A SUMMARY GUIDE TO EMPLOYMENT SUPPORT FOR PEOPLE WITH DISABILITIES UNDER THE SOCIAL SECURITY DISABILITY INSURANCE (SSDI) AND SUPPLEMENTAL SECURITY INCOME (SSI) PROGRAMS
TABLE OF CONTENTS
| INTRODUCTION | |
| Purpose of this Book | One of the Social Security Administration's (SSA) highest priorities is to help people with disabilities achieve independence by helping them to take advantage of employment opportunities. This book is a general reference source about the employment-related provisions of Social Security Disability Insurance and the Supplemental Security Income programs. We wrote the book for educators, advocates, rehabilitation professionals, and counselors who serve people with disabilities. It's purpose is to provide a working knowledge of the technical provisions involved so that they can advise people with disabilities appropriately and recognize when to seek case-specific guidance from SSA. We also expect that many applicants and beneficiaries will use this book as a self-help guide to the employment-related provisions under our programs. (A note of caution: This book is a general description of our disability-related policies. For information specific to your situation regarding eligibility or benefits, you may need to contact us. You can find contact information on page 9. In addition, different rules may often apply to people who are claiming benefits based on retirement or age. We cover those rules in our other publications.) |
| SSA's Web Site | We post up-to-date information about the latest developments on our Internet web site, www.socialsecurity.gov/work. |
| "Plain Language" | We tried to make this book clear and brief. To that end, we followed "Plain Language" guidelines. We generally use "we," "us," and "our" to refer collectively to the Social Security Administration, the Social Security Act, our regulations, and operating instructions. We use "you" and "your" to refer to the person who is claiming benefits based on disability. |
| Purpose of Employment Support | The Congress intended the employment support provisions to provide you with the assistance you need to move further on the way from benefit dependency to independence. In other words, employment supports help you to enter or re-enter the workforce by protecting your eligibility for cash payments and/or health care until you achieve this goal. |
| Previous Editions | This edition replaces all previous editions. |
Top of Page Table of Contents
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NOTE: For more information about local contacts and the latest developments, visit our Internet web site, http://web.archive.org/web/20040214134005/http://www.ssa.gov/work/index.html.
We increased the Substantial Gainful Activity (SGA) amount for people with impairments other than blindness from $780 to $800 for 2003. Details are on page 16.
We increased the SGA amount for people who are blind from $1,300 to $1,330 for 2003. Details are on page 16.
We increased the monthly earnings amount that we use to determine if a month counts for the Trial Work Period from $560 to $570 for 2003. Details are on page 34.
For 2003, we increased the SSI Federal Benefit Rates from $545 to $552 for an eligible individual and from $817 to $829 for an eligible couple. Details are on page 20.
We increased the income amounts that will have no effect on eligibility or benefits for child Supplemental Security Income beneficiaries who are students. For 2003, we increased the monthly amount from $1,320 to $1,340 and the yearly maximum from $5,340 to $5,410. Details are on page 40.
For 2003, the monthly Medicare Part A Hospital Insurance Base Premium is $316, and the 45% Reduction Premium is $174. The Part B Supplementary Medical Insurance monthly Base Premium is $58.70. Details on Medicare for people with disabilities who work are on page 36.
The Disability Program Navigator
SSA and the Department of Labor (DOL) are working together to establish a new position, the Disability Program Navigator, or Navigator, within DOL's One-Stop Career Centers in selected states. The Navigator will work directly with customers with disabilities, including Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) beneficiaries, to:
The first Navigators will be in place in 2003. DOL may continue or expand the Navigator activity, based on the evaluation of the pilot project. For more information about the Navigator, visit our website at http://web.archive.org/web/20040214134005/http://www.ssa.gov/work/index.html.
Benefits Planning, Assistance, and Outreach Program
As authorized by the Ticket to Work and Work Incentives Improvement Act of 1999, we awarded and currently maintain 116 cooperative agreements to community-based organizations to provide all SSA disability beneficiaries (including transition-to-work aged youth) with access to benefits planning and other assistance. Three rounds of cooperative agreements were awarded in fiscal years 2000 and 2001 throughout every State, the District of Columbia, and the US Territories of American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the Virgin Islands. The goal of the Benefits Planning, Assistance, and Outreach (BPAO) Program is to better enable SSA's beneficiaries with disabilities to make informed choices about work.
