FILE, FILE, WHO'S GOT THE FILE?
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In federal workers' compensation (OWCP) claims run by the US
Department of Labor (USDOL), the claimant's ability to prove her case against the
USDOL hinges on what is in her claims file.
That claims file is provided to the claimant by the
USDOL. The claims file may be on CD ROM,
in paper, or both.
It is very common for the CD rom file not to match the paper
file and vice versa. It is common for
the paper file to be missing pages. It
is common for the CD-rom to contain records from other unrelated claims.
So which file is the "official" file for a claimant in an
OWCP claim? The paper file or the CD-rom?
I directly submitted this question to the Director of OWCP
in Washington DC.
The response from the USDOL as to which one of the CD rom or
paper file is the "official" record for the claim was neither.
According to the response received this week from the USDOL,
the only "official" record for an OWCP claim is the electronically imaged file
stored in the USDOL databank. Neither
the paper file nor the CD-rom provided to the claimant or her representative is
considered the official record.
Obviously, this presents quite a problem for the claimant
when she must appeal her claim against the USDOL to the final authorities and
she is never provided an "official" copy of her entire claims file by the
USDOL. On such an appeal, the claimant
may or may not have all the documents she needs to present her appeal against
the USDOL, but only the USDOL which holds on to the only "official" file will
be privy to the information.
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WWW.LINEHANPC.COM |
November 4, 2007
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Greetings!
I am very pleased to announce further successes for persons who have been denied their SSA disability benefits.
In the first case below, the federal court found the SSA judge's reason for denial of diabetes as a disability as "meager" and recommended it be thrown out.
In the second claim, the SSA judge found that multiple chemical sensitivity can indeed be disabling and awarded benefits.
Read on for further details.
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FEDERAL COURT RECOMMENDS SSA'S DENIAL OF DIABETES
DISABILITY CLAIM BE REVERSED; CALLS SSA JUDGE'S DECISION MEAGER AND WHOLLY
INADEQUATE |
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SSA JUDGE REQUIRED TO ADEQUATELY DISCUSS REASONS FOR DECISION
I am very pleased to announce another favorable
recommendation of a US federal court to overrule and throw out a denial of
disability benefits by the SSA.
In this long and difficult claim, the claimant was a young
person who filed for disability in 2002.
He claimed disability due to his suffering from diabetes mellitus and
hypertension.
The SSA judge denied his claim. The SSA judge found that the claimant's
diabetes did not meet the SSA's definition of impairment.
On appeal to the federal court, we argued that the SSA judge
was wrong. We argued that the SSA judge
should have found that the claimant's diabetes met the definition required by
the SSA and that he was disabled for that reason. We argued that the SSA judge failed to
discuss and explain in detail why the claimant's condition did not meet the definition
of diabetes and was not disabled.
The federal court has agreed with our argument and has
recommended that the SSA denial be reversed and sent back for another hearing.
The federal court wholly agreed with our arguments that that
SSA's judge failed in her duty to discuss the evidence and "explain why" the claimant
was not disabled due to his diabetes.
The federal court further found that the SSA judge's "meager
discussion of the evidence [was] wholly inadequate" and was a summary
conclusion that failed to live up to acceptable standards of review.
The claim will go back to the SSA for another
hearing where the SSA Judge has been instructed to "adequately discuss her
conclusions" why the claimant should not be found as disabled.
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SSA FINDS MULTIPLE CHEMICAL SENSITIVITY AS
DISABLING; AWARDS BENEFITS WITHOUT FURTHER NEED OF HEARING |
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HYPERSENSITIVITY TO CHEMICALS FOUND DISABLING
This was a complicated case for a young person that I represented. The claimant had filed for social security
disability benefits with other counsel more than 5 years ago. He claimed he was disabled due to multiple
chemical sensitivity. This a relatively
new medical condition where he could not be around chemical fumes, odors, and
irritants. Some members of the medical
community are hesitant to recognize multiple chemical sensitivity as a disease.
With his first attorney, the SSA judge denied his claim. The SSA judge simply did not believe the
claim of multiple chemical sensitivity and ruled against the claimant finding
him capable to working.
Upon coming to my office, we appealed the claim to the US
federal Court. There we argued that the
SSA judge wrongly favored the medical reports of the SSA's paid medical doctors
over those of the claimant's own treating doctors. We also argued that SSA judge wrongly ignored
the claimant's multiple chemical sensitivity disorder and how that disorder
kept him from working.
The US federal Court agreed with our arguments and sent the
claim back to the SSA for another hearing.
We then proceeded to wait and prepare for another hearing
with the SSA. However, our wait and
preparations proved unnecessary.
After a few months time, the SSA judge, on his own, issued a
decision on the record stating that, no further hearing was necessary and that
the claimant was indeed disabled. The
SSA judge found that upon "careful consideration of the entire record", the
claimant did not have the ability to work due to fatigue, confusion and
cognitive dysfunction arising out of his underlying disorders. The SSA found that the claimant's "chemical
hypersensitivity" causes significant limitations in his ability to perform
basic work activities.
Full disability benefits were immediately awarded with no
further need of additional hearings.
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Trying to understand the laws and regulations
surrounding disability benefits can be incredibly confusing for the
layman. It's almost impossible unless you have devoted your education
and career to understanding this specific niche. If you want to cut
through the all the confusing obstacles that stand in your way, give
the offices of James R. Linehan a call as soon as possible. If too much
time passes, you could miss out on your Social Security Disability,
Federal Workers Compensation OWCP, or OPM medical retirement benefits.
Call today, toll free 1-800-266-9535 with your questions.
Sincerely,
James Linehan
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