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The Postal Service Today:
Causation in a Federal Disability Retirement Case ( October 17, 2020)
Postal workers today face an increasingly
difficult task: Longer hours; less management support; lack of
commensurate wage increase; greater volume of packages and parcels; the
inundation of Amazon packages ignoring weight and size requirements; and
a public who fails to appreciate the singularly unique position held by
the U.S. Postal Service. Let us remember, first and foremost, that
Article 1, Section 8 of the U.S. Constitution specifically states that
Congress is empowered to “establish Post Offices and Post Roads.” The
Post Office is thus a unique entity, and the criticism that they are
“losing” Billions of Dollars annually is simply unfounded: It is nickels
and dimes when compared to the operating costs of other Federal
Agencies, and no other Federal Agency performs such an important
function, reaching globally and internationally. Then, there is the
public criticism from the highest positions of the Administration and
the Postal Service itself, impacting upon the morale of the front-line
workers, the midnight Mail Handlers, the daily Rural and City Carriers,
and the thousands of Window Clerks, Sales, Service and Distribution
Clerks and every other position within the Postal Service.
Yet, the Postal Service and its employees endure —
they endure the constant and incessant deterioration of the public image
despite it all. The “all” is comprised of many frustrations: The longer
hours; the greater volume of mail; restricted time in performing one’s
work; and now, with the COVID-19 Pandemic, greater social distancing
when delivering mail, and the constant dangers of becoming infected
through the business transactions engaged on a daily basis.
The human body has its limitations, however.
Repetition of work is one thing; lifting packages and parcels of greater
weight and of awkward proportions is quite another. The body begins to
break down; the longer hours begin to fatigue; the lack of encouragement
and support from “higher-ups” leads to greater frustrations. Perhaps the
knees first begin to ache; the right shoulder has a partial tear;
multi-level disc herniations are suspected; the diffuse muscle pains
last longer than once we were young. Out of frustration, some just quit
— it just isn’t worth it, anymore.
Have you considered Federal Disability
Retirement under FERS?
It is a benefit which is often not considered
because Federal and Postal workers are unaware of its existence or
otherwise misunderstand it. It is not Worker’s Compensation/Department
of Labor- related. To qualify and become eligible, you do not have to
have suffered an injury “on the job”. It does not have to result from an
“occupational disease”. You do not have to prove “causation” in the
strict sense. Strangers do not secretly “video-tape” your every
movement; and yes, you are allowed to — after winning a Federal
Disability Retirement case — go back into the private sector, into State
or County government, and get another job making up to 80% of what your
former Postal (or Federal) position currently pays, and make that amount
on top of the Federal Disability Retirement annuity you are receiving.
To become eligible, you must have a minimum of 18
months of Postal Service under FERS, and show that you suffer from a
medical condition such that the medical condition prevents you from
performing one or more of the “essential” elements of your postal job
duties. As “causation” is not an element of required proof, you do not
have to show “how” the medical condition happened, but only that it did
happen during the time you are or were a Postal employee. And that is an
important point: The repetitive work engaged in by front-line workers at
the Postal Service often cannot be shown to be the cause of a torn
labrum, the cervical disc herniation, the meniscus tear or the Plantar
Fasciitis. It is difficult to prove that a medical condition was
“caused” by a single event or — more importantly — the treating doctor
is unable to issue a definitive conclusion as to the causal connection
between a singular event and the medical condition suffered.
Likely, you never went to the emergency room, and
so you cannot identify a particular incident which was the “cause” of
your medical condition. Certainly, the stresses which you have had to
endure in working those longer hours, the lifting of heavier parcels,
the processing of greater volume of mail, and the lack of upper
management support, cannot be proven to have “caused” your growing
depression, anxiety or panic episodes, leaving aside the physical
deterioration you are experiencing. Under Federal Disability Retirement
Law, the eligibility requirement is quite different from that of filing
for OWCP/Worker’s Compensation: Not about causation, but merely the fact
that you suffered from an injury or medical condition during the
pendency of your employment as a Postal Worker under FERS.
What happens, however, if a Postal Service
employee — out of frustration from all of the elements described above —
suddenly quits? Under the law, a Federal or Postal employee who suffers
from a medical condition has up to one (1) year to file for Federal
Disability Retirement benefits under FERS. It can become, of course,
more complicated when a Postal employee quits his or her job first, then
files for Federal Disability Retirement benefits — and it is not
advisable to do it this way. First, the Postal employee should consult
with an attorney who specializes in Federal Disability Retirement Law
before taking the step of resigning or separating. Second, you should
check to see if you are in fact separated from the Postal Service. If
you are still receiving those 0-balance paystubs, that is an indication
that you have not yet been separated from the Postal Service, and
therefore the 1-year Statute of Limitations has not even begun to toll.
And Third, you will need to have a supportive doctor who, preferably,
has been treating you for quite some time, as you must prove that you
were disabled prior to your date of separation from the Postal or
Federal Service.
We often do things without thinking them through —
that is, unfortunately, the nature of human actions. If the Postal
employee has resigned or quit out of frustration — and that is becoming
a common occurrence in these times of turmoil, increased work and lack
of upper-management support — it can make proving one’s Federal
Disability Retirement application somewhat more problematic. There are
some legal remedies, however, which allows for retrospective
considerations, such as Reilly v. OPM, Federal Circuit Court of Appeals,
571 F.3d 1372 (Fed. Cir. 2009) — a case which this author has written
quite extensively about in other related articles. As a reminder,
however, Reilly stands for the proposition that post-removal medical
records and reports are clearly relevant where they can show a
reasonable connection and nexus to a pre-separation time-frame. The
Court in Reilly recognized that medical conditions rarely “appear”
suddenly. Most conditions are progressive and degenerative in nature,
and indeed, that is what the Court in Reilly argues. “The field of
forensic medicine abounds with examples of subsequent medical
examinations relevant to a prior condition,” the Court in Reilly argued,
citing the classic example that “inferences about prior intoxication can
be drawn from blood alcohol tests conducted at a later time.” Further,
where “proximity in time, lay testimony, or some other evidence provides
the requisite link to the relevant period the subsequent evidence can be
very probative of a prior disability.” This was and remains an important
case for Postal and Federal employees who resign out of frustration, and
later file for Federal Disability Retirement benefits within the 1-year
Statute of Limitations.
Furthermore, for those Postal and Federal
employees who separate prior to filing a Federal Disability Retirement
application, the issue of “accommodations” is another problem which OPM
is likely to exploit and argue. OPM has consistently argued that the
Postal Worker who resigns prior to completing the “reasonable
accommodations” process is precluded from being eligible for Federal
Disability Retirement because the Postal Service “perhaps” could have
accommodated him or her, if given the chance. But since the Federal
Disability Retirement applicant failed to go through the accommodation
process, he or she is unable to show that an accommodation could not
have been provided. It is a rather circular argument which makes no
sense — precisely because everyone in the universe except OPM knows that
the Postal Service never does, and never can, accommodate its injured
workers. There are, fortunately, cases which can rebut OPM’s arguments,
such as Bracey v. Office of Personnel Management, 236 F.3d 1356, 1358
(Fed. Cir. 2001), where the Federal Circuit Court delineated and
outlined what constitutes a legally-viable “accommodation”, as well as
Henderson v. OPM, Docket No. DC-831E-10-0812-I-1, in which the Board
focused upon the criteria of “incompatibility” and essentially shifted
the weight away from accommodation issues.
In the end, “causation” is a relative term which
is often interpreted in different ways. It does not have the same
application in a Federal Disability Retirement Case as it does in a
Worker’s Compensation, Department of Labor case. If a Postal worker
quits his or her job because of a medical condition (because he or she
could no longer perform one or more of the essential elements of his or
her job), one can argue that the medical condition “caused” the quitting
— in a rather loose sense of the word. In a Worker’s
Compensation/Department of Labor case, “causation” has to do with a
direct link between the injury itself and the resulting medical
condition which is the consequence of the incident or the occupational
disease. In the latter scenario (Worker’s Comp), causation must be
explicitly proven. In the former case (Federal Disability Retirement),
“causation” must be loosely shown because — if a Postal worker unwisely
quits or is terminated prior to filing his or her Federal Disability
Retirement application — it must be shown that a medical condition
preventing the Postal worker from performing the essential functions of
the job existed prior to his or her separation from service.
Fortunately, as stated previously, there are enough legal cases to
support such a position even after unwisely quitting one’s job.
Federal Disability Retirement is a benefit for the
Postal Worker of today who feels that he or she had no choice but to
leave the job because of a medical condition, an injury, intolerable
levels of stress, and a multitude of other reasons. There is a “right
way” of preparing, formulating and filing an effective Federal
Disability Retirement application, but when a person is suffering from a
medical condition, the “right way” is not always strictly adhered to.
Even in these trying times, the law recognizes that “to err is human, to
forgive divine” — a famous quote from the influential 1711 work, “An
Essay on Criticism”, by Alexander Pope. Fortunately, for the Postal
Worker today, that truism still applies — for the law yet forgives,
despite the errors we may make.
I am a FERS Disability Attorney who represents
Federal and Postal workers from all across the United States, including
Alaska, Hawaii and Puerto Rico. I do not charge for an initial telephone
consultation; thus, if you believe that you need to consult an attorney
concerning Federal Disability Retirement, please contact me in one of
these ways:
• View my Federal Disability Retirement website or the Postal Service
Disability Retirement blog
• Email me at federal.lawyer@yahoo.com
• Call me at 1-800-990-7932
Sincerely,
Robert R. McGill, Esquire
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Federal Disability Retirement:
Beyond the Subjective/Objective distinction (July
29, 2016) It is a mere
tautology to assert that subjectivity is in the eye of the beholder; the
greater conundrum is how we can objectively discern the subjective
character of something, such that a level of impartiality is achieved
despite the origination of subjectivity. This is the penultimate problem
that immediately arises in a Federal Disability Retirement case. For, by
definition, how does one “prove” a disability, except for those
catastrophic injuries which, on the face of it, cannot be denied? More
importantly, for the majority of Federal Disability Retirement issues –
from the complex cases involving Fibromyalgia, chronic pain, chronic
fatigue, and the compendium of psychiatric disorders -- what does it
mean when the “administrative specialist” counters with the argument
that your Federal Disability Retirement application is “denied and
disallowed” because the medical evidence submitted does not sufficiently
meet the eligibility requirements as interpreted by the U.S. Office of
Personnel Management?
Fortunately, the substantive statute forming the
overarching aegis for determining the eligibility criteria in all
Federal Disability Retirement cases, favors a decidedly reasonable
approach in evaluating the validity of a claim. That is why, unlike
Social Security disability, Federal Disability Retirement under FERS &
CSRS is not just about the medical condition itself, but the nexus
between the medical condition and the ability to perform the essential
elements of one’s Federal or Postal position.
This attorney has previously written about the
Objective/Subjective distinction which often becomes problematic, and
redundantly an obstacle, in filing an effective Federal Disability
Retirement application. And, indeed, the problem with most Federal
Disability Retirement applications, formulated and submitted without
legal representation, is in the lack of substantiating medical evidence,
which forms the basis of a denial and the need to file a Request for
Reconsideration with the U.S. Office of Personnel Management, and
perhaps even a further appeal to the U.S. Merit Systems Protection
Board, if denied a second time. For, as insanity is usually defined as
the mindless repetition of thoughtless and purposeless acts, so
“something new” and different needs to be reformulated when a denial is
issued by the U.S. Office of Personnel Management.
Often, the problem emanates and originates from
OPM’s complete and total disregard of “the law”. Indeed, it is well
known that OPM doesn’t care about applying the law, or following the
mandates handed down by either the U.S. Merit Systems Protection Board,
or the Federal Circuit Court of Appeals. That is precisely why the U.S.
