Heck Yes, I m Working and Loving IT! Interactive Case Studies

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Heck Yes, I m Working and Loving IT! Interactive Case Studies Alice L. Bowen, Program Director, Glenn McReynolds, Benefits Analyst (BA), Tim Benthal, Community Work Incentives Coordinator (CWIC) and Brandi Glasscock, Community Work Incentives Coordinator (CWIC) Benefits to Work Program Tennessee Disability Coalition

BTW is a collaboration between the Tennessee Disability Coalition (TDC) and Empower Tennessee. Nationally, we are identified as the Work Incentives Planning and Assistance (WIPA) Programs for the state of Tennessee. There is NO cost for our services. Overview

Two service levels: Benefit Analysts (BA s) and Community Work Incentive Coordinators (CWIC s). BA s conduct presentations across the state for beneficiaries who are interested in employment but not yet working. CWICs provide long-term intensive counseling services for employed beneficiaries. Benefits To Work Services

Social Security Ticket to Work Helpline : 866-968-7842 Map

To collaborate in SSA s and TDRS employment strategy for individuals with disabilities To enhance awareness and understanding of SSA s work incentives To provide an understanding of the impact of work on all benefits To assist individuals to make informed choices regarding work To promote economic self-sufficiency Purpose

At least age 14 but not yet full retirement age including Transition-Aged Youth, Disabled (per SSA s definition), Individuals who are already receiving Social Security disability benefits, and Those who are working, have a job offer or are actively pursuing employment. Who is Eligible for Services?

BTW CASE STUDIES This is an interactive session. Please feel free to ask questions.

Sydney

Sydney is 21 years old and in the radiology program at Northeast State. She is receiving SSI. Sydney lives at home with her parents. She has TennCare/Medicaid. Sydney is working with VR to pursue an entry level position as an X-ray Technician. Sydney - Student

Sydney asked her VR counselor these questions: Can I work and still keep my benefits? How much can I earn and keep my benefits? Sydney is excited about the future but is hesitant because she does not want to lose her benefits. The VR Counselor realizes these questions need to be answered by a Benefits to Work professional. She gives Sydney contact information for BTW. Sydney - Concerns

Sydney contacts a Benefits Analyst She tells the BA, she has been told by many people that she CANNOT work. She begins to share a great deal of information with the BA. The BA informs Sydney she needs to attend a presentation. Sydney - Concerns

The BA informs Sydney that there is important information she should be aware of before going to work which she will learn at the presentation. Student Earned Income Exclusion (SEIE) Impairment Related Work Expense (IRWE) Blind Work Expenses (BWE) Plan for Achieving Self-Support (PASS) Expedited Reinstatement of Benefits (EXR) BTW Presentation

Sydney arrived 10 am for the presentation on the 1 st Tuesday of the month at the Nashville VR office on 2 nd Ave. Sydney listened to the information shared and had an opportunity to ask several questions. Sydney met others like herself who were seeking information about the work incentives and available resources to aid with their career goals. She is now excited about finding a job. Sydney has gone from fear to empowerment. BTW Presentation

BAs do presentations? A) in west TN, only B) only for country music stars C) for beneficiaries seeking employment and their families Sydney - Question 1

Sydney qualifies for the Student Earned Income Exclusion. What does that mean? A) She gets free lunches B) She can earn $7,180 per year without it impacting her benefits C) She earned additional assistance in math Sydney - Question 2

By attending the BTW presentation Sidney received: A) An extra Trial Work Period month B) An understanding of SSA work incentives and the assurance that BTW will walk with her throughout her employment life. C) Free Dunkin Donuts Sydney - Question 3

Russell - Concurrent

Russell is a concurrent beneficiary who receives SSI, SSDI, TennCare, and Medicare. He is receiving services from a Community Rehabilitation Partner (CRP), an agency under contract with Vocational Rehabilitation (VR). Russell s VR counselor also referred him to Benefits to Work (BTW). Russell has a full time job offer with full benefits including retirement with a starting wage of $10.40 an hour and an opportunity for over-time hours. Russell - Concurrent

Russell had not worked for 24 years due to an injury that resulted in an amputation. He is hesitant about accepting a full-time position because of erroneous advice he received, e.g. job too strenuous for him, possible loss of benefits and health insurance. Russell fears he will be unable to work full-time on a long-term basis especially after receiving the discouraging advice. Russell desperately wants to better his financial situation by earning an income and saving for his retirement. Russell - Concerns

