Tag Archives: patience during the opm mspb claims process

OPM Disability Retirement Wait Processing Time

What is the time it takes to process an OPM Disability Retirement application?

Most of it depends upon the delays naturally encountered throughout the process itself: the length of time doctors take in compiling the medical information requested; preparation and formulation of one’s Federal Disability Retirement forms, including the Statement of Disability; how long the agency Human Resource Office takes (is it through a local H.R. Office, or through a centralized district human resource office; for Postal employees, everything it submitted through the H.R. Shared Services office in Greesnboro, North Carolina); whether it is submitted directly to the U.S. Office of Personnel Management in Boyers, PA (if the Federal or Postal employee is separated from Federal Service for more than 31 days, then it must be submitted directly to OPM; if less than 31 days, then through one’s Human Resource’s Office).

Then, once a case number is assigned to one’s Federal Disability Retirement application (called a CSA Number, a 7-digit number with an additional 0 as an irrelevant appendage, sometimes making it into an 8-digit number; for FERS employees, it begins with the number 8; for CSRS employees, it begins with the number 4), the entire application is sent down to Washington, D.C. Care should be given that the initial application be sent to the Boyers, Pennsylvania address, and not to Washington, D.C. — as this additional bureaucratic step of first processing the application in Boyers, PA is a required administrative procedure.

Then, the true waiting period begins. As to the original question, How long does it take to get an OPM Disability Retirement application decided? There is a formula to follow: First, take the number of months it took to get notification that the packet was forwarded to the next step from your Human Resource Office (again, for Postal workers, that would be from the H.R. Shared Services Office in Greensboro, N.C.); multiply it by the number of weeks it took to obtain a CSA Number from Boyers, PA; then, take that number, add the additional time it will take to sit in the “unassigned” pile of Federal Disability Retirement cases at OPM in Washington, D.C.; then, when it is finally assigned, multiply by an exponential factor of 10, and you may get a realistic wait time to meet one’s expectations of a quick, efficient and streamlined bureaucratic process (facetiously stated).

Sincerely,

Robert R. McGill, Esquire

 

Federal Disability Retirement Representation: Substance and Process

In any bureaucratic, lengthy administrative process, one can become embroiled in the procedural aspects of an endeavor, and overlook the substantive elements which form the foundation of any case.  Conversely, one can make the mistake of approaching a case and declare to one’s self, “This is so obviously a good case,” and take shortcuts in the process of putting together an effective and persuasive case.

Either approach is one fraught with grave errors, and for Federal employees and Postal workers who are beginning the process of preparing, formulating and filing for Federal Disability Medical benefits, first through one’s own agency (if still on the rolls of the Federal agency or the U.S. Postal Service or, if separated, for not more than 31 days), and ultimately submitted to the U.S. Office of Personnel Management in Boyers, Pennsylvania (directly, if the Federal employee or U.S. Postal worker has been separated from Federal service for more than 31 days), it is important to keep the balance between the substance of a case, and the process of the case.

Substantive issues involve everything from the factual, informational content required on all standard forms (SF 3107, along with Schedules A, B & C, and the required attachment of one’s DD 214 showing prior active military service; SF 2801 for CSRS employees; and the substantive content of the description of one’s medical conditions to be considered, as required in SF 3112A, etc.), as well as the medical documentation needed to provide the evidentiary support for one’s case.

“Process” issues involve the timeframe in filing a case, the administrative procedures of where the disability application must be submitted through, as well as the myriad of sequential steps required for satisfaction of accommodation issues with one’s agency.

Substance and process — they are the necessary sides of a single, inseparable currency of an administrative reality known as Federal OPM Disability Retirement, and both must be attended to in order to reach the heights of efficacy mandated for a successful outcome in the preparation, formulation and submission of an OPM Medical Retirement application.

Sincerely,

Robert R. McGill, Esquire

 

OPM Disability Retirement: The Administrative Process

Ultimately, Federal Disability Retirement must be viewed as a “process“, as opposed to a singular procedure whereby a triggering mechanism automatically allows for receipt of benefits.  The former requires an affirmative approach which involves submission of proof, argumentation, an expectation of resistance (in many cases), and an analysis by the U.S. Office of Personnel Management as to whether or not all of the legal criteria have been met.  The latter is merely a formality of filing.

As a process, filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management has various steps, procedures, and Stages for appeals.  There is, first and foremost, the initial application Stage, where one has the opportunity and right to submit proof of eligibility, and make legal arguments for entitlement.  If one’s Federal Disability Retirement application is denied at the first Stage of the process, then one has a right to have it “reconsidered” by filing a “Request for Reconsideration” within 30 days of the date of denial, or receipt of the letter of denial from OPM, whichever is later.  If denied a second time, then the Federal or Postal employee who is filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management has a right to file an Appeal to the U.S. Merit Systems Protection Board.

There are, in addition to the 3 stages described, two (2) additional stages of appeal, but the three main stages of filing are what have been previously described.

With such a “process” in mind, it is wise to prepare for the long haul.  An expectation of a quick and easy approval, even if obtained, should not be embraced at the outset, precisely because one must take into consideration the potential length of time which the entire process may take, and prepare accordingly.

Sincerely,

Robert R. McGill, Esquire

Medical Retirement for Federal Workers: The Long, often Frustrating Road to a Decision

It is indeed taking an inordinate amount of time in receiving a decision from the Office of Personnel Management, for a Federal Disability Retirement application.