Office of Personnel Management continually attempts to bifurcate between
“objective” medical evidence as opposed to “subjective” medical
evidence. The Federal Circuit Court case of Vanieken-Ryals v. OPM, 508
F.3d 1034 (Fed. Cir. 2007), effectively quashed OPM’s adherence to that
subjective/objective medical evidence distinction, despite there being
no legal basis for applying such a criteria, by pointing out that there
exists no “statute or applicable regulation of which we are aware
[which] imposes such a requirement [that “objective” evidence is
“required to prove disability”]”. The Court in Vanieken-Ryals went on to
state unequivocally: “In fact, applicable law suggests the opposite
rule. OPM’s regulations define the type of ‘medical documentation’
required to establish disability…There is no hint of any
objective/subjective distinction, and the regulation clearly indicates
that any evidence – ‘subjective’ or otherwise – utilizing ‘established
diagnostic criteria’ and consistent with ‘generally accepted
professional standards’ is eligible for consideration.” Thus,
“subjective evidence” – generally defined as evidence unconfirmed by
commonly utilized diagnostic tools – is certainly eligible for
consideration in a Federal Disability Retirement application. However,
the problem occurs when there arises self-contradictory evidence between
different aspects of a submission – such as disagreement between a
medical report and the claim of the applicant; countervailing statements
by the Agency or Supervisor; inconsistencies between the Applicant’s
Statement of Disability and the attached treatment & office notes; and
other potential areas of conflicts.
Despite the clear refutation and attempted
boundaries imposed by the United States Court of Appeals for the Federal
Circuit in delimiting the conceptual distinction between “objective”
evidence and “subjective” evidence, the U.S. Office of Personnel
Management still continues to favor what they deem to be “objective”
medical evidence. Their argument is one based upon the need to ascertain
the credibility of the “subjective” evidence, by contrasting and
comparing it to the “objective” medical evidence. That is why, in
reviewing a Federal Disability Retirement application under FERS or CSRS,
the U.S. Office of Personnel Management will often inquire as to whether
a “Functional Capacity Evaluation” was administered (as if the dozens of
clinical examinations by the treating doctor somehow doesn’t measure up
to a single 45-minute FCE), or whether “psychological tests” were done
(again, as if the psychiatrist or the psychologist who had multiple
encounters with the patient are not trained to sufficiently perform
clinical evaluations).
Singular instances of unique disagreements often
indicate substantive and real disparities; a pattern of redundancy,
however, brings into question the validity – both of sincerity and
intent – of the basis for a denial. Too often, despite evidence which
complies with the ruling of Vanieken-Ryals v. OPM, the language of OPM’s
denials, if read and compared in a careful study of contrasts, reads
like a template of regurgitated and plagiarized editions. Thus, care
must be taken in formulating and submitting certain issues and medical
conditions, such as a partial extrapolation involving the following:
■ Psychiatric conditions – what level of severity;
are medication regimens tried, and therapeutic intervention also added?
Have further treatment regimens been attempted, such as ECT treatments
and different trials of psychotropic medications?
■ Fibromyalgia – has a consultative opinion been rendered by a
Rheumatologist?
■ Stress -- is it merely situational, or all pervasive? Will the
Psychiatrist or Therapist reformulate the diagnostic basis?
■ Is a Chiropractor used as the primary “point” person in the Disability
Retirement case?
■ Is it better to have more than one doctor involved in providing
supportive medical evidence – in other words, does quantity override
quality?
■ Is a “Nurse Practitioner” or a “Physician’s Assistant” sufficient, or
must there be the autograph of an “M.D.”?
■ How helpful is a “Functional Capacity Evaluation”?
■ Can medical reports generated in a separate forum – such as an
“Independent Medical Examination” report in a Worker’s Comp case – help
in a Federal Disability Retirement application?
■ Can a denial in a Social Security Disability filing which contains the
language that, while it has been determined that the applicant is not
eligible for Social Security Disability Benefits but attests that the
individual is unable to perform the job currently occupied – be used as
“evidence” in a Federal Disability Retirement case?
■ How, and to what extent, should VA Disability Ratings be posited in
pursuance of a Federal Disability Retirement claim? Is reference to the
aggregate percentage of disability valid, or do the individual numbers
require careful analysis before submitting it as evidence under Simpkins
v. OPM?
These, and many more aggregation of “evidence”,
both medical and non-medical, can help to “counter” the intentional
disregard of “the law” as embraced by the U.S. Office of Personnel
Management, in selectively weighting a case in favor of an initial
approval. However, caution should always be entertained, especially (as
they say in those high-speed automobile commercials or where g-force
torques are engaged, “Leave it to the professionals”) in refraining from
any “shotgun” approach in compiling an effective Federal Disability
Retirement application.
In the end, there is no singular algorithm or
formula in preparing an effective Federal Disability Retirement
application. Life guarantees little, and even less when it comes to
betting upon a Federal Disability Retirement application being evaluated
by the U.S. Office of Personnel Management. Prior experience in previous
encounters with successes –and some failures – certainly accounts for an
increase in wisdom by past engagements; and as knowledge provides for a
quantitative increase in statistical probabilities corralled, so knowing
the concerns and preemptively addressing potential problems allows for a
greater chance of success.
Never underestimate the power of “the law” – nor
of a Federal bureaucracy in attempting to ignore or disregard the
mandates of the law. It is incumbent upon the applicant to point out
what the law requires, and to admonish the Leviathan of Federal Agencies
to follow it – if not at the Initial Stage of the process, then at the
Reconsideration Stage; and if not at the Reconsideration Stage, then at
an appeal before the U.S. Merit Systems Protection Board. For, never
send to know for whom the bell of objective evidence tolls; it tolls for
thee, in the very subjectivity of being the evidence itself.
I am an Attorney who represents Federal and Postal
workers from all across the United States, including Alaska, Hawaii and
Puerto Rico. I do not charge for an initial telephone consultation;
thus, if you believe that you need to consult an attorney concerning
Federal Disability Retirement, please contact me in one of these ways:
• View my Federal Disability Retirement website or the Postal Service
Disability Retirement blog
• Email me at federal.lawyer@yahoo.com
• Call me at 1-800-990-7932
Sincerely,
Robert R. McGill, Esquire
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OPM Disability Retirement: Securing a
Future (November 6, 2014)
Change is an inevitable feature
of life. It is always difficult to accept the vicissitudes which
interrupt the security found in the daily routine of work, family and
social events, if only to get together with neighbors or
sometime-acquaintances for an evening to forget the daily toils of
living. The embracing of a lifetime of toil – of daily getting up at a
specified time; of performing the routine of self-grooming; of
encountering the outside world in order to provide security for the
present and investing for tomorrow; to contribute to one’s Thrift
Savings Plan (if the Federal or Postal employee is under the Federal
Employees Retirement System); all of these efforts, and more, constitute
a lifetime of performing one’s duty, fulfilling one’s obligation, and
making a significant impact for the sake of self, family, and society.
When a medical condition
mandates change, the thought of altering the daily routine of life
becomes exponentially difficult, precisely because such shifting of
goals was not a voluntary act, but one imposed from somewhere else.
Often, for the Federal employee or the U.S. Postal worker who begins to
suffer from a progressively deteriorating medical condition, thoughts of
impending future doom, loss of income, reverberating impact upon family,
social status and financial and economic instability, becomes
overwhelming. It is bad enough that one must deal with the medical
condition itself; when concerns beyond the core of one’s health begin to
overtake and predominate, it is often a good idea to seek the advice of
someone who specializes in a particular field.
Federal Disability
Retirement law is not state-specific. In fact, the majority of lawyers
in the country have no clue that such a field of administrative law even
exists. Because it is a Federal issue, and not a “state-specific”
issue, an attorney who has specialized expertise in the field of Federal
Disability Retirement law can represent Federal and Postal employees
from all across the United States. All of the administrative issues can
be handled through the use of modern technology – from Express Mail,
FedEx or UPS overnight mail; to email, fax, phones and PDF/Word/other
attachments, etc. In fact, during the process of trying to obtain
Federal Disability Retirement benefits, if a case has to be appealed to
the U.S. Merit Systems Protection Board, the Hearing itself is normally
conducted via a telephone hearing, so that no inconvenience of travel is
imparted to anyone involved. Furthermore, because it is a Federal issue
which involves administrative and bureaucratic complexities which
require some specialization, it is advisable to obtain the services of
an attorney who exclusively handles Federal Disability Retirement
claims.
Beyond hiring an attorney,
however, the prefatory fears which the Federal or Postal employee faces
upon recognizing and acknowledging (and, yes, there is a vast conceptual
and practical distinction between recognizing that a problem exists, and
acknowledging that it needs attending to; for, recognizing something in
and of itself does not necessarily spur one to action, whereas a
self-acknowledgment that a problem requires pragmatic steps, brings
together the chasm dividing thought from action) that a medical
condition is preventing one from performing one or more of the essential
elements of one’s Federal or Postal job, the questions are often
threefold:
-
What
does it take to qualify for Federal Disability Retirement benefits?
-
What does Federal Disability Retirement pay?
-
How does Federal Disability Retirement bode for my
future?
Question 1: “What
does it take to qualify for Federal Disability Retirement benefits?”
The laws governing Federal Disability Retirement have a long history,
greater context and expansive impact extending for decades. It begins
with statutory authority; it becomes expressed in regulatory language
which requires the U.S. Office of Personnel Management to follow; and it
has been expanded upon, interpreted and somewhat restated through court
opinions issued by the U.S. Court of Appeals for the Federal Circuit,
and by judicial decisions from the U.S. Merit Systems Protection Board.
Qualification is not determined by a standard of “total disability”
(which is more akin to Social Security Disability, which the Federal and
Postal worker who are under FERS must file for during the process of
filing for Federal Disability Retirement benefits, but merely to show a
receipt of such filing), but rather, one must show that, As a result of
one’s medical conditions, the Federal or Postal worker is no longer able
to perform at least one, if not more than one, of the “essential
elements” of one’s positional duties.
Qualification for Federal
Disability Retirement benefits is not necessarily based upon a 1-to-1
ratio of showing a specific medical condition tied to an essential
element of one’s job. Instead, it can be established through showing
that there is an “inconsistency” or “incompatibility” between the
medical conditions suffered, and the type of work required by the
Federal or Postal job. Thus, while the concept itself is somewhat more
complex, it is often the focus upon the symptoms of a diagnosed (or even
undiagnosed) condition, as opposed to the condition itself. From
physical disabilities manifested by Chronic pain, profound fatigue,
Multiple Sclerosis, Failed Back Syndrome, Reflex Sympathetic Dystrophy,
Shoulder impingement issues, Rotator Cuff tears, knee problems, ankle
fusions, ulnar nerve treatments, Carpal Tunnel Syndrome; to Chronic
Fatigue Syndrome, Fibromyalgia, Crohn’s Disease, Lumbar and Cervical
Radiculopathy, to a host of infinite maladies and conditions which
cannot easily be listed in this limited forum; to all of the various
psychiatric conditions involving Major Depression, Generalized Anxiety
Disorder, Bipolar Disorder, uncontrollable panic attacks and suicidal
ideations; it is the impact of the symptoms resulting from the medical
condition which form the basis of a Federal Disability Retirement
application. Hint: “Stress”, which is inherent in every workplace
environment, can be problematic, and should be approached with care when
filing a Federal Disability Retirement application.
