Postal Medical Retirement: Understanding the Basics of a FERS Disability Application

Success is often achieved as a result of multiple factors:  Opportunities presented, recognized and acted upon; knowledge enough to take advantage of; the ability to see what others have failed to appreciate; the effective utilization of knowledge.  Within the universe of knowledge, it is often stated that people who amass enormous wealth are not necessarily “smarter” than your average Joe (for whatever reason, “Joe” has been the commonplace proper name to designate Everyman; but for those who may be offended as to its gender non-neutrality, you may insert, “Josephine”, as well), but for whatever reason, can pinpoint commercial opportunities better than others.  In short, when knowledge is applied for specific means, those who are “successful” are able to extrapolate knowledge relevant to the issue at hand, and discard irrelevant and extraneous material efficiently.

Postal employee back pain

Federal Disability Retirement benefits, under FERS (Rhetorical question:  Are there any Federal or Postal employees under the old system — CSRS — anymore?) has a long history of MSPB decisions of precedence, as well as Federal Circuit Court of Appeals opinions, which have cumulatively modified, altered, clarified and strengthened the benefit for Federal and Postal employees.  Going through the compendium of complex case-law opinions, however, without first understanding the “basics” of its origination based upon statutory authority, can lead one astray by unduly focusing upon those “secondary” arsenal of legal weapons — like VA Disability Ratings; removal for one’s medical inability to perform the job, or even from “excessive absences” but still being able to argue for the Bruner Presumption; the impact of an SSDI approval; and other such corollary legal precedents which can be argued.  Thus, it is always important to begin with the “basics”, then to build one’s foundation on the originally-established  statutory authority.  And so, let us begin with that which is outlined in 5 C.F.R. (Code of Federal Regulations), part 844, where it states in relevant part:

Except as provided in paragraph (c) of this section, an individual must meet the following requirements in order to receive a disability annuity:

(1) The individual must have completed at least 18 months of civilian service that is creditable under FERS, as defined in § 842.304 of this chapter;

Thus, the minimum eligibility requirement mandates 18 months of civilian service.  Applicants should be advised, however, that the 18-month time of service — while meeting the minimum eligibility requirement — will not translate into a “full” disability retirement annuity.  This is because the calculations involved in determining the annuity amount will be based upon the “average of the highest 3-years (36 month)” of consecutive service, and therefore, the annuity will be determined by a divisor of 3, and not by 1.5.  This is important, because the 60% rate for the first year, followed by the 40% rate of annuity in the subsequent years until one reaches the age of 62 (at which point the annuity becomes recalculated based upon the total number of years of one’s service, including the time that one is on disability retirement), will be a lower amount from that of a person who has had at least 36 months of Federal Service.

The statute / regulation then goes on to state:

(2) The individual must, while employed in a position subject to FERS, have become disabled because of a medical condition, resulting in a deficiency in performance, conduct, or attendance, or if there is no such deficiency, the disabling medical condition must be incompatible with either useful and efficient service or retention in the position;

Thus, there is a 4-part criteria, or “test”, in determining eligibility for Federal or Postal Disability Retirement, beyond merely acquiring 18 months of Federal Service.  The picture that needs to be painted for every individual contemplating filing a Federal Disability Retirement application, is this:  There is a wall.  That wall is entitled, “The U.S. Office of Personnel Management”.  On the left side of the wall are people who say things like, “It is difficult”; “I am struggling”; “I am having a difficult time doing my job”.  On the right side of the wall are people who simply say, “I cannot do my job.”  Most people are on the left side of the wall.  How do I, as a Postal Disability Attorney, help lift you from the left side of the wall over to the right side of the wall?  So, the question must be asked to the potential client:  Do you have any deficiencies in performance, conduct or attendance?  If you do not, then OPM will likely argue as follows:  “Your agency says that you are doing a great job.  So what’s the problem?”  If you cannot answer that question, then we will go to the “Fourth” criteria — that of “incompatibility”.  And that goes to the logical next question:  Do you have a doctor who will support your case?  If you do, then you will likely be able to be lifted up from the left side of the wall, to the right side of the wall.

Arthritis in the Postal Service

And the Statute goes on with:

(3) The disabling medical condition must be expected to continue for at least 1 year from the date the application for disability retirement is filed;

Note that the regulation does NOT state that the medical condition “must have” continued for at least one year, and yet, based upon phone calls and queries made to this author/attorney, there has been some fairly prevalent and persistent confusion about this requirement.  So, a note of clarity for those contemplating preparing an effective Federal/Postal Disability Retirement application:  It is merely an expectation that the medical condition will continue for at least 12 months from the date the application for Federal Disability Retirement is filed, and NOT that the medical condition must have already lasted for 12 months, which is the important point to take away from this.  How does one comply with, and establish facts such that OPM can acceptably ascertain compliance to this section?  Most doctors, after a period of treatment — or, in the case of an independent evaluation by a qualified medical specialist, upon a thorough review of the available treatment records — can provide a prognosis based upon the nature, extent, severity and chronicity of the medical condition, as to the length of expected time of continuing disability.