Each BPAO Project has Benefits Specialists who will:
These services are free to persons receiving Social Security or Supplemental Security Income benefits based on disability or blindness. If you want to locate the PABSS project nearest you, please call 1-866-968-7842 or 1-866-833-2967 (TTY/TDD) for the hearing impaired. You can also find a list with contact information at http://web.archive.org/web/20040214134005/http://www.ssa.gov/work/ServiceProviders/PADirectory.html.
| Contact Us By Telephone | We have a toll-free number, 1-800-772-1213, that operates between 7a.m. and 7p.m., Monday through Friday. If you have a touch-tone telephone, recorded information and services are available 24 hours a day, including weekends and holidays. If you are hearing impaired, you may call our toll-free "TTY/TDD" number, 1-800-325-0778, between 7 a.m. and 7 p.m., Monday through Friday. |
| Find A Local Office | If you have a problem or question, you should first try our toll-free telephone number. Our telephone representatives will either help you or put you in contact with your local office, if needed. Many local telephone directories list local offices under "Social Security." If you have access to the Internet, you can use the Social Security Office Locator on our home page, Social Security Online at http://web.archive.org/web/20040214134005/http://www.ssa.gov/locator. Just type in your postal ZIP code and we will give you the address, telephone number, and directions to your local office. |
| Contact Us By Mail | If you have a problem, you should first call our toll-free telephone number or contact your local office. If you still need additional help, you may write to the Office of Public Inquiries:
Social Security Administration |
| Find Us On The Internet | As mentioned above, our Internet site, Social Security Online is located at http://web.archive.org/web/20040214134005/http://www.ssa.gov/. Most SSA publications and other public information materials are available at this site. We have also included links to the home pages of our regional offices - Atlanta, Boston, Chicago, Dallas, Denver, Kansas City, New York, Philadelphia, San Francisco and Seattle - highlighting regional initiatives, local public information resources, and connections to local offices. There are also links to the home pages of offices within SSA. The following are of particular interest to the community serving people with disabilities:
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| Send Us Comments About The Red Book | Mail your comments or suggestions about this publication to:
Fax: 1-410-597-0429, attention: Red Book Editor Email: red.book.editor@ssa.gov. See below for information on requesting materials, including this book. |
| Request Public Information Materials | If you want copies of our public information materials (including this one), send your request to: Office of Supply & Warehouse ManagementNo shipments will be made to Post Office Boxes. |
HOW WE CAN HELP WITH VOCATIONAL REHABILITATION AND OTHER EMPLOYMENT SUPPORT SERVICES
We can help people with disabilities get the vocational rehabilitation and other employment support services they need to return to work or to go to work for the first time. We can put them in touch with agencies that provide services such as job counseling, training and job placement. We don't provide these services, but we can help pay for them under certain conditions. For more information or help finding providers to help you with the services listed above, call (toll free) 1-866-968-7842 or, for the hearing impaired 1-866-833-2967(TTY/TDD).
Ticket to Work Program
The Ticket to Work Program is new. It increases your choice in obtaining the employment support services, vocational rehabilitation services, and other services you may need to get and keep a job.
This program is being phased-in nationally over a three-year period. The program will be available in all States by 2004. Many SSDI and SSI disability beneficiaries will receive a "Ticket" they can use to obtain services from an approved provider of their choice. We call these approved providers, "Employment Networks". The program is voluntary, and the services will be provided at no cost to you.
We will not conduct a continuing disability review of your medical condition while you are using a Ticket to Work.
You can find current information about the Ticket to Work Program, including a list of approved Employment Networks, at http://web.archive.org/web/20040214134005/http://www.ssa.gov/work/Ticket/ticket_info.html, and at www.yourtickettowork.com, or you can call the toll-free numbers listed above.
Referring People with Disabilities to State Vocational Rehabilitation Agencies
In States where the Ticket program (discussed above) is not yet in effect, we will continue to make referrals to State vocational rehabilitation agencies.
When a person files an application for disability benefits, specially trained employees at the State Disability Determination Services (DDS) office review the application to see whether the person's medical condition qualifies him or her for disability benefits. At the same time, they also evaluate the person's rehabilitation potential. If it appears that the
person may benefit from vocational rehabilitation services, they refer the applicant to the State vocational rehabilitation agency.
We send information about the applicant's medical condition and work history to the rehabilitation provider. Rehabilitation counselors evaluate this information. They may contact the person to obtain further information and may request that the individual come in for an interview.
At that time, the counselor will try to find out more about the person's interests and employment goals. Clients are given an opportunity to discuss how the counselor can work with them to achieve their job goals. If the counselor believes the vocational rehabilitation agency can provide the rehabilitation services that are needed, the counselor and client will jointly develop a written plan describing the job goal and the services the vocational rehabilitation agency will provide to reach that goal. This written plan is tailored to the needs of the client.
