It doesn t have to be SCARY. Back to Work with SSDI. Tai Venuti, MPH. United Spinal Association Webinar Series Thursday, Oct.

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It doesn t have to be SCARY. Back to Work with SSDI Tai Venuti, MPH United Spinal Association Webinar Series Thursday, Oct. 31, 2013 Copyright Allsup 2013

Today s Webinar 2 Presentation Outline Current Environment Scary Thoughts Clearing the Cobwebs Why Work? Ticket to Work Program Important Numbers Meeting the Ticket to Work Challenge with SCI/D Getting Started Provider Descriptions Remember Your Worth Questions?

Current Environment-Employment 3 The latest Allsup Disability Study: Income at Risk, found that for the second quarter of 2013: People with disabilities experienced an unemployment rate approximately 90 percent higher than for those with no disabilities. 13.6 percent for people with disabilities and 7.2 percent for people with no disabilities. In 2012, more than 2.8 million individuals were unable to continue working due to a disability and applied for SSDI. So far this year, 1.37 million applications have been filed. There are more than 2 million SSDI claims pending, with an average wait time of 373 days at the hearing level alone, according to Social Security Administration (SSA).

Current Environment-SSDI 4 According to the Social Security Board of Trustees latest annual report: The Disability Insurance (DI) Trust Fund will be depleted by 2016. If no changes are made, SSDI benefits would automatically decrease by 20 percent beginning in 2016. According to Social Security: Average SSDI monthly benefit is $1,132 per month ($1,919 with dependents). Maximum SSI benefits per month are $710 for an individual and $1,066 for a couple.

Scary Thoughts 5 Scary Thoughts With more people applying for SSDI, and the DI Trust Fund projected to be depleted by 2016, my SSDI benefits could be cut by as much as 20 percent. It could be even harder for me to obtain and/or maintain my SSDI benefits. No Fear! If you currently have SSDI, you can attempt to re-enter the workforce to increase your monthly income with no risk to your current benefits. You have the right to representation to help you obtain SSDI benefits.

Scary Thoughts 6 Scary Thoughts If I qualify for SSDI, that means I don t have the ability to ever return to work. Even if I felt like I could work, the unemployment rate among people with disabilities is so high, I would never get hired. No Fear! It is possible for someone to be both SSDI-eligible and a good return-to-work candidate. The employment of people with disabilities is getting increased attention and support from the federal and local governments, businesses, and advocacy/community-based organizations.

Scary Thoughts 7 Scary Thought I am setting myself up for failure if I try to return to work. No Fear! Ticket to Work resources include organizations, individuals and employers who want to see you succeed. The greatest barrier to success is the fear of failure. -Sven Goran Eriksson

Clearing the Cobwebs 8 Based on data from Return-to-Work Outcomes Among Social Security Disability Insurance Program Beneficiaries (2013): Less than one half of one percent of workers with disabilities who receive SSDI are able to earn more than SGA in any given month. That number represents nearly 440,000 individuals. About the same amount of workers with disabilities succeed in reentering the workforce and leaving SSDI behind in a typical year.

Clearing the Cobwebs 9 Based on Longitudinal Statistics on Work Activity and Use of Employment Supports for New Social Security Disability Insurance Beneficiaries (2011): Nearly 30 percent of DI beneficiaries eventually find work, and nearly 7 percent have their benefits suspended for at least 1 month for work. These shares are much higher for beneficiaries under age 40. Most beneficiaries who find work and use the work incentives do so during their first 5 years after their initial award.

Clearing the Cobwebs 10 Additional research: Among SSDI applicants, approximately 20 percent have substantial work capacity and 23 percent have some work capacity (RAND Center for Disability Research, March 2013). New Beneficiary Survey (1997) found that 22 percent of beneficiaries studied were employed in the 10 years following their SSDI award.

Why Work? 11 Disability is a natural part of the human experience and in no way diminishes the right of individuals to: (A) live independently; (B) enjoy self-determination; (C) make choices; (D) contribute to society; (E) pursue meaningful careers; and (F) enjoy full inclusion and integration in the economic, political, social, cultural, and educational mainstream of American society. From the Federal Rehabilitation Act of 1973

Why Work? 12 Living with a disability, such as a spinal cord injury or disorder should not prevent talented and qualified people from pursuing meaningful careers. - United Spinal Association SSDI is an important resource for former workers, but monthly cash benefits are usually much less than previous wages. Employment affords the opportunity to build on previous work experience and grow professionally and personally. Advances in technology, training and supportive mechanisms have evolved, allowing people with significant disabilities to adapt and ultimately re-enter the economy. With the right opportunities and supports, many people can earn a higher standard of living by going to work and leaving the benefit rolls.

