Children and benefits: Kids are NOT a meal ticket

July 22, 2009 · Filed Under General Legal Information, Social Security · Comment 

Alright, alright, BACK IT UP!  I know that someone is reading this title now and getting FIRED UP!  But before you tell me to “Go to HE…!!” or “GET OUT MY BUSINESS” or “DON’T TELL ME HOW TO RAISE MY KIDS”, slow your roll, pause and put it in reverse.

You need to understand that this country has hundreds of children who are great need of monetary benefits in order to receive the care and attention they deserve.  In addition, families who have children with various needs are tasked with a huge responsibility that many average persons can not relate.  So, I don’t want anyone to think that I am slamming people who attempt to obtain Social Security benefits on behalf of their children.

However,……(and you know there is HOWEVER), several years ago, I started hearing parents refer to disability checks obtained for kids as “CRAZY CHECKS”.  Now, this really throw me because I didn’t know what that meant.  After some discussions, I realized that there was a perception that the best way to obtain disabilty benefits for kids was through an allegation that they had a mental problem, it was possible to obtain Supplemental Security Income (a program under the Social Security Administration which provides needs based financial assistance and Medicaid insurance coverage for individuals including children).

As devastated as I was when I heard this, after a period of time, I observed that it wasn’t uncommon for some parents to utilize their children as a mechanism to receive additional financial assistance.    Interestingly enough, not alot of people like to talk about this because who is going to admit that they are trying to get money by using their kids.

Yes, it’s sad but it is a reality.  Some people are trying to get their “hustle on” and this way is just one way to do it.  However, when I speak to parents who have kids, I try my best to keep a few things in mind when they are attempting to get disability benefits for their children:

1) A DEDICATED ACCOUNT MAY KEEP YOU FROM RUNNING DIRTY! Some times, parents don’t realize that they are being analyzed when a determination of benefits has been made.  In some instances, Social Security may authorize the creation of a ‘dedicated account’.  A ‘dedicated account’ is an account that has very specific things that can be purchased and social security must be provided an accounting of those things.  These accounts are usually set up in situations where there is concern about the parents’ handling of the money.

2) YOUR MONEY makes a DIFFERENCE! Sometimes, parents forget that SSI benefits are NEED based so they think that if they get a big bonus or settlement from some other source, they will be riding high!  Unfortunately, this is NOT the case.  If you get money from SSI and you get a windfall of money, your SSI may be temporarily suspended until you spend the money down.

3) IF YOUR CHILD is REALLY SICK, treat them that way! Every now and then, I get a few parents who get the high pro glow because they think that once their child gets SSI benefits, they don’t need to do anything else.  Most of my parents who have kids, genuinely want to make sure that they keep getting the treatment and attention they need.  Remember, your child may get evaluated in the future by SSA.

4) ONE for ALL and ALL FOR ONE! NOT! Please don’t think that just because ONE of your kids got disability, that all of them can get it for the same thing.

5) 18 and OUT THE DOOR! Remember, in most cases, when the child reaches the age of 18, the child can now apply for SSI benefits as an adult (which means the parents no longer can control the money).

Like I said, I’m not trying to say that ALL parents run dirty.  I’ve represented hundreds of parents who’s kids genuinely need help and the parents are struggling to do the right thing.  However, it’s important that parents understand that their child is not a ‘pot of gold’ at the end of rainbow.

The little things that may affect your Social Security Benefits AFTER you win your case

July 9, 2009 · Filed Under Social Security · 16 Comments 

Watch out dere now! It’s PARTY TIME!  You’ve applied for disability benefits.  Now, after several months or several years of forms, doctor’s appointments, questions/answers, and waiting, you have FINALLY been approved.   YAAAAY!!  It’s amazing how people are so dedicated to doing what it takes to get their benefits.  After a long and stressful process, you have finally arrived.

Now here the comes the song you’ve been waiting for, “MONEY, MONEY, MONEY!!!”.

However……………………….

