Posts Tagged ‘Social Security Disability Insurance’

Medicare Advantage Safe… For Now

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icon-medicareIn a story that was picked up by most major news publications, the Centers for Medicare & Medicaid Services (CMS) released its final 2014 payments rates for Medicare Advantage plans this week.  Fortunately for Medicare beneficiaries who rely on Medicare Advantage for affordable health insurance coverage, CMS factored in a positive 3.3% growth rate for the plans (thus, increasing funding), rather than the anticipated negative 2.2% adjustment that had been publicized severals months back. 

America’s Health Insurance Plans (AHIP) President and CEO Karen Ignani released the following statement in response to the announcement:

“By being responsive to the more than 160 members of Congress from both parties who raised concerns about the impact of the proposed payment rate on seniors, CMS has taken an important step to help stabilize Medicare Advantage at a time when the program is facing significant challenges.  We are currently reviewing the final rate announcement and will continue to work with policymakers in both parties to strengthen this critically important part of Medicare that provides high-quality, affordable coverage to more than 14 million seniors and people with disabilities.”

At The Advocator Group, we work mainly with disabled Medicare beneficiaries who are under the age of 65 and living on the fixed income provided by Social Security Disability Insurance benefits.  For these individuals, Medicare Advantage represents the most cost-efficient and accessible type of plan.  In fact, about 90% of our clients decide to enroll in Medicare Advantage plans over other options available to them.  That being the case, any changes to the Medicare Advantage program are of significant interest to us, as well as to our clients. 

While the Affordable Care Act still includes provisions that make major changes to how Medicare Advantage plans are funded, it appears that the plans, and more importantly the beneficiaries who rely on them, are safe… for now.

Consortium for Citizens with Disabilities Responds to NPR

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Great response from CCD to the recent story aired by National Public Radio on the Social Security Disability Insurance program – “Unfit” for NPR — Let’s Get the Facts Straight on Disability.

The introduction to CCD’s six-page response:

The undersigned members of the Consortium for Citizens with Disabilities and the SSI Coalition for Children and Families, joined by the Coalition on Human Needs, the Children’s Leadership Council, and other organizations, are concerned that a series recently aired on National Public Radio (“Unfit for Work: The Startling Rise of Disability in America” and accompanying This American Life episode “Trends With Benefits”, both reported by Chana Joffe-Walt) paints a misleading and inaccurate picture of the Social Security programs that serve as a vital lifeline for millions of Americans with severe disabilities.  We applaud the goal of putting a face on programs that are often discussed only in terms of statistics and numbers.  Unfortunately Ms. Joffe-Walt’s reporting fails to tell the whole story and perpetuates dangerous myths about the Social Security disability programs and the people they help.

“The Consortium for Citizens with Disabilities is a coalition of approximately 100 national disability organizations working together to advocate for national public policy that ensures the self determination, independence, empowerment, integration and inclusion of children and adults with disabilities in all aspects of society.” – (http://www.c-c-d.org/

House Subcommittee Examines Disability Program’s Financing Challenges

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On March 14, 2013, the House Committee on Ways and Means Subcommittee on Social Security held a public hearing to address the financing challenges facing the Social Security Disability Insurance program.  In announcing the hearing, Chairman Sam Johnson (R-TX) provided the following statement – “Disabilities can have a devastating effect on workers and their families.  Disability benefits provide vital income during times of uncertainty.  We already know the disability program’s broken process makes people wait too long and that decisions can depend more on who is making the decision than what is the right decision.  Even worse, in just three years disability beneficiaries will face a 21 percent benefit cut, if Congress doesn’t act.  We must get serious and fix this program.” (more…)

13 For ’13 (A list of things we think will happen next year)

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From increasing backlogs to new hearing scheduling processes to anticipating the impact of the presidential election, 2012 brought its fair share of challenges and uncertainties for those who deal regularly with the Social Security Administration.  Additionally, heightened scrutiny on the viability of the Social Security Disability Insurance program and one-sided criticism of those who adjudicate disability claims created a tumultuous environment for everyone involved in the process, including claimants, representatives, Social Security employees, and even organizations such as employers and long-term disability carriers who refer individuals for SSDI application and assistance. 

 While the end of the year is often a time for reflection on the successes and challenges of the last twelve months, it is also a time to look ahead to the new year and consider the challenges that are likely to come our way.  With that in mind, we hope you enjoy today’s post:  13 For ’13.

