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Social Security sent overpayment notice claiming SSDI backpay conflicts with workers' comp - help with appeal?

My brother (31) got hit with an SSDI overpayment notice demanding he repay a $6700 backpay amount they sent him almost 3 years ago. The ridiculous part is THEY calculated and sent this backpay themselves! Now they're saying he wasn't eligible for it because he had a small workers' comp settlement ($245/month) at the time. He filed for SSDI after his accident (construction injury) and was approved through a hospital advocate. SSA sent several letters with different backpay calculations, then finally sent a lump sum payment. He used it to pay off medical bills that weren't covered and some accessibility modifications to his apartment. Fast forward to now - SSA is demanding repayment, claiming he should have known better and returned the money! He's submitted an appeal with copies of all their original determination letters that clearly show they knew about his workers' comp when they calculated the backpay. Two different SSA phone reps have told him he has a good case for forgiveness since their letters specifically stated he was entitled to the backpay. Has anyone successfully appealed an SSDI overpayment when it was clearly SSA's mistake? What documentation helped your case? He's on a very limited income now and repaying would be impossible without going into debt.

Ayla Kumar

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This is unfortunately common with SSDI when workers' comp is involved. The SSA is supposed to apply the workers' comp offset before calculating backpay, but their systems don't always communicate properly. Your brother needs to request a "waiver of overpayment recovery" using Form SSA-632. Since he was not at fault (SSA made the calculation error) and repayment would cause financial hardship, he has good grounds for a waiver. Make sure he includes: 1. Copies of all original determination letters 2. Proof they knew about the workers' comp when calculating (highlight these sections) 3. Financial documentation showing hardship 4. Medical expense receipts showing how the money was spent If his initial appeal is denied, request a personal conference with a claims representative before moving to the Administrative Law Judge level. The personal conference has a higher success rate.

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Clay blendedgen

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Thank you so much for the detailed advice! He did file the SSA-632 form with his appeal but I'm not sure if he included all his medical receipts. I'll tell him to get those together right away. Do you know how long these appeals typically take? He's so stressed about this hanging over his head.

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OMG the EXACT same thing happened to me!!! I got SSDI after my car accident in 2022 and they sent me backpay then 2 years later said I owed it ALL back bc of a tiny insurance settlement. I was litterally in tears for weeks! But I appealed and got it WAIVED!! The key is proving you spent the $ in "good faith" thinking it was yours. Take pics of medical bills, rent receipts, anything that shows where the money went. And also get a copy of your ENTIRE file from SSA using the Privacy Act - it shows when they knew about your workers comp!

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Clay blendedgen

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That's so good to hear someone had success with this! I'll tell my brother to get the Privacy Act request in ASAP. Did you have to go to a hearing or did they approve the waiver before that stage?

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I had to go to a "informal conference" where i talked to a claims person on the phone for like 30 min and explained everything. It wasn't as scary as i thought! They approved it 3 weeks later. Make sure your brother practices what he's going to say beforehand!

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I'm a disability advocate and see this situation frequently. The workers' compensation offset is one of the most poorly administered aspects of the SSDI program. What's happening is Section 224 of the Social Security Act requires that combined SSDI and workers' compensation benefits cannot exceed 80% of the person's "average current earnings" before disability. When this limit is exceeded, SSDI benefits must be reduced. The issue is that different departments at SSA often don't communicate properly, resulting in incorrect backpay calculations. Based on what you've described, your brother has an excellent case for waiver under both the "without fault" and "against equity and good conscience" provisions. Make sure he emphasizes that: 1. SSA was aware of the workers' comp (document this) 2. He relied on their determination to his detriment (paying medical bills) 3. Repayment would cause financial hardship If the initial waiver is denied, don't give up - request reconsideration, then a hearing if needed. Success rates increase at each appeal level.

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Kai Santiago

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This 80% rule is STUPID! Why should workers comp even matter when its for a totally different thing?? Im on SSDI and the government just wants to nickel and dime disabled people every chance they get!! My neighbor got hit with a $12,000 overpayment and shes living in her car now!

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I understand your frustration. The offset rule is designed to prevent someone from receiving more in combined benefits than they earned while working, but it often creates unfair situations, especially when there are delays in processing workers' comp information. The key issue in the original poster's case is that SSA knew about the workers' comp when they calculated the backpay but made an error. That's very different from someone not reporting income or benefits.

