8/9/24 Flashcards

(49 cards)

1
Q

Definition of Disability

A

The inability to engage in any substantial gainful activity because of a medically determinable physical or mental impairment which can be expected to result in death or has lasted or can be expected to last for a continuous period of not less than 12 continuous months.

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2
Q

T16 Entitlement Factors

A
  1. Be disabled
  2. Means tested
  3. No waiting period
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3
Q

T2 Entitlement Factor

A
  1. Be disabled
  2. Found to be disabled
  3. Serve a waiting period
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4
Q

What is a concurrent claim?

A

When an individual files under more than one program. T2 and T16

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5
Q

Can an individual appeal a disability decision?

A

Yes

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6
Q

Can a child be eligible for disability?

A

Yes

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7
Q

List all SSI/T16 claim types

A

DI- Disabled Individual
DS- Disabled Spouse
DC- Disabled Child
AI- Alien Individual
BI- Blind Individual
BS- Blind Spouse
BC- Blind Child

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8
Q

List all T2 claim types

A

DIB- Disability Insurance Benefits
DWB- Disability Widow’s Benefits
DWB for Medicare Only
CDB- Childhood Disability Benefits
MQGE- Medicare Qualified Government Employee

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9
Q

What is the current SGA amount for Blind and Non-blind individuals?

A

Blind- 2590
Not Blind- 1550

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10
Q

What are 3 factors that determine a UWA?

A
  1. 30 day break in SGA
  2. Must have stopped work due to conditions
  3. Work attempt cannot be longer than 6 months
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11
Q

DDS

A

Disability Determination Services

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12
Q

FO

A

Field Office

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13
Q

EST

A

Extended Service Team

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14
Q

CR

A

Claims Representative

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15
Q

SR

A

Service Representative

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16
Q

RO

A

Regional Office

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17
Q

CLMT

A

Claimant

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18
Q

IN

A

Initial

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19
Q

RECON

A

Reconsideration

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20
Q

NCPS

A

National Claims Processing System

21
Q

POMS

A

Program Operations Manual System

22
Q

DIB

A

Disability Insurance Benefits

23
Q

DWB

A

Disability Widow’s Benefits

24
Q

CDB

A

Childhood Disability Benefits

25
DI
Disabled Individual
26
DS
Disabled Spouse
27
BI
Blind Individual
28
DC
Disabled Child
29
MQGE
Medicare Qualified Government Employee
30
PD
Presumptive Disability
31
SGA
Substantial Gainful Activity
32
UWA
Unsuccessful Work Attempt
33
SSA
Social Security Administration
34
ALJ
Administrative Law Judge
35
3367
Contains information regarding past filings, any FO observations
36
3368
Application for Disability; Contains allegations, education, work history, treating sources, medications, etc
37
823
Combo of 820 and 821
38
820
Used for self-employment
39
821
Used for regular employment
40
DIB Facts
-Filing on their own SSN record/ earnings history -Disabled workers up to full retirement age -With 20/40 quarters of coverage
41
DWB Facts
-Filing on deceased spouse's SSN record/earning history -Widows/Widower's aged 50-60
42
DWB for Medicare Only Facts
-Filing on deceased spouse's SSN record/earning history -Do not have to be aged 50-60 -No cash benefits, but will receive Medicare if found disabled
43
CDB Facts
-Disabled adults whose impairments began in childhood -Filing on the SSN record/earnings history of parent/guardian -Child of deceased, retired, or disabled worker -Must be found disabled between the ages of 18-22
44
CDB Facts
-Disabled adults whose impairments began in childhood -Filing on the SSN record/earnings history of parent/guardian -Child of deceased, retired, or disabled worker -Must be found disabled between the ages of 18-22
45
MQGE Facts
-Federal employee -No cash benefits awarded, for Medicare benefits only -Aged 65 or older or has ESRD -Very rare
46
DI Facts
Age 18 or older adults
47
DS Facts
-Husband or wife has previously filed for disability -Doesn't mean the spouse was awarded benefits
48
DC Facts
-Under age 18 -Different standard for evaluating claims -You don't have to work them yet
49
AI Facts
-Must meet certain criteria (determined by FO) -Bases on age, how long they've been in the country, and if they came legally (have their own SSN)