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Long Term Disability Benefits and Soc...

Social-Security-Disability-Forum » Long Term Disability Benefits and Social Security Disability  

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Short-term disability benefitsRandy 4-25-06  3:06 am
Should I even bother?Sandy Sweetland 8-23-06  10:41 pm
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Anna

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Posted on Sunday, May 13, 2001 - 9:10 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

My husband has a on the job injury and has been paid the difference in his salary and the W.C. check for the past 12 weeks. That is stopping and I assume his long term disability through work is kicking in. My question is will the w.c. check reduce the long term disability amount. It pays up to 60 Percent of his salary. Also are disability checks taxed?
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Paul McChesney (Admin)

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Posted on Monday, May 14, 2001 - 5:45 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I would be glad to help, but each of these questions can be answered only if I know his state, and the details of his long term disability policy. As a practical matter you probably need a local attorney to study the policy. You might email me your city and state.
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Anna

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Posted on Monday, June 18, 2001 - 8:36 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Paul,

We live in High Point, NC and I have since found out that the disability checks are taxed (company paid premiums)and that it is not an absolute sure thing that he will get the LTD. We are now going through the process. I always thought that if you couldn't do your job (under doctors orders) that the LTD would apply but that is not the way I am understanding this to take place. I guess the insurance company makes the decision whether you are unable to work or not....not the doctor. I don't know how long it will be until we are told whether they think he is qualified or not. Mean time he is still under w.c. and receiving the maximum payment allowed in NC. I do wonder if he gets the LTD can we move back to S.C. We can not go from a six figure income to LTD and stay in this house.
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Paul McChesney (Admin)

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Posted on Thursday, June 21, 2001 - 5:44 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

It's a free country, sort of, and you can live anywhere you want. It should not affect LTD or Social Security benefits, or worker's comp.

If he is turned down in his LTD claim he must get a lawyer immediately! Otherwise the record might close and he cannot add evidence.
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cathytruitt

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Posted on Monday, October 01, 2001 - 6:04 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

My husband has been turned down for LTD. He did get STD. However, he didn't get any type of worker's compensation because it wasn't thought that the accident occurred at work. He filed for long term disability but the insurance company is telling him that the insurance only protect his "job description" and not his job. How crazy is this? We live in south carolina and he works here. Do we need an attorney? And what kind of attorney?

Reply by Paul He should get an attorney, and a good one, right now. Call me at 1 800 775 3985.
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Tammy

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Posted on Monday, June 25, 2001 - 6:54 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

If you are allowed to come back to light duty - occasional standing ..occasional walking... mostly sitting and you do not have a desk job. You have been out of work long enough to qualify for Long Term Disability through your employer. Employer does not let you come back for light duty...do you still qualify for Long Term Disability? I am looking at additional surgery in the near future. Employer told me there was no light duty for me.

Reply by Paul:
I cannot answer that question! Social Security law is fairly fixed, but LTD law depends in part on the contents of your policy. Get a copy and sit down with an attorney. You are in a critical situation, and should do something immediately.
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Ron Hoffman

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Posted on Thursday, October 25, 2001 - 9:23 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

36 year old male employed, manager of floor covering store.I also have a private disability policy which pays 60% of my income, but I have not drawn against it( income is 72,000 annually)
Hospitalized from 12/99 to 3/00 with severe pancreatitis. had gal bladder and partial Pancreas removal. Have had three attacks since.Illness' now include Chronic Pancreatitis, Diabetes(insulin dependent),anxiety (medicated for),high blood pressure and cholesteral medication), must take enzymes to digest food,Have had endoscopic surgery three times sinc 3/00 for pancreatic duct closure.I am now working at my job full time, but am unable to keep pace with a job thatI spent 50-60 hours a week at before I became ill.m constantly tired and depressed, Would I be considered disabled since I am still employed? Can I recieve S.S, benefits and still file against my private disability insurance?

Reply by Paul
Would I be considered disabled since I am still employed? No; no matter how miserable you are if you are working steadily and making more than $700 a month it is difficult to get disability.


Can I recieve S.S, benefits and still file against my private disability insurance? Yes, but most (not all!) private disability policies reduce payments by the amount of the Social Security paid. You still need both, though! Private disability often pays immediately; Social Security can take a year and a half to two years, or longer, to pay.

