Veterans Affairs Issuing Impairment Protocol

My name is Gideon Miller, and I’m going to explain to you how ratings are issued by the VA, for multiple impairments including Post-Traumatic Stress Disorder. Multiple impairments are not simply added up to obtain a novel rating in a VA claim. Each decreasing impairment is seen as a percentage of what is left. For example, a 15% impairment leaves you with 85% remaining. A further 10% impairment is taken against the 85% to yield an additional 8.5% rating.  And the total of 18.5% would usually be rounded to 20%.

However, the VA can also pay a benefit greater than the 100% rating amount for cases of Individual Unemployability or IU. To qualify, you must have at least one service-connected disability rated at 60%, or alternatively, two or more service-connected disabilities with at least one disability rating at 40% or more, with a combined rating of 70% or more.  You must be unable to maintain substantially gainful employment as a result of your service-connected disability.

Individual Unemployability & Post-Traumatic Stress Disorder

Marginal employment such as odd jobs, is not considered substantial gainful employment for VA purposes. While Individual Unemployability can come from many combinations of impairments, it is frequently associated with claims for Post-Traumatic Stress Disorder. Due to the great deal of attention this condition has received in the past 10 to 15 years, there are now a number of presumptions in favor of a diagnosis of Post-Traumatic Stress Disorder.

For example, if you’ve served in combat, and you can prove that your PTSD is related to that combat experience, the presumption applies. But even if you think you meet one of the presumptive causes, there may still be difficulty showing the existence of the stressor to the VA satisfaction. You may be found to have a service-connected disability for Post-Traumatic Stress Disorder from a stressor that is not among the presumption. However, in that case, you will need a medical report connecting the stressor and the diagnosis called a Nexus Report. Nexus reports are needed for any condition for which a presumption does not exist in the law.

Exposure to Agent Orange

The other major condition for which there are presumptions, is for Vietnam arrow exposure of the Agent Orange. Proof of exposure to Agent Orange, and a diagnosis of certain conditions such as diabetes or leukemia, allow for a finding of service connection.  However, in any of the presumptive service-connected impairments, the rating is still subject to the usual factors.

By: Gideon J. Miller

Hi. I’m Lew Insler from Insler & Hermann. In this video we’re going to talk about what your attorney will do for you as you retain him to handle your social security disability case. People who receive social security disability are often receiving other benefits, and one of the most important things we do for you, is explain how those benefits relate to each other. You may be getting long-term disability; you may be getting a pension from your employer or from your union. You’re getting Medicare or Medicaid, you may be getting workers compensation. We are well versed and well able to explain the individual benefit relationships that apply to your case. Once your hearing is scheduled, we’re going to meet with you and prepare you for your hearing. We’ll go through the hearing in general, and then case by case, and we’ll talk a little bit about the particular judge that’s handling your case, because we know the judges, and we know the questions that they’re going to be asking you. If there are any expert witnesses at your hearing, we’ll be preparing to cross-examine them based on what we know about your case and your medical records. In addition to being with you at the hearing, getting you ready for the hearing, both before and after the hearing, we may have to file memorandums with the judges.  If we’re not successful at the hearing, we will file an appeal, and we also will determine whether or not a new claim should be filed, sometimes in addition to the claim that we’re appealing, sometimes instead of appealing.

By: Lew Insler

Why Should I Review My Award Notice?

Reviewing the award notice that you get after a favorable decision is probably the single most important thing that we do. The award notices often contain errors. They can misstate the amount of time you are entitled to retroactive benefits. They can be wrong on the amount of benefits you’re supposed to get going forward, due to things like workers compensation offsets, and they can forget to discuss your auxiliary benefits – benefits that you are due for dependent children. Reviewing those records is something that we do very, very closely in order to maximize your benefits.

By: Lew Insler

 Eligibility Requirements for Disability Benefits

Are you disabled? Does your disability prevent you from working? You may be eligible for social security disability benefits. Insler & Hermann knows that it’s not easy to apply for social security disability. We can help.

Most people are denied the first time they try

Call us today and let us help you get the disability benefits you deserve. We’re with you every step of the way. The sooner you meet with us, the sooner we can help you receive the benefits you deserve. We don’t get paid unless you win. Be our next success story.

By: Lew Insler

Qualifications for Occupational Disability Annuity

Hi, I’m Gabe Herman, and today we are going to speak about the difference between occupational disability and total disability under the Railroad Retirement Act. In order to be eligible for an occupational disability annuity, you need to be unable to work in your regular railroad job. While you might be able to do other work, the railroad is concerned specifically about the job you did for them.

In addition, you have to have a current railroad connection with either 240 months of creditable railroad service, which comes to 20 years in, or be at least 60 years old with 120 months of creditable railroad service, which is a ten year tenure. In addition, you have to be permanently disabled from the work you did in your regular railroad occupation. Regular railroad occupation is the job you did in the last few years that you were working for the railroad. For example, if you were a conductor, you have to be unable to do the jobs that the railroad requires a conductor to be able to do. If you were an engineer, you have to be unable to drive a train. If you worked in the office, you have to be unable to do the office work, whether it was clerical or computer or ticket taking.

