Skip to main content

UNDERSTANDING SOCIAL SECURITY'S 5 STEP DISABILITY PROCESS

The law requires the Social Security Administration (SSA) to use a 5-step sequential process to determine whether a claimant qualifies for disability benefits.  Here are those 5 steps:

 STEP 1:  Is the claimant now working or engaged in Substantial Gainful Activity?  If working and earning at least $1,550 (2024), the claimant is gainfully employed and the disability claim will be denied.

STEP 2:  Does the claimant have a severe, medically-determinable impairment which significantly interferes with the ability to work--and has this impairment lasted for at least 12 straight months, is expected to last for at least 12 straight months OR to end in death?  If not, no benefit is payable.

STEP 3:  Does the claimant meet or equal one of Social Security's Blue Book Listings?  If so, the claim can be paid now.  If not, we move on to step 4.

STEP 4:  Can the claimant perform any of his/her past relevant work?  If so, the claim is denied.  Past Relevant Work in 2024 is defined as any work performed at substantial gainful activity level within the past 5 years prior to filing for disability, and was performed long enough to know how to do the work.

STEP 5:  If the claimant cannot perform past relevant work, is there any other work (which exists in substantial numbers) in the national economy that the claimant could do?  If yes, the claimant will be denied.

Step 5 trips up claimants who are under 50 years of age.  Just because these individuals cannot perform past work does not necessarily mean that they are disabled under SSA rules.  If they are able to perform other work (easier work) - they will still be denied.  For example:  A 47 year old construction worker may not be able to perform past work; however, he could work as a small parts inspector or eyeglass polisher.  He is not disabled under Social Security's rules.

Most claimants get denied at Step 5, because Social Security finds them able to perform "some work which exists in the US economy."  An experienced attorney or disability advocate may be able to get around this issue and get the benefit approved.  That would be one of the values of having a lawyer present at the disability hearing. (S)he can speak the legal language that the judge values and can cross examine the vocational witness to potentially exclude these "other jobs."    

 - - - - -  - - - - - - - - -  -

Charles W. Forsythe is a founding partner of The Forsythe Firm in Huntsville, AL and has assisted thousands of Social Security disability claimants in several states.  Free consultations are available by calling (256) 799-0297 or (256) 503-8151. 

Comments

Popular posts from this blog

WHAT YOU WILL BE ASKED AT A DISABILITY HEARING

Most Social Security disability claims will be denied twice:  First at the end of the Application process, and again after the "Reconsideration" process.  The third stop will be a hearing before a federal Administrative Law Judge (ALJ). It is here at the hearing level that most SSDI claims are paid.  So, what do you need to know about your Social Security disability hearing?     First, the judge will follow the rules established by the Social Security Administration.  His or her job is to determine whether you meet the particular laws and rules to receive disability payments.  So, it is a legal proceeding where you must prove certain things in order to get paid. Among the things you must prove:  Your insured status with Social Security:  You have worked recently enough and paid into the Social Security trust fund to gain the required "work credits" to support your claim.  You have a severe medical or mental impairment supported by adequa...

MISTAKES THAT RUIN A SOCIAL SECURITY DISABILITY APPLICATION

MISTAKES THAT RUIN A SOCIAL SECURITY DISABILITY APPLICATION  The paperwork for Social Security disability is daunting:  page after page of never-ending questions.  But, since most applications will be denied, it behooves you to complete the application correctly.  Here are some mistakes on your Social Security disability application that may ruin your claim.   Failing to Fill Out the Forms —The Social Security Administration (SSA) will send you a lot of forms to fill out. It’s up to you to make sure that you fill out every part of those forms correctly.  Don’t forget: if a question doesn’t apply to you, put “not applicable” or “N/A” in the provided space.   Do not leave anything blank. Return all forms within 10 days. If you don't your application may be discarded or withdrawn. Writing Illegibly —If your case reviewer can’t read your answers, then he/she can’t really say that you answered that question. Be sure the  answers to questions are nea...

WHAT TYPE OF DENIALS DOES SOCIAL SECURITY ISSUE?

In Social Security disability, the most common denials are medical denials.  This means that Social Security doesn't believe the medical evidence in your case meets the exacting standards for an award of disability.  There are technically two kinds of medical denials: 1.  You are able to perform some of your past relevant work.  They have looked at your work history for the past 15 years and judged that your medical conditions permit you to perform one or more of your past jobs.  This is what we call a "Step 4 denial." 2.  You are not able to perform any of your past work - but there is other work in the national economy that you are able to do.  This is called a "Step 5 denial" because it occurs at the 5th and final "step" in the decision making process. There are other types of denials, not nearly as common as the two above.  We sometimes think of these as "automatic" denials or "technical denials."  They are not medical decisions...