Robert
McGill: 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 telephone consultations. If you would like to contact
me, you may call me at 1-800-990-7932,
I also advertise in the Attorney Directory
of the Federal Times.
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FERS & CSRS Disability Retirement: The Case Does Not End
Until A Final Order Is Issued And The Time For Appeals Has
Expired
-- The myth of the groundhog
has long been lost, of how it was once the most beautiful
creature in the kingdom, and all the animals knelt in awe and
envy, until one day the groundhog, whose fidelity to a single
mate for life was known far and wide, was subjected to the
cruelest of crimes: his wife was kidnapped, and the ransom note
read that she had been buried alive, and it was up to the
husband to dig throughout the ends of the earth before the last
suffocating breath of the fair lady would expire; and so the
groundhog determined to dig, and dig, and dig, and to this day
it continues in its perseverance and persistence, revealing the
eternal love, fidelity, and search throughout the kingdom, for
the love forever lost, but never forgotten.
-- From Stories
Long Forgotten
In Law, not only is persistence
necessary (as well as being a virtue), it is necessary in order
to prevail. It is always disheartening to go up against a
governmental Agency; it is even harder when a person suffers
from a medical condition which impacts one’s physical abilities,
or perhaps one’s emotional or cognitive capabilities -- or both.
The process of obtaining disability retirement under FERS or
CSRS from the Office of Personnel Management is a long road --
at the Initial Application Stage, it will often take from 8 - 10
months. A thumbnail sketch of why it takes this long is as
follows: first, obtaining the proper medical narratives and
records; formulating the Applicant’s Statement of Disability;
preparing a coordinating legal memorandum; filing through the
Agency and obtaining the Supervisor’s Statement and other
necessary forms completed; routing it through other channels
until arrival at Boyers, PA; assignment of a CSA number – and
finally to the Office of Personnel Management in Washington,
D.C. Then, if it is denied at the Initial Stage, the right to
Request Reconsideration; then, if it is denied at the
Reconsideration Stage, the right to an appeal to the Merit
Systems Protection Board (MSPB); then, even if the Applicant
prevails at the MSPB Stage of the process, there is always the
possibility that the Office of Personnel Management may file a
Petition for Review with the full Board of the Merit Systems
Protection Board.
It is important when
undertaking the process of filing for disability retirement, to
be mentally prepared to go the distance. Part of the “distance”
that a person must be prepared to undergo, is to be denied.
Mentally, that is sometimes difficult to be prepared for. This
is particularly true of a Disability Retirement Applicant,
precisely because of the impending and onerous financial
considerations – for a disability annuity can often mean the
difference between financial security and financial ruination.
And, indeed, an attorney who represents an Applicant for
Disability Retirement can cushion the impact of a denial by
mentally and emotionally preparing the applicant, by objectively
assessing the chances of approval, and providing a wider
perspective as to the legal and medical requirements necessary
to get an approval at the next stage.
What is disheartening to
see, is when an individual almost went the full distance – but
fell just short; as a result, a lifetime annuity was lost
forever.
This is precisely what
appeared to happen in the recent Merit Systems Protection Board
Case of Sylvia M. Reilly v. Office of Personnel
Management, Docket No. DE-831E-07-0359-I-1, decided on March
14, 2008. In Reilly v. OPM, the Office of Personnel
Management denied the disability retirement application of Ms.
Reilly; it then denied her application again at the
Reconsideration Stage – but she won the case before the
Administrative Judge at the Merit Systems Protection Board. The
problem, however, is that after winning at the MSPB level, the
Office of Personnel Management then filed a Petition for Review
(PFR) -- and the “appellant did not respond to the PFR”
(at page 2 of the decision, emphasis added) Now, there are many
issues which are discussed in the decision issued by the Board,
including medical evidence showing disability after the
Appellant’s date of resignation and medical notations that
minimized the severity of her medical condition. However, it is
clear why the Board’s decision is so one-sided – since
nobody responded to the Petition for Review, and since nobody
countered and refuted the statements of the representative from
the Office of Personnel Management, there was nothing else that
the Board could have done, except to accept the one-sided
statements of OPM. Think about this logically: if you have 2
people debating an issue, and only one of them shows up, who
wins the debate? The Full Board had no choice – and, indeed,
they did what one would expect: the victory won at the Hearing
level was reversed, and the disability retirement benefits that
had been granted – after such a long and hard-fought battle –
was lost.
Persistence and Perseverance
means one must stay in the battle throughout the entire process.
To give up just when victory is in hand, is the same as not
having tried at all. In this respect, it is important to have an
Attorney represent an individual in obtaining disability
retirement benefits from the Office of Personnel Management. In
pursuing one‘s entitlement to disability retirement benefits,
one must always take the long-term perspective, and pursue that
right with aggressiveness and persistence. Like the groundhog
who eternally pursues, and applicant must be ready to “go the
distance”. It is an investment for one‘s future, and it is
important to pursue your future investment aggressively, and to
sustain your investment for a long time into the future.
For more information,
contact me in one of these ways:
Sincerely,
Robert R. McGill, Esquire
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Important
Cases which Impact Disability Retirement Applications
What is 'history'
but the story of the victorious? It is the culmination of the incremental
and persistent drive of countless and nameless individuals; the
residue of an onslaught of thousands of nameless soldiers who died
before the final wave defeats an army; the extraordinary sacrifice
of ordinary individuals, the true heroes of history; for how many
unheralded soldiers who merely do their duty, how many nameless
tombstones helped secure victory? We shall never know -- only that
persistence in the pursuit of excellence is never a lost cause.
-- From History, A Long-Term Approach
The recent case of Vanieken-Ryals v. OPM, U.S.
Court of Appeals for the Federal Circuit, decided on November 26,
2007, cannot be overemphasized for its importance to the disability
retirement process. It is, in my view, a landmark case which will
greatly advance potential disability retirement applicants who base
their disabilities upon psychiatric conditions. In representing
my clients, I have repeatedly argued that the Office of Personnel
Management's insistence upon "objective medical evidence", especially
when it involves clients who suffer from psychiatric medical conditions
(e.g., Major Depression, Anxiety, panic attacks, Bi-Polar Disorder,
etc.) is not only unfair, but irrational.
My past arguments were met with varying degrees
of success, but the essential argument that I made over the years
went something like this: Psychiatric disabilities by their inherent
nature are "subjective", because there is no diagnostic test which
can objectively determine symptoms of psychiatric disabilities.
Indeed, while there are multiple psychological tests which can be
administered, the results are still based upon the subjective responses
of the patient. Furthermore, a doctor’s clinical examination, long-term
evaluation by a treating doctor, and the consistent assessment by
one's treating doctor, provide for the best and most 'objective'
basis for a valid medical opinion. Further (my argument would often
go), even physical disabilities (like a bulging disc) which can
be ascertained by an MRI, cannot provide a conclusive basis to determine
the extent of one’s pain or inability to perform certain tasks,
for pain is by definition a "subjective" condition; there are, indeed,
some who have bulging discs but have very little pain, and others
who have a minimal bulging disc which completely debilitates the
individual. These were rational arguments made, and while fairly
persuasive when combined with case-law citations, the force of such
arguments often depended upon the receptiveness of OPM’s representative
or, at the Merit Systems Protection Board level, the receptiveness
of the Administrative Judge.
With the opinion expressed
by the Court in Vanieken-Ryals v. OPM, we no longer
need to rely upon the arbitrary receptiveness of an individual,
for we have a firm legal basis to counter the irrational basis that
OPM routinely gives in their denials based upon an objective/subjective
distinction.