Qualifications for Total Disability Annuity

If you have not worked for 20 years with the railroad, or if you are not over 60 and have 10 years in, the benefit that you are eligible from the railroad is the total and permanent disability annuity. In that case, you have to be unable to work in any kind of job at all. An additional qualification is you have to have at least 120 months of creditable railroad service and be permanently and totally disabled from any kind of regular work. If you don’t have 20 years into the railroad, but you have over 10 years of work with the railroad, and you are unable to work in any capacity at all, you might be eligible for a total and permanent disability annuity.

Again, you have to be unable to work in any other kind of job to qualify. Not just the work you did for the railroad, but any other work. You have to stop all work, but you do not have to have a current connection to the railroad. You should consult with an attorney to determine which kind of benefit is appropriate for you to seek, and exactly what you must do in order to be eligible for that benefit.

By: Gabe Hermann

Railroad Retirement Act Benefits

Hi, I’m Gabe Herman, and today we’re going to speak about what benefits are available under the Railroad Retirement Act that are different from those received from Social Security. The Railroad Retirement Act provides for two kinds of benefits to railroad employees: tier one benefits and tier two benefits.

Tier One & Tier Two Benefits

A tier one benefit corresponds neatly with the benefits that a claimant would collect under the Social Security Act. Tier two benefits, on the other hand, are a pension benefit unique to railroad workers who retire or are rewarded a disability annuity. The combined tier one and tier two benefits are generally higher than what a Social Security beneficiary would collect.

Dual Benefit Reduction

If somebody is eligible for both Social Security and railroad benefits because of their work history, that person will only get the larger benefit, whether it is the Social Security benefit or the railroad benefit. This reduction occurs because benefits are based on combining railroad and Social Security credits, figured under Social Security’s formulas, and reflects what Social Security would pay if railroad work were covered by that system.

The dual-benefit reduction follows the principles of Social Security under which a beneficiary receives only the higher of any two benefits that are payable. Railroad retirement benefits rise with cost-of-living adjustments at the same rate and at the same time that Social Security benefits increase. Generally, tier one benefits are calculated using the same formulas as Social Security benefits.

By: Gabe Hermann

VA Disability Compensation Requirements

My name is Gideon Miller. Today we’re going to talk about what a veteran must prove in order to get VA disability compensation. To receive veteran’s disability you must have been in active service and you must not have been dishonorably discharged. You must currently be suffering the effects or the symptoms of that injury or disease, and you must show that these effects or symptoms are directly related to your service.

This relationship is called the Medical Nexus. Once the symptoms or effects are shown, the VA will assign a percentage of disability or a rating, for each impairment. The rating is based on a defined set of symptoms or limitations resulting from the impairment. Each rating results in a monthly payment based on the schedule established and changed periodically by congress.

By: Gideon J. Miller

Proper Steps to take to Avoid Social Security Claim Errors

Hi. I’m Lew Insler from Insler & Hermann. We’re going to talk about the most common mistakes we see with Social Security Disability claimants and when you should retain an attorney. The hardest part about a Social Security Disability claim is the initial application and the daily activity questionnaire. They come at the beginning, so get the attorney involved from the start to help you deal with the hardest part of your case, the most stressful, and the time when you have the most questions. Also, we win the initial claims at a far greater rate than the national average. The percentage of cases that are won at the later stage, particularly at the hearings, has also decreased. So you’re maximizing your chances of success by having us represent you right from the start and helping you with your initial claim.

By: Lew Insler

Railroad Connection Requirements

Hi. I’m Gabe Hermann and today we are going to speak about whether or not a current connection to the railroad is necessary when filing for railroad retirement benefits. While it is generally required to have a current connection to the railroad, if you work for at least five years and thus accrued at least 60 service credits, you will usually be eligible for some benefits based on railroad service.

Tier Two Benefits

While tier two benefits are not due to a railroad worker until at least 120 service credits have been accrued, the railroad pay is not lost in the period from five to 10 years. Even in cases where someone accrued 60 to 100 service credits, a claim can be filed with the Railroad Retirement Board especially if there is a current connection. Even if there’s no such connection, however, those earnings can be credited to the Social Security system.  If someone has less than five years or 60 service credits and no longer has a service connection, the income received from the Railroad Board is automatically transferred over to the Social Security system and the earnings are credited to Social Security.

Railroad Disability Benefits

On the other hand, if an employee worked for the railroad for at least 12 months in the 30 months immediately proceeding the month of disability, that employee will meet the current connection requirement for a supplemental annuity, occupational disability annuity, or the survivor benefits. Obviously, the rules regarding disability from Social Security and the Railroad Board are quite complex. Contact us. We know how to analyze the interplay between the various programs.

By: Gabe Hermann