Question 2: “What
does Federal Disability Retirement pay?” For Federal and Postal
employees under FERS, which most Federal and Postal employees
participate in, the statutorily-set annuity is payable at: 60% of the
average of one’s 3 highest consecutive years of pay for the first year
of Federal Disability Retirement annuity, and 40% every year thereafter,
until age 62, at which point the Federal Disability Retirement annuity
gets recalculated as a regular retirement, based upon the total number
of years of Federal Service, including the years that the Federal and
Postal worker are on Disability Retirement. Thus, there is a great
advantage in being on Disability Retirement, even if you have an OWCP
claim which may pay a higher rate for the present, because you are
building for your later retirement. Additionally, the (now former)
Federal or Postal employee may work in a private sector job and make up
to 80% of what one’s former position currently pays, on top of the
Federal Disability Retirement annuity one is receiving. For CSRS
and CSRS Offset employees, the annuity is calculated via a different
formulaic method.
Question 3: “How
does Federal Disability Retirement bode for my future?” As we
acknowledged at the outset of this Article, change is an inevitable
feature of life. If a medical condition prevents a Federal or Postal
worker from performing all of the essential elements of his or her job,
the choices are limited. You can try and stay at your job (but your
agency or the U.S. Postal Service may, at some point in the near future,
begin proceedings to terminate you, or otherwise place you on a
“Performance Improvement Plan” (PIP), and send you home with the
admonition that there are no jobs available within the parameters of
your medical restrictions); resign and walk away; or file for Federal
Disability Retirement benefits through the U.S. Office of Personnel
Management. Future security is based upon present planning. Preparing
to file for Federal Disability Retirement benefits, whether you are
under FERS, CSRS or CSRS Offset, is a steppingstone for establishing
security for tomorrow.
For the Federal or Postal
worker who suffers from a medical condition, the traumatic event of the
medical crisis is difficult enough to deal with, without the
administrative headache of trying to prove a Federal Disability
Retirement case. Hiring an attorney who specializes in Federal
Disability Retirement law is often a prudent step to ensure future
stability, but of course, many factors must be considered, and some may
attempt to steer the voyage through such treacherous waters without an
experienced navigator. What depths of dangers are encountered, floating
icebergs ripping apart vulnerable hulls, and sunken ships like haunting
ghosts glowing in the misty oceans of twilight seas, only the Federal or
Postal worker who attempts to maneuver through the administrative waters
of the U.S. Office of Personnel Management, must determine for the sake
of securing an unknown future.
I am an Attorney who represents
Federal and Postal workers from all across the United States, including
Alaska, Hawaii and Puerto Rico. I do not charge for an initial
telephone consultation; thus, if you believe that you need to consult an
attorney concerning Federal Disability Retirement, please contact me in
one of these ways:
· View my
OPM Disability Retirement website or the
Postal Service Disability Retirement blog
· Email me at
federal.lawyer@yahoo.com
· Call me at 1-800-990-7932
Sincerely,
Robert R. McGill, Esquire
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Student: Master, what is the
key to success in battle? Master: Have your opponent focus upon the
fear of surprise; all the while, attack what he fears least, but is most
vulnerable by foolish overconfidence. From Hsin-Qui,
Battlefronts for the Emperor
FERS & CSRS Disability Retirement for the
Federal and Postal Worker: Coordinating the Elements for Success
May 5, 2014
The common mistake made by
Federal and Postal Workers in preparing a Federal disability retirement
application, submitted to the U.S. Office of Personnel Management, is in
failing to coordinate the necessary elements in preparing the case, and
instead focusing exclusively upon the seriousness of the medical
condition itself. This is a natural course of events, of course, if
only because of the focus upon the “disability” aspect of the
administrative process, which would lead one to conclude that it is the
medical condition which must be of singularly defining significance in
the application procedures.
However, such a focus can
result in the disarming effect of assuming that seriousness of the
medical condition itself will qualify the Federal and Postal Worker in
attaining the goal sought: An approval from the U.S. Office of
Personnel Management. But this is precisely why so many Federal
Disability Retirement applications fail to be approved at the First
Stage of the process – because the reliance and focus becomes narrowly
and myopically targeted upon the medical condition itself, leading to
the first and most substantive mistake made in preparing a Federal
Disability Retirement application, whether the Federal or Postal Worker
is under the old system (Civil Service Retirement System, or CSRS) or
relegated to the newer system (Federal Employees Retirement System, or
FERS).
Two primary difficulties
emerge when the Federal or Postal employee first begins to contemplate
filing for Federal Disability Retirement benefits. First, the potential
Federal Disability Retirement applicant sees and experiences the medical
condition, and begins to recognize that the medical condition is
impacting one’s ability/inability to perform at an acceptable level in
one or more of the essential elements of his or her job. So far, so
good. Then, secondly, because the Federal or Postal employee who
suffers from the medical condition, is obviously the same individual who
will be filing for Federal Disability Retirement benefits, that
individual is often unable to objectively separate him or herself as the
suffering individual, from the one who must convey to the U.S. Office of
Personnel Management the severity and extent of the impact upon one’s
inability to perform all of the essential elements of one’s job. Thus,
the problematic conundrum of the subject’s inability to bifurcate the
objectivity of one’s own medical condition from the subjective
experience of the medical condition, which begins to manifest itself.
One way in which the
Federal or Postal employee attempts to compensate for this inability to
be “objective” in the preparation, formulation and filing of one’s own
Federal Disability Retirement application, is by blindly signing the
Standard Form 3112C (Physician’s Statement) and handing it to the doctor
with the simple instruction of: “Please complete this and send it in to
my H.R.” By doing so, the Federal or Postal employee sees himself as
being dispassionate and detached in delegating to the treating physician
the task of preparing a comprehensive medical report. Such delegation
of preparing that which constitutes the very essence and lynchpin of a
Federal Disability Retirement application is, at best, a foolhardy act
of blind confidence. And the second way of dealing in such an entirely
deficient approach is to provide a Statement of Disability on Standard
Form 3112A with a focal emphasis about how debilitating one’s own
medical condition is, along with attached print-outs from a laborious
computer search on the medical symptoms and descriptions of the medical
condition, googled, downloaded and indexed for OPM to review. (By the
way, just for the Reader’s information, OPM’s administrative
adjudicators have internet access, too, in their Federal offices). A
subtext of this second “mistake” is when the Federal or Postal employee
prepares his or her “statement of disability” without even reviewing
what the treating doctor has sent in to the Human Resources specialist.
As for the first attempt at
compensating for any lack of objectivity in the preparation, formulation
and filing of one’s own Federal Disability Retirement application – by
using SF 3112C, Physician’s Statement – the potential applicant needs to
be fully aware that (A) Physicians rarely have the time, let alone take
the time, to carefully read government forms, (B) writing one’s
Statement of Disability without having reviewed what one’s own doctor
has stated in a medical report forwarded to one’s own Human Resources
Department may prove to be the harbinger of the negative decision made
by the U.S. Office of Personnel Management, and (C) trusting that your
treating doctor views your medical condition in the same way that the
suffering person who experiences the medical condition sees it – again,
the problem of lack of objectivity by the subject of the one who suffers
from the experiential trauma – is a dangerous assumption to rely upon.
Mistake not and confuse
not; there is very little doubt that the Federal or Postal Worker who
contemplates filing for Federal Disability Retirement benefits
overwhelmingly suffers from medical conditions which will qualify for
Federal Disability Retirement benefits. The problem resides not in the
severity or extent of the medical condition; rather, the difficulties
manifest themselves in the failure to recognize what the law requires.
Proof sufficient in a Federal Disability Retirement application is not
based upon the medical condition itself, but upon the nexus created
between one’s medical condition and the essential elements of one’s
job. If a Federal or Postal Worker wanted to show one’s family as to
the seriousness of the medical condition, one need only tell an edited
version of the narrative story, or point to the medical bills paid in
the past 6 months, or even to show the 10-inch thick file of medical
records and say, “See!” That would be sufficient proof for a family
member. But for proof sufficient provided to an agency whose sole job
it is to review, evaluate, analyze and scrutinize the eligibility of
Federal and Postal Workers who file for Federal Disability Retirement
benefits, it is first and foremost an understanding of the prevailing
law which governs such eligibility requirements, which must be reviewed
and comprehended; then, upon such an understanding, to proceed to comply
with the requirements of the criteria which governs Federal Disability
Retirement laws, statutes, regulations, and precedents in case-laws.
Treatment records; surgical
procedure notations; a complete history of medical conditions; the
compendium of office visits; an index of prescription medication
regimens; the decade-long history and the multiple boxes of medical
records gathered over the many years of one’s progressively declining
health and increasingly debilitating medical condition – can they be
boxed up and forwarded to the U.S. Office of Personnel Management to
show that one is eligible for Federal Disability Retirement benefits?
What one “can” do, as opposed to what “should” be done, is likened to
the difference between being an adult and acting like an adult.
Teenagers who reach the age of majority often think that they are
adults, but there is a vast difference between being of age and acting
one’s age.
Preparing, formulating and
filing for Federal Disability Retirement benefits should have a caveat
like those attached to automobile television ads where the enticing
vehicle is performing mechanistic feats defying the laws of
gravitational pull: Not intended to be attempted by the ordinary
driver. While the laws governing Federal Disability Retirement
benefits, filed through the U.S. Office of Personnel Management, do not
require a 1-to1 ratio in ascribing one’s medical condition to a
particular essential element of one’s job; nor, in most cases, does it
require complete consistency between one’s statement of disability and
the medical opinion of the doctor (note the operative word, “complete”);
nevertheless, the coordination and cooperation between the medical
statement from the doctor, supporting and guiding the Statement of
Disability as formulated by the Federal or Postal applicant for Federal
Disability Retirement benefits, should be carefully and conscientiously
reviewed.
Ultimately, preparing,
formulating and filing for Federal Disability Retirement benefits, filed
through the U.S. Office of Personnel Management, is an endeavor which
encompasses three very complex arenas of life: The Law; Medicine; and
one’s own experiential trauma of a debilitating medical condition. Such
an admixture of complexity is extremely challenging for a person who is
healthy and at the top of one’s form; for the Federal or Postal Worker
who is suffering from a progressively deteriorating medical condition,
it is more than just another hill to climb; it may require the guidance
and expertise of someone who can objectively perform the feat of fealty
to the laws which govern Federal Disability Retirement.
I am an Attorney who
represents Federal and Postal workers from all across the United States,
including Alaska, Hawaii and Puerto Rico. I do not charge for an initial
telephone consultation; thus, if you believe that you need to consult an
attorney concerning Federal Disability Retirement, please contact me in
one of these ways:
·
View the
FERS/CSRS Disability Retirement website or the
U.S. Postal Service Disability Retirement blog
·
Email me at
mailto:federal.lawyer@yahoo.com
·
Call me at 1-800-990-7932
Sincerely,
Robert R. McGill, Esquire
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When does one know
that a journey has come to its end? In a physical sense, in reaching
one’s destination; in a spiritual sense, in fulfilling one’s destiny.
-- Cho-Tzu, The Sage of Time
FERS & CSRS Disability
Retirement: Finding the Paradigm of an Effective Lexical Nexus (August
7, 2013)
Like all administrative procedures and processes, Federal Disability
Retirement has a set of eligibility criteria which must be met, based
upon a “preponderance of the evidence” standard, in order to qualify. At
its most basic level, a nexus (otherwise defined as a linguistic
connective tissue) must be formulated and established between two
conceptual islands: (A) The existence of a medical condition, and (B)
evidence establishing an impact upon one or more of the essential
elements of the Federal or Postal position which one occupies, such that
the Federal or Postal employee (both are under the same retirement
system of FERS or CSRS) is prevented from performing at least one, if
not more, of the essential elements of one’s job.
