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EDPNA Exam 2023 WITH ANSWERS
Social Security Disability Insurance SSDI Citation - CORRECT ANSWERCFR 20
Section 404
Good Cause for Late Filing (Citations: 404.911, 416.1411) - CORRECT ANSWERIf an
appeal deadline is missed, and the claimant wants to appeal, he or she must show
"good cause" for late filing.
Examples of good cause are described in 404.911: - CORRECT ANSWER• You were
seriously ill and were prevented from contacting us in person, by phone, in
writing, or through a friend, relative, or other person;
• There was a death or serious illness in your immediate family;
• Important records were destroyed or damaged by fire or other accidental cause;
• You were making serious efforts to find necessary information to support the
claim but had not been able to obtain it within the stated time periods;
• You requested additional information from us explaining this action within the
time limit. Within 60 days of receiving the explanation you requested
reconsideration or a hearing, or within 30 days of receiving the explanation you
requested Appeals Council review or filed a civil suit;
• We gave you misleading, incorrect or incomplete information about when and
how to request administrative review or to file a civil suit;
• You did not receive notice of the determination or decision;
• You sent the request to another government agency in good faith within the
time limit and the request did not reach us until after the time period had
expired; or
• Unusual or unavoidable circumstances exist, which show that you could not
have known of the need to file timely, or which prevented you from filing timely.
SSA will consider the following for deciding whether a claimant had good cause -
CORRECT ANSWER• What circumstances kept the claimant from making the
request on time;
• Whether SSA's action mislead the claimant;
• Whether the claimant did not understand the requirements;
• Whether the claimant had any physical, mental, educational, or linguistic
limitations which prevented them from making a timely request or from
understanding or knowing about the need to file a timely request for review.
Social Security Disability Insurance SSDI - CORRECT ANSWERTitle XVI
SSDI Eligibility - CORRECT ANSWER1. Is the applicant under full retirement age
(66)?
2. Is the applicant fully insured?
3. Is the applicant insured for disability?
1
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EDPNA Exam 2023 WITH ANSWERS
Auxiliary Benefits - CORRECT ANSWERBenefits can be paid to the disabled
worker's family in some cases. Benefits can be paid to dependent children under
the age of 18 or a spouse (or divorced spouse if married for 10 years) under the
age of 62 who has joint care of the children.
Supplemental Security Insurance SSI - CORRECT ANSWERTitle II
Supplemental Security Insurance SSI Citation - CORRECT ANSWERCFR 20 Section
416
SSI - CORRECT ANSWERNo work requirement
Children can qualify as disabled
No retroactive benefits earlier than filing date
Strict income and resource provisions
Definition of Disability - CORRECT ANSWERCitations: 404.1505, 416.905
The inability to do any substantial gainful activity (SGA) by reason of any medically
determinable physical or mental impairment(s) which can be expected to result in
death, or which has lasted or can be expected to last for a continuous period of
not less than 12 months.
Insured Status - CORRECT ANSWER1. An individual must be fully insured
2. as a general rule they must meet to 20/40 requirement. (5 of last 10 years)
Insured status - CORRECT ANSWERQuarters of Coverage at least 6 Quarters
One of Four For every year beginning with the year after attainment of age 21 up
until the age you turn 62 or you die
Rules of Disability Insured Status (SSDI Only) - CORRECT ANSWERCitations:
404.130, 404.131, and 404.140
Rule 1 - 20/40:You have to have 20 quarters of coverage in the 40-quarter period
ending with the quarter that you became disabled. This is called the 20/40 rule.
Or essentially, you have worked five years out of the last ten years, before you
became disabled.
Rule 2 - Special Insured Status:
Rule 3: You had a period of disability before age 31.You are insured in a quarter
for purposes of establishing a period of disability or becoming entitled to disability
insurance benefits if in that quarter-
(1) You are disabled again at age 31 or later after having had a prior period of
disability established which began before age 31 and for which you were only
insured under paragraph (c) of this section; and
(2) You are fully insured and have QCs in at least one-half the calendar quarters in
the period beginning with the quarter after the quarter you became age 21 and
2
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