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8/9/24 > 8/9/24 > Flashcards

8/9/24 Flashcards

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
Q

DI

A

Disabled Individual

26
Q

DS

A

Disabled Spouse

27
Q

BI

A

Blind Individual

28
Q

DC

A

Disabled Child

29
Q

MQGE

A

Medicare Qualified Government Employee

30
Q

PD

A

Presumptive Disability

31
Q

SGA

A

Substantial Gainful Activity

32
Q

UWA

A

Unsuccessful Work Attempt

33
Q

SSA

A

Social Security Administration

34
Q

ALJ

A

Administrative Law Judge

35
Q

3367

A

Contains information regarding past filings, any FO observations

36
Q

3368

A

Application for Disability; Contains allegations, education, work history, treating sources, medications, etc

37
Q

823

A

Combo of 820 and 821

38
Q

820

A

Used for self-employment

39
Q

821

A

Used for regular employment

40
Q

DIB Facts

A

-Filing on their own SSN record/ earnings history
-Disabled workers up to full retirement age
-With 20/40 quarters of coverage

41
Q

DWB Facts

A

-Filing on deceased spouse’s SSN record/earning history
-Widows/Widower’s aged 50-60

42
Q

DWB for Medicare Only Facts

A

-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
Q

CDB Facts

A

-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
Q

CDB Facts

A

-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
Q

MQGE Facts

A

-Federal employee
-No cash benefits awarded, for Medicare benefits only
-Aged 65 or older or has ESRD
-Very rare

46
Q

DI Facts

A

Age 18 or older adults

47
Q

DS Facts

A

-Husband or wife has previously filed for disability
-Doesn’t mean the spouse was awarded benefits

48
Q

DC Facts

A

-Under age 18
-Different standard for evaluating claims
-You don’t have to work them yet

49
Q

AI Facts

A

-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)

8/9/24 (6 decks)

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