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Social Security Disability and Personal Injury Settlements

How Will a Personal Injury Settlement Impact my Social Security Benefits?

August 10, 2020/by Caroselli, Beachler Coleman, LLC

It is difficult enough to have a debilitating injury in which you cannot work or only do limited work. Getting Social Security disability benefits helps, but the approval process is complicated and frustrating, and there are countless hoops that you have to jump through in order to start receiving benefits. On top of all this, getting injured in an accident adds another layer of complexity to the situation.

If the accident was someone else’s fault, you may be able to file a personal injury lawsuit against the responsible party. The problem of course is – you don’t want to do anything to jeopardize the disability benefits that you went through so much trouble to get approved for in the first place. A large monetary award to compensate you for your injuries is nice, but you depend on your Social Security disability benefits to make ends meet.

If you find yourself in this situation, be sure to speak with an experienced personal injury attorney who also has in-depth knowledge of the Social Security disability program. Not every personal injury lawyer out there handles disability claims, you need to work with someone that thoroughly understands both of these areas of the law and how the two intersect in cases like yours.

Will Receiving a Personal Injury Settlement Affect Your Social Security Disability Benefits?

Navigating the intersection of personal injury law and federal disability benefits is a complex undertaking. When you are already managing the challenges of a disability, the prospect of receiving a legal settlement—intended to help you recover from an accident—should feel like a relief. However, many beneficiaries are gripped by the anxiety that this financial influx might jeopardize the very benefits they rely on for daily survival.

As with most legal inquiries, the answer begins with a foundational clarification: It depends entirely on the specific program through which you receive benefits. Social Security operates two distinct programs for individuals with disabilities: Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI). The rules governing how assets and income interact with these programs differ fundamentally, and failing to understand this distinction can have severe consequences for your financial security.

Understanding the SSDI vs. SSI Distinction

To determine how a settlement might affect you, you must first identify your benefit type.

  • SSDI (Social Security Disability Insurance): This program is an insurance-based system. It is funded through the Social Security Trust Fund, which is replenished by the payroll taxes (FICA/SECA) you paid while you were in the workforce. Your eligibility is rooted in your work history—specifically, the number of “work credits” you earned. Because you essentially “paid” for this coverage through your years of labor, the government views these benefits as an earned right rather than a form of public assistance based on financial need.
  • SSI (Supplemental Security Income): This is a needs-based program. It is funded by general tax revenues, not the Social Security Trust Fund. Because it is designed to provide a minimum floor of income for the aged, blind, and disabled who have little to no income or assets, eligibility is strictly tied to your financial resources.

Personal Injury Settlements and SSDI

If you are a recipient of SSDI, there is generally very positive news: A personal injury settlement will not cause you to lose your benefits.

Because SSDI is not a needs-based program, the Social Security Administration (SSA) does not track your personal wealth or other sources of income, such as inheritances, lottery winnings, or lawsuit settlements. Whether your settlement is for $5,000 or $5,000,000, your monthly SSDI check will remain unchanged. This is because the entitlement to SSDI is based on your past earnings and your ongoing medical inability to engage in substantial gainful activity (SGA), not your current bank account balance.

Considerations for SSDI Recipients

While your benefits are safe, there are nuances to consider when pursuing a personal injury claim as an SSDI beneficiary:

  1. Reduced Claims for Lost Wages: A significant portion of many personal injury settlements is often composed of “lost wages” or “loss of future earning capacity.” Because you are already on disability, the defense counsel may argue that you were not earning a standard income or that your future earning capacity was already limited by your pre-existing disability. This can sometimes result in a smaller total settlement than an individual who was working a full-time, high-wage job at the time of the accident.
  2. The “Pre-Existing Condition” Defense: Defendants are notorious for using a plaintiff’s medical history to minimize payouts. If you have a long-standing disability, the defendant may argue that your current pain, mobility issues, or limitations are merely an aggravation of your prior condition, rather than a direct result of the new accident. They may attempt to argue that your injuries would have been less severe had you not been previously disabled.
  3. The Importance of Documentation: To counter these tactics, you must be hyper-vigilant about your medical records. Seek immediate medical attention after the new accident, attend every follow-up appointment, and be precise with your physicians about new versus pre-existing symptoms. Diligent record-keeping is the most effective weapon against a defendant trying to claim your current suffering is unrelated to their negligence.

Personal Injury Settlements and SSI

The landscape for SSI recipients is significantly more restrictive. Because SSI is a means-tested program, the SSA imposes strict limits on the value of assets and the amount of income an individual can have. If you receive a large lump-sum settlement, it will likely count as “countable resources” in the month after receipt. If your total resources exceed the SSI threshold (currently $2,000 for an individual or $3,000 for a couple), you will be disqualified from receiving SSI benefits.

Navigating the Threat to SSI

If you are expecting a settlement, do not panic. There are legal mechanisms—specifically, Special Needs Trusts (SNTs)—that allow you to receive settlement funds without jeopardizing your SSI eligibility.

  • What is a Special Needs Trust? An SNT is a legal arrangement where the settlement money is placed into a trust managed by a trustee for your benefit. Because you do not legally “own” the assets in the trust, the SSA does not count them toward your resource limit.
  • How it Works: The trustee uses the funds to pay for items that improve your quality of life—such as specialized equipment, travel, education, or non-covered medical services—without providing you with cash directly. This ensures you maintain your “needs-based” status with the government while still benefiting from your settlement.

Professional Counsel is Essential: Setting up an SNT is a highly technical process. If it is not drafted and funded in strict accordance with federal regulations, the SSA may still disqualify you. You must work with an attorney who specializes in both personal injury law and elder/disability law to ensure the trust is compliant.

Contact Caroselli, Beachler & Coleman for Further Help with Social Security Benefits and Personal Injury Claims

If you are receiving Social Security benefits and you got hurt through no fault of your own, you should not have to choose between keeping your benefits and obtaining the just compensation you deserve. At Caroselli, Beachler & Coleman, we understand the dilemma you are facing, and we are here to help you successfully navigate the complexities of these two areas of the law.

For a free consultation with one of our attorneys, message us online or call our office today at 412-391-9860 or toll-free at 866-466-5789. We look forward to serving you!

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