1.  Reduced hours at SSA will likely result in poorer customer service and longer waiting times:  After announcing plans to reduce its workforce by 9,000 back in August, the Social Security Administration announced in November that it would reduce field office hours beginning immediately.  Starting in November, all 1,233 offices began closing to the public 30 minutes earlier than normal and as of January 2, 2013, the offices will close to the public at noon on Wednesdays.  While the majority of Advocator clients never have to visit a Social Security field office in order to apply for and be approved for benefits, this change will impact our ability to conduct status checks and other critical business with Social Security.

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More Speculation on the Future of Social Security

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According to a report released by the Congressional Budget Office (“CBO”) on October 2, 2012 (the report can be found here), the Social Security Disability Insurance (“SSDI”) trust fund will be exhausted in fiscal year 2016 under current law.  According to the report, if a “trust fund’s balance falls to zero and current revenues are insufficient to cover the benefits that are specified in law, the Social Security Administration does not have legal authority to pay full benefits when they are due.”  

To better understand the situation, it is helpful to have a slightly more thorough understanding of how the Social Security trust funds work:

Revenues from the taxes we pay, along with interest earned by the funds held by the government, are credited to Social Security’s two trust funds – one trust fund is for retirement benefits and the other is for disability benefits – and the benefits received by retired and disabled individuals are paid from those funds on a monthly basis.  While the two trust funds are legally separate, the funds are often described collectively as the OASDI trust funds and in practice, funds from one trust fund can be transferred to the other trust fund when necessary. 

In 2010, for the first time since 1983, annual payments made out of the trust funds exceeded the amount of taxes that were paid into the trust funds, essentially meaning that the trust funds lost money.  Then, in 2011, payments exceeded tax revenues by 4%, meaning that the trust funds lost money again.  According to last week’s CBO report, this gap will average about 10% each year over the next decade.  Why?  It is simply a matter of demographics – each time a baby-boomer reaches retirement age or is forced to rely on disability benefits due to a life changing injury or illness, the trust funds take on an additional payment and lose a tax payer.  “As a result, the gap will grow larger in the 2020s and will exceed 20 percent of revenues by 2030.”

While the idea that Social Security may eventually have to start paying reduced benefits is a critical issue and one that has received a lot of attention as of late, there is an important sentence in the report that identifies the simplest potential solution to the problem – “In 1994, legislation redirected revenues from the OASI trust fund to prevent the imminent exhaustion of the DI trust fund.”  The fact is, this has happened before and there are a number of strategies that can be employed to ensure that the disability trust fund does not become insolvent and that those who rely on Social Security benefits for monthly income do not see a reduction in benefits.  From slightly raising the retirement age, to slightly tweaking the Social Security tax rate, to the most obvious solution of shifting resources from one trust fund to the other, the majority of policy experts have recognized that the long term problem can be fixed relatively easily. 

Having helped thousands of tax paying workers forced to rely on Social Security benefits while recovering from a life changing disability, any potential reduction in these benefits is of significant interest to us.  As always, we will continue to keep an eye out for any additional information and report back as it becomes available. 

Tight Budget Equals Reduced Hours at SSA

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After announcing plans to reduce its workforce by 9,000 employees just a couple months ago, the Social Security Administration has now publicized an additional plan to reduce field office hours as of November 19, 2012.  Starting then, all 1,233 offices will close to the public 30 minutes earlier than they currently do.  Additionally, as of January 2, 2013, the offices will close to the public at noon on Wednesdays.

According to an October 3, 2012 article in the Federal Times, “[t]he changes are aimed at cutting overtime use by allowing field office staff to complete interviews and claims work within regular hours,” however the result is that the public will have less opportunity for face-to-face contact with agency employees.  Essentially, the changes put a fine point on SSA leadership’s recent push to transition from face-to-face interactions between the agency and the public to more reliance on the internet and telephone services.   

While these changes come as no surprise given last week’s Presidential stop-gap spending bill, they represent yet another blow to SSA employees whose base pay has already been frozen for the last two years.  However, the changes also create an additional roadblock for the public.  As it is, SSA employees face the overwhelming challenge of attempting to adjudicate a growing number of claims while also conducting initial interviews and completing intake of new claims.  The shortened hours undoubtedly result in a rising flood of visitors during open hours, leading to additional challenges in processing claims work and ultimately leading to further delays for individuals who are applying for disability benefits. 

