Expedited Reinstatement (EXR) is a provision under the Social Security Disability Insurance (SSDI) program that allows individuals whose SSDI benefits have ceased due to employment or substantial work activity to request a fast-track reinstatement of benefits without going through the typical application process. Read below for a discussion of the issue of Expedited Reinstatement with SSDI in more detail.
Eligibility for Expedited Reinstatement
To be eligible for Expedited Reinstatement, individuals must meet certain criteria:
a. Prior Eligibility: You must have previously been eligible for SSDI benefits and had your benefits terminated due to engaging in substantial gainful activity (SGA). The termination must have occurred within the last five years.
b. Request for Reinstatement: You need to request reinstatement of your benefits within five years from the month your benefits ceased.
c. Inability to Perform SGA: You must demonstrate that you are unable to engage in substantial gainful activity due to your medical condition. The SSA (Social Security Administration) will evaluate whether your impairment continues to meet their disability criteria.
d. Expedited Process: Expedited Reinstatement allows you to receive provisional benefits for several months while the SSA reviews your case. During this time, you are not required to provide new medical evidence of your disability.
Requesting Expedited Reinstatement
To request Expedited Reinstatement, you need to contact the SSA and submit a request for Reinstatement. It's important to provide accurate and detailed information about your prior eligibility, work history, and medical condition.
Evaluation and Decision: After receiving your request, the SSA will evaluate your medical condition to determine if you meet the disability requirements for reinstatement. The evaluation may involve reviewing your prior medical records and consulting with medical professionals. During this process, you will receive provisional benefits, which are typically based on your previous benefit amount.
Possible Medical Review: In some cases, the SSA may require a medical review to assess your current medical condition. If this is necessary, they will arrange for a consultative examination at their expense. The purpose of the review is to ensure that your impairment still meets the SSA's disability criteria.
Notification of Decision: The SSA will notify you of their decision regarding your reinstatement. If your reinstatement is approved, your provisional benefits will continue while the SSA finalizes your case and adjusts your ongoing benefits accordingly. If your request is denied, you have the right to appeal the decision.
For more information, contact a Social Security Disability attorney near you.