Pancreatitis can be very painful, and disabling. Hang on as long as you can; file when you start missing work; be positive that your doctor will support you fully if you have to quit; talk to a local attorney who specializes in this field now, before you stop working. Try not to move to a job that does not carry disability benefits!
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Jamee

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Posted on Sunday, October 28, 2001 - 7:34 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

when you recieve disability payments from work are you required to pay taxes on this money? If so, is the company required to deduct them automatically?
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Paul McChesney (Admin)

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Posted on Saturday, November 10, 2001 - 9:25 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

If you pay the premiums for long term disability insurance with pre-tax dollars, you will have to pay taxes on any long term disability payments under that policy. This usually happens if your employer pays the premium, or if you get ltd insurance under some sort of cafeteria type plan

If you pay the premium with post tax dollars, there is no tax on the money as it comes out in disability payments.
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iou4it

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Posted on Monday, December 03, 2001 - 9:27 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Paul, I was just recently approved for my Long Term Disibilty from my job. I was sent a letter suggesting that I apply for my Social Security. In Fact I got my first check and the letter to apply for my SS at the same time. Should i go ahead and file? If i do this, i would like to know if i am better say in 2yrs or less and get released from all the doctors, can i return to work? and if i do return to work and i see i just can't do it, can i re-apply for the SS?

Reply by Paul 1. If you are drawing long term you should apply for social security disabilty.

2. Yes, if you are better you can return to work at any time.

3. Yes if you then find you cannot work you can reapply.

4. However, you should be aware that if you are drawing and decide to try to work, you need to be very careful about how you go about that process. The details of how to do this are explained elsewhere on this site.
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Marianne Catoe

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Posted on Monday, January 28, 2002 - 12:16 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Hi,
I have been diagnoised with fibromyalgia, oseteoarthritis and now a ruptured disc.I have been out of work since Oct.18. drawing my disablity from work.Doctor sent a note to work that I may return under certain conditions, which work will not meet.I know I can still draw my disabalilty from work for up to 2 years.Do I need to apply for social security disablity?Where do I need to go from here?I need some advice PLEASE!Thanks.
MCatoe
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Paul McChesney (Admin)

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Posted on Monday, January 28, 2002 - 4:14 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

It is impossible to say for sure from the facts that you have given here, but you should probably file. Your "disabilty from work" is probably Long Term Disability, which generally but not always has a lower standard for disability than Social Security does. So you might be able to draw that but not qualify for Social Security disablity.

But a Social Security claim can take two years to process to the hearing level, which is the most common level at which people win their case. So, you might want to get your claim started, and keep appealing, so that if it proves that you cannot return to any work at all, you will have a chance of getting a favorable decision before your disability from work runs out.

As always, I suggest that you talk to an attorney experienced in this field in person before making a final decision.
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Pam Mazell

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Posted on Friday, March 22, 2002 - 8:14 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I have Multiple Sclerosis and am out of work on short term disability which is about to come to an end. My long term paperwork has been denied due to my Dr. stating that I can do some work. I am in the process of seeing a rehiblitation specialist soon. I have foot drop, severe numbness in my right foot and hand. I am right handed therefore have alot of trouble writing because I can not feel the pen in my hand. Do you believe that I would be warranted disabled. I have filed for ssa disability as well and was denied as well. I have appealed that decision. I am gonna appeal the decision with my employer as well. Thank you for you opinion.
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Paul McChesney (Admin)

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Posted on Tuesday, March 26, 2002 - 4:52 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Your question is impossible to answer absolutely, because I do not have enough facts. Certainly, if one has difficulty walking or standing, and difficulty using her hands while seated, the range of possible jobs is severely narrowed. But the fact that your doctor is saying that you can do some work means, perhaps, that he does not realize this or else thinks your problem is not so severe.

You might file, and certainly should sit down and talk to an attorney in your area.

I would strongly suggest talking to an attorney immediately about your long term disability claim. If your plan is governed under ERISA, as most are, your opportuninty to add evidence might be closing, and if you do not give someone with some experience a chance to help with that claim, you might be limited to evidence that is insufficient to establish disability; in other words, lose the claim even though you are disabled.

Take care and good luck.
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Pat

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Posted on Friday, June 14, 2002 - 9:27 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Paul,
I have fibromyalgia and major depression disorder.
I am on long term disability from work.They want me to apply for Social Security Disability. Can I do that immediately or do I have to wait until I have been out longer? I have not worked since Feb. 2002.
Also,how difficult is it to be approved with the conditions I have been diagnosed with?
Thank you for your time.
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Paul McChesney (Admin)

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Posted on Saturday, July 20, 2002 - 8:10 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Pat, Generally, if you are on long term disability, you should apply for Social Security disability.

You should apply immediately. It takes a long time to get to the hearing.

Those impairments can be disabling. You must be careful to document them by going to the doctor regularly.

Many long term disability carriers say that they will handle your case for free; don't do this. There are three reasons: One, if you hire an attorney, they will have to pay anyway, because of subrogation rules. Two, if their employee finds out something that tends to show that you are not disabled, he has a strong incentive to develop that and cut off your LTD. Third, that way you get to pick who helps you.
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Jasper Rocks

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Posted on Thursday, September 05, 2002 - 9:02 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I am currently receiving long-term disability benefits from my employer. I do not receive workman's compensation. If I am awarded SOC SEC benefits, how will that affect benefits coming from my employer? (I don't work for a government agency or any other entities listed by SOC SEC that would affect my benefits.)
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Paul McChesney (Admin)

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Posted on Wednesday, October 02, 2002 - 5:15 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Jasper, most, but not all, long term disability policies provide for a Social Security offset. This means two things: first, that the amount of your long term disability check is reduced when you get Social Security. Second, that the long term disability insurance complany wants money back when you get your lump sum.