The CWIC discussed the impact of employment on Russell s entire benefits package: SSDI, SSI, Medicare, Medicaid, and Medicare Savings Plan. The CWIC provided information about the ABLE savings plan and Individual Development Accounts (IDA). The CWIC explained Social Security s wage reporting requirements and helped him develop a plan to report his earnings. CWIC s Assistance

At the CWIC s recommendation, Russell requested accommodations from his employer who agreed to let him sit while performing his job. Russell is pleased to learn about the protections in place that allow him to test his abilities to work full-time on a long term basis. He is excited to learn that the ABLE and IDA accounts allow him to save money that will not count as a resource for Federal Benefits purposes. CWIC s Assistance

Russell opted to accept the position. After thirteen weeks, the employer offered Russell a wage increase. Russell s SSI cash payment stopped and his SSDI cash payment will soon stop as well. However, he now understands that he is more than capable of financially supporting himself. Russell is in frequent contact with the CWIC for information and overall encouragement. He is now even looking forward to saving money toward his retirement. CWIC s Assistance

Can a CWIC offer financial advisement to a beneficiary, e.g. a goal to save earnings? A) No, a social security disability beneficiary is not allowed to save money under any circumstances. B) Yes, the CWIC can advise a beneficiary about the available financial resources, eligibility requirements and impact on benefits. C) Yes, the CWIC can tell the beneficiary to grab a shovel and bury it in the yard. Russell Question 1

Can the CWIC offer advisement on what will happen when Russell is offered health insurance through his employer? A) No, the CWIC can only inform Russell that he might lose his TennCare and/or Medicare if he elects to take insurance through his employer. B) Yes, the CWIC can discuss how private insurance interacts with Russell s public insurance benefits and help him make informed choices. C) No, Russell will not need health insurance anymore since he is working full-time. Russell Question 2

Can the CWIC give Russell guidance on reporting his earnings to Social Security? A) No, Russell is on his own when it comes to that. B) Yes, the CWIC will advise Russell not to worry about it until Social Security asks him for the information. C) Yes, the CWIC will advise Russell on the necessary steps to report his new employment status and his earnings on a monthly basis to Social Security. Russell Question 3

Amy - Mother

Social Security s Ticket to Work Helpline staff referred Amy to Benefits to Work (WIPA Program for Tennessee). She receives SSDI and Medicare. Amy started receiving disability benefits 8 years ago. Her young children receive dependent child s benefits and TennCare/Medicaid. Amy - Mother

During her initial contact with the CWIC, she explained she had just began working as a full-time nurse. Amy is earning $3,445.00 per month. Amy has access to employer sponsored health insurance coverage at a reasonable cost for herself. However, coverage for her children is unaffordable through her employer. Amy - Mother

Amy is concerned she will be unable to sustain long-term employment due to her health. She doesn t want to jeopardize her benefits along with those of her children and subsequently find she is unable to continue working. Amy also expressed concern about the potential financial hardship associated with working e.g. childcare, travel and high insurance premiums for her children if no longer receiving TennCare coverage. Amy s Concerns

The CWIC reviewed the Work Incentives and protections available to Amy that will allow her to test her ability to work long-term. The CWIC advised that even though her children likely would no longer be eligible for TennCare/Medicaid that they should qualify for a Tennessee program called Covered Kids. The CWIC reviewed the income eligibility guidelines with Amy and connected her with Covered Kids. CWIC s Assistance

Amy now has all the information needed to make a final decision to continue working. Amy continues to do well at her job and actually worked her way off benefits in July 2016. She is enjoying selfsufficiency. Even though Amy has currently worked her way off her SSDI cash payment, she still has protections in place that last for several years! This gives Amy the confidence to continue working without worrying about what will happen in the event her health declines and she is no longer able to work! CWIC s Assistance

What happens if Amy must stop working due to her health? A) She will have to re-apply for benefits all over again. B) Amy has several (approximately 9) years of protections in place. C) Amy and her children will have to move in with family. Amy Question 1

Amy needed affordable insurance for her children. What did Amy discover about the services and advice the CWIC could offer to her: A) She discovered the CWIC had limited information on the topic. B) The CWIC can only assist the primary beneficiary (not the entire family). C) The CWIC assisted Amy with exploring eligibility guidelines for alternative, affordable coverage and was able to connect Amy to an alternative insurance provider to apply for coverage. Amy Question 2

Since Amy s SSDI benefits have stopped, how much longer will she have access to free CWIC services? A) Until she gets tired of the CWIC and/or no longer has any questions to ask. B) Forever, for a fee. A fee for service is requested once Amy works her way off her cash payment. C) CWIC services are no longer available once Amy s cash payment stops. Amy Question 3