Here’s the part of the process that usually throws people off.  People don’t realize that there are ALOT of ‘little things’ that may effect not only HOW MUCH money you will get but it may also effect if you get any AT ALL!!!

Before you get ‘Coo Coo for Cocoa Puffs” and start counting all that “CHEDDAR” you THINK you’re going to get from the Disability process and all of that back pay, here’s a few things that you need to remember so you don’t get your feelings hurt:

1) WARRANTS. Most people know that if you’re in jail or incarcerated, you’re not entitled to benefits.  What most people don’t know is that if there is a WARRANT for your arrest, this warrant has the same effect as if you were arrested.  So what does that mean?  That means if there is a warrant for your arrest, the Social Security Administration may not administer your benefits until you get that Warrant resolved.     Get it fixed or  no money for you.

2) CHILD SUPPORT. Please don’t sit over and think that just because you are disabled, you are exempt from paying your child support.  Even more so, if you owe BACK child support, most states have arrangements through their Department of Revenue and the Social Security Administration to garnish some of your back pay.   So if you’re thinking you’re going to get a JAMMING back pay check but you owe child support, your check may be smaller than you think.

3) WORKERS COMPENSATION. Workers Compensation cases and Social Security Administration cases tend to go hand and hand.  However, in some instances, if the combined amount of mothly amount of your WC benefits and your SSA benefits is greater than 80% of your Average Current Earnings, you may see a REDUCTION in your benefits to compensate for the difference.

4) VETERANS BENEFITS. Veterans benefits fall into two separate categories:  Service Connected and Non Service Connected.   If you are receiving Service Connected benefits, you may not see an impact on your Disability Insurance Benefits (SSI is totally different.  Go to Bullet 15 for a discussion).  However, if the benefits of the VA are NON service connected, these benefits may possibly reduce the amount of DIB benefits you’re entitled to receive.

5) LONG TERM / SHORT TERM DISABILITY BENEFITS. This portion is usually very tricky because every Long Term / Short Term Disability policy is different.   It’s important to ask your disability carrier what impact receiving SSA benefits will have on your LTD/STD policy.  For some policies, it’s a one to one reimbursement.  This reimbursements means if they were paying you during months when SSA should have been paying you, they want their money back for that period.  So, for instance, if your LTD/STD carrier was paying you $1000 a month from Jan. 2008 to Jan. 2009 and you get SSA benefits retroactive from Jan. 2008 in the amount of $1200, your carrier MIGHT require a reimbursement for the same time period.  Check your carrier just to make sure.

6) WORK & SSA don’t always mix.  I always have at least one or two people who want to be slick and try to draw a disability check and work a little bit at the same time.  The SSA does allow for what is called “A trial work period” (Please comment if you want me to discuss that in greater detail).  However, after a certain period of time, SSA may wonder if you are REALLY disabled or not.

7) MEDICARE. If you’re getting Social Security Disability, you may be entitled to receive MEDICARE.  Medicare is NOT free.   A small portion of money is taken out of your check every month in order to pay for your medicare.  If you choose to NOT take it and ask for it later, you may face a penalty.

8) CDR. For those of you who don’t recognize this acronmym, it’s called a CONTINUING DISABILITY REVIEW.   It’s like this, Social Security doesn’t expect you to be disabled FOREVER so they are going to come back at some point in time (Usually more than once) to determine if you are STILL disabled.  If you’ve gotten better, your check may STOP!

9) FEDERAL DEBTS. Recognize, if you OWE the federal government some money, they gonna GET their money.  Don’t think that the government will totally excuse your debt because you’re on disability.

10) SOCIAL SECURITY FRAUD. Most people bust their butts in order to properly demonstrate that they are disabled.  However, there are a FEW people out there who are trying to get their HUSTLE on!  Recognize that Social Security has a department dedicated to investigating fraud.  As such, if you are attempting to defraud Social Security, don’t think you won’t get caught.

