Fighting the ALJ’s Decision
Picture this: you have made your way through the long disability determination process. Finally, you have had a hearing in front of an Administrative Law Judge (ALJ). But unfortunately, the ALJ’s decision is not in your favor, and your claim was denied. You may find yourself asking- what now? At this point, Social Security gives you a couple of choices.
The ALJ Denied My Social Security Benefits – What Are My Options?
Option 1:
Your first option is to appeal the ALJ’s decision to the Appeals Council. The Appeals Council is another component of the SSA, with its headquarters located in Falls Church, VA. The appeal must be filed within 60 days of the ALJ’s decision. You don’t get another hearing at this level. Rather, the Appeals Council will review the ALJ’s decision, the evidence in your claim file, and legal arguments submitted by your attorney in support of the appeal. The Appeals Council will then make a new decision.
The Appeals Council may uphold the ALJ’s decision and deny your claim again. Alternatively, it may reverse the ALJ’s decision and send your claim back to the ALJ with instructions to take another look at it. This is called a remand. Lastly, the Appeals Council may reverse the ALJ’s decision decision enitrely and award benefits to you directly. Because the Appeals Council handles appeals from ALJs all over the nation, it usually takes 12 to 18 months to receive a decision. For full details on the appeals process, you can check out the SSA’s website.
Option 2:
Your second option is to file a new application for benefits. Social Security no longer allows you to file an appeal and a new application at the same time, except under limited circumstances.
The best decision for you depends on several factors, including the strength of the evidence in your claim; whether you continue to be insured for the disability benefit; the ongoing state of your health; and of course any legal mistakes the ALJ may have made in denying your claim.
This decision is best made in consultation with a Social Security Disability Insurance Attorney who is familiar with your case and can advise you as to your options.
Originally published on December 2nd, 2015
COVID-19 FAQ
LAYOFFS AND FURLOUGHS DUE TO COVID-19 IN OHIO: WHAT ALL EMPLOYEES NEED TO KNOW.
Employers across Ohio are closing their operations due to Gov. DeWine’s declaration of a state of emergency and the “Shelter in Place” Order. While the emergency declaration and the “Shelter in Place” Order are necessary to #flattenthecurve, many Ohio businesses are reducing their workforce due to the coronavirus pandemic through layoffs, furloughs, reductions in hours, and pay cuts. The business decisions an employer makes have different impacts on its employees.
If you have been laid off, furloughed or had a reduction in hours, you have important rights.
OHIO UNEMPLOYMENT BENEFITS
The emergency declaration expands unemployment coverage in Ohio until the emergency declaration is lifted.
The online form to apply is found at: http://www.odjfs.state.oh.us/forms/num/JFS00671/pdf/. Applying online will help expedite your application.
If you are working, but have a reduction in hours, you may still be eligible to apply; however, your earnings will be deducted from your maximum benefit amount. This means if what you earn in a week with reduced hours is more than your state maximum benefit, you will not receive unemployment. Maximum Weekly Benefits are:
THE CORONAVIRUS AID, RELIEF, AND EMERGENCY SECURITY ACT
The federal Coronavirus Aid, Relief, and Emergency Security Act or the “CARES Act” that passed on March 27, 2020 impacts your unemployment benefit entitlement and Maximum Weekly Benefits. Under this federal stimulus law, if you have an unemployment claim in Ohio, you are entitled to an additional weekly $600 Federal Pandemic Unemployment Compensation payment on top of existing state unemployment benefits for a maximum of thirty-nine weeks, subject to further extension rules. Further, sick employees who have the coronavirus can also collect unemployment if they are not receiving paid leave benefits.
The CARES Act mandates extension of unemployment coverage to an individual who is otherwise able to work and:
WAGE AND HOUR CONSIDERATIONS
No pay means no work.
If you have had your normal work hours reduced, your employer cannot require you to do any work outside of those reduced hours without you getting paid for it. In other words, if an employer asks an employee to do any work during the reduced hours, then the employee must be compensated for that time. Things like answering emails, taking phone calls, picking up mail, etc. are all work activities for which employees must be compensated.
Wages
An employer cannot reduce an hourly employee’s pay below the Ohio minimum wage which is currently $8.70 per hour. Employers cannot reduce a salaried employee’s weekly wage below $684 per week. Both of these are still violations of the Fair Labor Standards Act and the Ohio Wage Act.
Payment
The Ohio Prompt Pay Act remains in effect. Employers must still pay employees at least on a bi-weekly basis and cannot make an employee wait more than 30-days for their paycheck.
NEW FAMILY MEDICAL LEAVE RIGHTS AND PAID SICK TIME
On March 18, 2020, the federal Families First Coronavirus Response Act (FFRCA) became law. The law includes two new important provisions for Ohio workers: 1) an emergency expansion to the Family Medical Leave Act (FMLA) and 2) a new Emergency Paid Sick Leave Act that requires paid leave for employees forced to miss work because of the COVID-19 outbreak in certain circumstances:
EMERGENCY FAMILY AND MEDICAL LEAVE EXPANSION ACT
EMERGENCY PAID SICK LEAVE ACT
Requires private employers with fewer than 500 employees and public employers regardless of size to provide up to 80 hours of paid sick leave to employees on top of what the employer now provides (if any). This new paid sick time applies to employees who are unable to work, or telework, because the employee: