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As a Disability attorney, a question I hear often from Social Security Disability (SSD) clients who also received workers’ compensation benefits is, “Why does my SSA-1099 form show a higher amount of Disability benefits than I actually received?” The answer to this question involves the coordination of benefits between Social Security Disability income and workers’ compensation income and workers’ compensation offsets.

Sometimes, your SSD benefits are reduced because of the workers’ comp benefits you receive. This is so you don’t exceed the combined total of benefits you’re allowed to receive by law. Because the IRS treats workers’ compensation payments and Social Security Disability payments differently for tax purposes, though, things can get tricky. Workers’ comp benefits are generally not taxable, whereas SSD benefits can be taxable depending on your financial situation.

The amount on your SSA-1099 form is the likely amount of benefits you owe taxes on, not necessarily the amount you received in SSD benefits.

Below, I will provide you with a more detailed explanation and an example to illustrate how workers’ compensation offsets can affect your Social Security Disability benefits. But first, here’s a refresher on some basic terms and facts:

Social security disability insurance is a federal program, while workers' compensation is a state-run program.

What Is a Workers’ Compensation Offset?

There is a federal requirement that your combined workers’ compensation payments and SSDI payments cannot be more that 80% of your typical earnings before you became disabled. The intent of this requirement is to ensure that the combined benefits are not excessive.

In North Carolina, the Social Security Administration (SSA) reduces your SSDI benefits to meet the 80% requirement – and the amount your SSDI benefits are reduced is called a workers’ compensation offset.

Hypothetical Example:

Bob’s average earnings were $4,000/month before he became disabled, and by federal law, he is only entitled to 80% of this amount (or $3,200/month) in monthly workers’ comp and SSDI benefits:

$4,000 X 80% = $3,200 (maximum allowable workers’ comp + SSDI benefits)

If Bob is eligible to receive $2,000/month in workers’ compensation and $2,200/month in SSDI, for a total of $4,200/month, the combination of both amounts is more than the maximum allowable combined benefits set forth by federal law:

$4,200 – $3,200 = $1,000 (amount over the maximum allowable benefits)

Therefore, the SSA subtracts the workers’ comp amount from the maximum allowable combined benefits, and the remainder is what SSDI will pay:

$3,200 (max amount) – $2,000 (workers’ comp benefits) = $1,200 (what SSDI will pay)

The difference between what Bob was originally eligible for in SSDI and what SSDI paid in benefits is the workers’ comp offset:

$2,200 (orig. SSDI benefit) – $1,200 (what SSDI paid) = $1,000 (workers’ comp offset)

The $1,000 workers’ comp offset amount is taxed by law because it’s helping Bob avoid SSD taxes but was not taxed as workers’ compensation. So, the SSA adds it to the amount that it paid in SSDI, and that total amount is listed in Box 5 (Net Benefits) of the SSA-1099.

$1,200 (actual benefits paid) + $1,000 (workers’ comp offset) = $2,200 (the amount the SSA reports in Box 5 of the SSA-1099 form)

This is why your SSA-1099 form may show a higher amount of SSDI benefits than you actually received. The SSA likely considers this total amount ($2,200 in the above example) to be what you have received in taxable SSDI benefits.

Why Are Workers’ Comp Offsets Subject to Federal Taxes?

They aren’t.

If you get both workers’ comp and Disability, a workers’ compensation offset is basically replacing a portion of the SSDI benefit – so you may not be receiving that in SSDI (and therefore not paying the taxes), but you should still be receiving the full benefits allowed by law. Had there been no workers’ compensation offset, you likely would have had to pay taxes on the SSDI portion above your earning threshold, so the workers’ comp offset amount is subject to taxation.

If you have additional questions regarding workers’ compensation offsets and how they impact your taxes, consult with a tax professional. If you have questions about Social Security Disability benefits, I urge you to consult with an experienced Social Security Disability attorney.

 

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What Is Backpay in Social Security Disability?

When you’re suffering from anxiety, it can be hard to focus and accomplish even the smallest task. For those who suffer from debilitating anxiety, working for a living may be out of the question.

