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After a Denial for Social Security, What Does a Judge Considers in a Social Security Disability Appeal?

If you have received a denial of your initial claim for Social Security Disability benefits, and requested an appeal, you will likely appear before a Social Security Administrative Law Judge (“ALJ”) who will decide whether you meet the criteria for disability benefits.

Social Security requires that the ALJ consider all of the following factors to determine whether a claimant is disabled:

  • whether the claimant engaged in substantial gainful work;
  • whether the claimant has a severe impairment;
  • whether the severe impairment meets or equals an impairment in the Listings of Impairments;
  • whether the claimant has the residual functional capacity (“RFC”) to perform his or her past relevant work;
  • whether, in light of the claimant’s RFC, age, education, and work experience, there are other jobs the claimant can perform.

Although the factors that the ALJ uses are the same for each claimant, the way in which each judge applies or interprets the factors to an individual claim varies widely from judge to judge. That is, there is a certain amount of subjectivity in each judge’s decision.

A local attorney experienced in Social Security Disability law, who has appeared before the various ALJs in his/her region, is a tremendous asset to a claimant during the appeal process. Knowing what the judge looks for, in terms of documentation of the claimant’s physical or mental capabilities as well as the type of work that claimant has performed is an important part of the presenting the claimant in the most favorable light when he or she appears before the judge with his attorney.

Leslie A. Mitnick is a member of Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Ms. Mitnick.

Dangers Associated with Extended Hours for Commercial Truck Drivers

Many commercial truck drivers, especially those with company incentives, push the envelope when it comes to abiding by the rules limiting the amount of time they are allowed to drive. Interstate commerce truck drivers may drive a maximum of 11 hours, but only after 10 consecutive hours of being off duty. Furthermore, a driver may not drive beyond the 14th consecutive hour after coming on duty, following 10 consecutive hours off duty. Off-duty time does not extend the 14 hour limit.

Driver log books are the only hard evidence that show how long a driver has been on the road.  Unfortunately, log books are often known as “joke books.” Many times, log books are filled out in advance of a trip to show the driver was in compliance. However, certain documents may lead a paper trail to show the driver has violated the hours of service rules.

Log books are a good place to start. I would suggest looking at the drivers’ log book for the year prior to the incident. It is important to note that the driver and the company have separate log books. Be sure to get both. At times, the log books do not match.

Lawyers groups have lobbied to change the current rules regarding hours of service but they have had very little success. It is unfortunate for the many of us who have to travel the roads for the purpose of work, travel, etc. A fatigued truck driver behind the wheel of an 80,000 pound tractor trailer can be an accident waiting to happen and, of course, the end result can be devastating and sometimes deadly for the rest of us.

John F. Cordisco is a member of Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Mr. Cordisco.

What is a Special Needs Trust?

If you have a client who is receiving public benefits and has been offered a settlement in a personal injury case, you should consider placing the funds in a “Special Needs Trust”.

Historically, a person who had any assets, including trust assets, was not eligible to receive Medicaid or any other public benefits. OBRA-93, Section 1396p(d)(4)(A) has an amendment that authorizes the creation of trusts to allow disabled persons under the age of 65, who are receiving funds from a personal injury settlement, to place those funds in a special or supplemental needs trust and at the same time preserve their right to collect medical assistance benefits and supplemental social security benefits (SSI). The one provision is that upon the death of the beneficiary of the trust, the public entity that provided the benefits shall receive any amounts remaining in the trust up to the amount of the benefits paid on the individual decedent’s behalf.

Any such trust must be approved by the court and the consent of the public entity (such as welfare or social security) that is providing benefits.

Edward Shensky is a member of Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Mr. Shensky.

Recent Investigation Into Long-Haul Trucking Violations

There was a computer-assisted investigation by the U.S. Department of Transportation using heavy truck inspection data from 2003 to 2008 for Northwest Indiana. Some of the statistics are startling and are derived from State Police and Federal Inspectors checking 34,856 heavy trucks (i.e. semi trailers, buses and other heavy commercial vehicles) in Lake and Porter counties in Northwest Indiana between 2003 and 2008.  