As OPM will often argue rhetorically, “The existence of a medical
condition standing alone is insufficient for the applicant to become
eligible for disability retirement benefits.” This implies, of course,
the mistake which is often made by Federal and Postal employees
preparing and formulating a Federal Disability Retirement application,
whether under FERS or CSRS – that of presuming that one’s medical
condition is sufficiently severe and self-evidently catastrophic such
that the mere submission of documentation identifying the condition –
while clearly establishing (A) above (the existence of the medical
condition) – thereby automatically implicates the nexus to (B) above
(impact upon the essential elements of one’s Federal or Postal job).
Never presume, assume, or accept as implicit that which must be conveyed
explicitly. In other words, one must always make obvious that which
potentially remains obfuscated.
The question, then, is how one goes about creating a “nexus” between (A)
and (B). For, the law essentially recognizes two fundamental approaches
in establishing the connection between one’s medical conditions, and the
essential elements of one’s positional duties or functions. In the
recent U.S. Merit Systems Protection Board Case, Henderson v. OPM,
decided on January 31, 2012, Docket No. DC-831E-10-0812-I-1, the Board
addressed the issue of the two primary approaches to meeting the
statutory requirements for Federal Disability Retirement eligibility:
(1) showing that the medical condition caused a deficiency in
performance, attendance or conduct or (2) by showing that the medical
condition is incompatible with useful and efficient service or retention
in the position. One may generally describe the two approaches in the
following manner: the former methodology is fact-specific, while the
latter one is more generic in nature.
Fact-specificity, of
course, is often interpreted as applying an algorithm-like methodology
of corresponding ratios – as if medical condition X can be
correspondingly ascribed to essential element Y in a mathematically
precise manner. Now, at its most foundational instance, the question is
then often posed as to what constitutes an “essential element”. For, in
order to effectively show a correspondence between X and Y, one must
first identify what each factor constitutes. There are a variety of
methodologies in which to answer such a query: one may extrapolate from
the official position description (which is quite obviously an
intelligent approach, inasmuch as the Federal or Postal employee is
retiring from one’s position, and not from what one may or may not
actually be doing in that position; and, furthermore, it is the Office
of Personnel Management which makes the decision, based upon a “paper
presentation” to them – a separate agency from the one the Federal or
Postal Worker is employed by, and therefore unfamiliar with what the
Federal or Postal Worker actually does or doesn’t do in such a
position); but beyond such extrapolation, there are “common sense”
elements which are quite obviously “essential elements”. For example, if
one is an Information Technology Specialist for the Department of
Veterans Affairs, then quite naturally an essential element of such a
position would include the physical ability to remain sedentary for
extended periods of time; or, if you are a Letter Carrier for the U.S.
Postal Service, a self-evident essential element would include the
ability to walk for several miles each day, on hard concrete surfaces
and uneven terrain. Thus, “essential elements” will always include an
admixture of commonly known factors, as well as detailed technical
aspects only found in the official position description.
Beyond identifying the essential elements of one’s position, however,
one may encounter numerous problems in attempting to delineate a
fact-specific description of a deficiency in performance, attendance or
conduct, and the problem with such an attempt is that, more often than
not, supervisors and agencies “give a pass” to the great multitude of
employees because to do otherwise will only invite grief and adversarial
enmity. Thus, despite reflecting poor performance (attendance is
obviously another matter which can be factually established by revealing
the amount of sick leave or annual leave left accrued, and the extent of
LWOP already taken or currently being taken, as a gross and aggregate
number to show a corresponding inability to come to work; and conduct,
in many cases, will reveal a record of adverse actions initiated by the
Agency), one may lack an adequate trail of evidence to establish through
fact-specificity the connection between one’s medical condition and a
deficiency in performance. Furthermore, any attempt to provide a 1-to-1
ratio of a specific-medical condition to a specific-essential-element is
going to invite OPM’s rebuttal through rhetorical argument. Obvious ones
– e.g., loss of visual acuity for a munitions inspector at an Army Depot
– are rare for the treating doctor to systematically correspond a
particular medical condition to a job-specific critical element. We are
thus left remaining, more often than not, with the “second” approach –
the incompatibility criteria.
And, indeed, an ability to establish the existence of an
incompatibility, or “inconsistency”, between a coalition of medical
conditions (most disability retirement applicants have multiple medical
conditions, and allow for the compounding of complex conditions to
aggregate into a debilitating whole, making it further of greater
difficulty in establishing a 1-to-1 correspondence because often such
composites of complex medical conditions are difficult to separate and
ascribe) and the essential elements of one’s job description, can be
accomplished with greater ease by (A) a medical report which explicates
a working knowledge of one’s Federal or Postal job duties, (B) a
detailed medical evaluation, based upon numerous clinical encounters,
delineating the diagnoses and the manifested symptoms of the patient,
and (C) the lexical nexus explaining the incompatibility between (A) and
(B). How detailed should this be? Again, that which is implicit is
potentially unclear; that which is unclear is subject to greater
objection and obfuscation, and ultimately creates a rebuttable argument
for the U.S. Office of Personnel Management.
In the end, one must always remind oneself that the Federal or Postal
Disability Retirement applicant always has the burden of proof. As such,
to prove a Federal Disability Retirement application based upon a
preponderance of the evidence, one must always present a cohesive,
comprehensible and streamlined presentation of the lexical nexus to the
deciding agency – the U.S. Office of Personnel Management. Clarity is
required; cogency is necessary; and always, the binary tissue of
establishing the causal connection between one’s medical condition and
the impact upon the essential elements of one’s duties is the primacy of
the penultimate construct on a road to a successful outcome: approval of
one’s Federal Disability Retirement by the U.S. Office of Personnel
Management.
I am an
Attorney who represents Federal and Postal workers from all across the
United States, including Alaska, Hawaii and Puerto Rico. I do not charge
for an initial telephone consultation; thus, if you believe that you
need to consult an attorney concerning Federal Disability Retirement,
please contact me in one of these ways:
·
View
the Federal Disability Retirement blog or
the U.S. Postal Service Disability Retirement
blog
·
Email me at
federal.lawyer@yahoo.com
·
Call me at
1-800-990-7932
Sincerely,
Robert R. McGill, Esquire
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The sweetness of a bird is revealed by its singing; the ferociousness of
the tiger, by its loudness; but for man, the spoken word is defined by
the truth which is revealed, and not by its sweetness, nor by its
loudness. -- 7th
Century Chinese Proverb
Federal
Disability Retirement for the Federal and Postal Worker: Beyond being
unable to perform useful and efficient service (March 7, 2013)
Federal Disability Retirement is a compensatory benefit available
for all Federal and Postal employees under FERS or CSRS, who have a
minimum of 18 months of Federal Service under FERS, or five (5) years of
Federal Service under CSRS. It is not a benefit which is widely
advertised, and indeed, it is surprising how so many people believe it
to be identical to Social Security Disability benefits. Beyond a lack
of knowing about the benefit itself, however, is the problem of
understanding the legal criteria necessary to become eligible for
Federal Disability Retirement benefits.
Such legal
criteria allows for the Federal or Postal employee to become eligible if
one can prove that the medical condition prevents one from being able to
perform one or more of the essential elements of one’s official,
positional duties. Thus, the standard for eligibility falls far below
the necessary requirements to become approved for Social Security. Yet,
if one were to make an initial investigation of OPM’s (an acronym for
the U.S. Office of Personnel Management) website, you would come away
with a clear misimpression of the legal requirements necessary for
eligibility.
5 U.S.C. Section
8451, Subsection (a) (1) (B) states that an employee will be considered
disabled if the employee is found “to be unable, because of disease or
injury, to render useful and efficient service in the employee’s
position.” Taken in a vacuum, such a statement leaves much to be
interpreted, and to such a wide extent that anyone first approaching
such a statute would become immediately discouraged as to the
eligibility provisions, the chances of success, and hurdles to be
overcome in being able to successfully obtain Federal Disability
Retirement benefits. Indeed, this is often the line which the U.S.
Office of Personnel Management will use in their litany of
template-driven statements in denying a Federal Disability Retirement
application: “You have not proven that you cannot perform useful and
efficient service in your position.”
But what does
“useful and efficient service” mean? In common parlance, there could be
a wide range of interpretations in both the bifurcated concepts of
“useful” and “efficient”. Indeed, an inoperative automobile can be
“useful”, if only to irritate one’s next door neighbor by being an
eyesore to the aesthetically displeased; and a one-armed Postal Worker
is relatively more “efficient” than the absence of the worker
altogether, inasmuch as a warm body is better than two in a coffin.
Thus, when the U.S. Office of Personnel Management argues from the
original language of the Statute itself, they are “technically” correct,
but in a devious sort of way. For, ultimately, there is a long history
and body of case-law which has elaborated upon the definition of what
“useful” and “efficient” mean – but OPM is not about to provide the
details of such historical elaboration. Instead, they will act as
though the Model T Ford is still the car of today.
But clearly, the
Model T Ford – while an admirable automobile in the context of antiquity
and the evolution and advancement of technology and automated systems of
today – is not the same, or even similar, to the automobile of
modernity. If an alien were to arrive in this country and ask someone,
“Show me a car”, one would not likely point to a Model T Ford, unless it
was to impress one with a collection of antique automobiles. Similarly,
to merely point to the originating statute in providing information
about the eligibility provisions for Federal Disability Retirement
benefits, is to reveal little, and hide much.
To provide a
brief overview in explaining the contextual misapplication of OPM, we
can look first at the well-known case of Bruner v. Office of
Personnel Management, 996 F.2d 290, 293 (Fed. Cir. 1993), where the
U.S. Court of Appeals there reiterated the applicable standard for
disability retirement determinations, stating therein that one of the
criteria was the demonstration of a “deficiency in service with respect
to performance, conduct or attendance, or in the absence of
any actual service deficiency, a showing that the medical condition is
incompatible with either useful service or retention in the position.”
(Emphasis added) Here, of course, is a further expansion of the
original statute – for, with the conceptual introduction of the term,
“incompatibility”, there is now a further elaboration, if not
clarification and modification of the key term, “useful”. For, here,
Bruner explains that if the Federal or Postal employee can show that
one’s medical condition is incompatible with providing “useful” service,
then one may be eligible for Federal Disability Retirement benefits.
Then, jumping
further (in article-writing, time-travel is a prerogative of the author,
where large chunks of time and skipping over dozens of other relevant
legal cases are allowed), in Bracey v. Office of Personnel
Management, 236 F.3d 1356,
1358 (Fed. Cir. 2001),
the Federal Circuit Court further delineated and outlined the applicable
provisions governing disability retirement, stating that “the pertinent
OPM regulation elaborates on the statutory definition by providing that
an employee is eligible for disability retirement only if (1) the
disabling medical condition is expected to continue for at least one
year; (2) the condition results in a deficiency in performance, conduct,
or attendance, or is incompatible with useful and efficient service or
retention in the employee’s position; and (3) the agency is unable to
accommodate the disabling condition in the employee’s position or in an
existing vacant position.” Here, we approach the crux of the matter.
For, not only are the dual concepts of “useful” and “efficient” modified
and explained by the conceptual introduction of “incompatibility”, but
is further defined by the idea that in order to be useful and efficient,
the agency must have “accommodated” the Federal or Postal employee such
that the employee must be able to continue to perform all of the
essential elements of one’s job. We thus have a clear, unequivocal
statement of the standard for eligibility in a Federal Disability
Retirement case. To be “useful” and “efficient” in performing in one’s
position, means that one must be able to perform all of the essential
elements of one’s job. If even one of the essential elements cannot be
performed, then one’s medical condition is no longer “compatible” with
“useful and efficient service.” Thus, it is the very essence of what it
means to be “useful and efficient” – by being able to perform all of the
essential elements of one’s job – which determines the compatibility
with one’s medical conditions.