The problem which has been identified by various personnel at the Office of Personnel Management is that there has been a steady backlog of cases resulting from various factors, including personnel attrition through retirement, transfers, etc., without an adequate rate of substitution or replacement.

This is obviously of great frustration and concern to all Federal and Postal personnel who are awaiting a decision from the Office of Personnel Management on his or her Federal Disability Retirement application under the FERS or CSRS systems, but ultimately it must be accepted as part of the bureaucratic, administrative process of filing for a benefit.

Each of the Claims Representatives at the Office of Personnel Management, when contacted, are clearly attempting to get through their case-loads, but they must review, evaluate and apply a set of criteria in making a determination on each case.

A denial of a Federal Disability application only sets back the case further, because it then is transferred to the Reconsideration Section of the administrative process, and is reviewed anew (assuming that the Federal or Postal Service employee files a Request for Reconsideration within the 30-day timeframe) by a different OPM Representative.

Frustration is a part of any and every bureaucratic, administrative process; waiting is part of that process; patience is the virtue which must be retained; and recognizing from the outset that exponential multiplication of the waiting period is the best mathematical calculus to estimate the average waiting time, then to attempt to remain productive and busy during such time, is the best (and only) approach to the long and often frustrating road to a successful outcome in preparing, formulating and filing for Federal Disability Retirement benefits under FERS or CSRS.

Sincerely,

Robert R. McGill, Attorney

 

Disability Retirement for Federal Workers: When to file for an MSPB Hearing

Filing for Federal Disability Retirement benefits under FERS or CSRS is what is generically known as falling under “Administrative Law“.  That is, Federal and Postal employees must undergo the administrative process of filing with a Federal Agency, the Office of Personnel Management, in an attempt to prove by a preponderance of the evidence that one is eligible for, and therefore entitled to under the law, Federal Disability Retirement benefits under either the Federal Employee’s Retirement System (FERS), the Civil Service Retirement System (the “older” system, or CSRS), or its hybrid, the CSRS-Offset.

If the Agency which makes the decision on eligibility, and it denies a Federal or Postal Service employee’s application twice (both at the Initial application Stage of the process, then again at what is termed the “Reconsideration Stage” of the process), then the disability retirement case can be appealed to an Administrative legal forum specifically set up to hear such cases (as well as many other types of cases involving Federal and Postal employees).

In order to file with the Merit Systems Protection Board (the “MSPB”), one must have received a “final denial” letter from the Office of Personnel Management — and, by “final”, is merely meant the “second denial” letter.  Thus, in order for the Merit System Protection Board (MSPB) to consider an appeal for one’s Federal Disability Retirement benefits, the Federal or Postal employee must have been denied by the Office of Personnel Management on the first two tries — first, with the Initial Application, then for an appeal or the ”Reconsideration” of that application.  Only then may a Federal or Postal employee who is filing for Federal Disability Retirement benefits under FERS, CSRS or CSRS-Offset file an appeal with the MSPB.

Sincerely,

Robert R. McGill, Esquire

Federal and Postal Disability Retirement: The Frustrating Process

As with most administrative dealings with the government (Federal, State or local), the process itself is a frustrating one.  Filing for Federal Disability Retirement benefits under FERS or CSRS is a process which necessarily entails patience, and along with it, a quiet frustration because of the multiple levels of administrative procedures which one must undergo.  

I recently went and watched the De Caprio movie, Inception, which involves a complex and convoluted plot-line of attempting to convince an heir to a great business fortune, to break up the company.  The way to convince the young heir was to involve him in a dreamworld of mental constructs without his knowing it, and to plant an idea into his subconscious that he should break up the company, and thereby fail to compete with another company.  If the short “telling” of this plot line is confusing and convoluted itself, you may imagine how the movie itself is.  Yet, at an IMAX Theater, it was enjoyable, and my son certainly enjoyed it.  

The point here is that the convoluted process of getting from point A to point B, is to take a simple conceptual paradigm and make it into a confusing morass of a long and involved movie.  Filing for Federal Disability Retirement has that same sense of the absurd; of a process which is convoluted beyond a simple concept; and the waiting part is the most frustrating of all.  Then, when the end comes, either with an initial denial or an approval, it is anti-climactic.

Sincerely,

Robert R. McGill, Esquire

CSRS & FERS Disability Retirement: The Waiting

Yes, filing for, and obtaining, Federal Disability Retirement under FERS or CSRS is a long, arduous, bureaucratic process. It can take 6 – 8, sometimes 10 months from the beginning to the approval of the application at the First Stage. Then, even after it is approved, it can take another 60 days before even the initial, interim payment is received. Further, if it is denied at the First Stage, the Reconsideration Stage can take an additional 90 – 120 days. And of course if it is denied at the Reconsideration Stage, the appeal to the Merit Systems Protection Board can take 120 days or more (with temporary case-suspensions and waiting for the Judge’s decision). Beyond that, any further appeals can take many more months. All of this “waiting” and admonishment of “being patient”, with little or no income, and the anxiety of one’s financial future. There is no argument to be made: patience is necessary for the entire process. I, as an attorney, cannot promise that the “process” will be any smoother or shorter; hopefully, however, I can provide a level of expertise during the entire process, which can lessen some of the anxiety during the long waiting period. As I often say: If patience is a virtue, then Federal and Postal Workers going through the Disability Retirement process must be the most virtuous men and women of the world.

Sincerely,

Robert R. McGill, Esquire