Transcript Slide 1

Frank Toraño
Work Incentives Coordinator
South Florida Area
In Social Security
•We’re Listening
•We’re Learning
•We’re Responding
You’ll learn….
• The types of disability benefits SSA
offers
• The difference between them
and…
• How work affects the benefits you
receive
DEFINITION
•A physical or mental condition
•That keeps you from working
•It lasted or it’s expected to last
at least for 12 months or
result in death
A QUESTION FOR YOU..
•WHO CAN GET DISABILITY?
WHO CAN GET DISABILITY?
• Disabled Worker ( SSD )
• Disabled Adult Child ( SSD )
• Disabled Widow or Widower (SSD)
• Disabled person with low income and
low assets (SSI)
Who can get Disability?
SSI
• Low income
• $694 per month for individual in 2011
• $1,031 per month for couple in 2011
• Low assets
• $2,000 maximum for individual
• $3,000 maximum for couple
Special Issues for Children
• Parent’s income and assets are
deemed to under age 18 child living
with parents (SSI)
Can you get both?
SSD
Based on
someone's
work
D
I
S
A
B
I
L
I
T
Y
SSI
Low
income
Low
assets
MEDICAL BENEFITS
•MEDICARE
•MEDICAID
Medicare and Medicaid
SSD
Medicare
24 months
after
disability
starts
D
I
S
A
B
I
L
I
T
Y
SSI
Medicaid
No
waiting
period
TWO DISABILITY PROGRAMS
• Title II, Social Security, SSD, SSDI
MEDICARE
• Title XVI, Supplemental Security Income,
SSI
MEDICAID
How Work Affects SSD
Checks
SSDI Work Incentives
• Trial Work Period
• Expended Period of Eligibility
• IRWE’s
• Subsidy
• Unsuccessful Work Attempts
• Expedited Re Instatement
• Medicare Continuation
Trial Work Period
• 9 month trial work period
• Wages must be at least $720.00
to count as trial work month
• 9 months must be in 60 month
period
• SSA keeps paying the SSDI check
for the 9 months of the TWP
Red Book page 29
WORK ? SGA
•Substantial Gainful Activity
•SGA = WORK for SSDI
•WORK ≥ than $1,000.00 in
2010
Extended Period of Eligibility
• For 36 consecutive months
• IF YOU EARN MORE THAN $1,000 A
MONTH WE WILL NOT PAY YOU A
CHECK FOR THAT MONTH
• IF YOU EARN LESS THAN $1,000 WE
WILL PAY YOU FOR THAT MONTH.
RedBook page 29
Impairment Related Work Expense
•
•
•
•
•
•
Item enables work
Needed because of impairment
Not reimbursable from another source
Reasonable
Paid for by disabled person
Paid for in a month person was working
Redbook page 23
SUBSIDY & SPECIAL CONDITIONS
• Subsidy- support received from the
employer that may result in pay higher
than the actual value of the services
performed
• Special Conditions - provided by
someone other than the employer such
as a vocational rehabilitation agency
Unsuccessful Work Attempt
A work attempt that stopped or
earnings went below $1,000 after a
short time (6 months or less)
• Due to impairment
• Removal of special considerations
Redbook page 22
Work Incentives
TWP
•9 non consecutive months
•Checks paid no matter how much
$$$$$ you make
EPE
•36 consecutive months
•More than $1,000.00- no check
•Less than $1,000.00 – check is paid
Does Work Stop Medicare?
If you are still at disabled
• Medicare continues least 7 yrs & 9
months after trial work period ends
• After that, Medicare can be bought
Redbook page 32 - 33
Expedited Reinstatement
• Within 5 years of termination
• Same or related disability
• Pays 6 months benefits while a new
disability decision is being made
Redbook page 28
How Work Affects SSI
Checks
Smaller SSI checkSSI
Mucho $$$
Smaller SSI check
+ $2.00 - $1.00
How Work Effects SSI Checks
• Reduces check $1.00 for every $2.00 in
wages over $85.00 in a month
• Wages affect check 2 months after they
are paid
• Example $485.00 wages in June
•August check reduced $200.00
•Earned Income Exclusion=$85.00
+ $2.00 - $1.00
It Pays to Work!
• John’s SSI check
$674.00
• John gets a job &
will earn
$800.00 gross
wages monthly.
He has no other
income.
• We do not count
the first $85.00
$800.00
- $85.00
$715.00
•We count half of the
remainder
$715.00 ÷ 2 = $357.50
•John’s countable
income = $357.50
It Pays to Work!
$674.00 John’s SSI check
-$357.50 countable income
$316.50 SSI check
$800.00 Gross wages
+$316.50 SSI check
$1116.50
John’s income before working
John’s income after working
$674.00
$1116.50
Student Earned Income Exclusion
• Student under age 22
and regularly attending school
• We do not count the first $1,640
of earned income in a month up
to a calendar year maximum of
$6,600
(Effective January 2010)
Plan for Achieving
Self-Support
P.A.S.S.
What Is A PASS?
• SSI work incentive
• A plan to reach a specific work goal
• Can set aside income or an excess
resource to pay for things needed to
reach a work goal
ATLANTA REGION PASS CADRE
Social Security Administration
SEPSC
1200 Rev. Abraham Woods Jr. Blvd.
Birmingham, AL 35285-0001
Phone: 1-800-254-9489
FAX: 205-801-3367
What Happen to my
SSI/Medicaid ????
• If I become entitled to one of my
parents records to a $1,500 check
every month?
• What happen if I work and my SSI
check goes down to $0.00 or -$0.00?
If you become entitled on one of
your parents records..
•Your Medicaid will
continue if you
receive the money
from one of your
parents records
If check goes to $0.00 because
of WORK
•Your Medicaid will continue…..
The reporting requirements do not change
because of it.
SSA & SSI
Ticket to Work
• Social Security mails a paper ticket
• Must be 18 or older & receiving
benefits based on adult disability rules
• Most important…
• No medical review while using ticket
to work
• Reporting requirements do not change
Redbook page 26
What is MAXIMUS?
• MAXIMUS, INC. is a company that
helps Social Security run the ticket
program.
• MAXIMUS toll-free 1-866-968-7842
• TTY 1-866-833-2967
• Website is www.yourtickettowork.com
WIPA
• SSA has arranged for work incentives
planning and assistance services for
beneficiaries who reside in the areas
where there is currently no WIPA project
• The toll-free number is: 866-426-1132
9 a.m. to 7 p.m. Eastern Time.
Red Book, page 9
DISABILITY RIGHTS OF FLORIDA
Formerly the Advocacy Center for Persons with
Disabilities, Inc.
Organizations that provide beneficiaries
with information and legal advice on
Vocational Rehabilitation, employment
services or other work related matters
Tel 800-342-0823 Fax 850-617-6677
Thank You
[email protected]