Tag Archives: the ”insufficient medical documentation” argument

OPM Disability Retirement: Focusing upon the Bridge

In preparing, formulating and filing a Federal Disability Retirement application under FERS or CSRS, the multitude of aspects in preparing the application will often lend itself to detracting and distracting from the primary elements of an effective application and presentation.

Thus, worries about what the Supervisor will or will not say; whether the Agency will mis-characterize a supposed “good deed” they performed by declaring it to be an “accommodation”, with the danger that such declaration and characterization will be accepted by the Clerk at the Office of Personnel Management as true, etc. — all of these take away from the essence of creating that important bridge between one’s medical conditions and the essential elements of one’s positional duties.

Because the vast majority of denials issued by the Office of Personnel Management are based upon “insufficient medical documentation”, an undue focus upon other elements of a Federal Disability Retirement application would not be an intelligent utilization of one’s time and effort.

While OPM will certainly argue that the Agency has “accommodated” the Federal or Postal employee (and use that term improperly 9 times out of 10); and while OPM will point to elements in a Supervisor’s Statement as a further basis for a denial; each such supplemental argument by the Office of Personnel Management is nevertheless based upon the centrality of a primary argument, in most cases:  Insufficient Medical Documentation.

As such, it is prudent to focus one’s efforts upon the primary basis which provides the foundation for an effective Federal Disability Retirement application:  The bridge between one’s medical conditions, and the essential elements of one’s job.


Robert R. McGill, Esquire

Disability Retirement for Federal Workers: The Quantitative Approach

The problem with submitting a Federal Disability Retirement application under FERS or CSRS based upon the “quantitative approach” (submitting a voluminous medical file which, by the sheer weight, extent and thickness of the file, reveals the severity of the multiple medical conditions) is that it often fails to provide the proper bridge between the particular medical condition a Federal or Postal employee suffers from, and the impact upon the essential elements of one’s job.

Certainly, medical records, notes, diagnostic test results, etc., can provide a narrative delineation of one’s continuing medical conditions — but the question becomes, a narrative to what end?  The Office of Personnel Management will often review a large stack of medical documentation and simply conclude that there has been insufficient medical documentation, and further, that the medical documentation submitted fails to show that such conditions are severe enough to prevent one from perform one or more of the essential elements of one’s job. That is because the mere existence of a medical condition — no matter how extensive such medical conditions have required in terms of hospitalizations, testing, surgical or other procedures, etc. — is not enough to satisfy, by a preponderance of the evidence, the criteria applicable for eligibility for Federal Disability Retirement benefits under FERS or CSRS.

Remember, always use the golden rule:  quality over quantity.  And in a Federal Disability Retirement application under FERS or CSRS, quality means the bridging of that conceptual gap between the medical condition, and the essential elements of one’s job.


Robert R. McGill, Esquire

FERS & CSRS Disability Retirement for Federal and USPS Workers: Preempting OPM’s Arguments

It is important at all stages of a Federal Disability Retirement application for FERS & CSRS employees to predict, anticipate, and preempt the arguments which the Office of Personnel Management may make, will make, and can be expected to make.  Obviously, the three main areas of such concern are:  Sufficiency of medical documentation; Agency efforts for accommodation and reassignment; the impact and interconnection between one’s medical condition(s) and the positional duties of one’s job. 

However, there are multiple other areas, and it is the job of an applicant filing for Federal Disability Retirement benefits, or his/her attorney, to anticipate the areas of OPM’s concerns, and to address them both factually and legally — the latter, by pointing out statutory authorities and case-law holdings directly or implicitly touching upon those very areas of concern.  Further, one should never be fooled if, in an initial denial of an OPM Disability Retirement application, the substance of a denial is fairly short or if it is detailed and lengthy; the content of a denial letter should not determine the extent of a response by an applicant at the Reconsideration Stage.  Instead, whether short, of “middle length”, or extremely detailed, a response should anticipate all areas of concern, and the applicant who is attempting to secure an approval for his or her Federal Disability Retirement benefits should always preempt any potential areas for a further denial.


Robert R. McGill, Esquire