The Court in Vanieken-Ryals made several
important declarations in their opinion:
1. That OPM can no
longer make the argument that an Applicant’s disability retirement
application contains "insufficient medical evidence" because of
its lack of "objective medical evidence", especially when the application
is based upon psychiatric medical conditions. This, because there
is no statute or regulation which "imposes such a requirement" that
"objective" medical evidence is required to prove disability.
2. As long as the
treating doctor of the disability retirement applicant utilizes
"established diagnostic criteria" and applies modalities of treatment
which are "consistent with 'generally accepted professional standards'",
then the application is eligible for consideration.
3. It is "legal error
for either agency (OPM or the MSPB) to reject submitted medical
evidence as entitled to no probative weight at all solely because
it lacks so-called 'objective' measures such as laboratory tests."
Ultimately, for purposes of this article,
which is (hopefully) read by many non-lawyers, the essence of the
Vanieken-Ryals case is that it exponentially strengthens a disability
retirement application based solely upon psychiatric medical disabilities.
The case itself contains many other elements which provide for strong
ammunition, when used wisely and with knowledge, for the disability
retirement practitioner of law. It makes a strong and unequivocal
statement that OPM’s and MSPB’s adherence to a rule which systematically
demands for "objective" medical evidence and refuses to consider
"subjective" medical evidence, is "arbitrary, capricious, and contrary
to law." This is indeed strong language which can be used as a sword
to prevail in a disability retirement case.
Persistence in the pursuit of a client's right
and entitlement to disability retirement benefits is never a lost
cause, and those who have hesitated from filing for disability retirement
because they suffer from purely psychiatric medical disabilities,
or from disabilities which are often harder to "objectively" justify
(e.g., Fibromyalgia, Chronic Fatigue Syndrome, etc.) have a greater
chance because of the bold legal opinion as expressed by the Court
in Vanieken-Ryals.
This is a landmark case of incalculable importance
and impact, which cannot be overemphasized. I have already cited
the case on numerous occasions at the MSPB level, and the fact that
it is a Court of Appeals decision makes it binding upon all MSPB
judges. It gives greater hope for those who suffer from Psychiatric
Disabilities alone, that their cases will not somehow be looked
upon with less chance of approval than a person with a physical
medical condition.
Other case updates: While Vanieken-Ryals
was not a case that I represented, there are some case-updates from
my own files which may be of some interest to my readers. All information
provided is already in the public record of the written Opinion
of the Judges, and there is no information revealed here that violates
my attorney-client confidentiality. I wish that I could claim that
I win all of my cases; I cannot. However, it is my firm belief
that persistence in the pursuit of a client’s disability retirement
application is never a lost cause, and here are three cases which
reinforce my philosophy:
1. Tucker v. OPM
(DA-844E-07-0314-I-1) The Office of Personnel Management
kept denying Ms. Tucker’s disability retirement application. This
case was finally won at the Hearing level. However, the Office of
Personnel Management filed a Petition for Review. I responded with
-- among other arguments -- the fact that the Office of Personnel
Management failed to make any legal arguments showing that the Hearing
Judge committed any legal errors. The Full Board rejected OPM’s
Petition and affirmed the decision in my favor. No further appeals
have been filed. I am happy for my client that after so many years,
she will now get her disability retirement. Persistence in rebutting
OPM’s attempt to reverse a Hearing Judge’s decision is never
a lost cause.
2. Hartsock-Shaw
v. OPM (PH-844E-06-0658-I-1) This one is the converse
of the previous one, in that the Hearing Judge initially affirmed
OPM’s denial of my client’s disability retirement application. I
filed a Petition for Review, because I believed the Judge was wrong
in not applying the Bruner Presumption in this case. The Full Board
vacated the Initial Decision and Remanded the case back to the Hearing
Judge, requiring further testimony on the issue of whether the Bruner
Presumption should have been applied. We were able to factually
prove that the circumstantial evidence necessitated the finding
that my client was removed for her medical inability to perform
her job, even though there was no final letter of removal issued
by the Postal Service that we could find. The Judge sided with us,
reversed her prior decision, and granted my client her disability
retirement benefits. Persistence paid, and persistence in the pursuit
of a disability retirement claim is never a lost cause.
3. Heiter v. OPM
(AT-0831-07-0435-I-1) This is an interesting case.
It has to do with a client who lost his disability retirement benefits
because he tried to go to work for Federal Express. He was being
punished for trying. One would think that a disability retirement
annuitant would be commended and praised for trying -- but, no,
because he applied for, got the job with, and then quit, a job with
Federal Express, he was deemed to have been ‘less than honest’ for
having retired on disability from a Postal Job, and therefore OPM
cut off his disability retirement benefits. We went to Hearing on
the matter; the doctor testified unequivocally that he couldn’t
do the job -- neither the Federal Express one nor his prior Postal
job -- but he couldn’t fault his patient for having tried. OPM made
a big deal about the fact that my client periodically went bowling.
The Judge ruled in OPM’s favor. I filed a Petition for Full Review.
The Board reversed the Initial Decision, and reinstated my client’s
disability retirement annuity.
Here again, persistence pays, and persistence
in pursuit of a disability claim is never a lost cause.
I am an attorney who specializes in representing
Federal and Postal employees to obtain and retain disability retirement
benefits. In pursuing one‘s entitlement to disability retirement
benefits, one must always take the long-term perspective, and pursue
that right with aggressiveness and persistence. It is an investment
for one‘s future, and it is important to pursue your future investment
aggressively, and to sustain your investment for a long time into
the future.
For more information, contact me in one of
these ways:
Sincerely,
Robert R. McGill, Esquire
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It is
said that the giraffe is the funniest-looking of all animals, with
its long neck and long legs. It was originally named
camelopardalis
-- a description combining two animals, the camel and the leopard,
because of its physical shape and appearance. Some would pity such
an animal, which does not have its own identity, but is known by
a combination of two other animals. But such pity would be unfounded,
for one thing is clear: its long legs make it a fast runner to outrun
its enemy; its strong legs can kick with such force as to shatter
the skull of a charging lion; and its long neck has the advantage
of seeing its enemies at a greater distance. All in all, while one
may pity the appearance of a giraffe, appearances are often illusory,
and in this instance, its gawky appearance belies its effectiveness
in defending itself, making it a formidable animal which is always
prepared to defend itself aggressively.
-- From "Animal Facts and Perspectives"
In this article, I will be addressing two separate issues: First,
the issue of OPM’s Medical Questionnaire, and next, the issue of
Accommodations.
OPM’s Medical Questionnaire
At each stage
of the process, an annuitant must always see his or her monthly
annuity as a right which must be fought and protected. In
recent months, I have seen an increase in cases where an individual
has been an annuitant, but has lost his or her annuity because OPM’s
Medical Questionnaire (sent out to selected annuitants every two
years) was not taken seriously. Whether the increase is by coincidence
-- that a greater number of annuitants failed to respond to the
Medical Questionnaire seriously, or because the Office of Personnel
Management is scrutinizing annuitants more carefully -- is irrelevant;
what is relevant is that, whether you are fighting to obtain your
disability retirement, or fighting to keep your disability
annuity, the approach should always be consistently the same: be
prepared to defend your disability annuity aggressively.
Some basic rules
in responding to OPM’s Medical Questionnaire:
Rule #1:
Take it seriously. Yes, the four questions seem fairly
straightforward and innocuous: Get your treating doctor to provide
current clinical findings based upon a recent examination; get a
current diagnosis; a current prognosis; and finally, a clinical
assessment of risk of injury or hazard to self if you returned to
your former job. This all sounds simple enough, and it is, if you
follow the first rule: take it seriously.
