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Phone: 505-938-2300
Fax: 505-938-2301
Nearly $500 million in social security benefits will be paid to 80,000-plus recipients who were unfairly denied because of a glitch in a federal computer program that was designed to catch criminals.
Federal Judge Claudia Wilken approved a tentative settlement requiring that the Administration pay recipients who were wrongly "flagged" as criminals, and who have been denied benefits since Jan 1, 2007. (A 1996 law prohibited criminals with warrants from receiving federal benefits. Once this law went into effect, the federal database was designed to "flag" criminals who were collecting benefits.) More than 120,000 people who applied are eligible to reapply for benefits.
The tentative agreement was reached after the Social Security Administration was challenged by a class-action lawsuit, Martinez v. Astrue. The lawsuit stated that Rosa Martinez, 52, of Redwood City, California, was denied $870 of her monthly disability benefits because the system believed that she had an outstanding drug warrant. After the allegation was investigated, it was determined that there was indeed a warrant for a Rosa Martinez, but not the Rosa Martinez of California. The Rosa Martinez with the drug warrant resided in Miami, Florida. Ms. Martinez or California knew that she was innocent, and tried to prove such innocence, but failed.
Over the past several years, numerous district court judges across the country have ruled in favor of the victims in their individual cases. The determined that stopping coverage based on the database searches was unlawful. In 2005, a federal appeals court in New York ruled the database search illegal. The Social Security Administration stopped this practice in New York, Connecticut and Vermont. As of April 1st, the warrant checking process will no longer be allowed.
A spokesman for the Social Security Administration declined a comment until the settlement is finalized later this year. The Social Security Administration pays benefits to more than 356,000 local households.
1. Not having a "disability"
"Disability" is strictly defined by the Social Security Adminsitration, and many people are surprised when they learn that their condition doesn't meet the administration's criteria. So what constitutes a disability?
To qualify for social security disability benefits, you must be unable to perform any substantial work and have a medical condition that has lasted (or is expected to last) at least a year, or results in death.
(A lot of people believe they can collect disability benefits if they are not able to do their regular job as opposed to any job. This is untrue. Social Security doesn't only take into consideration the type of work you have previously been doing, but anything that they believe will suit you and your present condition.)
2. Waiting too long
If you wait too long to start the process, you are doing yourself a complete disservice. Even if you are approved, there is approximately a five-month waiting period before your disability checks will start to arrive. Any delay also means that you are putting off much needed Medicare coverage, which won't start until 24 months after being approved for disability.
Waiting too long, or worse, giving up can result in smaller benefits as a retiree because Social Security factors in your total number of working years.
3. Not having finances in order
The disability process is a mental and financial marathon. It's critical that you use financial-planning basics to tread water until you are receiving disability awards and Medicare coverage for your medical needs.
(Social Security has recently started to fast-track people who have medical conditions that qualify for a compassionate allowance. The allowance is reserved for people with one or more of 50 different disabling conditions, including 25 types of cancer.)
4. Poor preparation
Organization of your application is critical. To make Social Security take notice of your application do the following: gather your medical records; make a list of the doctors you've seen; have documents from your physician's that support your claims; and a list of the medications you're taking or have taken.
In other words, submit a comprehensive package that is exceptional.
5. Giving up
You must be persistent. Don't be discouraged if you get rejected--almost everyone is rejected the first time. It's very possible that you have to appeal your case and possibly go before a judge before receiving disability benefits.
There is some good news: Close to two-thirds of cases that go through one or two appeals will eventually receive benefits.
And...
There is some bad news: Currently, a backlog of 750,000 cases are awaiting decisions at the hearing level. Becuase there is a shortage of judges to hear these cases, it can take up to two years to make headway.
The key is not to give up. Many people will wonder how long it takes to receive disability benefits. However, if you receive a denial, and have 60 days to appeal, appeal on the day you receive your denial. Waiting only puts you behind another million folks waiting for a hearing.
6. Not reaching out for help
If you're frustrated and having trouble with the process, contact an experienced social security disability lawyer or a nonprofit advocacy group.
It's no secret, the Social Security Adminsitration speaks a secret language, and good social security attorney will understand their lingo.
7. Not changing inaccurate information
Compare your annual Social Security earnings statements against W-2 tax forms for accuracy. And it's not just the math you need to worry about; check personal data, too, especially after a divorce or name change. If you find that an error exists, call the Social Security Administration at 800-772-1213.
What exactly is the Social Security Administration's biggest problem? Depends which side you ask.
If you ask someone who works for the troubled agency, they will tell you the toughest part of their job is trying to separate disabled workers from non-disabled workers. Ask someone who has filed disability paperwork and they will tell you it's the amount of time it takes to get social security disability benefits.
Both sides have valid arguments; however, one thing is certain, the social security disability administration faces a herculean task when you consider a little over 2 million workers filed for disability in 2006, and the number continues to rise each year.