Then,
historically, bringing us to the present period (Scotty, Warp factor
five, please), there was a time when certain cases began to require that
individuals show “unambiguous” proof which established “without
contradiction” an inability to perform one’s duties. Such terms began
to find their way (miraculously) in OPM’s denial letters. Fortunately,
this was recently corrected. The U.S. Merit Systems Protection Board,
in the case of Henderson v. OPM, decided on January 31,
2012, Docket No. DC-831E-10-0812-I-1 (a decision rendered by the Full
Board), corrected previous errors where these additional requirements
were inadvertently added to the original statute -- that evidence be
submitted which “unambiguously” and “without contradiction” proved an
inability to perform one’s duties. The Board in Henderson
finally returned to clarify, and simplify, the basic approaches in
determining Federal Disability Retirement eligibility: (1) showing that
the medical condition caused a deficiency in performance, attendance or
conduct, or (2) by showing that the medical condition is incompatible
with useful and efficient service or retention in the position.
Neither of these approaches any longer required the showing of
“unambiguous medical evidence” or of “uncontradicted” medical evidence.
Yet, such language continues to be cited in many of OPM’s decision
letters.
Language is a
peculiar tool. If used properly, it can elucidate, clarify, and
inform. If applied in a deliberatively improper manner, it can
obfuscate, undermine, and misinform. But between the two ends of the
spectrum, are the more subtle and insidious forms of misuse of
language: leaving things unsaid; stating things despite knowing a
greater body of contextual cases and legal opinions; applying outdated
language even when such language has been previously refuted or
overturned; and leaving a clear misimpression when integrity calls for
clarification of language.
Federal Disability
Retirement benefits are available for all Federal or Postal Workers who
can prove, by a preponderance of the evidence, that he or she has met
the eligibility requirements under the compendium of statutes,
regulations, Board case-laws and decisions rendered by the U.S. Court of
Appeals for the Federal Circuit. But one can only meet the eligibility
requirements if one first comes to a full and proper understanding of
what they are, what they mean, and how they are defined. But just as a
“lie” is not merely the telling of an untruth, so a body of information
which leaves out crucial updates, clarifications and elucidations,
should not be the primary source to be relied upon.
I am an Attorney who
represents Federal and Postal workers from all across the United States,
including Alaska, Hawaii and Puerto Rico. I do not charge for an initial
telephone consultation; thus, if you believe that you need to consult an
attorney concerning Federal Disability Retirement, please contact me in
one of these ways:
View the
FERS/CSRS Disability Retirement website or
the U.S. Postal Service Disability Retirement
blog
Email me at
federal.lawyer@yahoo.com
Call me at
1-800-990-7932
Sincerely,
Robert R. McGill,
Esquire
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A man who
chooses not to fight in a hypothetical sense, without knowing who the
enemy is, what the enemy will do, and what havoc the enemy plans to
wreak, has made a choice not of pacifism, but of propagating evil upon
countless innocents who rely upon such folly. -- From
Pacifism, Evil, and the Dawn of Man
FERS
& CSRS Disability Retirement from the U.S. Office of Personnel
Management: An Inherently Adversarial Process (9/13/2012)
It
is an adversarial process. One can describe it any way you want:
euphemisms are meant to soften the reality of an issue, and so we fool
ourselves (often, with the help of Human Resources personnel), who state
with innocuous aplomb, “Why don’t you just go ahead and fill out the
paperwork for Federal Disability Retirement benefits?”
Thus begins the journey into the abyss of a Federal bureaucracy. It all
seems so simple: SF 3107 (or 2801 for CSRS employees, who are becoming
rarer by the year), the Application for Immediate Retirement, and
Schedules A, B & C. Then, onto the Applicant’s Statement of Disability,
where there are some very innocent-looking questions, like, “Fully
describe your disease or injury…” Simple enough. Just list the
diagnosed medical conditions. Not quite sure what the qualification of
“fully” means, but perhaps they just want me to be as detailed as
possible. There is, of course, somewhat of a suspicious “warning” in
the sentence following, which states that the agency will only consider
those disabilities which I “discuss” in the application, but fair
enough. It doesn’t sound very adversarial. Simple enough, right?
Then, the next question just asks about how my medical conditions or
injuries “interferes” with the performance of your duties, your
attendance or conduct. Gee, all that has to be shown is how my medical
conditions merely ‘interferes’ with my duties? That is simple enough:
I have medical conditions X; I have been working with pain for several
years, and quietly doing my job with pain, and though my attendance has
been near perfect (because I have been enduring the pain to the
detriment of my health throughout the last several years), and though my
conduct has never been questioned; nevertheless, since the question
merely inquires as to whether or not my medical condition “interferes”
with the performance of my duties, let me describe how I have had to
work through with pain, go home each evening and every weekend to use my
off-time to recuperate, just so that I can drag myself back to work on
Monday.
The
questions seem straightforward enough. The question, however, is
whether the law supports that which such easy questions imply and infer.
Then, let me take another government form – Standard For 3112C,
“Physician’s Statement”, to my doctor, with the address of my agency’s
Human Resources Office – and trust that the doctor will provide the
information that is consistent with what I have written in my
Applicant’s Statement of Disability. The implication from the form is
that the report and attachments should be in a “sealed envelope”, but
then continues on to state that the doctor “may,” if he or she wishes,
give it directly to the applicant for delivery to the appropriate
office. Does that mean that, even if it is given to the
patient/applicant, it must still be “sealed”? Does that mean that the
applicant who is preparing for Federal Disability Retirement benefits
from the U.S. Office of Personnel Management – the one who is the
patient of the doctor who is treating the person requesting the medical
report – doesn’t have a right to see what the doctor is saying?
These, and other questions, are merely the “tip of the iceberg” in the
attempt to maneuver one’s way through the complex process identified as
the “Federal Disability Retirement “ bureaucratic morass.
But
complexity of a process does not determine whether or not it is an
adversarial process. The process itself should betray the very nature
of what is involved in such an administrative process. How is the
process set up? What indicators exist which inherently differentiate
itself as a non-adversarial system? Or, is it merely a language game
which denies the reality of what it truly is – a confrontational process
which must be “won”, as opposed to merely applied for? In coming to the
conclusion that it is, indeed, an adversarial process, a number of
points should be kept in mind:
1.
The Agency which the
Federal Disability Retirement applicant works for, itself does not make
a determination – not even a “predetermination” – in a Federal
Disability Retirement application. Think about it: the Agency for
which the Federal or Postal employee works – from whom a Supervisor’s
Statement must be obtained; and by whom the question of whether one can
be accommodated or reassigned to a position which one can work in – is
NOT the agency which makes a determination on a Federal Disability
Retirement application. Thus, no matter what promises are made, or who
at the agency makes them – since it is not the Agency itself which makes
a determination on a Federal Disability Retirement application, no
promises of “offering” a “Federal Disability Retirement” can be made,
kept, or honored by any agency other than the U.S. Office of Personnel
Management. The fact that it is not “in-house”, but reviewed by a
separate Agency, indicates a process which is governed by strict legal
criteria.
2.
One can certainly make
a convincing argument that one’s own agency should not be the
organization or entity which makes a determination on a Federal
Disability Retirement application, precisely because such “in house”
determinations would lead to favoritism, influence-peddling and
potentially be used as leverage for settlement of collateral legal
proceedings. Be that as it may, the fact that a separate entity – the
U.S. Office of Personnel Management, and further, the U.S. Merit Systems
Protection Board and the U.S. Court of Appeals for the Federal Circuit –
makes the determination on all Federal Disability Retirement
applications, creates a process which is inherently adversarial in
nature. OPM applies a “legal criteria”; it applies a standard of proof
– “preponderance of the evidence”; it follows precedents set by the
courts and the judicial system; it trains its case-workers to review and
analyze each case on the merits of meeting the legal criteria. If this
does not constitute the very definition of an adversarial proceeding, it
is a mystery as to what would satisfy such a definition.
3.
If one waits until the
U.S. Office of Personnel Management denies one’s Federal Disability
Retirement application twice – both at the Initial Stage of the process
(which one prepares, formulates and files through one’s agency if not
yet separated, or within 31 days of separation from one’s agency; or
directly to OPM if more than 31 days), as well as the “Reconsideration
Stage” of the process – then the case will be heard before an
Administrative Judge at the U.S. Merit Systems Protection Board. There
– be not mistaken – it is an adversarial process. If the Federal or
Postal employee has somehow been persuaded, convinced, and otherwise
talked into thinking that the Federal Disability Retirement process up
to the Third Stage of the Process – the MSPB Stage – is somehow just an
“administrative process”, or one in which one must maneuver through the
“bureaucracy” of OPM, then one will become rather wide-eyed with shock
and surprise at this Third Stage of the process. For, here, the rules
of evidence apply; the Administrative Judge will conduct a formal
hearing on the matter; witnesses will be placed under oath to testify;
and cross-examination of witnesses will occur. Alas, it all sounds like
an adversarial process, doesn’t it?
Few
things in life are simple. Simplicity is attained through reducing the
components of complexity. In other words, all things which initially
appear simple, become that way through an arduous effort of reduction.
Similarly, the fact that a process is described as merely
“administrative” in nature, or a “filing with a bureaucracy”, does not
reveal the inherently true nature of the process. Understanding a
process certainly helps to unravel the complexity of the process; and
while the process itself may never come to be thought of as “simple”, a
thorough understanding of the procedural, substantive and statutory
underpinnings of the Federal Disability Retirement process will help to
simplify itself attendant complexities.
Be
aware, however. For, while the administrative process identified as
“Federal Disability Retirement” can be reduced to its basic components,
it is unmistakably a process which is fraught with procedural and
substantive pitfalls. While it is often true that ignorance is a
blissful state to be in, such a state is never a preferred one when
attempting to obtain Federal Disability Retirement benefits from the
U.S. Office of Personnel Management. Call it what you will – an
“administrative process”, a “bureaucratic procedure”, or whatever; it
is, in the end, as adversarial as one can get.
I am
an Attorney who represents Federal and Postal workers from all across
the United States, including Alaska, Hawaii and Puerto Rico. I do not
charge for an initial telephone consultation; thus, if you believe that
you need to consult an attorney concerning Federal Disability
Retirement, please contact me in one of these ways:
View
the Federal Disability Retirement blog or
the U.S. Postal Service Disability Retirement
blog
Email me at
federal.lawyer@yahoo.com
Call me at
1-800-990-7932
Sincerely,
Robert
R. McGill, Esquire
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Is a man wise for saying the right things?
If a man says the right things but acts contrary to his own wisdom, can
he be deemed wise, or merely a foolishly wise person? What of the man
who says the wrong thing but acts as a wise man should? Does he merely
play the fool but act the sage? That is, of course, the brilliance of
Shakespeare, where the fool is a stark contrast to the king, where words
possess double and triple meanings to confound the distinction between
words and action, fools and sages, and the unknowable chasm between
them. -- From Knowledge, Truth and Shakespeare
FERS
& CSRS Disability Retirement from the U.S. Office of Personnel
Management: Don’t fill out the forms before you know the law
(04/01/2012)
In
undertaking any endeavor, one should never engage the activity until one
has thoroughly analyzed and understood the overarching rules which
govern the enterprise, whether it is in sports, a trade, a craft – or
applying for a benefit at the Local, State or Federal level. Would you
advise your child to play football without first going over the rules?
