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Social Security evaluates work history when making disability decisions




 
Social Security always evaluates an individualís work when they file for disability. The definition of disability for Social Security purposes includes the inability to work at a substantial gainful activity (SGA) level for twelve continuous months or the expectation that a person will be unable to perform SGA-level work actvity for twelve continuous months due to a medically determinable mental or physical impairment.

SGA, or Substantial gainful activity, is a monthly earnings amount that Social Security sets each year as an amount of earnings that can be considered self-supporting. In fact, Social Security disability is more concentrated on an individual being unable to perform substantial work activity rather than their specific impairment.

To reiterate, Social Security always looks at an individualís work and work history to some degree. Actually, there are plenty of individuals who might meet the criteria established in a Social Security impairment listing (listings are approval criteria for certain mental and physical conditions), but do not qualify for disability benefits because they are still working over the SGA amount.

In these cases, it does not matter that the individual meets or equals the strict medical criteria of an impairment listing--their disability claim will be denied for the performance of SGA.

In other words, if you work and earn more than the allowable SGA limit, you will be denied disability benefits even if you have a verifiable disabling condition. As far as the social security administration is concerned, if you can work at a certain level, you are not considered to be disabled.

How are Social Security Disability and SSI decisions made?

Social Security uses a five step sequential evaluation process to make all disability determinations.

Step 1

The first step concerns whether or not the disability applicant is performing substantial and gainful work activity. If they are, their disability claim will be denied prior to being sent to a disability examiner for a disability decision.

Additionally, an individualís disability claim could be denied during the disability decision process if they return to work that earns them at least the SGA amount.

If the individual is working but it is determined that they are not working at the SGA earnings level, their disability claim moves to the second step.

Step 2

The second step is determining if the disability claimant actually has a medically determinable mental or physical impairment. This must be done through objective medical evidence from acceptable medical sources. If the disability claimant does have a medically determinable impairment, Social Security must move to the third step.

Step 3

The third step is used to evaluate the severity of the impairment. As was indicated earlier, disability examiners use a listing of impairments to help reach decisions on claims and to evaluate the severity of an individualís impairment. The social security disability list of impairments is contained in the Social Security disability guidebook, ďDisability Evaluation Under Social Securityď (also known as the blue book).

The impairment listings address all body systems and establish the medical disability criteria needed to meet the severity requirements for winning disability benefits. If an individual meets or equals an impairment listing, the sequential evaluation process ends here. The disability claimant will be awarded disability benefits.

However, many disability applicants do not meet or equal the medical eligibility criteria established in the impairment listings. It is at this point that disability examiners must take a closer look at an individualís job history or past work.

Step 4

Step 4 involves an evaluation of all relevant work that an individual has done in the past fifteen years. Relevant work is any job the disability claimant had three months or more at which they earned SGA and in which they had time to learn the job.

If the disability examiner determines that the claimant can do any of their past relevant work, their disability claim will be denied at this level. Conversely, if the disability examiner determines that they are unable to do any of their past work, they must move on to step five of the social security determination process.

Step 5

Step five involves a social security determination as to whether or not an individual can be expected to do some other kind of work considering their residual functional capacity (what they are able to do in spite of their physical and mental limitations), education, age, and the transferability of their job skills.

If the disability examiner (or judge if the case is at a hearing) determines that the individual is unable to perform "other work", they may be approved for disability benefits on the basis of a medical vocational allowance, or approval. Medical vocational approvals use age, education, and residual functional capacity to award disability benefits. By the same token, if an individual is found to be able to do other types of work, their disability claim will be denied.















Return to:  Social Security Disability Resource Center, or read answers to Questions





























Related pages:

How long does it take to get a decision on Social Security disability or SSI?
How the Decision on a Disability Application or Appeal is Made
How Quickly Is The Disability Claim Decision Made?
Is Social Security required to make a decision on a disability case in a certain time period?
Social Security evaluates work history when making disability decisions
Social Security Disability decisions use two main criteria
Disability decisions are based on functional limitations
Factors affecting how long a Social Security decision letter takes
How Long Will it Take To Get a Disability Decision Letter from Social Security?
Avoid delays to reduce how long does it take to get a disability decision



Information on the following topics can be found here: Social Security Disability Questions and in these subsections:

Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI


These pages answer some of the most basic questions for individuals who are considering filing a claim.

Filing for disability - How to file for SSD or SSI and the Information that is needed by Social Security
How to Apply for Disability - What medical conditions can you apply and qualify for?
Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?
What happens if I file a disability application and it is denied by a disability examiner or Judge?
How to Prove you are disabled and qualify to win disability benefits
How do you prove your disability case if you have a mental condition or impairment?
Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it