benefit reflects that — by allowing for restrictive ability to earn outside income, etc.  

 Worker’s Comp (OWCP, FECA/Department of Labor) is also complex in its own way, precisely because it requires a showing of occupational connection, or that the injury or medical condition was “on the job” or somehow caused by the job, the workplace, etc.  Then, its reliance upon percentage of disability, and the fact that it is not a retirement system, but a temporary mode of compensation in attempting to return the Federal or Postal Worker back to work, further contains multiple complex issues.  

Often, when a law attempts to particularize a benefit — as in Federal Disability Retirement — by focusing narrowly upon an issue (e.g., being unable to perform one or more of the essential elements of one’s particular kind of job, or any similar job), such a narrow focus creates an inherent complexity all on its own. Complexity of an issue requires a careful and studied approach; to conquer an issue, it is important to expend a great amount of time reflecting upon and scrutinizing the issue. It is only upon understanding an issue thoroughly that the complexity begins to unravel; and only then can one begin to proceed to prepare, formulate and file for Federal Disability Retirement benefits under FERS or CSRS.

Sincerely, Robert R. McGill, Esquire

Medical Retirement for Federal Workers: Agency Independence

Each agency is tooled with a statutory mandate as to its mission and purpose, and from the origination of the statutory mandate, Federal Regulations and policies are formulated.  The independence of each agency within the Federal Government results in the anomaly of a patchwork of Federal Agencies, few of which are coordinated in their efforts or purposes.  

Conceptually, this is thought to be a good idea — precisely because by preserving the independence of each agency, it can singularly focus upon the mandated purpose and goal — and better accomplish its “mission”.  But the flip-side to the positive consequences of such conceptual formulation is that there is often an overlap between missions, and where the logical result of one action should almost automatically (logically) result in another, such is not the case because of the wall of separation between agencies, preserving their independence from each other.  

In Federal Disability Retirement issues, one would think that where a stricter standard of eligibility is imposed in one agency (e.g., the Social Security Administration for disability determinations), an approval based upon that stricter standard should automatically result in an approval by the Office of Personnel Management for purposes of evaluating and deciding upon a Federal Disability Retirement application under FERS or CSRS.  

Such is not the case, however.  

Hypothetically, it is possible to conceptualize a case where a Federal or Postal employee is deemed “totally disabled” by a doctor, but still be able to perform all of the essential elements of one’s Federal or Postal job.  Conversely, it is possible to think of a case where an individual is no longer able to perform one or more of the essential elements of one’s job (FERS or CSRS Disability Retirement) and yet not be considered “totally disabled” (SSDI).  The latter, of course, happens all the time; the former continues to occur — although, to actually come up with a true case involves mental gymnastics which exists only in the world of myths and language-games.

Sincerely,

Robert R. McGill, Esquire