Of those trucks 8,929, more than 1 in 4, were found to have safety violations deemed serious enough to take the trucks or drivers out of service. There is an estimated 2 million heavy trucks per year that pass through the trucking corridors of Interstate 80/94 and Interstate 65 alone in that territory and the resources to keep up with these truck inspection issues are shrinking.

Another serious violation that has occurred thousands and thousands of times is missing or faulty driver log books or drivers who went over the federal standard for consecutive hours worked without a break. Unfortunately, sleep and driver fatigue continues to be common with over-the-road truck drivers. Truck drivers operating their vehicles for more than 11 hours straight can be more prone to sleepiness or fatigue leading to distraction,  daydreaming or cause a driver’s eyes to drift downward according to fatigue experts.

In Northwest Indiana alone, more than 1,400 violations were recorded over six years for truckers operating their rigs beyond the 11-hour regulation. Statistics show that accidents involving these commercial vehicles occur at the end of longer hauls and more specifically within 20 minutes of their final destination when truckers are most tired or distracted from the fatigue. That data has been gathered by a sleep and driver fatigue expert, Carolyn Shur, of Canada-based Schur Goode Associates. State Police Inspectors in this region are  hoping that the random possibility of having roving patrols in and around weigh stations will be enough to bolster the trucker’s and their companies’ compliance with the DOT regulations.

Jeff Krawitz is a Shareholder in Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Mr. Krawitz.  

Motorcycles Are for Women Too!

One of the biggest shifts taking place in the motorcycle world is the amount of women who are riding. Statistics report that approximately 25% of all riders are women. As more women, like myself are riding, I want to point out a couple important things if you are looking for a motorcycle.

Obviously safety is the most important thing to consider when riding a bike. This begins, however, with being able to control your bike. When you are shopping for a motorcycle, make sure your seat is low enough that your feet can touch the ground. This may seem obvious, but I have seen many women not be able to do this, lean to one side and dump a bike.

Second, make sure that you can reach the handle bars. Again, if it is too much of a stretch you will not be able to maneuver certain situations, and therefore you could cause an accident which could end in serious injuries for you and other riders.

The next thing you should consider is your ability to pull in the levers, such as the clutch and brake. Different bikes have different tensions, so make sure the tension is not so tight that when you are pulling these levers repeatedly, your hands fatigue.

Finally, make sure your bike is a cool color… just kidding. Although, for me, I did chose red.  On a serious note, it doesn’t matter the color when it comes to safety and your ability to control your bike. Just make sure when you ride you wear clothing that is visible so other drivers can see you, and buy a bike that you can control given your size.

Here are a few upcoming events just for women:

  • The International “Women and Motorcycling Conference” is scheduled for July 26-29th in Carson City, NV. If you are interested in going you can register online here.
  • Biker Belles 2012 ride will take place at the Sturgis Motorcycle Rally on August 8, 2012

Carin O'Donnell is a member of Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Ms. O'Donnell.

Social Networking and Discovery

Be aware that social media accounts, such as FaceBook or MySpace, may not be private even if the privacy settings have been properly set on the website. Courts around the country, and specifically in Pennsylvania, have been struggling with this issue with varied results.

In Pennsylvania, the Courts have allowed defendants access in personal injuries actions to the “private sections” of social media account pages under certain circumstances.  Recently, in the case of Arcq v. Fields, a Pennsylvania court denied access to the private sections of a plaintiff’s social media account because the defendant was unable to show any reasonable basis for believing that access to the plaintiff's private pages would yield any information relevant in this motor vehicle accident case. Plaintiff, at his deposition, stated that he was incapable of participating in certain activities as a result of his injuries. The court held that they would not allow access to the private sections of a party’s social media account unless the public sections of that account yielded information that could be relevant to the underlying case.

The moral of this story is that social networking accounts may be subject to inspection in lawsuits. Do not be fooled by the privacy settings on your account. Those settings do not necessarily apply to, or protect information from, discovery in the litigation arena.

Edward Shensky is a member of Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Mr. Shensky.

Do I Have to Be Retirement To Receive Medicare?