While the majority of our clients never have to visit a Social Security field office in order to apply for and be approved for SSDI benefits, it could ultimately result in increased delays in field office processing times.  We are always monitoring turnaround times and processing times and will continue to do so in light of these changes taking place in November.

Mandated Electronic Appeals

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On the technology front, the Social Security Administration is making efforts to streamline its methods for processing the increasing volume of appeal requests resulting from denials at the Initial Application and Reconsideration levels of the process. A recent Social Security regulation, effective March 16, 2012, requires appointed representatives to file appeals, including Reconsideration requests and Requests for Hearing, online using Social Security’s electronic systems. This is the first service required under a prior regulation published on September 12, 2011 (76 FR 56107), Requiring Use of Electronic Services. According to the regulation, “[a] representative has an affirmative duty to comply with this requirement” and the agency “may investigate to determine if a representative purposefully violated this duty or is attempting to circumvent” the rules. While there are certainly a number of limitations in SSA’s online systems, The Advocator Group has incorporated this change into its current workflow and is prepared to comply with the regulation immediately.

Social Security Zeroes in on Backlogs

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In a message to all Social Security Administration (SSA) and Disability Determination Services (DDS) employees dated Wednesday, February 8, 2012, the agency’s commissioner announced a renewed emphasis and focus on reducing the long standing backlogs of Social Security Disability Insurance (SSDI) claimants awaiting administrative hearings. According to the message, a lower level of funding, combined with “substantially more people filing hearing requests,” requires the agency to shift resources. Specifically, the commissioner has “asked some employees who have been helping the State agencies to redirect their support to hearing offices.”

 In addition to decreased funding and increased levels of hearing requests, Social Security has experienced an extraordinary decrease in staffing over the past several years. In fact, it saw a “net loss of over 4,000 Federal and State employees in FY 2011″ and anticipates a net loss of over 3,000 employees in FY 2012. While initial applications and appeal filings continue to rise as the Baby Boomers age into their disability prone years, SSA now has the same number of employees that it had in 2007.

Disabled and preparing for the 2012 tax season

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Right now, it’s time to start thinking about the holiday season. And then, before you know it, you’ll be gearing up for tax season. This means moving from celebration and family into less joyful, personal finance calculations. It’s a necessary chore for everyone. But if this is your first year collecting Social Security Disability Insurance (SSDI), then you probably have some questions. We have some answers.

Now before we get into this, we just want to remind you that we are SSDI experts, not tax experts or advisers. So, what you are about to read is not tax advice. It’s just what we know about this issue.

I’m sure your first question is: Are my Social Security benefits taxable? The quick answer to that is yes. All Social Security benefits, with the exception of Supplemental Security Income, are subject to being taxed.

That said, Social Security provides a safety net that will help protect you from having your benefits eroded by taxes. The good news is that only about one-third of Social Security beneficiaries are currently paying taxes on their benefits.

For SSDI, the golden rule is: Low-income beneficiaries are generally not taxed at all, and all others will never be required to pay taxes on 100 percent of the Social Security benefits received on an annual basis.

As of the last publications by the IRS  in 2010, here’s how things break down:

  • Individual tax return. If you are the sole provider in your household and file your tax return as an individual, then the bar is set at $25,000. If you make that amount or less, your benefits will not be taxed. If you make more as an individual, anywhere from $25,000 to $34,000, then half of your benefits will be taxed.
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The Advocator Group blog claims a spot in the blogosphere

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Since our first post last month, The Advocator Group has been striving to provide resources to help people who need benefits such as Social Security Disability Insurance (SSDI), or are currently making their way through the Social Security system, and struggling  for themselves or a loved one.

This morning, we formally announced The Advocator Group blog.  Here’s a copy of the release that we put on the wire services today.

Thank you for being one of our first readers, and we look forward to helping you and many more who learn about us through this press release.

 


Social Security Advocates take to the Blogosphere to Help Disabled Workers

The Advocator Group launches a new blog to educate and inform people about the world of SSDI

October 13, 2011 09:03 AM Eastern Daylight Time

WAKEFIELD, Mass.–(EON: Enhanced Online News)–More than 10 million disabled workers and their dependents rely on Social Security Disability Insurance (SSDI) as a source of monthly income. For those not already in the program, however, qualifying for SSDI requires an amount of time, effort, and attention to detail that is daunting for a healthy person, let alone someone who struggles with a disability. In an effort to ease this burden, The Advocator Group’s new blog provides a resource to educate people about how to navigate the system. The initial posts include: (more…)