All employer sponsored long term disability programs that I have ever seen have such an offset provision; but you can buy a private policy that does not have an offset.

You should be careful not to spend any lump sum until this question is cleared up.
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Cass Miller

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Posted on Thursday, September 05, 2002 - 9:54 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I receive LTD disability from my employer. If I am awarded Social Security Disability, who notifies my employer?
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Paul McChesney (Admin)

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Posted on Wednesday, October 02, 2002 - 5:20 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Cass, the Social Security Administration does not. It is up to you to do this. You should not spend any of your back time money until this is cleared up. If you don't pay them back what you owe them, the long term disability carrier can cut off their part of your monthly check; refuse to pay you in the future if the Administration cuts you off; or sue you. If you are not positive that the amount of reimbursement that they propose is correct, consult an attorney and take him the long term disability policy.

Note that any recovery by the long term disability carrier must generally be reduced by any attorney's fee, so in effect where you have long term disability you get an attorney for free.
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C Pittman

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Posted on Monday, January 13, 2003 - 8:40 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I am 42 years old and have not worked for two years. I am in remission from Hodgkins disease, but still under a doctor's care. During this period, I have been getting a long term disability check from a private insurer. I was recently approved for ss disability at the ALJ level, but I had to get a private lawyer to get it, and he will be getting 25 percent of my back pay. The insurance company says that I will have to reimburse them in full for what they have paid me within 30 days of receiving my back pay. But after the lawyer gets his percentage, there won't be enough money left. Can they sue me for the rest? I don't know what to do.
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Paul McChesney (Admin)

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Posted on Wednesday, February 26, 2003 - 8:00 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Ask your attorney; I am sure he will tell you about the law of subrogation, which will protect you.
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Gloria

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Posted on Monday, July 07, 2003 - 11:18 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I have been on my LTD since Jan 03. I have been released for work and was in process per the demand of my disability insurance to continue the SSD request process. I have not had a hearing yet and wonder since I am now off disability do I have to continue the process or can I simply notify disabiity insurance that I do not wish to continue the process.
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Paul McChesney (Admin)

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Posted on Sunday, July 13, 2003 - 6:16 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I am not sure what you mean. If you mean that you are now able to work, and should have no problems doing that for the indefinite future, then you can contact Social Security and tell them that, or just don't appeal if you are turned down.

If you are not able to work, of course you should continue your claim.

If you are not positive that you will be able to continue to work, I suggest that you consider keeping your claim alive and talking to an attorney.

Take care and good luck.
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gloria

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Posted on Sunday, July 13, 2003 - 10:41 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

My disability insurer said that I was required to apply for SSD up to third level (the hearing level). I did so and have progressed to the point where I am awaiting a date for the hearing. Since I am now released for work and off disability do they still have the right to insist that I go through the hearing process or can I simply decline to go.
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Qaaree

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Posted on Tuesday, October 21, 2003 - 10:28 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

I recieved my last check on 10-07-03.I recieved a notice of exahaustion of disibility benifits. I've been on disibility for one year as of this mo. My disibility is job related post truamatic stress syndrome due to wrongful termination. I don't know what to do. I was told to contact my nearest SSA off. or state dept of rehabilitation?
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Paul McChesney (Admin)

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Posted on Sunday, October 26, 2003 - 7:01 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

Qaaree: I am not sure what kind of disability benefits you are getting, but they are not Social Security or SSI benefits; neither of these has a one year limit. Of course there are many other potential sources of disability benefits. It is impossible to tell what the rules of those sources might be.

It is almost always best to work if you can, but if you continue to be disabled, it probably makes sense for you to apply for Social Security Disability and SSI.

One moral of this for everyone is that it is not wise to sit back and draw some sort of benefit until it runs out; you need to be making plans for your future.
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Tangellea

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Posted on Tuesday, December 17, 2002 - 9:33 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

My mother had a stroke about nine month ago, for about six months she was receiving short term disability that has sense run out- her doctor has recommmend that she be placed on long term diabilty, but the process of aquiring this seems impossible; where should we begin.
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Paul McChesney (Admin)

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Posted on Saturday, December 21, 2002 - 6:15 am:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only) Ban Poster IP (Moderator/Admin only)

If the company will not co-operate, you have little choice but to go to an attorney.
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AW Miller

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Posted on Sunday, November 02, 2003 - 5:39 pm:   Edit Post Delete Post View Post/Check IP    Move Post (Moderator/Admin Only)