Rule #2:
Don’t have your doctor send in the updated medical report
directly to OPM without letting you first see it. I have
represented more people for breaking this rule. Think about it --
why would you allow a report to be sent to OPM without first reviewing
it? Take responsibility; protect your disability annuity. Make sure
the doctor is addressing the issues that need to be addressed –
and properly.
Rule #3:
Make sure that your doctor addresses the specific medical
conditions for which you obtained your disability retirement.
While you may have had 5 different disabilities that impacted your
ability to perform your job when you first applied, when the Office
of Personnel Management grants you your disability retirement, if
the first one listed on your application qualifies you, they will
grant you the disability retirement based upon that first disability,
and will not proceed to consider the remaining 4 disabilities. In
responding to OPM’s Medical Questionnaire, the disability annuitant
must establish that he/she suffers from the same disability upon
which the disability retirement was based, and that he remains unable
to perform the duties of the last position he occupied prior to
being granted disability retirement, or that his condition is incompatible
with useful and efficient service or retention in the position.
See Tompkins v. Office of Personnel Management, 72 M.S.P.R.
400, 404 (1996); Prestien v. Office of Personnel Management,
8 M.S.P.R. 698, 704-05 (1981). Further, an annuitant is not entitled
to continuation of disability retirement simply on the basis that
his physical condition is unchanged since he was granted disability
retirement, where present medical evidence does not establish that
he is disabled. See Dougherty v. Office of Personnel Management,
36 M.S.P.R. 117, 121 (1988). When I have represented a client and
obtained disability retirement for my client, I send out a letter
apprising the client of his future rights and obligations -- one
of them being, to keep in regular contact with his treating doctor,
so that when or if a Medical Questionnaire is received, there is
already an established doctor-patient relationship, and you don’t
go about scrambling to find a doctor who is willing to write a responsive
report to the Medical Questionnaire.
Finally, Rule
#4: Keep it simple. The doctor’s response to
OPM’s Medical Questionnaire need not be lengthy and complex: indeed,
it can be a single paragraph, and refer to a recent examination,
and include treatment or office notes, and simply state: Current
diagnosis; symptoms; prognosis; and a statement that
“X is still disabled based upon medical
condition Y from his former job as a ________, and cannot go back
to his former job because of his medical conditions.”
Thus, to reiterate:
Take the OPM Medical Questionnaire seriously; keep in regular contact
with your doctor; make sure the doctor addresses the medical conditions
that you were found to be disabled for; and don’t allow the doctor
to send it directly to OPM without first reviewing it.
Second Issue: Accommodations
Recent cases
by the Merit Systems Protection Board continue to affirm the very
important legal principle of protecting Federal and Postal employees
from being assigned ad hoc, or
“made-up”
jobs, while still being slotted in the original position, as reflected
in one’s PS or SF form 50. Just because you are offered a
“modified position”
that appears to be ‘official’,
if you haven’t been reassigned to a vacant position that actually
exists, then you are still eligible for disability retirement. Don’t
be fooled. In the recent case of Cadman v. OPM, Docket No.
CH-844E-07-0002-I-1, the Merit Systems Protection Board, upon a
Petition for Review by the Appellant, again revisited this issue,
and again referred to the important case of Ancheta v. Office
of Personnel Management, 95 M.S.P.R. 343 (2003). In Ancheta,
the Board held that a modified job in the Postal Service that does
not “comprise the core functions
of an existing position” is
not a “position”
or a “vacant position”
for purposes of determining eligibility for disability retirement.
The Board noted that a “modified”
job in the Postal Service may include
“'subfunctions’ culled from various
positions that are tailored to the employee’s specific medical restrictions,”
and thus may not constitute
“an identifiable position when the employee for whom the assignment
was created is not assigned to those duties.”
Id., at p. 14. The Board thus suggested that a
“modified”
job in the Postal Service generally would not constitute a
“position”
or a “vacant position.”
Id. Thus, what the Board in Ancheta was saying, and reaffirmed
and reiterated in Cadman, is that the
“made-up”
job that the Postal Service puts on an
“official-looking”
Modified Job Offer Sheet, is in all likelihood not an accommodation.
This is true of jobs in non-Postal Federal Agencies, also.
The Board’s holdings
in Cadman and Ancheta, and the long line of such legal
reasonings, clearly strengthen Postal and Federal employees’ rights
concerning disability retirement, when placed in the context of
longstanding law as held by the Federal Circuit Court in Bracey
v. Office of Personnel Management, 236 F.3d 1356, 1358 (Fed.
Cir. 2001). I have previously addressed this issue in my other articles,
of course, but let me reiterate that in Bracey, the Federal
Circuit Court 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." In Bracey,
the Court clearly stated that an employee must be reassigned to
a "vacant"
position, and not one which was merely
"made up",
and the reasoning of the court is clear: the Court Stated:
"We Agree with Mr. Bracey that OPM's
argument fails, because the term ‘vacant position’ in section 8337
refers to an officially established position that is graded and
classified, not to an informal assignment of work that an agency
gives to an employee who cannot perform the duties of his official
position. A 'position' in the federal employment system is required
to be classified and graded in accordance with the duties, responsibilities,
and qualification requirements associated with it."
Id. at p. 1359
Further, the
Court went on to state that the term
"vacant position"
means "something that is definite
and already in existence rather than an unclassified set of duties
devised to meet the needs of a particular employee who cannot perform
the duties of his official position."
Id. at 1360.
Putting Bracey,
Ancheta, and Cadman together, Federal and Postal employees
have a formidable argument which protects their disability retirement
rights: When you become medical unable to perform one or more of
the essential elements of you job, as outlined in your position
description, Agencies cannot leave you in the same job slot and
make up different things for you to do. The idea of ‘accommodation’
is a term of art, and must not be viewed in the way that the ‘general
public’ might view it: if you have a medical condition or disability,
and your employer says that the Agency has ‘created’ a position
that somehow does away with those essential elements of your job
that you cannot do anymore, that is NOT an accommodation. In fact,
an accommodation is the very opposite: it is where the Agency provides
some means such that you CAN continue to do all of the essential
elements of your job.
I know that I
keep reminding you of this, but I think that it is worth repetitive
reminders: Disability retirement is a benefit that all Federal and
Postal employees signed onto when you became employed. Many private
sector jobs don’t offer this benefit, but then, such private sector
jobs of equivalent positional requirements often pay more in base
salaries. It is one of the benefits you acquired -- a right -- in
the event of a medical condition or disability which prevents you
from continuing in your career. As such, when you can no longer
continue in your Federal or Postal job, you must look upon disability
retirement as a right and an investment for your future -- one which
must be aggressively sought after, and once obtained, protected
with similar diligence and aggressiveness.
I am an attorney
who specializes in representing Federal and Postal employees to
obtain and retain disability retirement benefits. Like the giraffe,
you cannot allow for appearances to fool you; you must always and
aggressively protect your rights and future. The leopard is known
for quickly and aggressively capturing its prey; the camel is known
for long and sustained trips. You need to be both a leopard and
a camel – to pursue your future investment aggressively, and to
sustain your investment for a long time into the future.
For more information,
contact me in one of these ways:
Sincerely,
Robert R. McGill, Esquire
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The
General was informed that the trek through the desert would take
five days. The soldiers were well-rested; their swords were sharpened;
the spears were repaired; the horses were re-shoed; enough food
was gathered. The Army marched forth through the scorching desert
sands, under the heat of an unforgiving sun. Many years later, the
skeletal remains of a once mighty army were discovered. The army
had perished, because they had failed to provide for a basic necessity
-- water.
-- From "Stories Long Forgotten"
In Filing for Disability Retirement, Remember the Basics
Posted
on May 7, 2007
In the opening sentence of Davis
v. the Office of Personnel Management, PH-844E-06-0242-I-1,
the Merit Systems Protection Board reminds us all that the "burden
of proving entitlement to a retirement benefit is on the applicant..."
