Unemployment Benefits and Social Security Disability Claims

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    Unemployment Benefits And Social Security Disability Claims

    Melissa Kenney, Esq., KP Law, P.C.

    May 27, 2014

    Your client believes she is too disabled to work and hasnt worked since her last job. You

    verified that fact on her last social security earnings statement. At the hearing, the ALJ raises her

    eyebrow. Your earnings record shows you received unemployment. Did you attest to

    unemployment that you could work?

    Are you prepared for this question? If you felt your heart dropping while reading this,

    you are one of many attorneys who face this issue.

    ALJs often decide against claimants because many ALJs believe that in order to qualify

    for unemployment, a claimant must attest that she or he is physically capable of working. ALJs

    reason that if a claimant receives unemployment, then the claimant is not credible. Claimantsdescribe many legitimate reasons why they apply for unemployment at the same time they file

    for disability. Reasons typically involve the urgent need for income, wishful thinking (Maybe I

    can find the perfect job that will let me take random rest breaks.), or being unaware of the effect

    receiving unemployment can have for a disability application.

    So did this client sabotage her case? Not necessarily.

    RESEARCH YOUR STATES UNEMPLOYMENT RULES.

    Your clients ALJ may not be aware that many states unemployment programs require

    claimants to seek both part-time and full-time work - the claimant must be ready to work in any

    capacity, not just full-time jobs.

    Each state sets its own unemployment rules. The first step you need to do is contact the

    states Unemployment Insurance division and look at the statutes governing work requirements.

    For example, many states reference the Code of Federal Regulations, Department of Labor

    which provides (emphasis added):

    An individual with a permanent or long-term physical or mental impairment (as

    defined at 29 CFR 1630.2(h)) which prevents the individual from working full-time or during

    particular shifts shall not be deemed unable to work solely on that basis so long as the individualremains available for some work.

    Social Security regulations themselves describe that the criteria for a disabling condition

    is the inability to work full-time. Under Social Security Ruling 96-8p, a claimant is considered

    disabled if that person is unable to perform regular and sustained full-time work, 8 hours a day, 5

    days per week, or an equivalent schedule. In evaluating whether your claimant satisfies the

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    disability criteria, the Commissioner must evaluate the claimants ability to work on a sustained

    basis. 20 C.F.R. 404.1512(a).

    For example, in Oregon, the Administrative rules 471-30-036(2)(b) define how:

    an individual shall be considered available for work if, at a minimum, he or she is:

    (b) Capable of accepting and reporting for any suitable work opportunities within the

    labor market in which work is being sought, including temporary and part-time opportunities

    Oregon Administrative Rules 471.30-036(3) (emphasis added).

    So if your clients state requires unemployment applicants to accept and report for any

    work, including part-time or temporary work, then your clients claim for social security

    disability is not in conflict if your client has a basis for being able to work only part-time. Only if

    your client was completely and totally unable to work would your client be barred from

    receiving unemployment benefits (and if she had been receiving them, may be required to payback the monies received).

    For purposes of unemployment insurance benefit eligibility, your client needs to certify

    that she is able to work only sporadically or on a part-time basis. At the hearing, your client will

    need to testify her state of mind in applying for unemployment, and should provide

    documentation or testimony describing to the ALJ her understanding that she was only required

    to search for part-time or temporary work.

    UNDERSTAND SSA REQUIRES CLAIMANTS TO APPLY FOR ALL ELIGIBLE

    BENEFITS.

    Indeed, if your claimant doesnt apply for unemployment, it can be used against her.

    Look at 20 C.F.R. 416.210(a), which explains that claimants must apply for all other benefits

    for which the claimant may be eligible. Other benefits include unemployment insurance

    benefits. 20 C.F.R. 416.210(b). In fact, SSI benefits may be suspended for failure to apply for

    all benefits. 20 C.F.R. 416.1330.

    At the hearing, your client will find it beneficial if you include in a closing statement (or

    interject somewhere) on the record informing the ALJ of SSAs regulation requiring claimants to

    apply for all eligible benefits which is the basis of your clients application for unemployment.

    KNOW YOUR REGIONS CASE LAW

    In Carmickle v. Commissioner, the ALJ found the claimant less credible because he

    received unemployment while alleging disability. The 9th

    Circuit reversed the decision on the

    grounds that the claimants record didnt establish whether the claimant held himself out as

    available for only part-time work, and as such, the ALJ didnt have a substantial basis to find the

    claimant less credible. Carmickle v. Commissioner, 533 F3d 1155 (9th Cir. 2008), citing

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    Copeland v. Bowen, 861 F.2d 536, 542 (9th Cir.1988); accord Schmidt v. Barnhart, 395 F.3d

    737, 745-46 (7th Cir.2005) (recognizing receipt of unemployment benefits could impact a

    claimant's disability claim). Furthermore, even the sporadic ability to work is not inconsistent

    with disability. See Leider v. Sullivan, 885 F.2d 291, 292 n.3 (5th Cir. 1989); Poulin v. Bowen,

    817 F.2d 865, 875 (D.C. Cir. 1987).

    To support your clients claim, your client must submit evidence demonstrating that she

    can only perform part-time work. Submit to Social Security a copy of her unemployment

    application, any letter or email to her unemployment case manager describing her limitations,

    and/or a doctors opinion letter describing that your client is able only to perform part-time work

    and is unable to physically perform full-time work due to her medically documented limitations.

    If you are in a state which permits searching for part-time work, breathe easier, knowing

    you helped your client by having evidence to show her circumstances met both unemployment

    and Social Security standards. Otherwise, discuss with your client whether she wants to refund

    her unemployment, change her onset date of disability, or proceed anyway knowing the risk.