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Old 02-08-2011, 08:56 AM #11
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I think legalmania is correct and SS has found the return to work as "substantial income".

I believe there is 9 months of substantial activity (does not have to be consecutive) where income over the "limit" can be made without change to benefits awarded. After that time, they may find you are able to continue work and the benefits will stop.

You said the award was May of 2010. They may be waiting for the 9 months of substantial income to be fulfilled and then plan to change the award.

I'm too new to this forum (but not the medical problems or disability) to post links, but SSA has links about the rules when working and when working changes your benefits.

The lawyer gets paid on the award decision, not whether you keep getting benefits.

I'm glad he was able to return to work.
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Old 02-08-2011, 09:03 AM #12
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Originally Posted by sl1029 View Post
Thanks for the replies! The attorney advises that he satisfied our original contract with him....he offered that we were now basically in a blackhole and that he would write a letter for us to SS (for an additional fee) but didn't know if it would be worth it, or what else could be done.

The judge's fully favorable award specifically noted that there were 2 UNSUCCESSFUL trial work periods that were to be covered by the backpay award period....and that he was currently in the midst of another trial work period. He received both backpay and an ongoing award.

We received the letter calculating the ongoing award amount, and it said that the backpay would be sent once they had confirmed that there were no other offsets. But there was nothing specific about SSI, and I understood that to be standard language.

We began receiving the ongoing award, as well as a stimulus check probably 30-60 days later.

We never applied for SSI for him, because of my income and his other resources....but I guess I might as well call and make sure that didn't somehow happen automatically....

What I don't understand is a) why the backpay was held up with no correspondence. Each time we called, we were told it was "processsing." and b) how SSDI staff can re-investigate something a judge has already ruled on.

Since I posted originally, we have confirmation that SSDI is asking for information from his unsuccessful work trial employers about that employment.

How do you get to speak with someone besides the window clerk at the SSDI office? The last time we were there, we asked and were told there was no one else we could speak to....which I knew wasn't true...but other than causing a scene, I didn't know how to get past that.

We are going to have our Senator's office open a constituent casework file on Tuesday...anyone think that will work?
The backpay was supposed to cover the time that he was on the trial period of the medication? Did they explain what the stimulus check was about? I'm thinking they were breaking down the backpay award into several checks. Did they tell you how much he was to receive? If you can reach someone tell them you want a copy of his payment record. It's been 7 months and sounds like you may have a fight on your hands. I hope I'm wrong, but they probably hope you will give up. I hope you have luck with your Senator, if not vote him/her out next time.
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Old 02-08-2011, 09:13 AM #13
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Originally Posted by parlayone View Post
i'm in the same boat as you are they owe me 85,000 in back pay you cannot call the payment center you can fax them only i call ssi once a week they will send over a fax to the payment center for you if you google it you can get the fax number to the payment center good luck what a country
Your right parlayone, sometimes I wonder why we have laws for the disabled when it seems the SS agency is the number one cooperate.

Last edited by legalmania; 02-08-2011 at 12:10 PM.
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Old 02-08-2011, 09:57 AM #14
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Neither the local office nor the payment center have the authority to overturn a favorable decision by an ALJ. Since the ALJ addressed the trial work months in the decision, that is a closed issue. Since the attorney was paid something, SSA has to have computed an amount of retroactive benefits since the attorney gets a percentage of that. If there were no retroactive benefits, the attorney would not have been paid anything.

So the problem is not with the work activity; it is not an attack on the disabled by the big bad Social Security Administration; there is another systems related problem that the payment center has not yet fixed.

I would try going to your local office and talking to a supervisor who may be able to make a phone call on your behalf. Bring all your correspondence, including the award letter and the ALJ decision. Did he ever get worker's comp or other state disability benefits? Bring those proofs. I am still guessing a denied SSI claim created an erroneous windfall offset indicator.

I think attorneys do have a resonsiblity to make sure the claimant is paid the money they are due. What good is a favorable decision to you if you get no money? But your contract with the attorney may not include any legal help after a favorable decision. He got his due, but you are on your own to get your due. Remember that when someone asks your for an opinion about this attorney. He doesn't help you get across the finish line.
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Old 02-08-2011, 12:08 PM #15
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O.K. I found the answer. The ALJ decision is not the final decision in the agency. I should know this because I've done it.

https://secure.ssa.gov/apps10/poms.nsf/lnx/0457550060
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Old 02-08-2011, 12:14 PM #16
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Quote:
Originally Posted by en bloc View Post
I think legalmania is correct and SS has found the return to work as "substantial income".

I believe there is 9 months of substantial activity (does not have to be consecutive) where income over the "limit" can be made without change to benefits awarded. After that time, they may find you are able to continue work and the benefits will stop.

You said the award was May of 2010. They may be waiting for the 9 months of substantial income to be fulfilled and then plan to change the award.

I'm too new to this forum (but not the medical problems or disability) to post links, but SSA has links about the rules when working and when working changes your benefits.

The lawyer gets paid on the award decision, not whether you keep getting benefits.

I'm glad he was able to return to work.
Hi en bloc, I just read in 2006 there was a change to the law and it is now every 6 months, I'll have to find it. I have to go out but when I get back I'll see if I can find it again. Take care.
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Old 02-08-2011, 10:59 PM #17
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Quote:
Originally Posted by legalmania View Post
O.K. I found the answer. The ALJ decision is not the final decision in the agency. I should know this because I've done it.

https://secure.ssa.gov/apps10/poms.nsf/lnx/0457550060
The link refers to the DRB and it only applies to DSI cases.

DSI is a now largely abandoned process for changing the way disability decisions were made. It was the pet project of the previous Social Security Commissioner.

The DRB may still be active in some parts of the country, I believe the northeast.

