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Massachussets Bar Association
Maine state Bar
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While the Social Security disability program is meant for those are going to be long-term disabled from working, as a Social Security lawyer handling disability claims and appeals throughout Massachusetts, New Hampshire and Maine, we’re many times asked what one should do once they’ve just gone out of work from a disabling condition and it simply remains unclear if  they will remain longer term disabled from working.  There are a number of suggestions we provide to our potential clients.\

First and foremost, if you work for a company that employs more than 50 workers, you may be entitled to the protections of the Family Medical Leave Act (assuming you have worked for the company more than 12 month, and you have worked more than 1250 hours in the 12 months prior to becoming disabled). Assuming this is the case, you may be entitled to the protections afforded under FMLA, which include the ability to take up to 12 weeks of unpaid leave during a 12 month period to attend to any serious health condition you may have: thus protecting your job in the event you do recover so as to be able to return to work.

Two, you may be entitled to recover ongoing lost wage benefits under the terms of a short term disability policy, or if you have suffered a work-related injury, under the workers’ compensation laws of your state for indemnity (or lost wage benefits).    Most short term disability policies only run for a period of 3 to 5 months and provide a standard that is much easier than the Social Security laws when attempting to receive such a monthly benefit, only requiring one to prove that they currently remain totally disabled from performing the usual and customary duties of their ordinary occupation (rather than the need, under Social Security’s rules, that one remain totally disabled from performing all forms of gainful employment for what has been or is expected to be a year or longer).

As a Social Security lawyer handling the Reconsideration process in Maine and Massachusetts (New Hampshire remains a pilot project state where a claimant goes directly to hearing), it is difficult to inform our clients of the low chance of success at the reconsideration level.  However, the work to be undertaken at this level is just as important as the initial application level and can pave the way for a smooth hearing down the road (which is the likely eventuality if one has been denied initially, whether it be in Maine, Massachusetts or New Hampshire). Continue Reading ›

As we discussed in our prior blog entry, there are a number of issues to remain vigilant about following the receipt of a favorable Social Security decision.  As was mentioned, periodic reviews will take place as to whether an individual remains disabled (and thus remaining in consistent and zealous treatment with your providers is important to document how one remains disabled).  Likewise, providing updated records of one’s earnings should you be able to return to work is important so that the Social Security Administration (SSA) can keep track of the extent to which you use up Trial Work Period months.  In this blog entry, we’ll continue our discussion on how the failure to report income and/or assets to SSA following the receipt of a favorable decision can have very serious consequences. Continue Reading ›

While prevailing in your Social Security disability claim may be a huge relief, it is important to remember that there are certain obligations one continues to have with the Social Security Administration (SSA).  Likewise, there are a number of considerations one needs to take place moving forward to ensure that one does not experience a problem down the road with SSA.   With that in mind, we’ve made a checklist to assist you.  Continue Reading ›

We face the same question, on a daily basis, from our prospective Maine Social Security disability clients: I have been disabled from working for a number of months, and, prior to contacting your office, I filed a disability claim.  I have since been denied.  Would you recommend that we appeal this denial at this time?  Will you assist with our appeal?

Continue Reading ›

The Social Security disability hearing process before an Administrative Law Judge (ALJ) is meant as an opportunity to hear from you as to why you believe you’re unable to work any job for which you’re reasonably suited by age, education and experience.   Given this, the ALJ is interested in finding out to what extent one remains functional both in and out of the home and, correspondingly, the extent to which one’s various medical conditions might impact one’s ability to sustain certain activities in a work setting. Continue Reading ›

In our prior blog entry, we began explaining the most common reasons claimants face denials of their Social Security disability claims, whether it be at the initial, reconsideration or at the hearing level claim level.  Understanding why such denials occur can occur will hopefully help you or a loved one from making the same mistakes.

Yet, another common reason for a denial of one’s claim is the misconception many disability claimants have that if in fact one remains incapable of performing their past work that there should be automatic entitlement to Social Security disability benefits.  While for those individuals over the age of 50, the Social Security Grid Rules do provide a basis for disability for those who have worked labor intensive jobs over the course of their lifetime, can no longer perform such jobs anymore given the  physical limitations they experience resulting from their long-term medical conditions and have no transferable skills that would allow them to return to other, less physical positions, the Grid Rules do not provide such a basis for disability for those who have yet to reach the age of 50.   Generally, the Social Security Administration (SSA) will look to see whether an individual remains capable of returning to some other manner of employment for which they are reasonably suited by their age, education and experience.  With this in mind, we many times find ourselves in the position of having to advise potential disability claimants as to other types of jobs that they may be expected to look into obtaining and working.   Many times, this advice can be the best advice a Social Security lawyer can provide you.

Many times, upon getting involved in a claim that has been denied by SSA, we will find that SSA did not obtain all of the relevant medical evidence.  There are a number of reasons as to why this may have taken place: it is quite common to see that our claimants may have forgotten to provide a complete treatment history: whether it be in their initial application, or on reconsideration: they may have forgotten to list a specialist they were sent to see by their primary care physician, or perhaps a physical therapy department with whom they may have treated for a period of time.  Without providing such information, SSA will not be in a position to obtain the medical records from all of your providers and, even if you have provided all of your treatment history to SSA, you may find that they have failed to obtain all of the medical evidence.  Each state has a designated state agency that is responsible for working up the medical record and for evaluating the medical evidence as part of making a decision: in Maine, Massachusetts and New Hampshire the agency is called Disability Determination Services.  In order for them to do their job properly, it’s essential that your application and appeals forms are filled out completely.

As a practicing Social Security disability lawyer in Maine, Massachusetts and New Hampshire for the past 35 years, I have had an opportunity to review thousands (1000’s) of disability claims during this time.  I have found that there are a number of common themes that arise over and over again as to why claimants are denied their claims, whether it be at the initial level, on reconsideration, or at the hearing level.  Understanding the pitfalls one may face with their claim can help you avoid these common mistakes. Continue Reading ›

When you’ve spent the better part of two (2) years waiting for a hearing before an Administrative Law Judge (ALJ) it is rather normal to be nervous before the hearing.   Understanding what the purpose of the judge’s questions are and what the judge is looking for in the way of answers so as to properly decide your claim can help ensure that you address your answers in a way that will prove most meaningful to the ALJ that is hearing your case that day. Continue Reading ›

One of the frequent questions our office receives from claimants we represent in their Social Security disability and Supplemental Security Income claims.  First and foremost, the answer every lawyer or claims representative should be providing to their claimant is a resounding yes.  One should always attempt to work if they have that option: whether you’re in the initial stages of filing a Social Security claim or about to appear before an Administrative Law Judge (ALJ).  Unfortunately, I see that some representatives are not as clear when answering that question and I believe it provides both confusion and, down the road, what could be huge disappointment to their client if they are not provided with a complete sense as to how a return to work can prove to be a win-win proposition. Continue Reading ›

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