(4) Accommodation of the disabling medical condition in the position held must be unreasonable; and

Another way to put it is:  The Agency must not be able to reasonably accommodate the medical condition.  Further, a legally-viable accommodation in a Federal Disability Retirement case cannot be temporary or merely resulting from a Supervisor allowing for “light duty” by informally excluding some of the essential duties of a position.  While there is nothing wrong when an Agency/Supervisor allows for temporary light duty, such a change in status — whether formally or informally — does not preclude a Federal or Postal worker from proceeding with a Federal Disability Retirement filing.

(5) The individual must not have declined an offer of reassignment to a vacant position

Generally, an offer of a reassignment must be at the same pay or grade, and within a reasonable commuting area.  Keep in mind, however, that just because an offer for a reassignment is made, if the individual is unable to medically perform such an offered “other”  position, then a declination of such an offer will not necessarily preclude moving forward with a Federal Disability Retirement application. In the end, it is very rare that a Federal Agency (and certainly, for the Postal Service, the term “never” applies in almost every case) can find a suitable reassignment which undermines or precludes moving forward on a Federal Disability Retirement application under FERS.

(b) The employing agency must consider a disability applicant for reassignment to any vacant position. The agency must certify to the Office of Personnel Management (OPM) either that there is no vacant position or that, although it made no offer of reassignment, it considered the individual for a vacant position. If an agency offers a reassignment and the individual declines the offer, the individual may appeal the agency’s determination that the individual is not disabled for the position in question to the Merit Systems Protection Board under 5 U.S.C. 7701.

Again — this is a rare occurrence.  Rare, primarily because of practical reasons:  An individual who has a medical condition impacting upon one’s Federal or Postal position will likely not be able to work in another position at the same pay or grade, precisely because the medical condition itself will likely impact the reassignment job in a similar way.  If a debilitating back condition prevents the Federal employee from performing a cognitive-intensive, sedentary job, reassigning that person to another administrative position is not going to solve the problem.

The above-explication of the statutory “basics” undergirding the Federal Disability Retirement process is meant to provide a rough outline of the statutory basis for eligibility purposes.  As every case in a Federal Disability Retirement application is unique, the specific facts of each case must be evaluated, analyzed and assessed based upon those particular facts, and applied to the nuances inherent both in the statute and regulations, as well as the current case-laws which apply.  Thus, we start with the “basics”; go on to the more complex expansion of case-law precedents; then, after a thorough “vetting”, decide as to whether an individual case is “viable” enough to proceed with preparing, formulating and filing an effective Federal Disability Retirement application under FERS, with the U.S. Office of Personnel Management.

Sincerely,

Robert R. McGill, Esquire
FERS Disability Retirement Attorney

 

Photo Credit: Arthritis image by PeachMoon from Pixabay

Federal Disability Retirement in the U.S. Postal Service: The Validity of Medical Conditions, whether Physical or Psychiatric

In the year 2014, one would expect that mindsets of anachronistic tendencies would have disappeared.  Social upheaval; changes of customs, values and mores; alterations to traditional notions of what defines X; as each generation believes itself to be the wisest, so we have arrived at this period in modernity where questions of the validity of psychiatric conditions would still be an issue.  That is rather astounding.  Calls are still received where the query reflects a sense of trepidation as to the viability of a psychiatric condition.  This, in the year 2014.

Postal employees, in particular, suffer great stresses in the workplace.  It is simply a fact of life for the modern Postal Worker:  Do more with less; don’t expect a pay raise; consider yourself lucky in this economy to have a job.  But what are the consequences of following such a mandate?  Greater stresses at every tier of being occurs when employed at the U.S. Postal Service.  The real “trickle-down” economic theory has to do with the employment impact of a worker’s environment which finds its paradigmatic impetus in the U.S. Postal Service:  the physical and psychological consequences of an organization (the U.S. Postal Service) which expects more of its workers, while demanding that the same work be accomplished with less help, less pay, and within the constraints of less time, because overtime pay is forbidden.  Stress and the psychological impact upon one’s health, are the conjoining issues which can never be quantified.

As a child, one recalls a representative of the Nuclear energy industry visiting our school and giving a talk, and citing a statistic that not a single individual had died as a result of an industry accident.  At the time, the thought was:  that is a pretty amazing statistical conclusion.  As one grows older, of course, hopefully one increases in wisdom – or, put another way, in cynicism.  Question:  Does the statistical conclusion take into account a cancer-related death occurring decades later, where direct causality between an industry and the medical condition cannot be unequivocally established?  And a similar question for the U.S. Postal Service:  Do the pressures placed upon the Postal Worker, to do more with less, account for a rise is Psychiatric conditions?