Many people are under the misconception that you have to be retired to receive Medicare benefits.  THIS IS NOT TRUE!  If you are 65 years old, whether you are working or retired, you can receive Medicare benefits.  If you are 65 and still working and have health insurance through your employment, you may wish to continue to receive your medical benefits through your employer’s policy, and use your Medicare benefits as a secondary payer. If you are 65 and working, but have no health insurance, you can continue to work and still receive all the Medicare benefits to which you are entitled.

You can apply for Medicare on line, through the social security website, www.ssa.gov, or you can call your local Social Security office for an appointment to apply for Medicare.  You should apply approximately 4 months before your 65th birthday.

If you are already receiving Social Security Retirement benefits at the time of your 65th birthday, you need not apply for Medicare.  You will be automatically enrolled in Medicare when you turn 65.

Leslie A. Mitnick is a member of Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Ms. Mitnick.

Limited Tort Auto Insurance and Pedestrian Injuries

Several of our blog posts stress the importance of selecting the full tort option when you purchase your auto insurance. If you elect for limited tort instead of full tort, you are generally precluded from recovering “non-economic” damages such as pain and suffering if you are injured in an auto accident.  Of course, limited tort coverage is slightly cheaper, so many people do choose this option.  However, in the event of a serious auto accident, the decision to choose limited tort can be a costly one if you are unable to fully recover for your injuries.

Occasionally, someone who has elected for the limited tort option on their auto insurance is involved in an auto accident, not as the driver or passenger in a vehicle, but while they are walking as a pedestrian.  In that situation, is the person still precluded from recovering for damages such as pain and suffering under their limited tort policy? 

The answer is NO.

In L.S. v. David Eschbach, Jr., Inc., 583 Pa. 47, 874 A.2d 1150 (2005), the Supreme Court of Pennsylvania held that the restrictions on recovery of individuals who have elected for limited tort insurance coverage apply only to motor vehicle drivers and passengers, and do not limit the recovery of pedestrians.

If you have been injured as a pedestrian, or if you are unsure about whether you have full tort or limited tort insurance coverage, contact me here for more information about protecting your legal rights.

Joseph Ashton is a member of Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Mr. Ashton.

The Importance of Selecting a Reliable Company for Your Structured Settlement

Recently, I heard a story about a person who settled a case in 1981 with a structured settlement. The story was important because the insurance company that was to fund the annuity pursuant to the settlement recently declared bankruptcy and the injured plaintiff was advised that his/her benefits were being reduced going forward by approximately 50%.

Structured settlements have been used for years as a method of providing an income flow over time to an injured plaintiff. This accomplishes two important goals:

  • First, it assures that the injured party will not dissipate the fund with unwise investments.
  • Secondly, the income from the annuity based periodic payments is tax free.

The moral to this story is that if you are considering a structured settlement as part of a resolution to your personal injury case be sure that the insurance company that is funding the annuity is a highly rated company and, if possible, request that the insurance company with whom you are settling the case guarantees the payment of the settlement amount if something unforeseen should happen to the company issuing the annuity. Furthermore, it is always a good idea to enlist the services of a financial consultant to help guide you and your lawyer through the structured settlement process.

Edward Shensky is a member of Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Mr. Shensky.

Injured by an underage drunk driver in Pennsylvania? Know Your Rights!

During the holidays, many people celebrate at parties at the homes of their friends and relatives, or at their workplace. Unfortunately, each year there are many people who are hurt by drivers who have had too much to drink at a party.

If you have been injured by a drunk driver, you may be facing serious and expensive medical bills. In order to protect your legal rights and maximize your recovery, it is important that you identify everyone responsible for your injuries. Obviously, you probably have a claim against the drunk driver. But, under Pennsylvania law, if the drunk driver was under 21-years old at the time of the accident, you may also be able to bring a successful lawsuit against any adult who may have furnished the minor with the alcohol which led to the accident.

Under the “social host doctrine” in Pennsylvania, an adult host who serves alcohol to a person less than twenty one years old can be held liable for injuries which result from the minor’s intoxication.  In order for an adult social host to be liable, the adult must knowingly furnish alcohol to minors, which usually means that they must have been involved in the planning of the event or the serving, supplying, or the purchasing of the alcohol.

Joseph Ashton is a member of Stark & Stark’s Newtown, Bucks County office, specializing in Accident & Personal Injury Law. For more information, please contact Mr. Ashton.