Social
Security & Workers Compensation Benefit Calculation: How Do They Do That?
People wonder how much they will
get paid if their claim is approved.
Naturally, the answer is: It Depends.
Calculation
of benefits where the worker is entitled to State Disability and calculation of
all cases where the claimant also has Workers Compensation is complicated to
say the least.
This is an
attempt to explain it.
Step 1:
Determine the payment period.
If your case
is approved, the cash benefit will be paid from your onset date while your
claim is pending. That cash number is called the back benefit. There are so
many factors that influence the starting date and, thus, the back benefit; it
is staggering. As you read this, assume
we’re talking about 12 months. Using the
national averages as a guide, you could expect $12,000 per year and expect 24
months in the back benefit period,
for a total of $24,000 – IF there is no Offset.
If there is, you could end up with no back benefit at all.
What we want to know is will you actually get the full amount, or
will it be reduced?
Step 2: Determine which program applies to you?
Social
Security Disability Insurance (SSDI) is not the same thing as Supplemental
Security Income (SSI). The most obvious
difference is in the benefit amount. In
an SSI case, the maximum benefit in California today is $846. That number changes almost month to month and
certainly year to year. Perhaps someday
I’ll explain how to deal with SSI benefits. For now, I will concentrate on
SSDI.
Who is covered under SSDI
SSDI is
under Title II of the Social Security Act and pays benefits to disabled
workers, widows of disabled workers, divorced widows of disabled workers
(sometimes), children of disabled or retired workers and children who are now
adults (age 22 or older) who became disabled before their 22nd
birthday. (There are other programs in
Title II, like retirement.)
Step 3: Find out how many dollars
you could get based on your earnings history.
To find out
what your maximum benefit and your family’s maximum benefit are, go to www.ssa.gov and look for the area (currently in an oval on the left of the
page) that says: “My Social Security”.
You will need to have an email address and a phone number to create the
account. You will create a login name
and password.
The safest
passwords are those made up of what appear to be random letters and numbers
plus one symbol. LgYL!0469 Looks random, but is really the first letter of a
sentence I remember, an exclamation point and the last four numbers of my
mother’s phone number. You really don’t want anyone getting into this
account. It has your SSN and will have
your bank account numbers you want your benefits to go in. (It’s not my
password, by the way.)
Once you
create your account, you can find out what your benefit would be if you retired
at various ages, what your benefit would be if you became disabled, and the
family maximum which includes your minor or disabled children if you become
disabled yourself or if you retire.
PIA: Whatever that total number of dollars is is
called your Primary Insurance Amount. (The National average is about $1,100 per
month.)
You are
entitled to the benefit no matter how much money you already have or property
you own – not true with SSI.
Step Four: Get some aspirin. This may not kill you but it will probably
give you a headache.
Step Five: Do the math.
Stay tuned for next week's part 2 --- Offsets...
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