Skip to main content

THE 5-STEP DISABILITY DETERMINATION GUIDE

Social Security uses a mandatory 5-step decision making process in disability claims.

STEP 1:  Is the claimant now working at substantial gainful activity?

    YES:  Claim denied         NO:  Move to Step 2

STEP 2:  Does the claimant have a medically determinable severe impairment that has lasted for 12 straight months, is expected to last for 12 straight months OR to end in death?

    YES:  Move to Step 3       No:  Claim denied

STEP 3:  Does the claimant meet or equal a Listing?

    YES:  Claim approved.      No:  Move to Step 4

STEP 4: Can the claimant perform any past relevant work? **

    YES:  Claim denied. **      No:  Move to Step 5

STEP 5:  Is there other work in significant numbers in the national economy that the claimant can still perform?

    YES: Claim denied.             No:  Claim approved

Very few claims get approved at Step 3 because very few claimants can meet or equal a Social Security Listing. Contrary to popular belief, very few claims are paid at Step 3 because a Listing is very difficult to meet.

Most claims are decided at either Step 4 or Step 5.  

** It is possible for a claim to be approved at Step 4 under the grid rules if the claimant is at least 50 years of age and cannot perform any past relevant work.  Claimants under age 50, or those who have non-exertional impairments, cannot qualify under a grid rule.

The rules for Social Security disability are quite complex.  The Forsythe Firm in Huntsville, AL provides free consultations and will never charge a fee unless you win your claim with past due benefits.  For a free consultation please call (256) 799-0297.


Comments

Popular posts from this blog

RED FLAGS IN SOCIAL SECURITY DISABILITY CASES

  RED FLAGS IN A SOCIAL SECURITY DISABILITY CASE A red flag is something that causes concern or raises a problem in a Social Security disability case.   In short, it’s something that may get the claim denied or cause a big problem. Here are some of the red flags that we see crop up: ·          Work after the alleged onset date (AOD).   Since the process takes so long, many claimants feel that they are forced to return to work for income.   Social Security often sees this as a sign that the claimant is not disabled. ·          Severe substance abuse.   Chronic and frequent abuse of drugs or alcohol can pose problems. ·           A skimpy work record.   A claimant who has worked very little or has jumped from job to job frequently may not have good credibility. ·          Quitting wo...

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...

HOW TO COMPLETE A FUNCTION REPORT OR ACTIVITIES OF DAILY LIVING FORM

After you apply for Social Security Disability (SSDI), you will be sent a FUNCTION REPORT to fill out and return.  This form asks a lot of very detailed questions about your daily activities:  driving, cooking, cleaning, dressing, visiting others, hobbies, etc. The Social Security Administration will use your answers to determine whether you can work or not.  You must show on this Function Report that you have limitations that do not permit you to work a full-time job.  You do this by showing your limitations in activities of daily living. Your goal in the Function Report is to show the struggles and challenges you have with everyday life.  It may not be sufficient to answer a question with "Yes" and fail to explain. For example:  "Can you drive?"  If you answer "Yes," Social Security will assume that your ability to drive is unlimited:  you can drive anytime, anywhere and as often or as far as you want.  That may not be true and would need t...