Tag Archives: proving your medical condition and the nexus of your medical condition and the essential tasks of your current federal job

Federal Employee Medical Retirement: A Bridge Too Far

It is an indelible comment in history, marking a failure of calculations resulting in catastrophic consequences in the unwise attempt to quickly end the war.  As a tactical consideration, the attempt to outflank German defenses by securing key bridges in order to isolate the enemy, constituted a brilliant idea; in practical application, the unconfirmed attribution of the comment that the Allied Forces may be going “a bridge too far” proved to be the very downfall of such a bold military strategy.

M-2 Treadway Pontoon Bridge under construction across the Po River near Ostiglia (National Archives)

M-2 Treadway Pontoon Bridge under construction across the Po River near Ostiglia (National Archives)

Bridges represent vital and necessary supply lines between two entities, organizations, populations, and even ideas.  They allow for the free flow of supplies and communication; they constitute the “lifeline” between two otherwise disparate groups.  It is such a bridge, or “nexus”, which is similarly of great importance in all formulations of Federal Disability Retirement applications. For the Federal or Postal Worker who is preparing to submit a Federal Disability Retirement application through one’s agency (if still employed by the Federal Agency or the U.S. Postal Service, or otherwise separated but not more than 31 days since the effective date of separation), and ultimately to the U.S. Office of Personnel Management, making sure that the “bridge” between one’s medical condition and the impact upon the positional duties of one’s job is a vital and necessary part of the process.

Like physical bridges which connect various populations, the nexus which brings together the Federal Disability Retirement application in a FERS or CSRS submission, will determine the very persuasiveness of one’s presentation to the U.S. Office of Personnel Management.  A bridge which is inadequate will fail to establish that the medical condition impacts one’s capacity to perform the essential elements of one’s Federal position; and one which overextends itself may raise red flags of overreaching and exaggeration, undermined by a Supervisor’s Statement or the Agency’s contention that they have attempted to accommodate an individual to a legally viable degree.

While a 1-to-1 ratio of a medical condition-to-an-essential element is unnecessary in establishing eligibility for Federal Disability Retirement benefits (see my multiple articles on the Henderson case), nevertheless, a linguistic construction of an adequate bridge between the two must be firmly established.

In the end, as with the Allied attempt to swiftly conclude the war resulted in the unnecessary cost of human lives, so one must take care in preparing, formulating and filing for Federal Disability Retirement benefits, such that one does not go “a bridge too far” in making one’s case in a Federal Disability Retirement claim.

Sincerely,

Robert R. McGill, Esquire

Disability Retirement for Federal Government Employees: The Pruning Mechanism

It is one of life’s anomalies that plants flourish and thrive with targeted pruning; too much dismembering, and the sap of life can wither; too little, and the nutrients required for new growth will be diverted to wasted areas of decay, thereby allowing for greater susceptibility to disease. As animals cannot regenerate new appendages (with some variable exceptions), so pruning of limbs is not recommended. But the term itself can imply metaphorical contents — of leaving behind and cutting off ties which harm; of terminating associations which contribute to the decline of one’s health.

The complexity of medical conditions will often bring to the fore questions of causation and exacerbations; and while stress is an inherent factor in almost every employment arena, and further, is not normally recommended in a Federal Disability Retirement application to be focused upon (see previous articles on work-place stress resulting in “situational disabilities“, which can defeat a Federal Disability Retirement application), nevertheless, it is an issue which any Federal or Postal employee contemplating preparing, formulating and filing for OPM Disability Retirement benefits, should consider carefully, seriously, and with deliberate intent.

It is ultimately the U.S. Office of Personnel Management which reviews, approves or denies all Federal Disability Retirement applications for Federal and Postal employees under FERS or CSRS; thus, unless one works for OPM, it is an agency separate from one’s own employing agency.

It is that agency — one’s own — which always must be considered for “pruning”. For, while the central issue in all Federal Disability Retirement applications is the nexus, or “bridge”, between one’s medical condition and the essential elements of one’s job; still, it is often a prudent thought to consider that “burning” one’s bridge is the penultimate act leading to a fruitful “pruning” — a mechanism sought in a metaphorical manner, to redirect life’s nutrients into more productive tissues for the future.

Sincerely,

Robert R. McGill, Esquire

 

OPM Disability Retirement: Horns & Whistles

Acoustic signaling devices and technological innovations in repackaging information can convey a sense of “newness” and a refreshing sort of alternate sensory perception; however, ultimately, the substantive information which must be presented will require tackling the hard elements of a case.

In presenting a Federal Disability Retirement case to the Office of Personnel Management, whether under FERS or CSRS, it is important to distinguish between the foundation of the case, as opposed to the “extras” which one may add.  It is like the analogy of the great and master chef who thinks so highly of his or her own skills, that the preparation of the main meal of a course is done without the primary ingredient.  Even the most unrefined and coarse connoisseur can recognize when the steak is missing from a steak dinner.

Thus, in a FERS or CSRS Disability Retirement case, while one’s statement of disability may be persuasive; while “other evidence” by the agency, coworkers, etc. may establish a perspective of medical disability, the foundation of the nexus between one’s medical condition and the positional duties required must be established by the substantive essence of the case — the medical evidence itself.