But the final decisionmaker in the Social Security Administration is still the Appeals Council, the level above the ALJ. They only reverse a tiny percentage of cases brought before them and they take a year or two to even make that decision. If the Appeals Council does not approve or remand a case back to the ALJ, then the claimant can go outside SSA and file a civil case in a District Court.

The lower level cannot reverse a decision made by a higher level. The payment center cannot change an ALJ award. The payment center or local office can refer a case to their regional office staff if a glaring error or misapplication of law (like granting insured status when there isn't any) was made in the written decision to see if the regional office is willing to bump the case up to the Appeals Council. But that almost never happens. So even if a lower level employee thinks the ALJ made a bad decision, the lower level employee cannot unilaterally change that decision. They don't have the authority.
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Old 02-08-2011, 11:00 PM #18
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Quote:
Originally Posted by legalmania View Post
Hi en bloc, I just read in 2006 there was a change to the law and it is now every 6 months, I'll have to find it. I have to go out but when I get back I'll see if I can find it again. Take care.
The Trial Work Period is 9 months.
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Old 02-09-2011, 09:27 PM #19
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Originally Posted by Janke View Post
The link refers to the DRB and it only applies to DSI cases.

DSI is a now largely abandoned process for changing the way disability decisions were made. It was the pet project of the previous Social Security Commissioner.

The DRB may still be active in some parts of the country, I believe the northeast.

But the final decisionmaker in the Social Security Administration is still the Appeals Council, the level above the ALJ. They only reverse a tiny percentage of cases brought before them and they take a year or two to even make that decision. If the Appeals Council does not approve or remand a case back to the ALJ, then the claimant can go outside SSA and file a civil case in a District Court.

The lower level cannot reverse a decision made by a higher level. The payment center cannot change an ALJ award. The payment center or local office can refer a case to their regional office staff if a glaring error or misapplication of law (like granting insured status when there isn't any) was made in the written decision to see if the regional office is willing to bump the case up to the Appeals Council. But that almost never happens. So even if a lower level employee thinks the ALJ made a bad decision, the lower level employee cannot unilaterally change that decision. They don't have the authority.
In being a paralegal for over 12 yrs. and reading hundreds maybe thousands of cases I know this to be false. This is what makes my job so hard. A case can go from the higher tribune and be sent back to the lower tribune. If you read a case that was in the AC you better check and make sure that it wasn't sent back. That happens a lot.

U.S. legal system

In the United States, which uses a common law system in its state courts and to a lesser extent in its federal courts, the Ninth Circuit Court of Appeals has stated:

Stare decisis is the policy of the court to stand by precedent; the term is but an abbreviation of stare decisis et quieta non movere — "to stand by and adhere to decisions and not disturb what is settled." Consider the word "decisis." The word means, literally and legally, the decision. Nor is the doctrine stare dictis; it is not "to stand by or keep to what was said." Nor is the doctrine stare rationibus decidendi — "to keep to the rationes decidendi of past cases." Rather, under the doctrine of stare decisis a case is important only for what it decides — for the "what," not for the "why," and not for the "how." Insofar as precedent is concerned, stare decisis is important only for the decision, for the detailed legal consequence following a detailed set of facts.[5]

When dealing with an agency it's a whole different ballgame.
Introduction to Problem: A private/individual party is affected by an agency action. That party wants a court to review the agency’s action, pursuant to § 706 of the APA. The agency will immediately file a motion to dismiss, claiming that its decision cannot be reviewed under the APA. If the agency action can be reviewed, however, the reviewing court can reach the merits of the party’s claim—that there is something wrong with the agency action.
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Old 02-09-2011, 10:25 PM #20
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Quote:
Originally Posted by legalmania View Post
In being a paralegal for over 12 yrs. and reading hundreds maybe thousands of cases I know this to be false. This is what makes my job so hard. A case can go from the higher tribune and be sent back to the lower tribune. If you read a case that was in the AC you better check and make sure that it wasn't sent back. That happens a lot.

U.S. legal system

In the United States, which uses a common law system in its state courts and to a lesser extent in its federal courts, the Ninth Circuit Court of Appeals has stated:

Stare decisis is the policy of the court to stand by precedent; the term is but an abbreviation of stare decisis et quieta non movere — "to stand by and adhere to decisions and not disturb what is settled." Consider the word "decisis." The word means, literally and legally, the decision. Nor is the doctrine stare dictis; it is not "to stand by or keep to what was said." Nor is the doctrine stare rationibus decidendi — "to keep to the rationes decidendi of past cases." Rather, under the doctrine of stare decisis a case is important only for what it decides — for the "what," not for the "why," and not for the "how." Insofar as precedent is concerned, stare decisis is important only for the decision, for the detailed legal consequence following a detailed set of facts.[5]

When dealing with an agency it's a whole different ballgame.
Introduction to Problem: A private/individual party is affected by an agency action. That party wants a court to review the agency’s action, pursuant to § 706 of the APA. The agency will immediately file a motion to dismiss, claiming that its decision cannot be reviewed under the APA. If the agency action can be reviewed, however, the reviewing court can reach the merits of the party’s claim—that there is something wrong with the agency action.
And what does this have to do with the reference you made about the ALJ not being the final decisionmaker with a link to a reference about DRB? I thought you previously stated you had more than one case at the Appeals Council which is not the same as the DRB. Within the Social Security Administration, the Appeals Council is the highest decisionmaker. Do you agree or disagree?

What is false? A lower level component can change the decision made by a higher component? The higher level decides to send it back to the lower level for a modification or clarification. That doesn't mean the lower level can change the decision made by the higher level. If I want to keep my job, I can't change the decision made by my supervisor nor can my supervisor change the decision made by the manager and the manager cannot change the decision made by the CEO.

But this is my last post on the subject.
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