In a previous post, we outlined “5 Steps to Prove Eligibility for FERS Disability Retirement.” We outlined the 5 basic steps: Eligibility, Disability, Continuity, Reassignment, and Appeal. This post will discuss Step 5: Appeal.
You’ve shown that you are eligible for disability retirement, your disease/injury is preventing you from providing useful and efficient service, and the Agency is unable to reassign or accommodate you. What next?
Contact your Agency Human Resources or Labor Relations specialist, or contact OPM to get the proper forms. As you prepare those forms, be sure to include substantial medical documentation that connects the essential functions of your job to your medical condition. That substantial medical documentation should consist primarily of doctor’s statements, charts, lab results and any other medical evidence which supports your position. Your own statement of your physical, mental or emotional pain and the limitations you experience will be helpful to OPM (and later to the MSPB), but it should be only a small portion of what you submit to OPM.
Your Agency should be able to provide you assistance, including getting you the necessary forms and or statements and other proof needed to file your appeal. Be careful, though - if you are applying for disability retirement in settlement of some performance or conduct action (suspension, demotion or removal), the Agency is not always going to be acting in your best interests. It is always best to consult with a lawyer familiar with this process to ensure that the Agency does not use your disability retirement application to hinder or eliminate other legal rights you may have.
If you have included sufficient proof as discussed in Steps 1 through 4, then your application will hopefully be approved. If it is, you will be subject to periodic reviews and medical evaluations (until age 60) to determine whether the disease/injury continues to exists or whether you have been restored to your previous earning capacity.
If your application is denied, you should immediately request reconsideration from OPM. This is a very important step - if the request for reconsideration is denied, a potential MSPB appeal could be limited by what is or what is not in this request for reconsideration. We highly recommend that you consult with an attorney experienced in such matters prior to submitting your request for reconsideration. Whatever you do, do not miss the deadline to request reconsideration. Send your request for reconsideration via Certified mail, return receipt requested.
If your request for reconsideration is denied, you should receive an opportunity to file an appeal with the Merit Systems Protection Board (MSPB). The burden will be on you to persuade the MSPB that you are entitled to disability retirement benefits. OPM will have to bring forward some evidence demonstrating its decision to deny disability retirement. If not legally, then practically speaking, the burden is going to be on the employee to show their eligibility for disability retirement.
The Board is not bound by disability determinations made by the EEOC, OWCP or the Social Security Administration. These decisions may have some weight, but just because Social Security has found that you are disabled, or the EEOC has found that you are a disabled employee are no guarantee that the MSPB will make the same conclusion. This is because, as discussed earlier, there are several different legal definitions of disability, and no two are the same.
If you decide to appeal OPM’s denial of disability retirement to the MSPB, it is always best to consult with an attorney who has experience before the MSPB. It is best to consult with a lawyer familiar with Merit Systems Protection Board (MSPB) appeals or a lawyer familiar with Federal employee retirement issues to discuss the facts and law of your particular case. If you have questions about your eligibility for OPM disability retirement, or want to discuss an appeal of OPM’s denial of your disability retirement, contact an MSPB attorney at the Attig Law Firm, PLLC, to schedule a telephone consultation.