TEST ORGANIZED QUESTIONS,STEP BY
STEP EXPLANATIONS AND REVIEW
GUIDE,100% CORRECT EXPERT
VERIFIED ANSWERS GRADED A+
(LATEST VERSION!!!!!!)
The claimant was born September 15, 1991. He began work at
age 21 for a company owned by a friend of his father. He loaded
trucks at a grain storage warehouse. He traveled across State
lines from his home--where he lived with his parents--to the job
site each day. He made enough money to be credited with four
(4) quarters of coverage in 2013. He made enough money to be
credited with two (2) quarters of coverage in 2014. In May,
2014 the business owner was indicted for tax fraud and the
company closed. Claimant was unable to find work thereafter.
He has no other work history. On New Year's Eve, 2015 the
claimant was jogging near his home when he was struck by a
driver and sustained multiple leg and back injuries. Was he
insured at the time of his accident? - THE CORRECT ANSWER-*Special
insured status*
Yes. He turned 21 in 9/2012, one quarter after turning 21 =
12/2012 (404.130(3). Onset is 12/31/2015. Between the 4th
quarter of 2012 and the 4th quarter of 2015 there are 13
quarters. If the number of quarters is odd you subtract one,
which leaves us with 12 quarters. Half of 12 is 6. He has 6 QC's
total and is insured for disability insurance benefits. His date
last insured (DLI) is 12/31/2015.
,If Sam applies for benefits on 12/3/2017 and says that he
became disabled on 11/8/2014 (assuming he is awarded SSDI
as of that alleged onset date of 11/8/14), the five-month waiting
period would begin when? - THE CORRECT ANSWER-7/1/2016 - 17 full
months before date of filing
If Marie applies on 7/1/2016 and claims her onset of disability
was 3/3/2016, she would not be eligible for benefits payments
until when? - THE CORRECT ANSWER-9/1/2016. Due to the full five-
month waiting period, March cannot be counted as a full month
because she did not become disabled on the first day of March.
Mark's established onset date of disability was March 15, 2018.
When will his Medicare access begin? - THE CORRECT ANSWER-
*Medicare Waiting period*
September of 2020- March 2018 does not count as a full
month, so the 5-month waiting period begins 4/18. (April, May,
June, July, August= waiting period) His benefits begin
September 2018 and his Medicare will begin 2 years later in
September, 2020.
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.
Susan is seriously injured in a motor vehicle accident two days
after her 19th birthday and is expected to have permanent loss
of much of the use of her arms and legs. Susan was in college at
the time of the accident and has never worked and was not
married. Susan's father was a bank executive, but died when
Susan was only 11 years old. Will Susan be eligible for DAC
benefits? - THE CORRECT ANSWER-*Disabled Adult Child (DAC)*
, Yes, she meets all the criteria: unmarried, 18 or older, disabled
before age 22, meets listings with loss of use of four extremities,
and no work record of her own. If Susan had been married,
then she might be eligible for SSI, but not for DAC benefits.
Mrs. Smith is 55 years old this year, 2019. Mr. Smith was
working and fully insured when he died of cancer in 2011. Since
then, Mrs. Smith has struggled to pay the bills with her job as a
Walmart greeter. This year she had to quit her job because she
was put on oxygen 24/7 due to advanced COPD. Can she apply
for disabled widow's benefits? - THE CORRECT ANSWER-*Disabled
Widow Benefits (DWB)
No. Mrs. Smith meets all the criteria for DWB except that her
disability began more than 7 years after her husband died. Mrs.
Smith may be eligible for SSI.
Jake filed an initial application and received a Notice of Denial
dated May 2, 2017 on May 5, 2017. When is the appeal due? -
THE CORRECT ANSWER-Start counting with the date after the date of
the notice (5/3). 5/3 plus 60 days = 7/1. BUT...we have to add
in the 5-day assumption to get to the technical due date. 7/1
plus 5 = 7/6/2017. Jake has to submit an appeal 7/6/2017 or
earlier for it to be considered timely filed.
Jack, who has not done any work since 2012 and has been on
the Ticket to Work program since 2014, feels better due to new
medication. He is able to find a job and starts working full time
on June 15, 2018. He earned $789 the month of June and
$2378 in July. The stress of working got to him and he had to
stop on August 4th making his total earnings in August $182.
How many trial work months did he use during this work
attempt? - THE CORRECT ANSWER-He only used one. The work done