Social Security officials insist that the number of applications aren't the problem, it's the task of weeding out who is physically and/or mentally disabled and who isn't. Of the 2 million-plus people who filed for disability in 2006, approximately 550,000 were determined to be unfit to work. The same number of applicants were initially denied because it was determined that they were not medically disabled. And a large number of other applicants were denied social security disability for nonmedical reasons. The remaining 300,000-plus? They didn't receive an immediate ruling on their application.
While it sounds like tough odds, there is hope: A little more than half of applicants applying for social secuirty disability ultimately received their benefits.
The majority of applicants with legitimate disabilities are often forced to file an appeal. After the applicant has filed the appeal, the odds of receiving benefits increase dramatically. In fact, the numbers say that a little more than half of applicants ultimately receive benefits. But keep in mind, most of the applicants who eventually receive their disability benefits may wait years before receiving a favorable ruling.
Is there anything that can increase your odds? Absolutely. Hiring a qualified social security disability attorney.
Federal forecasts from the Obama administration and the Congressional Budget Office predict that Social Security recipients will not be receiving an increase in their benefits in 2010, and possibly 2011. Beneficiaries have received automatic cost-of-living adjustments (COLA) every year since 1975.
It would result in major implications for Medicare because the COLA puts a cap on premiums for Part B of Medicare, which covers a physicians’ services. And if there is no COLA for Social Security, about 75% of beneficiaries will not see any change in their basic Part B premiums, according to federal officials. However, some beneficiaries are without this protection and could face substantial increases in their Part B premiums.
Inflation is good for people on fixed incomes, but it is creating political and policy problems for Congress, which is just learning of the implications for Social Security and Medicare.
In addition, millions of beneficiaries could see higher premiums for drug coverage, provided under Part D of Medicare.
Medicare’s hospital insurance trust fund is deteriorating because of the recession, according to officials. Medciare has reduced payroll tax revenues in response to the concern. The tax revenues represent the main source of money for the fund. Spending on Social Security and Medicare totaled more than $1 trillion last year, accounting for more than one-third of the federal budget.
Most recipients of Medicare have Part B premiums deducted from their monthly Social Security checks. These premiums have historically increased much faster than Social Security benefits.
Under federal law, most Medicare beneficiaries have some protection. Their basic Part B premiums cannot rise more than the dollar amount of the cost-of-living increase in their Social Security checks. So if there is no COLA, their basic Part B premiums will not increase. However, one-fourth of Medicare recipients are not protected by law, and these folks could see their premiums increase.
The Social Security agency's (SSA) commissioner believes that SSA will be able to eliminate all the claims' backlog in 2013. This announcement to Congress comes even after it was revealed that SSA is faced with an increase in disability claims over the previous year.
2008 left SSA with a backlog of 1.4 million disability and supplemetnal security benefits claims, thus causing a state of limbo for those who have filed. By the end of 2009, it is predicted that the number of these claims will exceed 1.6 million.
When pressed to explain the backlog, SSA officials noted limited funding and a sharp increase in the number of disability claims that their office is faced with year after year. Disability claims are expected to grow by 300,000 this year over last year’s numbers. Most of Keller & Keller's social security disability clients are often concerned with the amount of time it takes to get a hearing. SSA estimates that the the average wait time for a hearing on a disability claim is 500 days.
Our Social Security disability practice agrees that the wait time is excessive, however, obtaining legal representation will remarkedly increase the likelihood that you will receive a favorable decision for your claim.
Keller & Keller LLP has received many calls regarding the American Recovery and Reinvestment Act. The following is a collection of the most common questions, followed by our answers.
Am I eligible for the $250 stimulus payment?
You are eligible for the $250 stimulus payment if you were entitled to Supplemental Security Income (SSI), or to any of the following Social Security benefits at any time between November 2008 to January 2009:
--retirement,
--wife's and husband's,
--disabled adult child (but not other child's benefits),
--widow's and widower's,
--mother's or fathers',
--parent's,
--disability insurance benefits,
--special age 72 benefits
(VA and Railroad Retirement benefits also have grounds for eligibility.)
Does the payment come out of the Social Security trust funds?
No. The Act states that stimulus payments will come from appropriated funds.
Will the stimulus payments be made to people not living in the United States?
No. The American Recovery and Reinvestment Act is limited to persons who have listed residence is in the U.S. or a U.S. territory.
I'm entitled to SSD and SSI. Will I get two checks?
No; however, there may be instances in which mistakes will be made and someone may receive more than one check.
Will I be taxed on this income?
No, not by the federal government.
Can my payment be seized for payment of my debts?
Typically not; however, just as Social Security benefits can be seized, your stimulus payment could also be seized for any federal tax debt or child support obligations.
Can a single Social Security number receive more than one $250 stimulus check?
Yes.
Can a single household receive more than one $250 stimulus check?
Yes.
When will I receive my stimulus check?
No later than 120 days after the signing of the Act.
I don't currently have social security benefits. If I apply for benefits for the time period between November 2008 to January 2009 and am approved, will I get a stimulus check?
Yes, but there is a time limit. No payment can be made after December 31, 2010.
If someone is already on SSI, will the $250 stimulus check be viewed as income and possibly reduce my SSI benefits?
No.
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