What are SSDI and SSI? |
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| SSDI | Social Security Disability Insurance (SSDI) provides benefits to disabled or blind individuals who are "insured" by workers' contributions to the Social Security trust fund. These contributions are the Federal Insurance Contributions Act (FICA) Social Security tax paid on their earnings or those of their spouses or parents. Title II of the Social Security Act authorizes SSDI benefits. See page 20 for related health insurance information. |
| SSI | The Supplemental Security Income (SSI) program makes cash assistance payments to aged, blind and disabled people (including children under age 18) who have limited income and resources. The Federal government funds SSI from general tax revenues. Most States pay benefits to some individuals to supplement their Federal benefits. Some of these States have arranged with us to combine their supplementary payment with our Federal payment into one monthly check to you. Other States manage their own programs and make their payments separately. Title XVI of the Social Security Act authorizes SSI benefits. See page 21 for related health insurance information. |
| SSDI SSI |
These two programs share many concepts and terms. However, there are also many very important differences in the rules affecting eligibility and benefit payments. Keep this in mind, since many people may apply for or be eligible for benefits under both programs at the same time. We use the term "concurrent" when individuals are eligible for benefits under both programs. We have provided an illustration of a "concurrent" beneficiary situation on page 51. |
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| SSDI | To be eligible for SSDI: The worker must have worked and paid Social Security taxes for enough years to be covered under Social Security insurance; some of the taxes must have been paid in recent years; and you must: |
1. Be the worker, or the worker's widow(er), or the worker's disabled adult child (requirements for a disabled adult child include; the individual must be unmarried, age 18 or over, his/her disability must have begun before age 22); 2. File an application; 3. Meet our definition of medically disabled (see page 16); and 4. Not be working or working but not performing substantial gainful activity (SGA). (See page 16.) |
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| SSI | To be eligible for SSI based on a medical condition: 1. You must have limited income and resources (see pages 61 and 62, for definitions of income and resources); 2. You must be a U.S. citizen or meet the requirements for non-citizens; 3. You must be considered medically disabled or blind (see page 16); 4. You must be a resident of the 50 States, District of Columbia, or Northern Mariana Islands; 5. You must file an application; 6. You must file for any and all other benefits for which you are eligible; and, 7. If your impairment is other than blindness, when you apply, you must not be working or working but not performing SGA. (See page 16.) (Once you are receiving SSI benefits, this requirement no longer applies. Your eligibility will continue until you medically recover or do not meet a non-disability-related requirement.) If you are blind, only the first six requirements apply to you. |
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| When do you file? | You should file for benefits as soon as you believe that you might be eligible. Waiting to file may result in loss of benefits and could make it more difficult to collect the records that you need to support your claim. |
| How do you file? | First, always call our toll-free number. We may be able to answer your questions over the telephone. We will then arrange to take your claim either over the telephone or at our office. We will send you a confirmation of this appointment. We will also send you a form to get your claim started. Fill in the form as completely and as accurately as you can. Our claims representative will tell you how to send the form to us. If you visit our office before then, bring the form with you. If you have access to the Internet, you can file for Social Security disability benefits on our website, http://web.archive.org/web/20040214134005/http://www.ssa.gov/onlineservices. |
What Records Do You Need? |
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| SSDI SSI |
Do not wait to file for benefits just because you do not have all of the information you need. The Social Security office will be glad to help you. However, you can speed things up by bringing certain documents with you when you apply, if they are available. You can also help by bringing us any other information or medical evidence needed to show you are disabled. These items include:
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something from your bank that shows your account number so we can have your benefits deposited directly into your account. |
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| SSI | If you are applying for SSI, you should have all the documents listed above. In addition, you may need:
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| SSDI SSI |
Both SSDI and SSI define disability as the inability to engage in any substantial gainful activity (SGA) because of a medically determinable physical or mental impairment(s):
We evaluate the work activity of persons claiming or receiving disability benefits under SSDI, and/or claiming benefits because of a disability under SSI. Under both programs, we use earnings guidelines to evaluate your work activity to decide whether the work activity is SGA, and whether we may consider you disabled under the law. While this is only one of the tests used to decide if you are disabled, it is the critical first step in disability evaluation. If your impairment is other than blindness, earnings averaging over $800 a month (for the year 2003) generally demonstrate SGA. If you are blind, earnings averaging over $1,330 a month (for the year 2003) generally demonstrate SGA. These amounts are adjusted each year based on the national average wage. Deductions from your earnings that are counted toward this SGA determination may be available. (See pages 28-33.)
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