Home Commercial News What happens when a disability case goes to federal court

What happens when a disability case goes to federal court

disability disabled person at desk computer
Image © ia_64 – Adobe Stock

If you have been rejected at all previous stages of the appeal process, have been denied by the administrative law judge who heard your disability case, and your request for an Appeals Council review was rejected, you may find yourself in Federal Court fighting for your Social Security Disability benefits.

A federal judge reviews how your Social Security disability claim was handled. The court examines whether the Social Security Administration followed the law, applied the correct legal standards, and properly evaluated the evidence already in the record.

This is the crucial distinction. Your Social Security federal court attorney is not arguing that you are disabled. They are arguing that the SSA got the law wrong or misread the evidence.

The 60 day window: Time is your enemy


The moment the Appeals Council denies your case, a clock starts. If the Appeals Council denies your request for review or issues an unfavorable decision, you may file a civil action in U.S. District Court within 60 days after you receive notice of the Council’s action in the case.

That is not much time for a Social Security appeal attorney to prepare the paperwork, analyze the record, and identify errors. Missing the deadline can severely jeopardize your case, although extensions or equitable tolling may sometimes apply in limited circumstances.

You file a complaint in federal district court, the agency prepares the administrative record, and both sides submit briefs. The paperwork is technical, even when the concept is simple.

This is where having a social security benefits lawyer from the beginning makes a difference. They understand the clock. They know how to move fast.

Filing the complaint: You are suing social security


When your social security appeal lawyer decides to take your case to federal court, something fundamental shifts. Your lawyer will file a complaint. This complaint gives the Federal Court a run-down of why you are appealing the SSA’s decision to deny your disability benefits. It is at this point in time that you are filing a civil action asking the federal court to review SSA’s final decision denying benefits.

You are now the plaintiff. The Commissioner of Social Security is the defendant. The plaintiff in federal court appeals of disability benefit denials is the claimant. The defendant is the commissioner of the Social Security Administration.

The court’s limited scope of review


Federal judges do not reread your medical records and decide if they think you are disabled. They do not reinterpret your symptoms. When the deadline is short and the case turns on a written argument, clarity is your best ally.

The judge looks at what the SSA already had in front of them. The judge asks: Did they apply the law correctly? Did they properly weigh the evidence? Did they give adequate reasons for their decision?

Federal court reviews are not as focused on the question of whether you are disabled or whether or not your disability prevents you from earning a living wage. Instead they are focused on whether the SSA made an error while processing your claim.

Your social security benefits lawyer cannot argue that the judge should agree that you are disabled. They can only argue that the judge should agree the SSA got it wrong.

What Social Security Does in response


Once your complaint is filed, Social Security’s lawyers respond. Once the Social Security Administration receives your complaint, their lawyer will file a response. This answer will provide the Federal District Court with reasons why the Social Security Administration believes that you are not entitled to Social Security benefits.

Now there are two sides. Your side argues for an error. Their side argues they got it right. The lawyers on both sides present briefs to the federal judge assigned to hear the case, containing arguments on behalf of their respective clients.

The possible outcomes


If the federal district court finds that mistakes occurred, it may send the case back to the SSA for further review. In other situations, the court may uphold the denial. Direct approvals at this stage are uncommon.

Most federal court wins are not instant benefits. When a case is remanded by a District Court in general, we have a higher likelihood of winning at that remand proceeding.

A remand means the case goes back to an administrative law judge. You get a second hearing. But this time, the judge knows the federal court found errors. A significant percentage of federal court cases result in remand back to SSA for further review.

Direct approval from the federal court can happen, but it is rare. The judge also can overrule Social Security and directly award you benefits.

Why this stage is different and why you need help


At the Federal District Court stage of the appeal process, the Federal Court requires that a fee be paid in order to file your disability case. If there is no way that you can afford this, you may qualify for a waiver.

Most Social Security Disability Insurance (SSDI) applications reach at least one stage of the appeal process. Most people also need to think about cost. That process often takes a year or more. The good news is that many eventually receive approval, especially with help from an experienced disability lawyer.

The federal court is the end of the Social Security system. The only option after the Appeals Council is to sue the Social Security Administration (SSA) in federal court. This lawsuit is called a civil suit or civil action, and it gets filed in a Federal District Court. Federal court litigation is the absolute last possible review of your case.

If you lose in federal court, you cannot appeal further within the disability system. That finality is why this stage matters so much.

Getting the right representation


When your case reaches federal court, the stakes have never been higher. You need someone who understands that this is not about proving you are sick. This is about proving the SSA mishandled your case.

Nationwide Disability Representatives provides representation throughout the disability appeal process, including federal court if your case advances to that level.

Federal court is where your case either gets a real second look or ends. Having the right person in your corner makes all the difference.

 

This content is provided for informational purposes only and is not a substitute for professional advice. AFP editorial staff were not involved in the creation of this content.

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