In past articles, I have discussed a variety of issues, from important
legal principles based upon Bruner v. OPM, to showing
how to build the "proper bridge" in preparing a disability retirement
application. In preparing a disability retirement application, however,
remember to always satisfy the "basics", because if you fail at
the basic level, you will never get to the “substantive” level to
argue your case.
Davis
is a case about a disability retirement applicant whose application
was denied at the first Stage (the "initial application stage")
because she "did not present any medical evidence to support her
claim." Strike One -- how can you file a medical disability retirement
application without any medical evidence?
Next, Ms. Davis
failed to file her "Request for Reconsideration" within the 30-day
period. She filed it 5 days late. Strike Two -- you won’t even be
able to argue the substance of your disability retirement case if
you don’t take care of the "basics" -- like filing your Request
for Reconsideration in a timely manner. In OPM’s denial letter,
it clearly stated: "Your Request for Reconsideration must be received
by OPM within 30 calendar days from the date of your initial denial
letter." Ms. Davis had no excuse.
Now, every now
and then -- but very, very rarely -- an exception will come along.
Such was the case in Goodman v. Office of Personnel Management,
100 M.S.P.R. 43 (2005), which was cited as a distinguishing case
by the Board. In Goodman, multiple factors allowed the appellant
to be excused for her tardiness -- including, being misled by OPM
verbally over the telephone; receiving the denial letter some three
weeks after being postmarked (thereby leaving her with only a week
to respond); and being a quadriplegic who had to rely upon others
to assist her in responding. Be aware: only under the most exceptional
of circumstances will being late in responding be excused. You must
take care of the basics, before going on to the substance of a case.
Ms. Davis filed
an appeal to the Full Board. Her appeal was, as you might guess,
denied. The Board stated that in cases such as this, where Ms. Davis
"fails to show that she was not notified of the deadline and was
not otherwise aware of it, or that she was prevented by circumstances
beyond her control from making the request within the time limit,
we will not reach the issue of whether OPM was unreasonable or
abused its discretion in denying her untimely request for reconsideration."
(italics added).
Strike three.
Ms. Davis is out. As I have reiterated throughout this article,
unless you take care of the basics, you cannot even get to the substance
of your disability retirement claim. Like the parable of the mighty
army which could defeat its enemy, that army could not survive to
fight the battle unless it took care of a basic need -- water for
its troops to cross the scorching desert to meet its enemy. It failed
to take care of the basics.
In life, we are
all busy doing multiple things, and when a Federal or Postal Employee
comes to a point in his or her life where filing for disability
retirement becomes a necessity, it is often a good idea to hire
an attorney -- not only to ensure that the "basics" are taken care
of, bur further, to make sure that you get the opportunity to argue
the substance of your particular case. My name is Robert R. McGill,
Esquire. I am a duly licensed Attorney who specializes in representing
Federal and Postal Employees, to obtain disability retirement benefits
through the Office of Personnel Management. If you would like to
discuss your particular case, you may contact me at 1-800-990-7932
or email me at
DisabilityAtty@msn.com, or visit my
website at
www.Federaldisabilitylawyer.com.
As an aside, let me point out
some other "basics":
1. Remember
that you have one (1) year from the date you are separated from
service to file for disability retirement. The one (1) year date
does not begin when you stop working; it doesn’t begin when you
get placed on LWOP; it doesn’t begin from the time you get disabled.
It begins from the date you are separated from Federal Service.
2. For
my clients (and those who are not my clients) whom I got disability
retirement for -- remember that you are allowed to get another job
and make up to 80% of what your position currently pays,
in addition to the disability annuity you are receiving.
It is earned income that counts -- not rental income, not investment
income, and certainly not your disability income.
3. A
teaser -- I will probably address this issue in my next article
-- the Office of Personnel Management seems to, more recently, be
scrutinizing those who are already receiving medical disability
retirement benefits. For those of my clients (and those who are
not my clients) who receive disability retirement, remember to take
OPM’s Medical Questionnaire seriously. I have had more cases
than usual where disability annuitants have had their disability
income discontinues. More on this later....
Robert R. McGill, Esquire
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Disability Retirement
and the Agency Cover of Accommodation
October 26, 2006
“A man who acts without knowledge
is a man who merely acts.” — From “Compendium of Sage Verses”
I am receiving too many phone calls from people who have been
fooled by his/her Agency that they have been “accommodated”, and
therefore they cannot file for disability retirement. From Federal
Workers at all levels who are told that they can take LWOP when
they are unable to work, to Postal Workers who are given “Limited-Duty
Assignments” — all need to be clear that your are NOT BEING ACCOMMODATED,
AND THEREFORE YOU HAVE A RIGHT TO FILE FOR DISABILITY RETIREMENT.
Let me clarify this issue by first discussing the important case-law
of Bracey v. Office of Personnel Management, 236 F.3d 1356 (Fed.
Cir. 2001). Bracey was, and still is, a landmark decision — one
of those cases that pushed back the attempt by the Office of Personnel
Management to create a broad definition of what “accommodation”
means, and thereby try and undermine a Federal and/or Postal Employees’
right to disability retirement.
5 U.S.C. 8337(a)
states that a disabled employee is eligible for disability retirement
unless the employee is able to render “useful and efficient service
in the employee’s position”, or is qualified for reassignment
to an existing vacant position in the agency at the same grade
or level. What this basically means is that, if you have a medical
condition and you cannot do one or more of the essential elements
of your job, you are entitled to disability retirement unless
your Agency can (a) do something so that you can continue to work
in your job, or (b) reassign you to an existing vacant position
at the same pay or grade (all of those words are key to understanding
the Bracey decision). As to the first issue, if your medical condition,
either physical or psychiatric, is impacting your ability to perform
the key functions of your job (in other words, “useful and efficient
service” means that you must be able to perform the “critical
or essential” elements of your position), then it means that you
are eligible for disability retirement — unless the Agency can
reassign you to an existing vacant position (the second issue).
As to the second issue, what the Court in Bracey meant is that
there has to be an actual position existing, which is vacant,
to which a person can be reassigned and slotted into, at the same
pay or grade.
In Bracey,
the Office of Personnel Management was trying to have it both
ways: they argued that (a) an individual is “accommodated” if
he can do his “job”, and the “job” which the Agency was having
Mr. Bracey do was a “light-duty” job that was made up by the Agency.
As a result, the Office of Personnel Management had denied Mr.
Bracey’s application for disability retirement, and the case reached
the Merit Systems Protection Board, and then to the U.S. Court
of Appeals for the Federal Circuit on appeal. More recently, Agencies
have been trying to convince Federal workers that they can take
“Leave Without Pay” and work less hours; or revert to part-time
status; or perform some other functions — and this constitutes
an “accommodation”. Or, in the case of Postal Workers, especially
those who have intersecting OWCP issues, one is often told that
“Limited-Duty Assignments” constitute an “accommodation”. However,
for the latter, it is important to review such assignments — does
it include jobs from another craft? Are you offered a new “Limited
Duty Assignment” each year, or every two years (which would imply
that it is not a permanent assignment)? Can a new supervisor or
Postmaster come in tomorrow and declare that there are no longer
any “Limited Duty Assignments” available (which is often the case)?
Remember that
a “position” in the federal employment system is “required to
be classified and graded in accordance with the duties, responsibilities,
and qualification requirements associated with it. The ‘resulting
position-classification’ system is ‘used in all phases of personnel
administration’. 5 U.S.C. 5101(2)” (Bracey at page 1359). It cannot
be a position “consisting of a set of ungraded, unclassified duties
that have been assigned to an employee who cannot perform the
duties of his official position.” Id.
