Evaluation of the SSAE Brad Johnson, Lay Advocate bjohnson@stonemtn.org Cindy Viers, Benefits Counselor cviers@stonemtn.org Stone Mountain Health Services
Schedule for Submission of Additional Evidence What is a SSAE? Schedule for Submission of Additional Evidence Preliminary Decision based on the Department of Labor’s Findings of 413B Exam and other Information Disclosed
Claims are like snowflakes, there are no two the same It is important to READ all of the SSAE on every Claimant
Look at the review of evidence “would be entitled” or “would not be entitled”
Carefully look over the Medical Evidence
Make sure you are aware of Evidence Deadlines
It is important to know the Responsible Operator and their Representatives
Know your Claimant
When to Withdraw
Now let’s take a look at some examples