Fortunately, it is possible to receive Social Security Disability for anxiety in North Carolina.

While the application process can be complex and challenging, an experienced Social Security Disability attorney can do the fighting for you. Call 1-866-900-7078 today to get clarity on your case at no cost and no obligation.

Social Security Disability attorney Rick Fleming from the Law Offices of James Scott Farrin.

Here’s some information to help you understand the rules and how to pursue benefits.

Can You Qualify for Disability With Anxiety and Depression?

Yes, getting Social Security Disability benefits for anxiety (with or without depression) is possible.

What Types of Anxiety Qualify for Disability?

According to the Social Security Administration (SSA), the following conditions may qualify for Disability benefits under the umbrella of anxiety:

  • social anxiety disorder
  • panic disorder
  • generalized anxiety disorder
  • agoraphobia
  • obsessive-compulsive disorder
Note that the SSA categorizes anxiety and compulsion disorders as distinct from trauma- or stress-related disorders. In other words, if your anxiety is a result of PTSD, you would try to qualify under the provisions for PTSD instead of anxiety.

The Social Security Disability administration "Blue Book" on disability evaluation.How Hard Is It to Get Disability for Anxiety?

Let’s start with the official, by-the-book criteria, then I’ll share my experience with you as an attorney on how things tend to play out in real life. The book I’m referring to is the Social Security Administration’s “Blue Book.” It is essentially the guide to Disability qualifications used by the SSA, and Chapter 12 is all about mental health.

You must satisfy multiple criteria from the Blue Book to receive benefits. For anxiety, the requirements have three separate paragraphs or parts, labeled A, B, and C. To qualify, you must meet the criteria of both paragraphs A and B OR A and C.

According to paragraph A, anxiety is a condition characterized by:

  • excessive anxiety, worry, apprehension, and fear, or
  • avoidance of feelings, thoughts, activities, objects, places, or people

Symptoms can include:

  • restlessness
  • difficulty or inability to concentrate
  • hyper-vigilance
  • muscle tension
  • sleep disturbance
  • panic attacks
  • obsessions/compulsions
  • fears about your safety
  • frequent physical complaints

To qualify for benefits, your anxiety must be at the level described by paragraph A. But that’s just part of the equation. Remember, you must satisfy the criteria of both paragraphs A and B, OR A and C. A judge makes the final decision.

NOTE: The SSA has specific qualifications regarding “acceptable medical sources.” These rules can impact the evidence you need to prove your disability. Consult with an experienced Disability lawyer for help.

Paragraph B: Extreme Limitation

To meet the requirements of paragraph B, you must show that your anxiety causes “extreme” limitation of one, or “marked” limitation of two or more of the following areas:

  • Your ability to understand, remember, or apply information
  • Your ability to interact with others
  • Your ability to concentrate, persist, or maintain pace
  • Your ability to manage yourself or adapt

For example, if you were judged to be extremely limited in your ability to interact with others by panic disorder, you could qualify. Likewise, if you had a demonstrable inability to concentrate or remember and apply information due to generalized anxiety disorder, you could also qualify. These four criteria also apply to depression.

These criteria can be strict, but our Social Security Disability team can guide you every step of the way in your fight for benefits.

Paragraph C: A Long Medical History

This involves proving that your disorder is “serious and persistent.” That means you must have a medically-documented history of your condition for a period of at least two years, and those records must include descriptions of work limitations.

My Perspective as an NC State Bar Board Certified Specialist in Disability

In my experience, cases built off anxiety alone are difficult – though not impossible – to win, especially for “younger individuals” (ages 18-49 under SSA regulations). It’s vital to have documentation of your inability to maintain concentration, task persistence, or a schedule. 

It can also be helpful to show that you require a highly structured environment (like a spouse or parent who essentially arranges your life for you). Finally, if you have a physical impairment in addition to your anxiety, like a herniated lumbar disc or severe tricompartmental arthritis of the knee, this paints a more thorough picture of your situation and can help you win the SSA over. 

