EDPNA PRACTICE EXAM ACTUAL TEST
QUESTIONS AND SOLVED ANSWERS
◉ Definition of Disability.
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.
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.
Answer: 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
◉ Rules of Disability Insured Status (SSDI Only).
Answer: 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;
(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; and
(iii) No monthly benefits may be paid or increased under Rule Ill
before May 1983.
Rule 4: You are statutorily blind.
(1) You are disabled by blindness as defined in § 404.1581; and
(2) You are fully insured.
,◉ Special Insured Status (SSDI Only).
Answer: 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.
◉ Insured Status - Statutorily Blind.
Answer: Citation: 404.130(e)
Statutorily blind individuals must only meet the fully disability
insured status.
◉ Statutorily Blindness.
Answer: 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)
◉ Fully Insured Status (SSDI Only).
Answer: 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.
◉ Waiting Period (SSDI Only).
Answer: 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.
◉ Medicare Waiting Period.
QUESTIONS AND SOLVED ANSWERS
◉ Definition of Disability.
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.
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.
Answer: 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
◉ Rules of Disability Insured Status (SSDI Only).
Answer: 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;
(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; and
(iii) No monthly benefits may be paid or increased under Rule Ill
before May 1983.
Rule 4: You are statutorily blind.
(1) You are disabled by blindness as defined in § 404.1581; and
(2) You are fully insured.
,◉ Special Insured Status (SSDI Only).
Answer: 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.
◉ Insured Status - Statutorily Blind.
Answer: Citation: 404.130(e)
Statutorily blind individuals must only meet the fully disability
insured status.
◉ Statutorily Blindness.
Answer: 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)
◉ Fully Insured Status (SSDI Only).
Answer: 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.
◉ Waiting Period (SSDI Only).
Answer: 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.
◉ Medicare Waiting Period.