Similarly,
for Postal employees, you cannot be slotted in your craft position,
but then be given duties crossing over from other crafts; and
you cannot be told that you have been slotted into an already
existing “vacant” position, but then be offered the same “Limited-Duty”
position a year later. If it was truly a permanent “vacant” position,
why would you be offered the same position a year later?
Remember that
under 5 C.F.R. Section 831.502(b)(7), an offered position must
be, among other things, of the same tenure as the position from
which the employee seeks disability retirement. “Tenure” is defined
at 5 C.F.R. Section 210.102(b)(17) as “the period of time an employee
may reasonably expect to serve under his current appointment.”
If you are
a Federal or Postal employee, and you find this discussion about
the Bracey decision to be somewhat confusing, do not let the complexity
of disability retirement laws keep you from inquiring about your
eligibility. In its simplest form, disability retirement is about
2 issues: Are you able to perform the essential elements of your
job? If not, Can your Agency slot you into an already-existing
position at the same pay, grade and tenure, and not just in some
“made up” position that hasn’t been graded and classified”? If
your answer is “No” to both questions, then you are entitled to
disability retirement benefits.
As true with
all things in life, it is always better to affirmatively act with
knowledge, especially knowledge of the law. Like the Tibetan proverb,
to act without knowledge of the law is to act blindly. To fail
to act, or to allow your circumstances to control your destiny,
is to allow your Federal Agency or the U.S. Postal Service to
dictate your future for you. If you are disabled, and unable to
perform the critical elements of your job, then you should consider
the option of disability retirement. Opting for disability retirement
does not mean that you can no longer be productive in society
in some other capacity; indeed, you are allowed to receive a disability
annuity and go out and get another job, and make up to 80% of
what your position currently pays. Opting for disability retirement
merely means that you have a medical condition which is no longer
a good “fit” for the type of job you currently have.
Visit my website at
www.Federaldisabilitylawyer.com
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| Federal
and Postal Workers: Things You Shouldn't do When Filing for CSRS
or FERS Disability Retirement
Deep in the woods, the mother
rabbit and her bunnies passed by a dead fox. Curiosity overwhelmed
the bunnies, and they began to hop in unison towards the corpse.
"Stop!" shrieked the mother rabbit. The bunnies froze in their tracks.
At about the same time, the corpse quivered, oh ever so slightly,
almost imperceptibly. The mother rabbit gathered her bunnies, and
hopped away hurriedly, whispering to them, "Remember, my lovelies,
the mistake you make may cost you more than the satisfaction of
your curiosity." -- From "Fables Long Forgotten"
First, a quick clarification: I have had periodic calls concerning
the time-frame in filing for disability retirement. The Statute
of Limitations in filing for disability retirement is one year from
the date you are separated from Federal Service -- not from the
date you were injured, or from the time you stopped working, etc.
Next, many Federal and Postal Workers ask me to represent
them in obtaining disability retirement at the Second Stage (OPM's
Reconsideration Stage), after having filed without representation.
I have no problems with that -- indeed, sometimes (though rarely),
individuals have such a severe degree of medical disabilities that
an attorney is not necessary. For the majority of Federal and Postal
Workers, however, representation beginning at the initial stage
of a disability retirement application is necessary. If, however,
for financial or other reasons (including stubbornness), an individual
insists upon filing for disability retirement without a qualified
Attorney, the following are a few things which you should NOT do
in preparing your application:
Do not become non-compliant in a treatment regimen,
medication regimen, or any aspect of a reasonable medical regimen
designed to treat the disease or injury. This is a sure way to have
your disability retirement application denied. For, when an employee
"is unable to render useful and efficient service because that employee
fails or refuses to follow or accept normal treatment, it is wholly
proper to say that the employee's disability flows, not from the
disease or injury itself (as the statute requires), but from the
employee's voluntary failure or refusal to take the available corrective
or ameliorative action." Baker v. Office of Personnel Management,
782 F.2d 993, 994 (Fed. Cir. 1986) (A word of caution: this does
not mean that all surgeries must be consented to).
Do not ignore the basis of a Notice of Removal. I
have previously discussed the importance of obtaining the Bruner
Presumption, whenever possible, in a disability retirement case.
Beyond getting the Bruner Presumption, however, is the fact that
any implication of misconduct or willful failure on the part of
the Federal or Postal Employee should always be appealed, if not
to have it completely amended, then to at least have such a basis
for removal expunged, and instead to allow for the employee to resign,
thereby nullifying misconduct as a basis for separation. Never give
the Office of Personnel Management an additional reason to deny
your disability retirement application.
Do not have your treating doctors send in medical
documentation directly to the Agency Personnel Office. Always take
charge of your own disability retirement application. Have the doctors
send the medical documentation to you, and personally review and
inspect each page of your submission for accuracy, relevance, and
applicability to your medical condition. Never blindly submit medical
documentation to the Office of Personnel Management. Again, never
give the Office of Personnel Management an additional reason to
deny your disability retirement application. This advice, of course,
goes “hand-in-hand” with my policy of never signing the SF 3112C
(Physician’s Statement), which often releases all of the medical
documentation directly to the Agency.
These are just three fundamental "Do Not" rules in preparing
and filing for disability retirement. When a Federal or Postal Employee
comes to me at the Reconsideration Stage for legal representation,
I find that I must first correct several fundamental errors committed
by the applicant. While I can almost always correct the mistakes
already made, the damage can only be minimized, and never completely
eradicated, because the error is already known to the Office of
Personnel Management. Still, I am normally able to convince the
Office of Personnel Management to approve the disability retirement
application
In the course of representing Federal and Postal Workers to obtain
disability retirement benefits, I have always tried to emphasize
the fact that, while it is each individual’s choice as to whether
or not to hire an attorney, you should always proceed with the greatest
tool available -- knowledge. Disability Retirement
is a benefit accorded to all Federal and Postal Employees under
FERS and CSRS. However, as with all benefits, the right to it remains
unclaimed unless one proves, by a preponderance of the evidence,
that one is legally entitled to it. To prove your claim, you must
go at it from a position of strength -- and this requires knowledge.
Like the Mother Rabbit who cautions her bunnies, do not allow lack
of knowledge to be your stumbling block. My name is Robert R. McGill,
Esquire. I am an attorney who specializes in disability retirement
claims for Federal and Postal Employees. If you would like to discuss
your particular case, you may contact me at 1-800-990-7932, or email
me at DisabilityAtty@msn.com
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Legal Updates
Impacting Disability Retirement Laws For FERS and CSRS Employees
Oct 23, 2005
- What is
the difference between the madman, the mediocre, and the Master?
The madman fails to master reality, and therefore is unable to function
with knowledge; the mediocre may have some knowledge, but fails
to master it; and the Master -- he is the rare one who sees the
reality, seeks the knowledge, and is able to grasp both.
- From Ancient Parables
I have often
discussed the legal advantages of being separated from Federal Service
for one’s “medical inability to perform” one’s job, which results
in what is commonly known as the “Bruner Presumption”, where such
a termination results in a prima facie showing of his or her
burden of proof. What this means is that, with such a termination,
the “burden of production” shifts to the Office of Personnel Management,
who must disprove your entitlement to disability retirement.
Bruner v. Office of Personnel Management, 996 F.2d
290, 294 (Fed. Cir. 1993) Bruner was a 1993 case, and still applies
today. However, further developments since then have expanded the
applicability of the Bruner Presumption, and they are of importance
for those filing for disability retirement.
