The Benefit Receipt Patterns and Labor Market Experiences of Older Workers Who Were Denied Social Security Disability Insurance Benefits on the Basis of Work Capacity

by Jody Schimmel Hyde, April Yanyuan Wu, and Lakhpreet Gill
Social Security Bulletin, Vol. 80 No. 2, 2020

Text description for Chart 1.
Distribution of DI applicants aged 51 or older but younger than FRA, by outcome of the initial determination (including DDS reconsideration), 1992–2012

Flowchart showing steps 2 through 5 of the sequential disability determination process described in the text. Chart includes the numbers of study sample members in each outcome category as well as the weighted numbers of the applicant populations the sample represents. The full sample consists of 805 HRS respondents (representing 5.47 million adults) who qualified at step 1 (financial eligibility). At step 2, examiners determine whether the impairment is severe. If not, the applicant is denied. One hundred twenty-five respondents (or 14.3 percent of the sample, representing 780,144 adults) were denied at step 2 a; the rest continued to step 3, in which examiners determine whether the impairment or impairments meet or equal the SSA medical listings. If so, the application is allowed. One hundred thirty-three respondents (or 18.7 percent of the sample, representing 1,021,886 adults) were allowed at step 3; the rest continued to step 4, in which examiners assess the applicant's capacity to engage in his or her past work. If the applicant is deemed able to resume past work, the application is denied. One hundred eighty-four respondents (or 20.6 percent of the sample, representing 1,130,297 adults) were denied at step 4; the rest continued to step 5, in which examiners assess the applicant's capacity to engage in any work. Seventy-five respondents (or 9.7 percent of the sample, representing 531,198 adults) were deemed able to work and were thus denied at step 5. The remaining 288 respondents (or 36.7 percent of the sample, representing 2,008,983 adults) were allowed at step 5. The chart shows that an applicant can be allowed only at steps 3 or 5 and that about half of all applicants were allowed. Of all applicants, about one-third were denied for work-capacity reasons—that is, at either step 4 or 5. Among allowances, about two-thirds were decided at step 5, based on capacity to do any work. Among denials for work-capacity reasons, about two-thirds were decided at step 4, based on capacity to resume past work.

SOURCES: Authors' calculations using HRS data linked to SSA's 831 file; Wixon and Strand (2013).
NOTE: Numbers are weighted to account for the complex HRS survey design and the varying probabilities of respondent consent to matching the HRS data to administrative data.
a. Consists primarily of applicants denied because the impairment was deemed not to be severe or likely to last 12 months or result in death. Also includes a small number of applicants (fewer than 10) who did not meet eligibility requirements before step 3 for other reasons, such as failing to follow prescribed treatment, submit to a consultative examination, or provide sufficient supporting evidence.

Text description for Chart 2.
DI appeals and reapplications following initial denials for older applicants, 1992–2012

Flowchart showing whether and how applicants continued to pursue disability benefits after an initial denial. The process begins with the weighted universe of initial denials, consisting of 2,441,639 applicants. The first option they face is whether to appeal the denial. Those who appealed and succeeded account for 33.1 percent of initial denials. Those who did not appeal, or whose appeals were denied, could choose to reapply; of all initial denials, 38.7 percent never reapplied. Reapplicants who were allowed accounted for 22.6 percent of initial denials, and reapplicants who were denied accounted for 5.7 percent of initial denials.

SOURCES: Authors' calculations using HRS data linked to SSA's 831 file.
NOTES: Sample consists of applicants aged 51 or older but younger than FRA who were denied at the initial level (including DDS reconsiderations).
To meet the requirements for using restricted HRS-SSA linked data, we have rounded the percentages to avoid disclosing potentially identifiable information without diminishing the qualitative findings.
Percentages do not sum to 100.0 because of rounding.
Table equivalent for Chart 3. Employment rates (percentages of initially denied older applicants with positive earnings) in the calendar years before DI application and after denial, by reason for denial, 1992–2012
Year Medical reasons (step 2) Able to perform past work (step 4) Able to perform other work (step 5)
5 years before application 61.9 85.3 95.2
4 years before application 60.1 83.5 92.8
3 years before application 61.0 78.6 83.1
2 years before application 57.9 70.4 76.1
1 years before application 54.1 69.6 64.5
Application year (t) 46.8 48.4 57.0
Initial decision year (T) 41.2 34.8 41.0
1 year after initial decision 31.4 18.1 18.9
2 years after initial decision 28.0 17.2 18.1
3 years after initial decision 30.2 16.3 19.1
4 years after initial decision 24.2 15.6 17.0
5 years after initial decision 13.5 17.0 19.6
SOURCE: Authors' calculations using HRS data linked to selected administrative data files from SSA.
NOTES: For many (but not all) applicants, year of application = year of initial denial.
Sample consists of applicants aged 51 or older but younger than FRA who were denied at the initial level (including DDS reconsiderations).
See Appendix Table A-1 for tabulations, standard errors, and analogous results for various alternative combinations of covariates.
Table equivalent for Chart 4. Mean earnings (among initially denied older applicants with positive earnings) in the calendar years before DI application and after denial, by reason for denial, 1992–2012
Year Medical reasons (step 2) Able to perform past work (step 4) Able to perform other work (step 5)
5 years before application 27,946 28,642 30,061
4 years before application 27,137 25,796 30,400
3 years before application 24,611 24,806 30,668
2 years before application 23,551 24,331 27,738
1 years before application 21,892 20,469 22,470
Application year (t) 12,219 13,694 11,931
Initial decision year (T) 7,737 11,892 13,873
1 year after initial decision 10,828 16,140 24,607
2 years after initial decision 14,934 15,744 24,780
3 years after initial decision 12,250 14,844 25,653
4 years after initial decision 17,601 6,093 25,380
5 years after initial decision 9,731 8,399 20,985
SOURCE: Authors' calculations using HRS data linked to selected administrative data files from SSA.
NOTES: For many (but not all) applicants, year of application = year of initial denial.
Sample consists of applicants aged 51 or older but younger than FRA who were denied at the initial level (including DDS reconsiderations).
See Appendix Table A-1 for tabulations, standard errors, and analogous results for various alternative combinations of covariates.