Ticket to Work 13 The Trial Work Period (TWP) allows you to test your ability to work for at least nine months during a five-year period. During your TWP, you will receive full SSDI benefits regardless of how high your earnings are as long as you report your work activity and you have a disabling impairment. Participation is free and voluntary. While participating in Ticket to Work, you can: Find the job that is right for you. Use a combination of work incentives to maximize income. Return to benefits if you have to stop working. Continue to receive healthcare benefits. Be exempt from receiving a medical continuing disability review while participating in the program. Select part-time or work-from-home alternatives to help you reach your goal of financial independence. Re-enter the workforce with confidence, knowing your benefits continue during your transition period.

Important Numbers 14 Substantial Gainful Activity (SGA) amount for persons with disabilities other than blindness is $1,040 per month in 2013. For persons who are blind, SGA is $1,740 per month in 2013. The monthly earnings amount Social Security uses to determine if a month counts as a Trial Work Period (TWP) month is $750 per month in 2013. The month after your TWP ends, you begin your Extended Period of Eligibility (EPE), even if you are not working that month. The first 36 months of the EPE is the re-entitlement period. During EPE, full benefits continue for months earnings are below SGA, as long as you continue to have a disabling impairment. Benefits are suspended in months earnings are over the SGA level.

Important Numbers 15 The first time that you work above SGA in the EPE, SSA will determine your disability ceased and will pay benefits for the month your disability ceased and the following two months. If your earnings fall below SGA and you are still in the 36-month re-entitlement period, SSA will restart your benefits without a new application. Your benefits will end if you work above SGA after the 36-month EPE period. However, you may be able to start your benefits again if you stop work within the next five years.

Meeting the Ticket to Work Challenge 16 Challenge: You are eligible for Ticket to Work only after you are awarded SSDI benefits. By the time someone asks if you would like to try to work, you have invested months or years providing evidence of your inability to work in order to receive SSDI benefits. The process can take two to three years. By that time, many individuals are likely to have become more isolated, lost critical work capacity and have a diminished desire to work. If you are thinking about applying or have a claim pending for SSDI benefits, familiarize yourself with the Ticket to Work program before and during the adjudication process. Learning about work supports and incentives can help you visualize an eventual return to work. This enhances your mental and emotional capacity to take full advantage of the Ticket to Work program when you are ready.

Meeting the Ticket to Work Challenge 17 If you are currently receiving SSDI, remember: Ticket to Work allows you to test your ability to work for at least nine months. During your trial work period (TWP), you will receive full SSDI benefits no matter how much you earn as long as your work activity is reported and you have a disabling impairment. You will have access to vocational rehabilitation and employment that best fit your needs. Services and supports can also be used to help you become self-employed or start your own business. You can continue to be eligible for Medicare coverage for at least 93 months after the last month of your Trial Work Period more than seven and half years. You are exempt from continuing disability reviews while you are participating in the program. If your benefits stop because of your earnings level, you can request to have your benefits reinstated without having to complete a new application. While Social Security determines your benefits reinstatement, you are eligible to receive temporary benefits for up to six months.

Ticket to Work with SCI/D 18 Ticket to Work Milestones (from Return-to-Work Outcomes Among Social Security Disability Insurance Program Beneficiaries) SGA). 4th Suspension or termination of benefits because of work (earn more than 3rd Completion of TWP 2nd Start of trial work period (TWP). 1st First enrollment for employment services provided by a state vocational rehabilitation agency or employment network.

Ticket to Work with SCI/D 19 Study found: It took longer for beneficiaries with back disorders to reach any of the milestones, when compared to beneficiaries with other disabilities. A smaller fraction of beneficiaries with back disorders achieved return-to-work milestones as compared to other groups. Individuals with back disorders, other musculoskeletal disorders, and other psychiatric disorders had a lower probability of achieving milestones.

Ticket to Work with SCI/D 20 Source:Return-to-Work Outcomes Among Social Security Disability Insurance Program Beneficiaries Final Report, June 21, 2013. Mathematica Policy Research.

Ticket to Work Outcomes (2013) 21 The probability of achieving milestones is increased if you: Are younger (under 40 at time of SSDI award). Have a greater number of years of education. Are African American. Live in a state with lower rates of unemployment at the time of your award. The probability of achieving the milestones is reduced if you: Have a higher DI benefit amount at award. Were awarded only after an appeal. Received SSI or Medicare benefits at the time of DI award.