Some recent developments impacting FERS and CSRS disability retirement
applicants:
The Merit
Systems Protection Board has held that removal for “extended absences
is equivalent to removal for physical inability to perform where
it is accompanied by specifications indicating that the decision
to remove was based on medical documentation suggesting that the
appellant was disabled and unable to perform her duties.” McCurdy
v. OPM, Docket #DA-844E-03-0088-I-1 (April 30, 2004), citing
as authority Ayers-Kavtaradze v. OPM, 91 M.S.P.R. 397 (2002).
What this means is that, the mere fact that a removal letter does
not specifically state that you are being separated from service
for you “medical inability to perform” your job, does not necessarily
mean that you are not entitled to the Bruner Presumption. That is
why it is often important to have an attorney involved in negotiating
the terms of a removal action, especially where removal is
an action about to happen. For instance, if it is becoming clear
that you have been on LWOP for a period approaching a year, it might
be a good idea to submit medical reports and documents showing the
medical basis for your LWOP. Or, if a Notice of Proposed Removal
has been issued, it is important to respond to such a proposal by
submitting medical documentation establishing the basis for your
non-attendance at work.
Now, the next
and natural question is: How far will the Merit Systems Protection
Board go in giving you the Bruner Presumption? The answer: It
is not always important to get the Bruner Presumption, as
it is to argue for the Bruner Presumption. In my experience
litigating these cases before the Board, I have found that it is
helpful to make a forceful argument that my client should
be entitled to the Bruner Presumption, based upon all of the circumstantial
evidence. And, even if I am not able to convince the Administrative
Judge that my client is entitled to the Bruner Presumption, the
argument itself highlights the fact to the Judge that it was a close
call -- and this often leads to a victory.
Indeed, as
a rather funny aside, after I had submitted a legal memorandum and
argued to a Judge during a Prehearing Conference that the Bruner
Presumption should apply in a particular case, the Judge stated
to me, “Mr. McGill, according to your argument, the Bruner Presumption
should always apply!” To which I responded: “Your Honor,
that would indeed be my preference.”
Furthermore,
it is also of vital importance to appeal a removal action whenever
possible and legally permissible, especially where the removal action
was based upon the alleged misconduct of the individual. Why? Because
by appealing the removal action, you always stand the chance of
coming to a compromise with the Agency, and having the Agency change
the basis of the removal to one of “inability to perform the job”
or, at the very least, to “resignation based upon medical problems”.
The case-law is consistent in holding that the Board will “generally
give effect to the terms of a settlement agreement between an applicant
for disability retirement and her employing agency in determining
the applicant’s entitlement to disability retirement.” Jordan
v. Office of Personnel Management, 77 M.S.P.R. 610, 614-17 (1998),
recons. Denied, 86 M.S.P.R. 144 (2000); and Bynum v. OPM,
DC-831E-00-0093-I-1 (June 29, 2001). Similarly, cases such as
Morton v. OPM, PH-844E-99-0224-I-1 (June 28, 2001) -- where,
while the Board found that the Appellant was not entitled to disability
retirement, went out of its way to clarify the fact that the Administrative
Judge was “improperly influenced by” the original removal action,
and that the original removal action should not have been considered
in making the determination concerning disability retirement entitlement.
Similarly, in Lewis v. OPM, CH-831E-98-0434-I-2, the Board
stated unequivocally that the Board “will give effect to the terms
of a settlement agreement between an applicant for disability retirement
and her employing agency, in determining the applicant’s entitlement
to disability retirement.”
In other words,
even if you were originally removed for misconduct, if your removal
is later changed by a settlement agreement with the Agency, and
you subsequently file for disability retirement, the Administrative
Judge must keep a blind eye with respect to the original removal
action.
In the course
of representing Federal and Postal Workers to obtain disability
retirement benefits, I have always tried to emphasize the fact that,
while it is each individual’s choice as to whether or not to hire
an attorney, you should always proceed with the greatest tool available
-- knowledge. Disability Retirement is a benefit accorded
to all Federal and Postal Employees under FERS and CSRS. However,
as with all benefits, the right to it remains unclaimed unless one
proves, by a preponderance of the evidence, that one is legally
entitled to it. To prove your claim, you must go at it from a position
of strength -- and this requires knowledge. My name is Robert R.
McGill, Esquire. I am an attorney who specializes in disability
retirement claims. If you would like to discuss your particular
case, you may contact me at 1-800-990-7932, or email me at
DisabilityAtty msn.com.
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Preparing
the Proper Bridge to Win a Disability Retirement Case under FERS
and CSRS
Then, there is
the story of an old man who wanted to have peace and quiet , and
become a recluse. So he built a castle, and began first by digging
a moat so wide and deep that none would be able to violate his privacy.
Thereafter, he filled the moat with water, and released crocodiles
and other dangerous creatures to keep all strangers away. Next,
he scattered broken glass and sharp objects on the outer perimeter
of the moat, to ensure that none would be able to enter. Alas, when
it came time to build his home in the middle of the moat, none could
enter, for the old man had forgotten to first build a bridge. -
From Stories Forgotten
Many individuals who
have filed for disability retirement benefits with the Office of
Personnel Management (OPM), get their applications rejected because
they have not created the proper "nexus", or bridge, between their
medical condition and the duties of their job. Remember, disability
retirement is unlike Worker's Comp or Social Security. Under Worker's
Comp, often the primary focus is to prove the causation between
work and injury -- in other words, the "bridge" that needs to be
constructed is one that shows that one's medical condition was directly
caused by, or occurred at, the worksite. For Social Security
disability, the focus is often upon establishing the existence of
a specifically diagnosed medical condition, one which is accepted
by the Social Security Administration as causing a 'debilitating'
or 'disabling' condition, such that 'total disability' can be established.
In each case, the "bridge" to be constructed is different. So it
is also with disability retirement under OPM.
Remember that, for
disability retirement under CSRS or FERS, it is not so important
what the medical disability is, as it is to show that the
symptoms one has impacts directly upon one's ability or inability
to perform one's job. Indeed, in the bedrock case of Bruner
v. OPM, 996 F.2d 290 (Fed.Cir. 1993), the Federal Circuit
Court of Appeals stated that it is the "relationship
between the service deficiency and the medical condition," (emphasis
added) which is one of the important "bridges" which must be established
in a disability retirement case. Thus, I find that many individuals
who have attempted to file for disability retirement at the first
stage, and who have had his or her application denied, come to me
because of a failure of creating a "nexus", or a bridge, between
what the diagnosed medical condition is, and what the job requires.
Thus, by way of a simple example, an applicant might think that
because he or she suffers from severe knee problems, that one needs
only to have the doctor give a diagnosis, attach some medical records,
and expect that OPM will grant him disability retirement. This
might be true if the individual's job is as a Letter Carrier
for the U.S. Postal Service (although, even in such an instance,
OPM will be very skeptical and require a complete explanation);
but it might not work if you work as a Computer Specialist with
a Federal Agency, where you have a sedentary position not requiring
daily repetitive use of your knees. In either case, what is important
is to have the doctor show how the medical disability impacts
upon one's ability to perform his or her job. (In the latter example,
it may be that the chronic pain in his knee requires a medication
regimen of narcotic pain relievers, and such medication impacts
upon his ability to focus upon a cognitively-intense job. In such
a case, I have been able to get OPM to accept such a claim, even
in a sedentary job).
Often, individuals
make the mistake of treating disability retirement claims under
FERS and CSRS as if it was a Social Security claim. However, the
"official diagnosis", or name of the disability, is not important
for disability retirement claims. Instead, it is the relationship
between the symptoms one has, and the impact of those symptoms upon
the requirements of the job. Similarly, neither 'causation' nor
'permanent and stationary' are relevant for disability retirement
claims (whereas they are obviously important in OWCP cases). Indeed,
I have had clients who, despite having serious and debilitating
medical disabilities, had their claims rejected by the Office of
Personnel Management. At the Reconsideration Stage, I have been
successful at getting them approved, not by obtaining more medical
documentation, but rather, by clearly outlining to the Office of
Personnel Management, in detail, what the applicant's job required,
and showing the relationship between the serious medical
condition and the requirements of the job.
