OPM Disability Retirement: The Case of Fibromyalgia

Fibromyalgia is one of those medical conditions that the Office of Personnel Management systematically “targets” as a condition which is prima facie “suspect”. This is despite the fact that there are cases which implicitly “admonish” OPM from engaging in the type of arbitrary reasoning of denying a disability retirement application because they “believe” that “no objective medical evidence” has been submitted, or that the “pain” experienced (diffuse as it might be) is merely “subjective”, or that the chronicity of the pain merely “waxes and wanes”, and a host of multiple other unfounded reasonings. Yet, cases have already placed a clear boundary around such arbitrary and capricious reasonings.

A case in point, of course, is Vanieken-Ryals v. OPM, a U.S. Court of Appeals for the Federal Circuit case, decided on November 26, 2007. In that case, it clearly circumscribes the fact that OPM can no longer make the argument that an Applicant’s disability retirement application contains “insufficient medical evidence” because of its lack of “objective medical evidence”. This is because there is no statute or regulation which “imposes such a requirement” that “objective” medical evidence is required to prove disability. As long as the treating doctor of the disability retirement applicant utilizes “established diagnostic criteria” and applies modalities of treatment which are “consistent with ‘generally accepted professional standards'”, then the application is eligible for consideration. Further, the Court went on to state that it is “legal error for either agency (OPM or the MSPB) to reject submitted medical evidence as entitled to no probative weight at all solely because it lacks so-called ‘objective’ measures such as laboratory tests.” Statues are passed for a reason: to be followed by agencies. Judges render decisions for a reason: for agencies to follow. Often, however, agencies lag behind statutes and judicial decisions. It is up the an applicant — and his or her attorney — to make sure that OPM follows the law.

Sincerely,

Robert R. McGill, Esquire

Supervisor’s Statements for FERS & CSRS Disability Retirement

I am often asked my opinion on the impact a Supervisor’s Statement has upon a disability retirement application. Unfortunately, not all supervisor’s are created equal — and, while in theory, a supervisor should be completely professional in filling out the SF 3112B — meaning that the supervisor should answer the questions in an ‘objective’ manner in filling out the form; should be attuned to the medical conditions of the employee; and should be able to set aside any personal or vindictive animosity towards the employee; the truth of the matter is that the disability retirement applicant has absolutely no control over what the supervisor will say in the Supervisor’s Statement.

Wisdom informs us to never worry about those things which are outside of one’s control; and indeed, this is good advice. I always advise my client’s not to be concerned with the Supervisor’s Statement; remember, this is a medical disability retirement application, not a “Supervisor’s application”, and while the Office of Personnel Management will take into consideration what a Supervisor has written, the way to ensure that it is given little or no weight, is by focusing upon having your treating doctor write an excellent, irrefutable and unequivocal medical narrative.

Federal Disability Retirement is about a medical issue, not a personality issue. If you present valid and strong medical documentation in support of your case, it makes all other documentation a mere irrelevancy.

Sincerely,

Robert R. McGill, Attorney