1. Social Security Work Processes
Connie DaValt
SSA
John Benbow
ERI

2. AWIC – Area Work Incentives Coordinator
Connie DaValt
(866) ext
Provide outreach and training on work incentives to the public and SSA personnel
Assist with disability work-related issues in WI SSA offices

3. WIL – Work Incentive Liaison
Each Social Security office has a WIL who is a technical expert in all SSA work incentives
Participate in local outreach activities/provide technical advice to their local SSA staff
Serve as a primary point of contact for local organizations on work incentives

4. Unsuccessful Work Attempt (UWA)
An effort to do substantial work (SGA) that stops or is reduced below the SGA level within a limited time due to the impairment or removal of special conditions.
POMS DI

5. UWA: When applicable
Earnings are excluded during an UWA in making SGA decisions in… 
- Initial claims for both SSDI and SSI (used for
establishing disability onset date), or
- Continuing disability work reviews
UWA does not apply when counting TWP months or after the cessation month.
May apply during the EPE if no prior cessation

6. Work attempt lasting 3 months or less:
UWA: Time Limits
Work attempt has to be discontinued or reduced below SGA within 6 months to be disregarded.
Work effort of more than 6 months cannot be considered an UWA.
Work attempt lasting 3 months or less:
Work must have stopped due to either…
Impairment, or
Removal of special condition(s)

7. Work attempt lasting 3 to 6 months:
UWA: Time Limits
Work attempt lasting 3 to 6 months:
Work must have stopped because of impairment or removal of special condition plus…
Frequent absences, or
Unsatisfactory performance, or
End of remission of impairment, or
Work has been under special condition(s)

8. UWA: Counting Months Months are counted using actual dates of work
Example 1:
If work started 11/5/11 and ended before 12/5/11, it would count as one month
Example 2:
Work from 11/5/11 through a date no later than 2/4/12 would be 3 months or less. Work from 11/5/11 through 2/5/12 but no later than 5/4/12 would be between 3 and 6 months.

9. UWA: Special Conditions
Special assistance from other employees
Irregular hours or frequent rest periods
Special equipment or work especially suited to impairment
Specially arranged circumstances
Work performed at lower standard of productivity or efficiency than other employees
Family relationship, past association with employer, or other altruistic reason which created the opportunity to work

10. UWA: Period of Work
Significant break in continuity of work must occur before the work attempt can be considered unsuccessful. For example:
- work discontinued or reduced below SGA for
at least 30 consecutive days, or
- person forced to change to another type of
work or another employer
Multiple UWAs are possible

11. UWA Example
Sid, an SSDI beneficiary, completed TWP 2/12; earnings below SGA in 3/12 so no cessation.
Starting 5/12 Sid increased his hours of work despite his impairment. From 5/1/12 – 9/15/12 he earned $1300 mo.
In 9/12 Sid had to reduce his hours of work now earning $900 because of his impairment. His employer felt that he was not doing satisfactory
work.
Is this an UWA? What months is he due SSDI payments?

12. Averaging Countable Earnings
When work earnings vary from month to month with some months over SGA and some under, SSA may average countable earnings for purposes of determining SGA
If earnings average below SGA, then SGA months are disregarded in the cessation decision
Averaging can be used in initial claims (SSDI and SSI) and after TWP
Averaging cannot be used in determining TWP months, after an SGA cessation, or during IRP months (in an EXR case)
POMS DI

13. Averaging: Period of Work
SSA averages monthly countable earnings during distinct periods of work
Earnings are averaged over a period when:
- pattern of work is continuous, and
- no significant change in earnings, and
- no regulatory change in SGA level

14. Averaging Earnings
Months from TWP can be used in averaging if they are part of distinct period of work.
In multiple work activities, average jobs separately and then combine.
When employment has just started , SSA looks at the expected work/earnings pattern and anticipates its continuance – if anticipated pattern of SGA does not occur, SSA may revise the decision.

15. Averaging Example: Pam, an SSDI beneficiary began working in 8/11
8/11-1/12 $850 mo (6 twm)
2/12 $
3/12 $
4/12 $
5/12 $ (potential cessation mo)
6/12 $1015
7/12 $1010
8/12 $1020
9/12 $900
10/12 con’t $900

16. Pam’s Decision Average earnings 1/12 – 10/12 $970.50 Cessation? No
Decision will be revised after 12/12 earnings are reported

17. SSDI Cessation Medical Cessation
Impairment has improved since the most recent favorable determination and the impairment together with the vocational profile does not prevent the individual from engaging in SGA.
Work Cessation
The first month after completion of the TWP that the beneficiary demonstrates ability to engage in SGA. Beneficiary is still eligible but payments are suspended for any month of SGA during the EPE.

18. SSDI Termination Medical Termination
Eligible and payable month of cessation and two additional (grace) months followed by the termination month
Example: cessation month March
benefits paid Mar/Apr/May, terminated June
Work Termination
Benefits terminate with the first month of SGA after the cessation month/grace period and the end of the EPE

19. SSDI EPE and Termination
When disability ceases due to SGA prior to the end of the EPE, the termination month is first month of SGA after the 36th month of the EPE.
Example: TWP ends 1/2009 (EPE 2/09-1/12)
SGA begins 6/11 and continues
Cessation 6/11 (benefits payable)
Grace months 7/11, 8/11 (benefits payable)
Termination 2/12

20. SSDI EPE and Termination
When disability ceases due to SGA in or after the 36th month of the EPE, benefits are paid that month and the next two (grace) months, followed by the termination month.
Example: TWP ends 1/09 (EPE 2/09-1/12)
SGA begins 5/12
Cessation 5/12 (benefits payable)
Grace months 6/12, 7/12 (benefits payable)
Termination 8/12

21. SSDI Reentitlement
To regain SSDI entitlement after a medical cessation and termination, a new application necessary
To regain SSDI entitlement after a work cessation and termination, either a new application or an EXR claim (SGA stopping within 60 months of termination) is necessary

22. Presented by Wisconsin’s Disability Benefits Network (WDBN)
Employment Resources, Inc.
More about WDBN online at wi.org/WDBN.htm
John Benbow: