EDPNA Exam Technical and Procedural | UPDATED Questions
with 100% Verified Answers
Q1: Social Security Disability Insurance SSDI Citation
A: CFR 20 Section 404
Q2: Good Cause for Late Filing (Citations: 404.911, 416.1411)
A: If an appeal deadline is missed, and the claimant wants to appeal, he or she must show "good cause" for late filing.
Q3: Examples of good cause are described in 404.911:
A: • 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
Q4: SSA will consider the following for deciding whether a claimant had good cause
A: • 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.
Q5: Social Security Disability Insurance SSDI
A: Title XVI
Q6: SSDI Eligibility
A: 1. Is the applicant under full retirement age (66)? 2. Is the applicant fully insured? 3. Is the applicant insured for
disability?
Q7: Auxiliary Benefits
A: 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.
,Q8: Supplemental Security Insurance SSI
A: Title II
Q9: Supplemental Security Insurance SSI Citation
A: CFR 20 Section 416
Q10: SSI
A: No work requirement Children can qualify as disabled No retroactive benefits earlier than filing date Strict income and
resource provisions
Q11: Definition of Disability
A: 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.
Q12: Insured Status
A: 1. An individual must be fully insured 2. as a general rule they must meet to 20/40 requirement. (5 of last 10 years)
Q13: Insured status
A: Quarters of Coverage at least 6 Quarters One of Four For every year beginning with the year after attainment of age
21 up until the age you turn 62 or you die
Q14: Rules of Disability Insured Status (SSDI Only)
A: Citations: 404.130, 404.131, and 404.140 Rule 1 - 20/40:You have to have 20 quarters of coverage in the 40-quarter
period ending with the quarter that you became disabled. This is called the 20/40 rule. Or essentially, you have
worked five years out of the last ten years, before you became disabled. Rule 2 - Special Insured Status: Rule 3: You
had a period of disability before age 31.You are insured in a quarter for purposes of establishing a period of disability
or becoming entitled to disability insurance benefits if in that quarter- (1) You are disabled again at age 31 or later
after having had a prior period of disability established which began before age 31 and for which you were only
insured under paragraph (c) of this section; and (2) You are fully insured and have QCs in at least one-half the
calendar quarters in the period beginning with the quarter after the quarter you became age 21 and through the
quarter in which the later period of disability begins, up to a maximum of 20 QCs out of 40 calendar quarters;
however- (i) If the number of quarters during this period is an odd number, we reduce the number by one;
, Q15: Special Insured Status (SSDI Only)
A: Disable before the age of 31 20 CFR 404.130: You are insured in a quarter for purposes of establishing a period of
disability or becoming entitled to disability insurance benefits if in that quarter- (1) You have not become (or would not
become) age 31; (2) You are fully insured (next chapter); and (3) You have Quarters of Coverage (QCs) in at least
one-half of the quarters during the period ending with that quarter after the quarter you became age 21; however- (i)
If the number of quarters during this period is an odd number, we reduce the number by one; and (ii) If the period has
less than 12 quarters, you must have at least 6 QCs in the 12- quarter period ending with that quarter.
Q16: Insured Status - Statutorily Blind
A: Citation: 404.130(e) Statutorily blind individuals must only meet the fully disability insured status.
Q17: Statutorily Blindness
A: Defined in the law as central visual acuity of 20/200 or less in the better eye with the use of correcting lens. An eye
which has a limitation in the field of vision so that the widest diameter of the visual field subtends an angle no greater
than 20 degrees is considered to have a central acuity of 20/200 or less. (404.1581)
Q18: Fully Insured Status (SSDI Only)
A: 404.110 You need at least one QC (Quarter of Coverage) for each calendar year after you turned 21 and the earliest
of the following: • The year before you attain age 62, • The year before you die, or • The year before you become
disabled. The minimum number of QCs needed is 6. The maximum number needed is 40. Any year (all or part of a
year) that was included in a period of disability is not included in determining the number of QCs you need.
Q19: Waiting Period (SSDI Only)
A: There is a 5-month period in which a claimant must have been disabled for 5 full consecutive months, beginning with
the month that they were both insured and disabled, before cash benefits can begin. Your waiting period can begin
no earlier than the 17th month before the month you apply-no matter how long you were disabled before then.
Q20: Medicare Waiting Period
A: Test Tip: Include the 5-month waiting period in your calculation and count 29 months forward from established onset
date to get the date the Medicare eligibility would begin. To become eligible for Medicare a claimant has to have 24
months of disability eligibility, meaning they have been paid 24 months of cash benefits. 24 months after SSDI
payments begin, the claimant will be automatically eligible for Medicare.
Q21: Disabled Adult Child (DAC) (SSDI Only)
A: An adult who was disabled before age 22 may be eligible for child's benefits if a parent is deceased, or receiving
Social Security retirement, or receiving Social Security disability benefits. SSA considers this Disabled Adult Child
claim a "child's" benefit because it is paid on the parent's earnings record. To meet requirements, the adult child --
including an adopted child, or, in some cases, a stepchild, grandchild, or step grandchild - must 1. be unmarried; 2.
be age 18 or older; 3. have a disability that started before age 22; 4. meet the SSA definition of disability for adults,
and 5. not have substantial earnings to be insured for Title 2 on their own record.
with 100% Verified Answers
Q1: Social Security Disability Insurance SSDI Citation
A: CFR 20 Section 404
Q2: Good Cause for Late Filing (Citations: 404.911, 416.1411)
A: If an appeal deadline is missed, and the claimant wants to appeal, he or she must show "good cause" for late filing.
Q3: Examples of good cause are described in 404.911:
A: • 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
Q4: SSA will consider the following for deciding whether a claimant had good cause
A: • 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.
Q5: Social Security Disability Insurance SSDI
A: Title XVI
Q6: SSDI Eligibility
A: 1. Is the applicant under full retirement age (66)? 2. Is the applicant fully insured? 3. Is the applicant insured for
disability?
Q7: Auxiliary Benefits
A: 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.
,Q8: Supplemental Security Insurance SSI
A: Title II
Q9: Supplemental Security Insurance SSI Citation
A: CFR 20 Section 416
Q10: SSI
A: No work requirement Children can qualify as disabled No retroactive benefits earlier than filing date Strict income and
resource provisions
Q11: Definition of Disability
A: 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.
Q12: Insured Status
A: 1. An individual must be fully insured 2. as a general rule they must meet to 20/40 requirement. (5 of last 10 years)
Q13: Insured status
A: Quarters of Coverage at least 6 Quarters One of Four For every year beginning with the year after attainment of age
21 up until the age you turn 62 or you die
Q14: Rules of Disability Insured Status (SSDI Only)
A: Citations: 404.130, 404.131, and 404.140 Rule 1 - 20/40:You have to have 20 quarters of coverage in the 40-quarter
period ending with the quarter that you became disabled. This is called the 20/40 rule. Or essentially, you have
worked five years out of the last ten years, before you became disabled. Rule 2 - Special Insured Status: Rule 3: You
had a period of disability before age 31.You are insured in a quarter for purposes of establishing a period of disability
or becoming entitled to disability insurance benefits if in that quarter- (1) You are disabled again at age 31 or later
after having had a prior period of disability established which began before age 31 and for which you were only
insured under paragraph (c) of this section; and (2) You are fully insured and have QCs in at least one-half the
calendar quarters in the period beginning with the quarter after the quarter you became age 21 and through the
quarter in which the later period of disability begins, up to a maximum of 20 QCs out of 40 calendar quarters;
however- (i) If the number of quarters during this period is an odd number, we reduce the number by one;
, Q15: Special Insured Status (SSDI Only)
A: Disable before the age of 31 20 CFR 404.130: You are insured in a quarter for purposes of establishing a period of
disability or becoming entitled to disability insurance benefits if in that quarter- (1) You have not become (or would not
become) age 31; (2) You are fully insured (next chapter); and (3) You have Quarters of Coverage (QCs) in at least
one-half of the quarters during the period ending with that quarter after the quarter you became age 21; however- (i)
If the number of quarters during this period is an odd number, we reduce the number by one; and (ii) If the period has
less than 12 quarters, you must have at least 6 QCs in the 12- quarter period ending with that quarter.
Q16: Insured Status - Statutorily Blind
A: Citation: 404.130(e) Statutorily blind individuals must only meet the fully disability insured status.
Q17: Statutorily Blindness
A: Defined in the law as central visual acuity of 20/200 or less in the better eye with the use of correcting lens. An eye
which has a limitation in the field of vision so that the widest diameter of the visual field subtends an angle no greater
than 20 degrees is considered to have a central acuity of 20/200 or less. (404.1581)
Q18: Fully Insured Status (SSDI Only)
A: 404.110 You need at least one QC (Quarter of Coverage) for each calendar year after you turned 21 and the earliest
of the following: • The year before you attain age 62, • The year before you die, or • The year before you become
disabled. The minimum number of QCs needed is 6. The maximum number needed is 40. Any year (all or part of a
year) that was included in a period of disability is not included in determining the number of QCs you need.
Q19: Waiting Period (SSDI Only)
A: There is a 5-month period in which a claimant must have been disabled for 5 full consecutive months, beginning with
the month that they were both insured and disabled, before cash benefits can begin. Your waiting period can begin
no earlier than the 17th month before the month you apply-no matter how long you were disabled before then.
Q20: Medicare Waiting Period
A: Test Tip: Include the 5-month waiting period in your calculation and count 29 months forward from established onset
date to get the date the Medicare eligibility would begin. To become eligible for Medicare a claimant has to have 24
months of disability eligibility, meaning they have been paid 24 months of cash benefits. 24 months after SSDI
payments begin, the claimant will be automatically eligible for Medicare.
Q21: Disabled Adult Child (DAC) (SSDI Only)
A: An adult who was disabled before age 22 may be eligible for child's benefits if a parent is deceased, or receiving
Social Security retirement, or receiving Social Security disability benefits. SSA considers this Disabled Adult Child
claim a "child's" benefit because it is paid on the parent's earnings record. To meet requirements, the adult child --
including an adopted child, or, in some cases, a stepchild, grandchild, or step grandchild - must 1. be unmarried; 2.
be age 18 or older; 3. have a disability that started before age 22; 4. meet the SSA definition of disability for adults,
and 5. not have substantial earnings to be insured for Title 2 on their own record.