This is similarly true
at the Merit Systems Protection Board (M.S.P.B.) level of an appeal
in disability retirement claims (the Third Stage in the process).
At the M.S.P.B. level, I always insist upon having a medical doctor
testify via a telephonic hearing. At the Telephone Hearing, I always
have the doctor explain, in methodical detail, the relationship
between the medical disability, and the kind of job the Applicant
is required to do. Indeed, this requirement of mine has been successful
-- not because of my own "brilliance" (although, admittedly, I would
like to think that I have some part in the success
of a disability retirement claim), but rather, because that
is what the law requires. Thus, in Dunn v. OPM,
60 M.S.P.R. 426, 432 (1994), the Board stated therein that 'absent
a clear and reasoned explanation of how a medical condition affects
an employee's specific work requirements, a physician's conclusions
on disability are unpersuasive', appeal dismissed,
91 F.3d 169 (Fed. Cir. 1996). Again, note how the law requires you
to show the relationship, or "bridge", between the medical condition
and the type of job one performs.
Disability Retirement
is a benefit accorded to all Federal and Postal Employees under
FERS and CSRS. However, as with all benefits, the right to it remains
unclaimed unless one proves, by a preponderance of the evidence,
that one is legally entitled to it. In order to make such a claim
valid, you must assert your legal right to it. My name is Robert
R. McGill, Esquire. I am an attorney who specializes in disability
retirement claims. If you would like to discuss your particular
case, you may contact me at 1-800-990-7932, or email me at
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Differences between FERS/CSRS
Disability Retirement and OWCP |
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The rabbit had been able to elude
the fox, hopping safely into the arms of a briar patch and
out of the immediate reach of the hungry predator. Seeing
that he would not be able to have the rabbit for a meal, he decided
instead to show concern. “Are you alright, my friend?” he
asked, trying to put on an expression of empathy.
“Quite well,
thank you,” replied the rabbit, still panting from the close call
and looking to and fro with suspicion.
“Very well,
then,” said the fox, who began to walk away. He paused,
turned around, and added, “I promise not to try and harm you anymore.”
“Are you
quite serious?” asked the rabbit, surprised at this sudden announcement.
“Quite serious,”
the fox replied, then walked away. As he walked, he uttered
under his breath, “At least -- not for today.”
From “More
Fables, Ancient and New”
At least once a month, I receive a call from an individual
who has been on total disability with Federal Worker’s Comp for
several years. The individual has been separated from service
from the Federal Government or the Postal Service for more than
a year, and suddenly the Office of Workers Compensation Program
sends the individual to a Second Opinion doctor, and thereafter
issues a declaratory finding that he or she is no longer disabled,
and can return to work.
-- Not only
has that individual lost his OWCP benefits, but he has also lost
his right to file for disability retirement under FERS or CSRS.
This is
because, under the rules and regulations for disability retirement,
an individual must file with the Office of Personnel Management
within one year from the date he or she is separated from Federal
Service (See 5 C.F.R. Sec. 844.201(a)(1) , where it states that,
"Except as provided in paragraphs (a)(3) and (a)(4) of this section,
an application for disability retirement is timely only if it
is filed with the employing agency before the employee or Member
separates from service, or with the former employing agency or
OPM within 1 year thereafter.") Thus, a word of caution
for those many individuals who receive the non-taxable payments
from OWCP -- continue to remain on OWCP for as long as possible,
because it is certainly financially advantageous over the taxable
annuity amount received from FERS/CSRS disability retirement --
but always remember that OWCP is not a retirement system.
If they don’t cut your payments off today, there is always tomorrow
(refer to the fox in the fable, above).
I
always advise my disability retirement clients who are receiving
OWCP benefits to remain on OWCP for as long as they can stand
it (i.e., the persistent harassment, the constant oversight by
so-called "2nd opinion doctors", etc.) -- but to always have the
FERS/CSRS disability retirement annuity approved as a back-up
source of income. Individuals may file for disability retirement
concurrently while on OWCP -- but you simply cannot collect from
both at the same time (See 5 C.F.R. Sec. 844.105, "Relationship
to workers' compensation. (a) Except as provided in paragraph
(b) of this section, an individual who is eligible for both an
annuity under part 842 or 844 of this chapter and compensation
for injury or disability under subchapter I of chapter 81 of title
5, United States Code (other than a scheduled award under 5 U.S.C.
8107(c)), covering the same period of time must elect to receive
either the annuity or compensation. " ) Thus, when
OWCP terminates your payments (and there is a very good
chance that this will happen at some point in the near future),
it is a wise option to have your disability retirement benefits
approved, but held in an inactive status. You have every
right to elect one benefit over the other. Indeed, if you
wanted to, you are allowed to go back and forth between OWCP and
FERS/CSRS disability retirement.
As a secondary
issue on this matter, take a close look at 5 U.S.C. Section 8106
on “partial disability”, and compare that definition with
the definition for disability retirement. In Section 8106
(OWCP), the definition states in paragraph (c) (2) that “A partially
disabled employee who refuses or, neglects to work after suitable
work is offered to, procured by, or secured for him, is not entitled
to compensation.” This means that if OWCP secures a job
for you as a Walmart greeter (you know, those individuals who
smile and say hello to you as you walk into the Walmart Superstore),
and pay you the difference between your salary and what Walmart
pays -- and you decide to say “no”, OWCP has every right to cut
off your payments. On the other hand, under the laws concerning
FERS & CSRS disability retirement, 5 C.F.R.Sec. 844.103
(a)(2) states that, in order to be eligible for disability retirement,
the individual "must, while employed in a position subject to
FERS, have become disabled because of a medical condition, resulting
in a deficiency in performance, conduct, or attendance, or if
there is no such deficiency, the disabling medical condition must
be incompatible with either useful and efficient service or retention
in the position" The difference here is that, under OWCP,
if you are 'partially disabled', if you are offered any job that
OWCP believes you can do, you must accept it. On the other
hand, under FERS/CSRS disability retirement laws, if you are partially
disabled -- meaning that you simply cannot do at least one or
more of the essential elements of your job -- then you are entitled
to disability retirement benefits, and your agency or the Postal
Service cannot simply offer you any job; they must offer you a
job in the same pay or grade, and one in which you are qualified
or, if you are in the Postal Service, then it must an accommodation
in the same craft. Under the former (OWCP), you have no
control over your future (OWCP determines your future); under
the latter (disability retirement), you can obtain disability
retirement benefits, and then take control of your future and
work at another job of your choice, and make up to 80% of what
your (former) position pays, and still continue to receive your
disability annuity.
Experiencing
a medical disability is a traumatic, life-changing event.
Financial concerns are always part of this life-changing event,
and it is important to secure one's financial future to the greatest
extent possible. Obtaining disability retirement -- both
the annuity as well as the health insurance benefits -- is often
the difference between a secure future and financial poverty.
It is therefore extremely important to look upon disability retirement
as a lifetime investment -- one which must be obtained with an
aggressive plan and approach.
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 telephone consultations. If you would
like to contact me, you may call me at 1-800-990-7932, or email
me at I also advertise in the Attorney
Directory of the Federal Times.
Sincerely,
Robert R. McGill, Esquire
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Subject: Disability
Retirement and the Law Today
-- The conquering
Army chose the time and place of the battle, but made it appear
as if the fighting began by accident. Who wins the war is always
determined by careful planning. Wars are never won by chance;
they are won by choosing the right battles, at the right time,
on the advantageous terrain, and by professionals who know what
they are doing.
