4.3 Expedited Reinstatement (EXR) Flashcards
“What is Expedited Reinstatement (EXR)?”
Answer: “A process allowing former SSDI or SSI beneficiaries to have benefits reinstated without a new application if their condition worsens within 5 years of benefit cessation.”
Explanation: “Claimants may receive up to 6 months of provisional benefits while SSA reviews the reinstatement request.”
Source: CFR §404.1592b.
“What are the requirements for EXR eligibility?”
Answer:
“1. The individual previously received SSDI or SSI benefits.”
“2. Benefits were terminated due to work activity.”
“3. The individual’s medical condition prevents SGA.”
Explanation: “This program provides a safety net for claimants attempting to reenter the workforce.”
Case Scenario: Paul’s SSDI benefits ceased in 2023 after he earned above the SGA limit. In 2025, Paul’s medical condition worsens, and he stops working. He requests reinstatement of his SSDI benefits.
Question: Is Paul eligible for Expedited Reinstatement (EXR)?
Answer: Yes, Paul is eligible for EXR because his condition worsened within five years of benefit cessation, and he is unable to engage in SGA.
Legal Explanation: EXR allows former beneficiaries to request reinstatement without reapplying if:
Benefits ceased due to work.
The individual cannot perform SGA due to the same or related impairment.
The request is made within five years of the benefit cessation date.
Paul also qualifies for provisional benefits while his EXR request is processed.
Expedited Reinstatement (EXR):
Allows reinstatement without reapplication within 5 years of benefit cessation.