Help Getting Started 22 Employment Network (EN) State Vocational Rehabilitation Agency (VR) Work Incentives Planning and Assistance (WIPA) Protection and Advocacy for Beneficiaries of Social Security (PABSS)

Provider descriptions 23 Employment Network (EN) Contracts with Social Security to provide free services to beneficiaries. Helps you develop an Individual Work Plan (IWP). Defines employment goals. Describes specialized services the EN will provide. Provides career counseling, job placement, and ongoing support services. Some provide additional services. You can shop around for an EN that best suits your needs. Your state s Vocational Rehabilitation agency (VR) Will work with you to develop an individual employment plan. Often provide more rehabilitation or training services compared to an EN. If you need ongoing support and services after the VR agency closes your case, you can also work with an EN to continue progress toward financial independence. Where do I start? Who will help me over the long haul?

Provider descriptions 24 Work Incentives Planning and Assistance (WIPA) Community-based organizations. Support working beneficiaries to make a successful transition to financial independence. Community Work Incentives Coordinator will work with you one on one to provide in-depth counseling about benefits and the effect of work on those benefits. How will employment impact my benefits?

Provider descriptions 25 Protection and Advocacy for Beneficiaries of Social Security Nation's largest provider of legally based advocacy service for people with disabilities. Advocates represent eligible beneficiaries to remove barriers precluding successful employment including: Securing services from community agencies, including employment networks. Protecting beneficiaries with representative payees. Obtaining special education and transition services. Understanding issues with disability benefits and work incentives for people who are already entitled to benefits. Protecting beneficiaries' rights regarding conditions of employment. Obtaining vocational rehabilitation and employment preparation services and supports. Understanding and protecting rights, responsibilities, and reasonable accommodations under the Americans with Disabilities Act. Understanding rights in respect to wage and hour issues. Protecting rights to transportation. Protecting access to housing assistance. What are my rights? What services will help me get and keep a job?

Remember Your Worth 26 People with disabilities benefit employers: Increase production Decrease operational costs Lower turnover rates/improve retention Reduce healthcare costs (Medicare) Secure tax credits Enhance federal law compliance (ADA) Diversify the workplace environment Broaden customer bases and marketing opportunities Boost customer trust and loyalty

Job Accommodations 27 The Americans with Disabilities Act requires employers to provide reasonable accommodations to qualified individuals with disabilities. According to a study conducted by the Job Accommodation Network (JAN), 58% of accommodations cost absolutely nothing to make, while the rest typically cost $500 or less.

Job Accommodations 28 Examples of common work issues and accommodations for SCI/D: Standard desk too low for wheelchair access Remove center drawer Raise desk with wooden blocks Pedestal desk center opening too narrow for wheelchair access Purchase a table Purchase an L-shaped desk with open clearance Holding a telephone receiver difficult due to limited hand or arm function Provide a speakerphone Purchase a telephone headset Source: Job Accommodation Network

Job Accommodations 29 Examples of common work issues and accommodations for SCI/D: Using a standard keyboard/mouse with impaired hand or arm function Provide a keyboard drawer at appropriate height Provide a trackball Purchase hardware or software that provides for alternative access such as voice activation or using Morse code Morning routine for personal care may necessitate changes in work schedules Flexible schedule Telecommute part time Part-time employment Source: Job Accommodation Network

Tax Credits for Employers 30 Work Opportunity Tax Credit (WOTC) Tax credits ranging from $2,400 to $9,600. Architectural/Transportation Tax Deductions Up to $15,000 a year for qualified architectural and transportation barrier removal expenses.

Uncle Sam Wants YOU-Section 503 31 DOL Issues New Rules for Section 503 Regulations of the Rehabilitation Act of 1973: Requires federal contractors and subcontractors make efforts to ensure that seven percent of each of their job groups are individuals with disabilities. Must take affirmative action to recruit, hire, promote and retain individuals with disabilities.

You Always Knew You Were Special.. 32 According to a study conducted by AskEARN.org, companies that hired individuals with disabilities benefited from: Higher levels of employee morale. Stronger commitment and loyalty to the company. Increased tenure or length of time with company (decreased turnover). Filling vacancies. 87 percent of consumers agree or strongly agree Prefer to give their business to companies that employ people with disabilities. $1 trillion consumer dollars is represented by people with disabilities and their networks.

Summary 33 1. Ticket to Work offers vocational training, job placement and employment supports while protecting SSDI benefits to help you transition back to work. 2. Individuals with disabilities are vital and valuable contributors to the American workforce. 3. Re-entering the workforce does not have to be SCARY. For information and assistance with SSDI, visit Expert.Allsup.com For more information on Ticket to Work, visit Allsup.com or ChooseWork.net.

Questions? 34