It sounds so simple, in theory:  This is a hard economy; competition is more intense than ever; UPS and FedEx are eating away at the competitive edge which the USPS once held; everyone is suffering, so it is only fair to force the U.S. Postal Service to be required of the same:  Do more with less.

But as with all actions, there are consequences which – foreseen or unforeseen – take their toll.  The short answer is that, in filing for Federal Disability Retirement benefits, there is little difference as to the viability of a case between physical medical conditions and psychiatric conditions.  The issue is no longer the conceptual distinction between physical medical conditions and psychiatric conditions; rather, the issue is one of establishing sufficient proof in filing for OPM Disability Retirement benefits.  For, in the end, proving a Federal Disability Retirement case, filed with and reviewed by the U.S. Office of Personnel Management, is not based upon a determination of the seriousness of a medical condition; rather, regardless of the medical condition, the extent of the impact to which the medical condition prevents one from performing one or more of the essential elements of the Postal Job which the Postal Worker must engage.

It is thus the “nexus”, or the linguistic “bridge” established between a medical condition and the type of job which the Postal Worker must work, which is the important body of proof to establish in a Federal Disability Retirement application.  How does one make that connection, or establish that proof?  Since much of Postal work involves strenuous physical activities of a repetitive nature, where physical health and fitness is the primary focus, how does one then wrap the physical aspect around the psychological turmoil?  If you can physically lift up to 70 lbs., bend and twist repetitively; stand and walk throughout the day; it matters not whether you suffer from Bipolar Disorder, Cognitive Dysfunctions, Severe Major Depression, Anxiety, Panic Attacks, suicidal ideations, etc.  Or so one might assume, and therefore doubt that psychiatric conditions form a viable avenue for successfully filing for Federal Disability Retirement benefits, for Postal employees who are under either FERS or CSRS.

The concurrent and parallel roads which converge to precipitate the large volume of cases comprised of psychiatric conditions, by Postal Workers alone, shows the state of working for the U.S. Postal Service.  Yes, Postal Work is engaged in rigorous physical exertions, which often comprise a compendium of medical conditions which are valid bases for filing a Federal Disability Retirement application, including (but not limited to), Rotator Cuff tears; chronic knee pain; lumbar and cervical radiculopathy; Carpal Tunnel Syndrome; Shoulder Impingement Syndrome; Plantar Fasciitis; and multiple other physical conditions.  Paralleling such physical conditions, however, are the stresses from such physical work which often manifest themselves in psychiatric terms, including those psychiatric conditions already mentioned above in the preceding paragraph:  Major Depression; inability to focus or concentrate; Agoraphobia (which would obviously impact City or Rural Carriers); Generalized Anxiety Disorder; uncontrollable panic attacks; and similar psychiatric medical conditions.

How does one create the nexus between (A) a Psychiatric condition which impacts the cognitive capacity of a Postal Worker and (B) the inability to perform what essentially amounts to exertional physical labor?  Quite simply:  The ability to perform physical labor does not merely involve the physical act of labor; rather, it also entails sustained and consistent cognitive focus, concentration, and attention to detail.  The intersecting and inseparable cooperation between the mind and the body in performing physical labor cannot be avoided.  Sometimes, it is the physical medical conditions (e.g., chronic pain; multi-level degenerative disc disease; early onset of arthritis; subacromial bursitis; knee problems; ankle instability; and multiple other conditions) which are primary, with the psychiatric disabilities being secondary (i.e., Major Depression, Anxiety, panic attacks, etc., following upon the constant fight against the chronic pain, and thus deemed to be “second” in sequence with the physical conditions being primary).  The point throughout, however, is that the attempted separation and bifurcation between physical disabilities and psychiatric disabilities, no longer hold any valid basis.

A decade or so ago, the question as to whether psychiatric medical conditions were more difficult to prove in a FERS or CSRS Federal Disability Retirement application, filed with the U.S. Office of Personnel Management, may have deserved a momentary pause for reflection.  In this day and age, the validity of such a question itself must be questioned.  The mind/body distinction which first took root in our culture through the philosophical division created by a French Philosopher named Descartes, has resulted in centuries-old questions as to the bifurcation between the physical and the psychological.  In this day and age, however, the Postal Worker need not fear or have any concerns about the viability of a Federal Disability Retirement application which involves primarily psychiatric-based claims.  Psychiatric medical conditions, including (but not limited to) Major Depression, Anxiety, Panic Attacks, Bipolar Disorder, Schizophrenia, Agoraphobia, Obsessive-Compulsive Disorders, etc., are all valid bases upon which to file for Federal Disability Retirement benefits; as well as all of the physical medical conditions which one may suffer from.

In the end, it is no longer a question of whether the medical condition involves physical or psychiatric medical conditions, when it comes to a valid basis for filing a OPM Federal Disability Retirement application.  Rather, the question is how one formulates one’s case such that proof can be established that the medical condition – whether physical or psychiatric – prevents one from performing one or more of the essential elements of one’s Postal duties.  It is the “how” which is important, and no longer the “whether”.