Learn More: Why Hire a Disability Attorney

Qualifying for Social Security Disability for Anxiety

Here are some more things you should know about seeking Disability benefits for your anxiety:

  • You ultimately need to convince a judge that you are unable to complete the tasks required for work. Generally, you should be out of work for a year or more and must demonstrate how your condition prevents you from earning a living.
  • Your treatment needs to be specialized – your general medicine doctor will not be sufficient. Care should be provided by qualified psychiatric professionals, and you should be taking medication as prescribed. If you have had any in-patient psychiatric hospitalization of extended durations, make sure to let your attorney know. Documentation, treatment notes, examinations, and other records can help you establish your condition and meet the proper treatment criteria.
  • Your dedication to try and manage your anxiety is a factor. Showing that you are working on your anxiety so that you can return to working for a living can be an important factor.

How Long Can You Be on Disability for Anxiety?

Approved Social Security Disability benefits for anxiety can continue until one of two things happen.

  • You age into your Social Security Retirement benefits, at which point your benefits can convert from Disability to retirement.
  • You are no longer disabled and have recovered from your anxiety disorder.

How Much Disability Can You Get for Anxiety (and Depression)?

Your potential Social Security Disability benefit is based on your lifetime earnings and can never exceed the full amount of your Social Security retirement benefit. Once you have proven your disability and been approved by the Social Security Administration for benefits, you can begin receiving the full amount of your retirement benefit. You may also be eligible for back-dated benefits to the date when your disability began.

If approved for Disability, you can receive the full amount of your retirement benefit, plus potential back-due benefits.

Get an Experienced Social Security Disability Attorney to Help With Your Anxiety Benefits Claim

You’re dealing with enough. Avoid the confusion and frustration of trying to handle the Social Security Administration yourself and let us fight for you. Nearly everyone on our team has prior experience working in the Social Security Administration, and I’m President-elect for the National Organization of Social Security Claimants’ Representatives (NOSSCR).

Logo of the NOSSCR.

At James Scott Farrin, our Disability team uses our combined knowledge and experience to help people in need every day. Since 1997, my firm has recovered more than $1.6 billion in total compensation for more than 60,000 people.1

Call 1-866-900-7078 or contact us online today for a free case evaluation.

 

Frequently Asked Questions



Is social anxiety covered under Disability?

Yes, it can be. It is one of the five conditions that the Social Security Administration potentially recognizes and evaluates for.

What happens if you can't work due to anxiety?

Disability benefits can be a lifeline. You must meet the qualifications and have your condition evaluated before you can receive benefits. An experienced attorney can help you every step of the way.

smiling child outside with double braids and Downs SyndromeThe Social Security Administration has agreed to a settlement that some say is the first of its kind and that requires the agency to provide staff training and assistance to two mentally disabled men who lost benefits.

The two San Francisco men – whose ailments include schizophrenia, autism, severe anxiety and functional illiteracy – said they lost their benefits because they were unable to understand the rules.

One man saw a reduction in benefits because he did not deduct qualified expenses from his income, then lost his benefits altogether after signing an inaccurate income statement. The other man was disqualified from receiving benefits after an inaccurate review of his past income.

The settlement requires the Social Security Administration to assign a staff expert to meet with the men to go over forms and requirements for applying for benefits and to help them provide the information needed to protect their rights. The agency also agreed to pay $900,000 for the men’s legal fees.

Signaling Change for Other Mentally Disabled Claimants?

Steven Bruce, the legal director of the People with Disabilities Foundation, which represented the two men, said that this appears to be the first court case in the nation that has required a federal agency to accommodate the needs of a mentally ill or disabled person.

Though the Social Security Administration started making accommodations for some disabled recipients after a judge ordered it to do so – sending notices to blind recipients in Braille or on audio discs and making similar arrangements for the deaf and hard-of-hearing – it has not provided such accommodations for those with mental or learning disabilities.

Bruce said the settlement could help to raise awareness of the issue and “ideally pave the way for millions of other mentally and developmentally disabled Americans to actually receive the equal, meaningful access” that is their right.

North Carolina Social Security Disability Lawyers

If you have been denied social security disability, the North Carolina social security disability lawyers at the Law Offices of James Scott Farrin may be able to help! Call 1-866-900-7078 for a free, confidential evaluation of your case.

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