Tag Archives: the opm also uses its ‘arsenal of weapons’ to deny disability benefits

CSRS & FERS Medical Disability Retirement: The Aggregate of Conditions

In debate, there are two primary methodologies of attacking:  the micro-approach, where each individual strand of an opponent’s argument is dismantled, leaving the opposition with no singular weapon to use; or the macro-approach, where — because some of the individual arguments may withstand scrutiny — the universal umbrella of the argument as a whole is attacked, thereby dismantling the entirety of the whole.

In preparing, formulating and filing for Federal Disability Retirement benefits from the U.S. Office of Personnel Management, whether under FERS or CSRS, OPM will utilize one of the two approaches.  At times, OPM will selectively choose one or two of the medical conditions, barely mentioning the rest, then attack the lack of documentary support on those particularized medical conditions.  Or, at other times, OPM will make sweeping generalizations and fail to specifically identify, and selectively ignore, the details of individual medical conditions.  Regardless of the methodology of approach, the ultimate result of either approach is a denial.

The question is how one responds to either approach.

The answer is often based upon the construction of the Applicant’s Statement of Disability.  This is where it is important to weave the particular with the aggregate, where the construction of each individual medical condition is argued to depend upon the greater whole, and where the cumulative impact of the various medical conditions constitute an inseparable whole.  The flexibility of language allows for this; the medical narrative report should reflect this.

This is why spending valuable time at the front end of a Federal Disability Retirement case is important; for the later stages of the administrative process may well depend upon it.

Sincerely,

Robert R. McGill, Esquire

Federal Disability Retirement Benefits for Federal & Postal Employees: Logic, Art & Simplicity

Logic is the pathway out of a conundrum; complexity is often the result of confusion; clarity is the consequence of simplicity.  Yes, there are complex minefields in filing a Federal Disability Retirement application under FERS & CSRS.  The complexity of the entire process is often the result of layers upon layers of legal case laws and statutory refinements and interpretations which form the entirety of the “legal criteria” which surrounds each and every application for Federal Disability Retirement.  When an individual files an application for Federal Disability Retirement benefits, he or she is often unaware of the long history of all of the applicants who preceded the singular case being presently contemplated, formulated, and projected for filing.  Instead, that individual looks upon his or her disability retirement application without regard to what preceded it.

Perhaps it is best that most applicants are unaware of the thousands of cases which have impacted the entire process over decades; yet, when the glitch occurs — when an application for Federal Disability Retirement benefits is denied — then the importance of knowing the precedent-setting cases which have impacted the various and complex issues surrounding OPM Disability Retirement come into focus.  That is why it is best to be prepared beforehand, and to understand the logic behind the laws; by understanding, to realize the simplicity of the process; and by such realization, to put together an effective Federal Disability Retirement application.  Such a process is often more than logic and law; it rises to the level of an art form.

Sincerely,

Robert R. McGill, Esquire

Medical Retirement Benefits for Federal & Postal Employees: OPM’s Arsenal

The names have been changed to protect the innocent.  Or, perhaps those who are impliedly involved herein are not so innocent after all.  Nevertheless, the names must be changed to protect confidentiality of sources, etc.  Every now and then, the Office of Personnel Management discloses their arsenal of weapons.  For instance, such an arsenal might be that a denial of a Federal Disability Retirement application was based upon a review by a retired contract doctor.  Now, let us analyze such an arsenal.  First, the term “retired” reveals an interesting concept.  It means that the individual no longer sees hundreds of patients on a daily basis, nor is actively practicing medicine.  Next, on a superficial level, we take the word “contract” — meaning thereby that the individual is paid to review the paper submissions — not to examine the applicant who is filing for Federal Disability Retirement benefits.  And, finally, the concept of a “doctor” — let us be certain as to the two preceding words, “retired” and “contract”, and that is the extent which one needs to understand in accepting the definition of the word “doctor”.  As opposed to:  the treating doctor of an applicant for Federal Disability Retirement.  Who would you choose to treat you?

Sincerely,

Robert R. McGill, Esquire