Would you hand a power tool to a novice? Or entrust a large sum of
money to an individual who possesses no knowledge about financial
management? Yet, many Federal and Postal employees who have little or
no knowledge of the statutes, rules, regulations or laws governing
Federal Disability Retirement will complete the “forms” which comprise
the heart of a Federal Disability Retirement application, with scant
concern or inkling of the consequences, intended or otherwise.
As in any evolving, organic complexity of law, the governing rules
which expand the administrative process of Federal Disability Retirement
change daily, weekly, monthly, etc. It is simply the “nature of the
beast”, and one cannot be expected to “know” the fine minutiae of what
constitutes an effective Federal Disability Retirement application,
unless one first has at least a rudimentary understanding of the legal
context from which the process has expanded. Local lawyers shy away
from representing Federal and Postal workers in preparing, formulating
and filing for Federal Disability Retirement benefits, if only because
the complexity of the aggregate process scares them away. There are
only a handful of attorneys who have the technical knowledge to
successfully guide and maneuver the Federal or Postal employee through
the morass and maze of the administrative process, and yes, it has
indeed become that “technical” in nature.
The problem can be generally categorized as one involving 3 basic
issues: (A) For the Federal and Postal employee contemplating filing
for Federal Disability Retirement benefits from the U.S. Office of
Personnel Management, the stakes are extremely high because such
benefits will ensure not only financial stability for the future, but
moreover, will allow for some opportunity for physical and psychiatric
rehabilitation and recuperation; (B) The aggregate of statutes, laws,
case-law, applicable standard of proof; applicable legal criteria to
meet; legal standards as applied by the Office of Personnel Management,
comprise a universe of complexities which require study, constant
updating, and an understanding of the Federal administrative process
itself; and (C) dealing with the agency, the various Human Resources
offices; understanding the purpose behind the standard forms which need
completion, and more importantly the underlying legal requirements
behind the questions asked, etc. -- require insight, understanding and
often the most valuable of commodities: experience. The conglomeration
of such difficulties, of course, is not necessarily unique to Federal
Disability Retirement, but apply nevertheless. It is merely a mundane
fact in a world of complexities.
While the full universe of complexities can never be explicated in
any single article, timeframe or discussion, precisely because (a) each
case is unique in and of itself, and thus must be tailored to
accommodate such particularities, (b) any step-by-step explanation of
the substantive and procedural order of preparing, formulating and
filing for Federal Disability Retirement benefits will be inherently
inadequate to assimilate all of the distinguishing differences of each
individual case, and (c) it is precisely the context and content of the
details of each particular case which must guide any Federal Disability
Retirement application – as such, the best course of action one can take
is to reduce any introductory forum in explaining the administrative
process into some “principles” to follow. Three (3) such general rules
which all Federal and Postal employees who are contemplating filing for
Federal Disability Retirement benefits should include:
1. Don’t let your guard down because of the applicable Standard
of Proof. The Federal or Postal employee who is just
investigating the possibility of filing for Federal Disability
Retirement benefits might well ask a question which would naturally
occur as a precondition: What is the applicable Standard of Proof, and
why is it important to know? The applicable Standard of Proof in all
Federal Disability Retirement cases is “Proof by a Preponderance of the
Evidence”, which means submitting all evidence in proving a Federal
Disability Retirement application such that it is more likely than not
that one’s claim for medical disability is true. This is a fairly low
standard in the realm of legal standards. Why does one need to know
what the Standard of Proof is, and if indeed it comprises so “low” a
standard on the totem poles of legal standards, why would there be a
problem associated with it? Not knowing the legal standard of proof can
lead to a myriad of difficulties, precisely because the standard forms
which must be completed – especially SF 3112A (Applicant’s Statement of
Disability) -- is formulated in precisely such a simplistic manner as to
lull the unwary into thinking that the process is an easy one. However,
while the question may be simple in its affectation, the answers should
be precise, concise, and with a view towards meeting the highest
standard of proof.
2. Don’t let the Office of Personnel Management dictate the law.
At the two administrative levels of filing for Federal Disability
Retirement benefits (i.e., at the initial filing stage, as well as if
denied, at the Second Level, the Reconsideration Stage of the process),
the U.S. Office of Personnel Management purportedly “applies the law” by
comparatively analyzing a Federal or Postal employee’s Federal
Disability Retirement application against a “7-part” criteria. Whether
the listed criteria are in fact applied is somewhat questionable; how it
is applied is a conundrum. Often, in a denial letter issued by the
U.S. Office of Personnel Management, the OPM “Disability,
Reconsideration and Appeals Specialist” will list and purportedly
discuss the various documents and medical reports submitted as part of
the Federal Disability Retirement application, then go on to state
something like: “However, you have not shown that your medical
condition incapacitates you to the extent that it creates a risk of harm
to yourself or others in the workplace.” What? Is this an application
of the lowest of the legal standards – Preponderance of the Evidence?
Not by any stretch of one’s imagination. The dictates of law are
sometimes created out of an imaginary universe of inventiveness. The
mere fact that X sounds “legal”, does not make it so. Further, the mere
fact that the Office of Personnel Management asserts X, does not make it
true.
3. Don’t let the law prevent you from asserting your rights.
Or, to put it more precisely, the Federal or Postal employee who has
filed for Federal Disability Retirement benefits should not allow lack
of knowledge of the applicable laws prevent him or her from obtaining
the benefits rightfully eligible and entitled. There are certainly
enough informational resources available for any Federal or Postal
employee to access and come to a fundamental understanding of the legal
framework of a Federal Disability Retirement application. Even OPM’s
own website can be a valuable resource tool in preparing and properly
formulating one’s Federal Disability Retirement application.
The point of any endeavor is not only to perform X – but to
perform X excellently. Moreover, where the nature of one’s performance
leads to a consequence and a result, and where the end product provides
a secure future, financial stability, and the opportunity for
rehabilitative convalescence, then the stakes in performing well are
indeed high. In criminal law, ignorance of the law is never an excuse
for a violation of the law; in administrative law, especially in
preparing, formulating and filing for Federal Disability Retirement
benefits, whether under FERS or CSRS, ignorance of the laws governing
the benefit may well result in consequences which are inexcusable,
especially where one’s financial future stability is at stake, and where
the opportunity for one’s rehabilitative care may allow for further
productivity in the marketplace of economic activity. Taking a moment
to understand “the law” prior to entering the arena of Federal
Disability Retirement is a precondition for success; ignoring the
precondition would not violate any laws, but rather, undermine the first
principle of wisdom.
I
am an Attorney who represents Federal and Postal workers from all across
the United States, including Alaska, Hawaii and Puerto Rico. I do not
charge for an initial telephone consultation; thus, if you believe that
you need to consult an attorney concerning Federal Disability
Retirement, please contact me in one of these ways:
·
View the
FERS/CSRS Disability Retirement website or the
U.S. Postal Service Disability Retirement blog
·
Email me at
federal.lawyer@yahoo.com
·
Call me at
1-800-990-7932
Sincerely,
Robert R. McGill, Esquire
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Of the man who built a castle in order to
protect against invading marauders, but filled the moat with colorful
fish because he did not want to spoil the perfect harmony of the
ecosystem by introducing foreign predators into the land. Such a man
failed to understand the foundational purpose of the construction of the
castle to begin with – to keep out foreign invaders. By refusing to
introduce foreign predators, his castle was invaded by foreign
marauders, leaving a devastated skeleton of a charred stone structure –
a memorial to one who confused appearance for substance, and the
resultant calamity of failing to recognize that sometimes a distinction
does make a difference.
-- From
Aristotelian Perspectives in a Metaphysically Neutral Environment, from
Heraclitis to Mao Tse-Tung
Federal
Disability Retirement from the Office of Personnel Management: Sticking
to Basic Approaches is the Road to Success (10/17/11)
The
preparation, formulation, and finalization prior to filing a Federal
Disability Retirement application, whether under FERS (the Federal
Employees Retirement System) or CSRS (Civil Service Retirement System),
should be sufficiently reviewed and carefully scrutinized prior to
submission to the Agency of the Federal Employee (if still employed or
separated but not more than 31 days) or the H.R. Shared Services Center
for the Postal Employee (in Greensboro, North Carolina, where all Postal
Disability Retirement applications are processed – again, if still
employed or, if separated, not for more than 31 days) and before its
ultimate arrival at the Office of Personnel Management, first at Boyers,
Pennsylvania, for the intake processing portion of the administrative,
bureaucratic process, then for transfer to the U.S. Office of Personnel
Management at 1900 E Street N.W., Room 3468, Washington, D.C. 20415.
Once the Federal Disability Retirement application has been received for
the initial intake processing portion of the administrative procedure at
Boyers, Pennsylvania, the case is assigned a “CSA” number – for CSRS
individuals, the number which is assigned will begin with the numeral
“4”, and end with a “0”; for FERS employees, the CSA number will begin
with the numeral “8”, and also end with a “0”. A CSA Number is simply
assigned for purposes of identification so that the case can be easily
accessed through the identifying number; although, if the assigned CSA
number is forgotten or misplaced, the Office of Personnel Management can
still easily locate the file through one’s Social Security Number.
All
successful preparation is defined by careful planning and meticulous
formulation. In scrutinizing a Federal Disability Retirement
application prior to submission to the Office of Personnel Management,
try to think in terms of both perspectives – the “professional” (the
Applicant for Federal Disability Retirement) and the “spectator” (the
Claims Representative who will be reviewing the Federal Disability
Retirement application for sufficiency, cogency, viability,
believability, and evidentiary impact). The “professional” is the
person who prepares the case with such meticulous scrutiny and care,
such that it makes it appear to the spectator that everything is in
order, that the doctor’s unequivocal support, the natural flow of the
Applicant’s Statement of Disability on SF 3112A coincides
systematically, truthfully, and without contradiction with the
supporting medical evidence; and, further, regardless of what the
Supervisor’s Statement says – whether supportive, negative, or neutral
in its tone, tenor and content, the important thing is to make sure that
the documented medical evidence is such that it makes irrelevant the
focal trajectory of the Supervisor’s Statement. Remember: this is a
Federal Medical Disability Retirement application, and not a
“Supervisor’s Disability Retirement application”.
The “professional” – whether a singer, entertainer, athlete or salesman,
or the applicant who is preparing a Federal Disability Retirement
application under FERS or CSRS, is defined by the ease with which the
“spectator” is able to review and evaluate the presentation placed
before him or her. Extensive and unrelenting preparation is always the
key to a successful presentation. The athlete makes the game enjoyable
precisely because of the long hours of preparation he endures; the
singer, for the extensive coordinating music sessions with the
supporting band prior to going on stage; the entertainer, for the hours
upon hours of rehearsals to perfect the necessary timing; and the
salesman, who must practice the psychology of persuasive marketing to a
stranger being confronted with a 10-second attention span. Whatever the
circumstances, it is always the extent of one’s preparation which
correlates and corresponds with a higher statistical chance of initial
success. Sad is the sight which reveals a lack of correlating result
from an aging or lazy athlete, where preparation fails to correspond
concomitantly with the extent of preparatory exertion.
In
preparing and beginning to formulate the basic approach of a particular
Federal Disability Retirement application under FERS or CSRS, however,
it is always important to begin with some foundational questions, and
such queries should always be accompanied by preliminarily exploratory
inquires: Do I have a supportive doctor? How will I survive
financially for the next 8 – 10 months? Is it better to slowly use up
my sick leave over a span of time? Under FERS, how aggressive should I
be in filing for Social Security Disability benefits, and what are the
chances of getting it? What impact will Social Security Disability have
on my FERS Disability Retirement annuity? Should I go out on LWOP?
