EDPNA Exam 2023 questions with correct answers

EDPNA Exam 2023Social Security Disability Insurance SSDI Citation - correct answer CFR 20 Section 404 Good Cause for Late Filing (Citations: 404.911, 416.1411) - correct answer If an appeal deadline is missed, and the claimant wants to appeal, he or she must show "good cause" for late filing. Examples of good cause are described in 404.911: - correct answer • You were seriously ill and were prevented from contacting us in person, by phone, in writing, or through a friend, relative, or other person; • There was a death or serious illness in your immediate family; • Important records were destroyed or damaged by fire or other accidental cause; • You were making serious efforts to find necessary information to support the claim but had not been able to obtain it within the stated time periods; • You requested additional information from us explaining this action within the time limit. Within 60 days of receiving the explanation you requested reconsideration or a hearing, or within 30 days of receiving the explanation you requested Appeals Council review or filed a civil suit; • We gave you misleading, incorrect or incomplete information about when and how to request administrative review or to file a civil suit; • You did not receive notice of the determination or decision; • You sent the request to another government agency in good faith within the time limit and the request did not reach us until after the time period had expired; or • Unusual or unavoidable circumstances exist, which show that you could not have known of the need to file timely, or which prevented you from filing timely. SSA will consider the following for deciding whether a claimant had good cause - correct answer • What circumstances kept the claimant from making the request on time; • Whether SSA's action mislead the claimant; • Whether the claimant did not understand the requirements; • Whether the claimant had any physical, mental, educational, or linguistic limitations which prevented them from making a timely request or from understanding or knowing about the need to file a timely request for review. Social Security Disability Insurance SSDI - correct answer Title XVI SSDI Eligibility - correct answer 1. Is the applicant under full retirement age (66)? 2. Is the applicant fully insured? 3. Is the applicant insured for disability? Auxiliary Benefits - correct answer Benefits can be paid to the disabled worker's family in some cases. Benefits can be paid to dependent children under the age of 18 or a spouse (or divorced spouse if married for 10 years) under the age of 62 who has joint care of the children. Supplemental Security Insurance SSI - correct answer Title II Supplemental Security Insurance SSI Citation - correct answer CFR 20 Section 416 SSI - correct answer No work requirement Children can qualify as disabled No retroactive benefits earlier than filing date Strict income and resource provisions Definition of Disability - correct answer Citations: 404.1505, 416.905 The inability to do any substantial gainful activity (SGA) by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death, or which has lasted or can be expected to last for a continuous period of not less than 12 months. Insured Status - correct answer 1. An individual must be fully insured 2. as a general rule they must meet to 20/40 requirement. (5 of last 10 years) Insured status - correct answer Quarters of Coverage at least 6 Quarters