Sunday, May 26, 2013

Social Security Disability and Supplemental Security (disability); there is a difference!




One of the common issues that I must explain to clients is the difference between supplemental security income (SSI) and social security disability insurance benefits (SSD,SSDI or DIB). Simply saying one is an earned benefit program and the other is a safety net program, really does not work.



The Social Security Administration offers two different types of disability benefits, namely Social Security Disability Insurance Benefits and Supplemental Security Income for the disabled.



SSI or Supplemental Security Income: The program is a nationwide federal welfare program providing monthly cash benefits to eligible needy individuals or couples who are aged, blind or disabled. It is administered by the social security administration to help people who have not worked and who are in need of medical health insurance and supplemental income to survive.



To be eligible for SSI, a claimant must be either age 65 or older, blind, or disabled. In addition, there are additional requirements of citizenship or qualified alien status and legal residence, limited income, and resources. If found disabled under SSI, unlike having been found disabled under DIB, there is no five month waiting period. The only waiting period before payment of SSI disability benefits is the month is the month of application, i.e. SSI disability benefits are available from the month following the month of application.



DIB or Disability Insurance Benefits: This system is similar to the SSI system, but was originally created to help out disabled workers. The difference between SSI and DIB is you have to have worked 20 out of the last 40 quarters (essentially 5 our of the last 10 years) and paid into social security with your taxes to be eligible. SSA will calculate a DLI or date last insured to determine when you will last be eligible for DIB benefits. There are several big advantages DIB provides over what SSI provides. One advantage is that DIB benefit cash payments are based on your income and are often significantly more each month than SSI only. Income earned at a much lower level reduces the amount of SSI received and the receipt is also determined after your other non-income resources are counted.



Unfortunately for some claimant's caught in the disability process. They may apply for SSDI benefits and be denied and appeal the denial as far as District Court and lose. They later file a new application only to find that even though they had worked their whole life, now that over five years have elapsed since last day of work, they are no longer eligible for SSDI benefits and have only SSI benefits to support them in their disabled condition prior to reaching retirement age.



In this vein, consider the case of Collier v Barnhart,473 F.3d 444(2nd Cir.2007) . Claire Collier had amyotrophic lateral sclerosis and on application for disability benefits was over 31 years of age. 20 CFR § 404.130(b). Ms. Collier had worked for 15 years from 1979 through 1994, she then left the work force to have and raise three children. During the period that she worked, she and her employer had contributed over $40,000.00 in Social Security and Medicare taxes. In 2003 she was diagnosed with ALS. Ms. Collier applied for disability benefits. She lost because she did not have sufficient work credits (an applicant above the age of 31 must have worked twenty of the previous forty quarters, i.e. 5 of the past 10 years). She brought a constitutional challenge to the recent work history requirements. She lost!
In summary consider the table provided in most part by the Social Security Administration.

Social Security Disability Insurance
Supplemental Security Income

A disabled or blind individual must have paid Social Security taxes for benefits.
A disabled or blind adult or child must meet all of the following categories:
1. Have limited income
If you are an individual:
  • you must have less than $2,000 in resources,
  • can only own 1 automobile,
  • can only own 1 home (must be your primary residence).
If you are married:
  • you must have less than $3,000 in resources,
  • can only own 1 automobile,
  • can only own 1 home (must be your primary residence).
If you qualify for SSI benefits, you also qualify for Medicaid.
SSI benefits can only be paid as far back as the month after you filed your application. So, if you filed an application in March 2008, your benefits can’t start until April 2008.
2.Be a U.S. citizen or national, or in one of certain categories of aliens; and
3.Live in the United States or Northern Mariana Islands.

The monthly disability benefit amount is based on the Social Security earnings record of the insured worker. 
The monthly payment is based on need and varies up to the maximum federal benefit rate. Some states add money to federal SSI payments.

The worker will get Medicare coverage automatically after receiving disability benefits for two years.
In most states, beneficiaries are automatically eligible for Medicaid.
(Not in Minnesota which imposes additional criteria. It is considered one of the (209(b) States.)








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