-- Anonymous Roman Centurion, on “The Art of Warfare”
The Office of Personnel Management is constantly and
aggressively attempting to change the laws concerning disability
retirement, to make disability retirement laws more difficult
to overcome. Such attempts at changing the law always comes in
incremental steps, and may not seem like “blockbuster” cases at
the time; but the reverberating effects of such cases can be far-reaching,
and impact upon Federal and Postal Workers for years to come.
I am presently involved in two cases which may have a direct impact
upon those who wish to file for disability retirement. This Article
is meant to keep you updated on the two issues:
Issue #1: In the well-known case of Bruner v. Office of Personnel
Management, 996 F. 2d 290 (Fed. Cir. 1993), the Federal Circuit
Court of Appeals found that where a person is separated for “physical
inability to perform his job”, that the “burden of production”
shifts to the government. This is well-known as the “Bruner Presumption”.
In laymen terms, this merely means that if a person is terminated
or separated from Federal Service because of his or her “physical
inability to perform the job”, then it is almost a certainty that
we can get disability retirement for that Federal/Postal worker.
That is why it is extremely important to have an attorney involved
in the separation process -- to negotiate the type of language
which is acceptable. This is more the case now, because the Office
of Personnel Management is appealing a recent case to the Full
M.S.P.B. Board involving a case where the worker was separated
for “unavailability for duty”, even though the “unavailability”
was clearly for medical reasons. OPM argued that, because the
worker was not specifically separated for “physical inability
to work”, but instead, because he was “unavailable”, that therefore
the “Bruner Presumption” should not apply.
This is, to use a well-known legal term, “hogwash”.
OPM should know better. What OPM ignores, is that the Court in
Bruner went on to say that “the government’s action in separating
an employee for disablement produces a presumption of disability...”
Furthermore, there are been recent holdings which support the
position that lack of precision in the language of separation
should not preclude invocation of the Bruner Presumption. For
instance, in Lewis v. Office of Personnel Management, 87 M.S.P.R.
275 (2000), the Board held that a charge of “inability to work”
warranted application of the Bruner Presumption; and again in
Bell v. Office of Personnel Management, 87 M.S.P.R. 1 (2000),
the Board applied the Bruner Presumption where, although the Agency
charged the appellant with failure to meet the requirements of
her position, it was clear that the agency removed the appellant
because it found her unable to perform her duties based on medical
evidence of psychological incapacitation.
Thus, what the Office of Personnel Management is trying to do,
is to narrowly limit the application of the Bruner Presumption.
The Lesson here is: If termination or separation is an issue,
or a potential issue, get an attorney.
Issue #2: As many of you know, I have previously discussed the
important case of Bracey v. Office of Personnel Management, 236
F.3d 1336 (Fed. Cir. 2001). It is an important case which directly
impacts upon the issue of accommodation.
What the Court in Bracey did, was to clarify what an Agency can
and cannot do. For instance, the Court therein stated unequivocally
that if the Agency wants to "accommodate" you, it must be so that
you can do the job you are presently slotted for. Keeping you
"officially" slotted in a given position, but in reality having
you do some light-duty, "other" kind of job, is not considered
an "accommodation". As the Court clearly stated, an agency cannot
stop a disability retirement application "by assigning an injured
employee to an ad hoc set of light duties as long as it continues
to pay the employee at the same level as before." (Page 1362 in
Bracey)
More recently, however, the problem has been that the Office of
Personnel Management has questioned -- no, let me go further --
they have challenged, the applicability of the Bracey decision
for Postal Employees. While I have previously pointed out that
the combination of 5 U.S.C. Section 8451(a)(2)(D), which states
that "an employee of the United States Postal Service shall not
be considered qualified for a position if such position is in
a different craft or if reassignment to such position would be
inconsistent with the terms of a collective-bargaining agreement
covering the employee," and further, pointed out that in Smith
v. Office of Personnel Management, Docket #AT-844E-00-0140-I-1
(March, 2001), the Merit Systems Protection Board concluded that,
where the Postal Service attempted to "accommodate" a disabled
Rural Carrier by assigning her to duties or positions in the Clerk
craft, it did not constitute "accommodation", and therefore disability
retirement was granted to the employee; nevertheless, OPM is at
it again. In 2 or 3 cases all at once (and one in which I am involved
in), OPM is trying to argue that (1) the Bracey decision does
not apply to Postal Workers, and therefore the Postal Service
can slot workers from one craft to do jobs of another craft, and
(2) that the Postal Service has a duty under the collective bargaining
agreement to “accommodate” Postal Employees, even if it means
doing work in a different craft. If OPM wins in these arguments,
what it means is that the Postal Service can potentially take
an injured Letter Carrier, and have him sit in a room doing odd
jobs devised by his or her supervisor.
Thus far, OPM has not been successful in their arguments. Indeed,
it is important that Postal and Federal employees applying for
disability retirement take great care in fighting the various
arguments of OPM. Each fight which OPM wins, creates a greater
obstacle to potential future disability retirement filers.
Disability retirement is a benefit which all Federal and Postal
Employees should be able to have access to, if and when the need
arises. However, there is a large chasm between having the right,
and being able to access that right. The road between the two
is often beset with legal obstacles and potholes. How to maneuver
through the legal maze is the job of the Attorney.
If you believe that you need to consult an attorney concerning
disability retirement, please contact me at 1-800-990-7932, or
email me at . My ad also appears weekly in the Federal Times.
Sincerely,
Robert R. McGill, Esquire
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Subject: How
to win a disability retirement case under CSRS and FERS
6/21/03
"Strike
three...you're out!" screamed the umpire.
"How could I miss all three times?" asked the young boy,
dejectedly, as he walked back to the dugout.
"If you swing the same swing at three different pitches,
you ain't about to hit any of them," said the manager, resting his
arm around the young boy's shoulders. "Recognize each pitch, and
swing accordingly."
-- from "Baseball Stories then and now"
Individuals attempting to file for disability retirement,
either under FERS or CSRS, on their own, and without an attorney,
must meet the same standards, same criteria, and same legal thresholds,
as those who are represented. While it may cost an individual in
the short term to hire an attorney, that cost may be insignificant
compared to the loss of a long-term investment -- the monthly annuity
income which may span years, and even decades, depending upon your
age.
In applying for disability retirement under FERS or CSRS,
you essentially have three shots at succeeding. First, there is
the initial stage of review before the Office of Personnel Management
(OPM). If OPM denies the application at this initial stage, you
may Request Reconsideration -- and at this stage, you are given
an opportunity to submit additional medical and other documentation,
as well as make legal arguments. If OPM refuses you the second time,
you may appeal your case to the Merit Systems Protection Board,
and have an
administrative judge independent of the Office of Personnel Management,
hear your case.
There are two additional stages -- an appeal to the Full
Board, as well as a further appeal to the Court of Federal Appeals;
however, to have either of these legal bodies reverse the decision
of an MSPB judge is extremely difficult.
The problem with individuals attempting to obtain disability
retirement on their own, is their lack of knowledge of the legal
standards required. This then leads to making the same mistake at
each stage of the process. The key is to know what the legal standard
is; to recognize that the "benefits clerk" at OPM is not necessarily
an individual who knows what he or she is talking about, and to
point out the error of OPM's decision (courteously, but firmly),
and to rebut any arguments made by OPM. This then lays out a successful
foundation in the
event that your case must be appealed to the Merit Systems Protection
Board. Time, care, money and investment at preparing your case at
Stage 1 will avoid a needless denial of your disability retirement
application.
Unrepresented individuals who have had their applications
denied have come to me wi | |