11) WINFALL. Now, this particular point really applies more to Supplemental Security Income.   A WINFALL is when you get a big lump sum of money unexpectantly.  This money could be an inheritance, a settlement, or even the lottery.   Now, you’re sitting there with a monthly check and a big sum of money and you’re thinking, BOOM, I’ll just live on my monthly SSI check and ride out with my money in the bank.   Unless you have your LUMP SUM of money in some type of special needs trust, that money will be counted against your SSI.  What does that mean?  THis means until you spend the money down to a particular amount, SSI won’t pay you a DIME!

12) SUSPENSION / TERMINATION. Some of the things that I am addressing may result in your disability benefits being temporarily discontinued.  This process is called SUSPENSION.  SSA may suspend paying your benefits until you have resolved whatever issue that is effecting your case.  However, this suspension is not permanent.   If you have not resolved your siutation after a certain period of time, SSA may terminate your benefits.  What does that mean?  You have to start over!

13) REPRESENTATIVE PAYEE.  This portion doesn’t have to focus so much on how much you get paid as much it focuses on WHO is responsible for your money.  If you’ve had issues with money in the past, or some psychological issues, or some cognitive issues due to significant pain medications, or you’ve had problems with drugs and alcohol, SSA may determine that someone else needs to handle your money.

14) DEDICATED ACCOUNTS. These accounts are typically utilized in kids ‘ cases.  These accounts are tricky because if SSA determines you need to set one up, the requirements for maintaining these accounts are very detailed.  You have to be very careful as to what you spend the money.

15) SSI & everything.  Most people don’t realize that SSI is a “NEED BASED PROGRAM”.  In other words, if you have money coming from other sources, you don’t NEED the money from SSI (and this includes other SSA disability programs).

16) LUMP SUM MAY NOT BE LUMP SUM. Ok, here’s the tricky part.  Most people don’t realize that even though you may win your case, you may not get as MUCH money as you think.   Here’s an example.  Say, you applied for SSI benefits on Jan. 1, 2009 for the first time but you said you had been disabled since Jan. 1, 2005.  So SSA approves you.   So you think you’re getting all the way back to Jan. 1, 2005, right?  WRONG!  SSI only pays from the date of the application so your lump sum would be from Jan. 1, 2009 to the present.  Let’s use the same example but you applied under DIB.  Under the DIB program, you’re entitled to go back before the date of the application.  So you think you’re getting all the way back to Jan.   1, 2006, right?  WRONG!! DIB only pays up to one year before the application so at best, you’re going to get money from Jan. 1, 2008 to present.

17) COUNTY REIMBURSEMENT. Some Counties, in an attempt to work with those persons who are unable to work, have arrangements with the Social Security Administration.  As a result, if you find yourself receiving some type of housing assistance, SSA may automatically deduct money from your benefits (typically the SSI benefits) in order to ensure the County is reimbursed.

18) JAILS / PRISONS. As I stated above (Bullet #1), if you’re incarcerated, you are not entitled to receive SSA benefits.  This point gets tricky if you find yourself being arrested because you may not have time to notify SSA.  It’s important that your loved ones notify SSA as soon as possible because if you come out and you are still getting benefits, you may owe the government for the time you were incarcerated.

19) APPEALS OF PARTIALLY FAVORABLE DECISIONS. Partially Favorable Decisions or PFD are decisions by the Social Security Administration.  These decisions are the governments way of saying that you are disabled but not for the length of time or time period that YOU think you are.   You have the right to appeal this decision if you don’t agree.  If you do, 3 things can happen.  One, you can win and get the entire period you asked for in the beginning.  Two, you can lose and SSA and social security will leave your benefits the way they are.  Three, SSA can determine that they were wrong and that you were never entitled to benefits.  This part is really tricky because if SSA thinks you should have been awarded benefits to begin with, you may have to reimburse SSA for everything they gave you.

I know I covered alot of information but I spend alot of times explaining to people why their benefits are impacted after they’ve gone through a lengthy process to get them.  I hope this helps you.