Should I file for Family Medical Leave? Should I participate in the
leave-donor program? What happens if my Agency separates me before I
file? What impact will a separation from Federal Service have upon a
Federal Disability Retirement application? Will I be able to survive on
the annuity? Will I try and work in a private-sector job after I
receive a Disability Retirement annuity? These questions constitute a
minor foray into the larger universe of questions which every Federal or
Postal worker will have, prior to, during, and after the beginning
entrance into preparing to file for Federal Disability Retirement
benefits.
Should I hire an attorney to represent me in filing for Federal
Disability Retirement benefits? The answer to this latter question will
often assist in satisfying many of the previous questions posed,
precisely because an attorney who is knowledgeable in Federal Disability
Retirement issues should not be merely an administrator for filling out
forms; rather, any attorney who represents a Federal or Postal Worker to
obtain Federal Disability Retirement benefits either under FERS or CSRS
should be able to advise, guide, counsel and answer all of the questions
surrounding Federal Disability Retirement issues.
Remember further two (2) important points: (1) A Federal Disability
Retirement application, whether under FERS or CSRS, is never a matter of
“filling out forms”. If that were the case, anyone should (and would)
be able to file for, and obtain, Federal Disability Retirement
benefits. And (2), it is very, very rare that a Federal Disability
Retirement case is a “slam dunk” case. Most people believe that his or
her particular Federal Disability Retirement application is a “sure
thing”. Such an attitude is quite understandable, of course, because
the same person who is preparing the Federal Disability Retirement
application is identical with the person experiencing the medical
condition which defines the basis of the Federal Disability Retirement
application. It is difficult to separate the two fundamental roles – of
the person experiencing the trauma of the medical condition and the
impact upon one’s ability/inability to perform all of the essential
elements of one’s job, from the person who must objectively formulate
the Federal Disability Retirement application under FERS or CSRS.
Finally, always remember that there is a difference between truth,
evidence, and persuasive argumentation. The former does not, in and of
itself, always provide sufficiency of presentation, and the latter two
are needed in order to highlight the strength of the former. The middle
term – “evidence” – must always be accompanied by the art of persuasive
argumentation. Don’t ever think that merely compiling a voluminous
compendium of medical documentation, even if completely truthful, is
enough to meet the evidentiary standard of proof necessary to obtain an
approval from the Office of Personnel Management.
The
above constitute some basic approaches to preparing, formulating and
filing for Federal Disability Retirement benefits from the Office of
Personnel Management. Basic approaches always reveal a superior
methodology than attempting to create complexities where none exist.
Sticking to the “basics” always provides for a foundational aptitude of
success, and success is defined by obtaining an approval from the Office
of Personnel Management. Stick to the basics; it is the highest
statistical road to success.
I
am an Attorney who represents Federal and Postal workers from all across
the United States, including Alaska, Hawaii and Puerto Rico. I do not
charge for an initial telephone consultation; thus, if you believe that
you need to consult an attorney concerning Federal Disability
Retirement, please contact me in one of these ways:
Sincerely,
Robert R. McGill, Esquire
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Avoidance of an issue may result in a positive end, as when the issue
simply resolves itself; or in a negative end, where the issue continues
to exponentially explode and quantify in ways which were unintended,
multiplying in consequences which create havoc beyond the original issue
which was intended for avoidance. If the latter, then avoidance itself
implodes; for one then avoids even the concept of avoidance, and
certainly avoids the initial issue of avoidance, but all the more so,
until the morning comes when all of the issues which were avoided
resolve themselves. So, in the end, avoidance is the key to avoid all
of life’s nuisances. -- From “Life’s Steps to Success”
Federal
Disability Retirement under FERS or CSRS: 3 Basic Elements to Avoid in
Preparing a Case (6/21/11)
Filing for Federal Disability Retirement requires planning, preparation
and foresight. It is first and foremost a “paper presentation” to the
Office of Personnel Management and, as such, unless it goes to the Third
Stage of the Process – the Merit Systems Protection Board – the Federal
or Postal employee who files for Federal Disability Retirement benefits,
whether under FERS or CSRS, will not have an opportunity to personally
plead his or her case as to the validity, persuasiveness or merits of
the case. Therein lies the conundrum, of course: that in preparing,
formulating and filing a Federal Disability Retirement application for
approval by the Office of Personnel Management, one must concurrently
prepare the case such that the likelihood of success at the First Stage
of the process is enhanced exponentially (while recognizing that there
is never a guarantee), and at the same time preempting and inoculating,
to the extent possible, the Federal Disability Retirement application
from selective criticism and potential denial by the Office of Personnel
Management.
Determining whether or not a particular Federal Disability Retirement
application will successfully meet the burden of proof at the First
Stage of the process is never based upon a mathematical formula. Where
the human factor constitutes the essence of the decision-making and it
is not based upon a computerized quantification of paradigm grids,
differences of opinions can occur. Thus, whether or not the Federal
Disability Retirement application satisfies the “preponderance of the
evidence” burden; whether the medical documentation satisfies the
current and applicable legal criteria; whether “essential elements” of
the position description have been impacted by the medical condition;
whether a sufficient nexus has been formulated between the Federal or
Postal employee’s essential duties and the medical conditions of the
applicant – all of these issues, and many more, are grey areas of
potential dispute and disagreement between the applicant who has filed
for Federal Disability Retirement, and the Claims Representative at the
Office of Personnel Management.
Ultimately, of course, there is a “final arbiter” who will decide any
dispute which may occur – and that is the Appellate process which
governs all Federal Disability Retirement applications. First at the
Merit Systems Protection Board by an Administrative Judge (although this
is not technically part of the “appellate process”, but rather a Hearing
before an Administrative Judge to determine the sufficiency of the
evidence presented), then by a panel of Administrative Judges to decide
(if necessary) a Petition for Full Review, then potentially before a
Judge of the U.S. Court of Appeals for the Federal Circuit. Again, the
human factor is always involved in intervening by attempting to
“objectify” errors or perceived errors of correctly applying the law in
making a determination on a Federal Disability Retirement application.
Where the human factor prevails, the self-contradiction of attempting to
expunge the human factor by applying an “objective” criteria, as if by
mechanical application, is something which is impossible to attain. But
that is why the layers of an administrative process involve multiple
stages – in an effort to ensure fairness and an objective adjudication
of a Federal Disability Retirement application, and to give the
applicant every benefit of the doubt and opportunity to prove his or her
case.
In
preparing, formulating and filing a Federal Disability Retirement
application under either FERS or CSRS, three (3) basic rules should
always be followed, thereby both enhancing the probability of success,
while at the same time inoculating the application against selective
criticism by the Office of Personnel Management. The three (3) basic
rules are:
(A)
Avoid Internal
Inconsistencies. Often, in reviewing denials from the Office of
Personnel Management on cases where individuals prepared a Federal
Disability Retirement application without an attorney, multiple internal
inconsistencies are found, and attacked, by the Claims Representative at
the Office of Personnel Management. These internal inconsistencies
often involve direct contradictions between claims of medical conditions
and symptomatologies in what the Applicant’s Statement of Disability
narrates, and what the medical reports themselves reveal; or between
statements made in a medical narrative report and what the office or
treatment notes show. Further, overstating the claim of a medical
condition will often implicitly reveal an inconsistency. It is better
to let the doctor state the severity of the medical condition, as
opposed to over-dramatization of the medical condition by the applicant.
(B)
Avoid External
Inconsistencies. To the extent possible, one should attempt to
preempt inconsistencies between the Applicant’s Statement of Disability,
and statements made by the Agency – either in the Supervisor’s Statement
or the Agency’s Efforts for Reassignment & Accommodation. The Office of
Personnel Management will often selectively extrapolate and emphasize
such external inconsistencies, arguing that: “While you state in your
Applicant’s Statement of Disability that X is the case, your Supervisor
has stated that Y is the case.” While complete avoidance and preemption
of such inconsistencies is impossible (and unnecessary), it is best to
attempt to predict, preempt and avert such inconsistencies, thereby
negating further ammunition which OPM may be able to use in denying a
Federal Disability Retirement application.
(C)
Avoid Open
Inconsistencies. These are the more subtle forms of inconsistencies
which OPM will focus upon, and which are much more difficult to avoid.
An example of such an open inconsistency is where OPM will argue that
while the Applicant who has filed for Federal Disability Retirement
benefits has shown that the Agency is unable to accommodate the medical
condition, such a showing is valid if and only if one has first shown
that a medical condition requires that an accommodation is necessary.
Thus, by failing to first prove by a preponderance of the evidence that
X is the case, the Applicant has failed to prove that Y is necessary,
and therefore the open inconsistency allows for the Office of Personnel
Management to target a criticism for denying the case.
Preparing, formulating and filing a Federal Disability Retirement
application under FERS or CSRS must always be accomplished with care,
foresight, and with a scrutiny to detail. Because it is not an
“entitlement” (the conceptual distinction being that an entitlement is a
benefit which one has an automatic right to), but rather a potential
benefit which one may be eligible for – as such, the Federal or Postal
employee must prepare his or her case with the cumulative knowledge of
the law, the requirements of the law, and the applicability of the law,
all at once. It is, ultimately, a benefit one secures not only for
financial reasons, but because it allows for future security – both to
have the opportunity to recuperate from one’s medical conditions, as
well as to be able to again become productive in the workforce, perhaps
in another type of job. In preparing an application for Federal
Disability Retirement for FERS or CSRS, one must always look to the
future, while at the same time viewing the importance of the entire
administrative process, including avoiding targeted elements of
inconsistencies which may develop in the preparation, formulation and
filing of a Federal Disability Retirement application.
I
am an Attorney who represents Federal and Postal workers from all across
the United States, including Alaska, Hawaii and Puerto Rico. I do not
charge for an initial telephone consultation; thus, if you believe that
you need to consult an attorney concerning Federal Disability
Retirement, please contact me in one of these ways:
View the
FERS Disability Retirement website or the
U.S. Postal Service Disability Retirement blog.
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Is
a Master merely one who knows more than a novice? Can a novice not run
faster, be quicker, use a sword with greater force, outwrestle and
outmaneuver a Master? What advantage does a Master have over the
novice, other than the use of words which dissipate into nothingness?
What good, indeed, does a Master do – other than to teach the novice of
that which he lacks: wisdom to know that he knows nothing.
From “Master and
Novice”
Federal
and Postal Workers: Preparing, Formulating, and Filing for Federal
Disability Retirement benefits under FERS or CSRS (2/22/11)
Federal and Postal employees who are attempting to prepare, formulate,
and file a Federal Disability Retirement application under FERS & CSRS
must somehow endeavor to “put it all together” in order to meet the
7-part criteria which the Office of Personnel Management has extracted
and extrapolated pursuant to (so they claim) Sections 844.101 to 844.404
of Title 5, Code of Federal Regulations (for those under FERS) and
similar provisions for those under CSRS (which is becoming a rarer
animal close to extinction). One need only review a single denial
issued by the Office of Personnel Management to recognize the template
which the agency engages in: the “7-part criteria” is a synopsized,
condensed application of the statutory framework for showing eligibility
for Federal Disability Retirement benefits – without recognition or
inclusion of the ever-expanding cases interpreting, reshaping, and
clarifying the statutory authority and foundation which OPM continues to
myopically adhere to as its narrow criteria to follow.
In attempting to prove by a preponderance of the evidence (the
applicable legal standard and “burden of proof” which a Federal or
Postal employee must meet in order to become eligible) that one
qualifies for each of the 7-part criteria, the Federal or Postal
employee must not only contend with personnel at the Office of Personnel
Management who adhere to the original statutory criteria, with all of
its anachronistic interpretations (or lack thereof), but further, often
the very failure of understanding what the legal criteria actually means
(as opposed to what it says), all combine to make for a potentially
frustrating experience.