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Lim Wong

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my cousin had this happen but with a car insurance settlement not workrs comp. they wanted $4000 back after 2 years! she just called them and cried on the phone and they reduced it to $1000 and let her pay $20 a month. sometimes if u call enough times u get someone nice

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Dananyl Lear

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I've been fighting an SSDI overpayment battle for 14 months now. If your brother hasn't already, he needs to immediately file for both reconsideration of the overpayment AND a separate waiver request. These are two different processes! One thing that really helped me was using Claimyr (claimyr.com) to actually get through to a real SSA agent. I was getting disconnected or waiting 3+ hours every time I called the regular number. Claimyr got me through in about 15 minutes and I finally got a competent agent who explained exactly what documentation I needed. They have a video demo at https://youtu.be/Z-BRbJw3puU that shows how it works. The agent I reached helped me understand that for overpayment waivers, you need to focus on proving "detrimental reliance" - basically that you made financial decisions based on their determination that you can't undo. Medical bills definitely qualify for this.

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Clay blendedgen

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Thank you for mentioning both processes! I wasn't aware of the difference between reconsideration and waiver. I'm going to check out that Claimyr service - my brother has tried calling multiple times and either waits forever or gets disconnected. Having an actual conversation with someone who knows the process would be so helpful right now.

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Noah huntAce420

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I handle Social Security cases professionally. For SSDI overpayments involving workers' compensation offset issues, documentation is absolutely critical. Here's what your brother should compile: 1. A clear timeline showing when he was approved for SSDI and when he received the backpay 2. Copies of ALL communications from SSA, particularly any that mention his workers' compensation 3. Proof of how the money was spent (medical bills are perfect documentation) 4. A detailed financial statement showing current income, expenses, and why repayment would cause hardship The key legal concept for waiver is proving he was "without fault" in causing the overpayment. Since SSA knew about the workers' comp when they calculated his benefits (based on your description), this should be straightforward to establish. If his appeal is denied, don't stop there. Success rates for overpayment waivers increase significantly at the Administrative Law Judge (ALJ) hearing level, where approximately 60% of previously denied waivers are approved.

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Clay blendedgen

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Thank you for laying out the documentation so clearly. My brother definitely has most of those items, but I'm not sure if he's put together a formal financial statement. Would a regular budget spreadsheet work for this, or does SSA have a specific form? And should he include his bank statements too?

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Noah huntAce420

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SSA Form SSA-632-BK is what he needs for the financial statement. It's quite detailed and asks for all income, assets, and expenses. Bank statements from when he received and spent the backpay would be helpful supporting evidence, as would recent statements showing his current financial situation. One additional tip: if your brother has a treating physician, a letter explaining the medical necessity of the items purchased with the backpay can be extremely persuasive in these cases. This reinforces that the money was spent on legitimate needs related to his disability.

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one thing nobody mentioned is CHECK THE DATES!!!! when i got my overpayment they miscalculated the dates for my workers comp! they said it was still ongoing when it had actually ended 3 months earlier! i had to send them the settlement papers 3 TIMES before they fixed it, and then the overpayment amount went way down!!!

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Clay blendedgen

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That's a great point! I'll have him double-check all the dates they're using. His workers' comp was temporary and ended about 18 months after his SSDI was approved, so they might be calculating as if he was still receiving it.

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Kai Santiago

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The whole system is RIGGED against disabled ppl!!! My brother fought an overpayment for SIX MONTHS and the stress made his condition worse!!! They say "oh we made a mistake" but WE have to pay for THEIR MISTAKES???? HOW IS THAT FAIR?!!!? And then they act like we're trying to commit fraud when THEY SENT THE MONEY IN THE FIRST PLACE!!!! I'm so SICK of how this country treats disabled ppl like criminals for using benefits we PAID INTO our whole working lives!!!!

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Clay blendedgen

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I feel this so much. My brother worked construction for 12 years before his accident, paying into the system the whole time. Now he's made to feel like he did something wrong by accepting money they calculated and sent to him. The stress is definitely making his condition worse too. I'm sorry your brother had to go through this as well.

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Lim Wong

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i had a friend who just ignored the overpayment notices and nothing happened for like a year then they started taking $75 out of her check each month. she said its better than paying it all back at once

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Ayla Kumar

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This is extremely risky advice. If you ignore overpayment notices, SSA can and will eventually: 1. Take up to 100% of your SSDI check 2. Garnish tax refunds 3. Report to credit bureaus 4. Eventually refer to Treasury for collection Always respond to overpayment notices even if you disagree with them. Filing a proper appeal stops collection while the appeal is pending, which protects your benefits while you fight the decision properly.

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