Don’t mistake the periphery for the center; don’t be fooled by horns and whistles; much noise does not make up for the central requirement in any endeavor.

Sincerely,

Robert R. McGill, Esquire

Medical Retirement for Federal Workers: Correlation, Correspondence & Causation

How we assert and connect disparate facts reveals the extent of one’s understanding of the conceptual distinctions to be made between correlation, correspondence and causation.

Correlation, in its normative usage, refers to the relationship between two or more things, and will often involve statistical dependence between entities.

Correspondence, on the other hand, will entail the agreement of one or more things with one another, or encapsulate similarities and reflective agreement.  Thus, one may discuss Russell’s and Moore’s “correspondence theory of truth“, for instance, where the proposed argument would involve the “agreement” between what one says, and its reflection upon the objective world which it is attempting to describe.

Causality, as a distinctive concept from the other two Cs, involves the sequential occurrence of one event followed by another, where the second event is accepted as a consequence of the first.

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS, it is important to understand the conceptual distinctions between these words, precisely because the Federal and Postal employee formulating the nexus between one’s medical condition and one’s position description must show the relationship between the two.

Thus, one may argue that a correlation exists between poor performance and one’s medical condition; or one may establish that the corresponding actions on the part of the agency involved references to medical reports and records; or that the position itself caused the exacerbation of the medical condition — although, the latter may be more relevant in a Federal Worker’s Comp case.

In arguing for eligibility for Federal Disability Retirement benefits, use of all of the linguistic tools available will provide a decided advantage; but usage must be preceded by understanding, and understanding must involve the careful analysis of the specialized application of conceptual constructs.

Sincerely,

Robert R. McGill, Esquire

CSRS & FERS Medical Disability Retirement: Some Basics

Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS, is an administrative process which one must undergo if a Federal or Postal employee is medically unable to perform one or more of the essential elements of one’s position.

It is a benefit which is accessible only if proven; and proof must meet the legal standard of “preponderance of the evidence“, through a tripartite methodology:  Evidence of the existence of a medical condition; the nexus of that medical condition impacting upon one’s ability/inability to perform the essential elements of one’s job; and that such a medical condition(s) cannot be legally accommodated by the agency such that the Federal or Postal employee can perform all of the essential elements of the Federal or Postal job.

While the Federal or Postal employee has up until one (1) year from the date of separation from Federal Service to file for Federal Disability Retirement benefits, the proof of when the nexus formed between one’s medical condition and the impact upon the position of one’s Federal Service, must have occurred during the Federal Service.

These are just some basics of Federal Disability Retirement law; the complexity, of course, resides in the details, and it is always the details which provide the fodder for an OPM denial.

Sincerely,

Robert R. McGill, Esquire

Postal and Federal Disability Retirement: And the Question is …

The responsive statement often given is:  Federal Disability Retirement is not a matter of merely filling out forms; if that were the case, anyone should be able to do it without an attorney.  So, as in many gameshow forums, what is the question?  Filing for regular retirement, or even early retirement, is a matter of filling out the proper and standard forms.

Filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS, while submitted to the identical agency (OPM) for “processing”, is a matter of proving one’s case.  In order to prove one’s case, one must gather the substantive evidentiary documents; compile the relevant materials; make the proper “connections” and create the “nexus”; make the compelling and relevant legal arguments; and, yes, “fill out forms”. However, this latter act of filling out standard forms, as a prerequisite, while a necessary component of the entire administrative process, is not a sufficient act which constitutes a demand for an approval.

Thus, for a regular or early retirement, one may well argue that once the forms are filled out, one has satisfied both the necessary and sufficient components of what constitutes fulfillment of all obligations required for admission into the fraternity of Federal Disability Retirement annuitants.

For Federal Disability Retirement benefits, however, the additional requirement of proof by a preponderance of the evidence must first be satisfied.  And for that, one must play the gameshow format of answering the critical, million-dollar question:  What satisfies the standard of proof in order to qualify for Federal Disability Retirement benefits from OPM, whether under FERS or CSRS?  The answer:  It has already been given, only in a form of negation:  Federal Disability Retirement is not a matter of merely filling out forms.

Sincerely,

Robert R. McGill, Esquire

Early Medical Retirement for Federal Workers: Proof and Consequence

What if you possessed a piece of unique information, but no one else could see it? What if, by all appearances, you seemed perfectly healthy, but you weren’t?  What if you struggled every day to meet the stated professional objectives and goals, but were dying inside?

The silence of a medical condition is the consequence of a duality of contradictions:  many medical conditions, including psychiatric conditions, debilitate the “inner” person, and any such explanation to third parties is met with surprise, astonishment, disbelief and denial; but concomitantly, most people don’t want to hear about the troubles of others, anyway.

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, one must always distinguish between the medical condition, and proving the medical condition. That X suffers from medical condition Y, unless it is an amputated limb and is self-evident to the outside world, is known only to the sufferer, and to those whom the sufferer relates.

Proving one’s medical condition is done through the objectification of the medical condition — i.e., through a medical doctor who clinically assesses, evaluates, and concludes with a diagnosis.  From there, the proper nexus must be built between the medical condition and the ability/inability to perform one or more of the essential elements of one’s job.  Having X is one thing; proving X is another.

Knowing the distinction will make all the difference in preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS.

Sincerely,

Robert R. McGill, Esquire