Effective April 17, 2017, new rules allow previously entitled beneficiaries to apply
for EXR in the same month they stop performing SGA. Provisional benefits will begin
the month after the request for EXR if the claimant stops performing SGA in the month
of the EXR request. For requests filed prior to April 17, 2017, field office (FO)
technicians must deny the request for EXR if the claimant performed SGA in the month
of the EXR request.
Requirements for EXR eligibility
A previously entitled beneficiary, whose entitlement ended due to work, is eligible
for EXR if he or she meets all of the following requirements:
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•
is “not able” or “becomes unable” to work at the SGA level due to his or her medical
condition,
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•
is “not able” or “becomes unable” to perform SGA in the month of the EXR request,
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•
stopped performing SGA within 60 months of his or her prior termination,
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•
has a current medical impairment(s) that is the “same as or related” to the original
impairment(s), and
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•
is under a disability based on application of the medical improvement review standard
(MIRS).
Claimants are “not able” to perform SGA if, in the month of their EXR request, they
do not work or their work is not SGA.
Claimants “become unable” to perform SGA if, in the month of their EXR request, their
work is SGA, but they stop performing SGA by the day they file their request. To meet
the requirement of having become unable to perform SGA, they must also not perform
SGA in the month following the EXR request.
NOTE: Claimants whose prior entitlement is a closed period of disability are not eligible
for EXR.