Because of the multiple potential pitfalls in obtaining a
successful outcome in preparing, formulating and filing a Federal
Disability Retirement application, one must always consider that the
first rule of preparation must embrace the fact that the entire
administrative endeavor is a “process” – meaning thereby that one must
always prepare for the entirety of the process, and not expect
(necessarily) to obtain an approval at the First Stage of the process.
To this end, almost everyone universally believes in the following:
“But my case is different because…” There never is an applicant who
prepares, formulates and files a Federal Disability Retirement
application who doesn’t believe that his or her particular medical
condition, and the impact upon the ability to perform the essential
elements of the job, is not deserving of Federal Disability Retirement
benefits. A person who is unrepresented by an attorney exponentially
quantifies the inherent problems which accompany the formulation of a
Federal Disability Retirement application. For, all applicants believe
that one’s own Federal Disability Retirement application meets all of
the 7-part criteria as expounded and delineated by the Office of
Personnel Management. Why is this?
First, when the object of the Federal
Disability Retirement application (whom does the medical report and
records refer to?) is one and the same as the subject who is preparing
the Federal Disability Retirement application (who is applying?), then
it is almost impossible to maintain a perspective of objectivity,
precisely because the person “being talked about” is one and the same as
the “person talking”. Second, an applicant who prepares the SF 3112A
(“Applicant’s Statement of Disability”) will often fail to properly read
and interpret the medical reports and records which form the underlying
justification and basis for eligibility for a Federal Disability
Retirement application. This is because the person who is preparing the
Applicant’s Statement of Disability is the same person who already
experiences the medical conditions which the medical reports and records
refer to, and as such, the applicant too often “reads more into” what
the medical reports and records state, than what they actually state.
This is familiarly termed, “overreaching” – which is a common mistake
made in preparing the narrative story of one’s state of medical
condition on SF 3112A. Again, the proper sense of objectivity is
lost. And, Third, there is often the danger of an incommensurate
disconnectedness between that which the applicant states in the
Applicant’s Statement of Disability, and that which the medical report
describes. Again, this has to do with an inability to maintain a proper
sense of objectivity – for the person feeling the pain must be the same
person who must describe the pain. Such an endeavor is tantamount to an
individual attempting to perform brain surgery – on one’s own brain.
Is it impossible for a Federal or Postal employee to successfully
maneuver through the potential pitfalls of the entire administrative
process identified as the “Federal Disability Retirement process”? No,
nothing is ever impossible. But it can be difficult. To master the
entirety of the process, from beginning to end, by being both the object
of the application, identical with the subject of preparing, formulating
and filing a Federal Disability Retirement application; then to contend
with the misapplication, misinterpretation and limited view of the
governing laws which dictate the success or failure of a Federal
Disability Retirement application –by the very governing Agency which is
supposed to comprehend the complexities of such laws (that Agency being
the Office of Personnel Management), is to merely recognize at the very
start of the process that every such bureaucratic administrative
endeavor places one at an initiating disadvantage.
Take, for instance, Criteria Number 6 which the Office of
Personnel Management often focuses upon – that in order to qualify for
Federal Disability Retirement benefits you have to show that your
employing agency was “unable to make reasonable accommodation for your
medical condition.” While the term “accommodation” can be discovered
via a proper search of the Code of Federal Regulations, OPM makes no
effort to assist the potential applicant as to the nuances and
interpretive history of what qualifies as an “accommodation”, and
moreover, the common interpretation of what constitutes an accommodation
is not intuitively obvious. Further, OPM’s own application of the
concept of “accommodation” is often misguided, as professional
experience has revealed.
Ultimately, the singular effort of a Federal or Postal employee in
preparing, formulating and filing a Federal Disability Retirement
application takes an extraordinary effort of coordinating a
multi-faceted administrative process: of obtaining the proper medical
documentation; of streamlining and making decisions as to which
documents are not only relevant and compelling, but moreover, will
advance the essence of the narrative of one’s medical condition; of
formulating an effective statement of one’s medical disability and the
impact upon one’s inability to perform one or more of the essential
elements of one’s job; of predicting and, if necessary, preempting what
a Supervisor may or may not state; of addressing legal arguments which
the Office of Personnel Management may make in its initial review of a
Federal Disability Retirement application. The work to be done and the
road one must travel, in preparing, formulating and filing a Federal
Disability Retirement application, is analogous to anything and
everything one encounters in the course of living a life: mastery of a
craft is difficult; to become a master, one must prepare well.
I am an Attorney who represents Federal and Postal workers from
all across the United States, including Alaska, Hawaii and Puerto Rico.
I do not charge for an initial telephone consultation; thus, if you
believe that you need to consult an attorney concerning Federal
Disability Retirement, please contact me in one of these ways:
·
View the
FERS Disability Retirement website or the
U.S. Postal Service Disability Retirement
blog
·
Email me at
federal.lawyer@yahoo.com
·
Call me at
1-800-990-7932
Sincerely,
Robert
R. McGill, Esquire
Man, capable of moral
behavior, suited with intelligence and cunning, endowed with creativity
and foresight; yet, the only animal capable of unfettered cruelty just
for the sake of self-amusement. Why is this so? Having so many
advantages, why does he lack in fulfillment of his potential?
-- From Man and Philosophy
OPM
Disability Retirement under FERS or CSRS: While the Law may favor the
Applicant, the Process does not
(10/29/2010)
There is often a
suspicion that certain forums are “weighted” in favor of the
government. In speaking with Federal and Postal Workers who are
contemplating filing for Federal Disability Retirement benefits from the
Office of Personnel Management, a concern which often surfaces
repeatedly is that the Merit Systems Protection Board is “weighted” in
the government’s favor. While it may be true that the MSPB may find in
favor of the Federal Government and its agencies in a majority of cases,
this does not necessarily mean that there is a bias on the part of the
Administrative Judges. In many cases, appeals to the MSPB are brought
by unrepresented individuals (“pro se” appellants), and therefore never
stand a chance at winning against seasoned agency lawyers. Further,
because the law allows for wide discretion on the part of Agencies to
dismiss Federal workers for the “efficiency of the Federal Service,” the
laws themselves may favor the Federal Government, which therefore has
little to do with how a judge rules. Judges are supposed to apply and
follow “the law”.
An exception to
the idea that Agencies normally prevail against Federal or Postal
Workers, should be found in Federal Disability Retirement cases under
FERS or CSRS. Why should this be so? This is because Federal
Disability Retirement laws are heavily weighted in favor of the
applicant who is filing for Federal Disability Retirement benefits.
Here are at least five (5) examples where the laws governing Federal
Disability Retirement benefits is weighted in favor of the Federal or
Postal Worker filing for Federal Disability Retirement benefits under
FERS or CSRS:
1. One needs
only prove, by a preponderance of the evidence, that one cannot perform
just one (or more) of the essential elements of one’s job. Thus, a
Federal or Postal Worker does not have to prove that one is “totally
disabled” from gainful employment. It is a much lower standard.
2. Only 18
months of Federal Service (under FERS) is needed in order to be eligible
to file for Federal Disability Retirement benefits.
3. “Light Duty”
does not constitute an “accommodation” which precludes one from filing
for Federal Disability Retirement benefits under FERS or CSRS. Thus,
even if the Agency allows for temporary light-duty assignments, the very
fact that the Federal or Postal employee is unable to perform the full
duties of his or her position allows for eligibility for Federal
Disability Retirement benefits. See Bracey v. Office of Personnel
Management, 236 F.3d 1356, 1358 (Fed. Cir. 2001).
4. Being denied
by Social Security does not impact one’s FERS or CSRS Disability
Retirement application, whereas the converse is true – being approved by
SSDI can and often does help to prevail in a Federal Disability
Retirement application. See Trevan v. OPM, 69 F.3d 520 (Fed.
Cir. 1995).
5. In addition
to competent medical evidence, subjective evidence (meaning
thereby the personal statements of the applicant who is filing for
Federal Disability Retirement benefits under FERS or CSRS) of disability
and pain must be given “serious weight”. See Vanieken-Ryals v. OPM,
508 F.3d 1034 (Fed. Cir. 2007).
Such legal
advantage should give great hope for Federal and Postal workers
contemplating filing for Federal Disability Retirement benefits under
FERS or CSRS. The irony, however, is that because the law is clearly
weighted in favor of the Federal or Postal Worker who is filing for
Federal Disability Retirement benefits under FERS or CSRS, one may
expect greater scrutiny by the Office of Personnel Management in
reviewing, evaluating, and approving or disapproving a Federal
Disability Retirement application. In other words, the mere fact that
the law may be “weighted” in favor of the Federal or Postal Worker does
not mean that the process is easier. This is often the case, however
unfortunate, in all facets of life: where the substantive rules provide
greater advantages, the process of review applies with greater scrutiny.
Take, for
instance, a recent case published by the Merit Systems Protection Board
– Beeler-Smith v. OPM, Docket No. DC-844E-09-0520-I-1, decided
October 9, 2009. In Beeler-Smith, the multiple facts clearly
favored an approval of a Federal Disability Retirement application under
FERS, to include:
n
Medical conditions which
clearly prevented the Applicant from performing her job as a Rural
Carrier (where the Applicant’s condition was so severe that she could
not bend her knees, stoop down or lift mail tubs or trays without
assistance from her coworkers; where she actually had to lift her leg
with her hand to use the brake of the vehicle; where she had to use a
cane to walk; and where the doctor stated that she was a danger to
herself and to others while driving).
n
SSDI benefits were awarded
n
The Supervisor’s Statement
stated that the Applicant had a performance deficiency
The Agency Certification of
Reassignment and Accommodation Efforts (SF 3112D) showed that the
Applicant’s condition could not be accommodated, and she did not refuse
an offer of reassignment
These are just
some of the facts – almost irrefutable and eye-opening in considering
the severity of the medical conditions, the unequivocal factual support
in favor of a Federal Disability Retirement application, etc. – which
makes one pause in asking the questions: How could the Office of
Personnel Management deny such a Federal Disability Retirement
application at the Initial Stage of the process? How could the Office
of Personnel Management deny the case at the Reconsideration Stage? How
could the Administrative Judge deny the initial appeal at the Merit
Systems Protection Board?
Ultimately, in a
Petition for Review, the Merit Systems Protection Board reversed the
initial decision rendered by the Administrative Judge at the Hearing
Level. While an allegation of bias by the Administrative Judge was
sidestepped as an irrelevant issue by the reviewing Administrative
Judges, the fact that this was the Appellant’s second attempt at
obtaining Federal Disability Retirement benefits probably played a
prominent role. One suspects that, given all of the medical conditions,
facts, and legal support which favored a quick and speedy approval, the
underlying reasons for the multiple denials had something to do with a
higher level of scrutiny of the application. The fact that there are
multiple laws which create an advantageous forum does not necessarily
imply an easier process. Often, the opposite is true: substantive laws
which favor one side over another invite for greater scrutiny, and
require that the applicant “cross all Ts and dot all Is” – and not
lazily rely upon the weighted advantage.
I am an Attorney
who represents Federal and Postal workers from all across the United
States, including Alaska, Hawaii and Puerto Rico. I do not charge for an
initial telephone consultation; thus, if you believe that you need to
consult an attorney concerning Federal Disability Retirement, please
contact me in one of these ways:
* View the
Federal Disability Retirement Blog
or the
U.S. Postal Service Disability Retirement
blog
* Email me at
federal.lawyer@yahoo.com
* Call me at
1-800-990-7932
Sincerely,
Robert R. McGill,
Esquire
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