20 C.F.R. PART 220--DETERMINING DISABILITY


TITLE 20--Employees' Benefits

CHAPTER II--RAILROAD RETIREMENT BOARD

SUBCHAPTER B--REGULATIONS UNDER THE RAILROAD RETIREMENT ACT

PART 220--DETERMINING DISABILITY

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Subpart A--GENERAL

�220.1
Introduction of part.
�220.2
The basis for the Board's disability decision.
�220.3
Determinations by other organizations and agencies.
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Subpart B--GENERAL DEFINITIONS OF TERMS USED IN THIS PART

�220.5
Definitions as used in this part.
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Subpart C--DISABILITY UNDER THE RAILROAD RETIREMENT ACT FOR WORK IN AN EMPLOYEE'S REGULAR RAILROAD OCCUPATION

�220.10
Disability for work in an employee's regular railroad occupation.
�220.11
Definitions as used in this subpart.
�220.12
Evidence considered.
�220.13
Establishment of permanent disability for work in regular railroad occupation.
�220.14
Weighing of evidence.
�220.15
Effects of work on occupational disability.
�220.16
Responsibility to notify the Board of events which affect disability.
�220.17
Recovery from disability for work in the regular occupation.
�220.18
The reentitlement period.
�220.19
Payment of the disability annuity during the trial work period and the reentitlement period.
�220.20
Notice that an annuitant is no longer disabled.
�220.21
Initial evaluation of a previous occupational disability.
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Subpart D--DISABILITY UNDER THE RAILROAD RETIREMENT ACT FOR ANY REGULAR EMPLOYMENT

�220.25
General.
�220.26
Disability for any regular employment, defined.
�220.27
What is needed to show an impairment.
�220.28
How long the impairment must last.
�220.29
Work that is considered substantial gainful activity.
�220.30
Special period required for eligibility of widow(er)s.
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Subpart E--DISABILITY DETERMINATIONS GOVERNED BY THE REGULATIONS OF THE SOCIAL SECURITY ADMINISTRATION

�220.35
Introduction.
�220.36
Period of disability.
�220.37
When a child's disability determination is governed by the regulations of the Social Security Administration.
�220.38
When a widow(er)'s disability determination is governed by the regulations of the Social Security Administration.
�220.39
Disability determination for a surviving divorced spouse or remarried widow(er).
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Subpart F--EVIDENCE OF DISABILITY

�220.45
Providing evidence of disability.
�220.46
Medical evidence.
�220.47
Purchase of existing medical evidence.
�220.48
If the claimant fails to submit medical or other evidence.
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Subpart G--CONSULTATIVE EXAMINATIONS

�220.50
Consultative examinations at the Board's expense.
�220.51
Notice of the examination.
�220.52
Failure to appear at a consultative examination.
�220.53
When the Board will purchase a consultative examination and how it will be used.
�220.54
When the Board will not purchase a consultative examination.
�220.55
Purchase of consultative examinations at the reconsideration level.
�220.56
Securing medical evidence at the hearings officer hearing level.
�220.57
Types of purchased examinations and selection of sources.
�220.58
Objections to the designated physician or psychologist.
�220.59
Requesting examination by a specific physician, psychologist or institution--hearings officer hearing level.
�220.60
Diagnostic surgical procedures.
�220.61
Informing the examining physician or psychologist of examination scheduling, report content and signature requirements.
�220.62
Reviewing reports of consultative examinations.
�220.63
Conflict of interest.
�220.64
Program integrity.
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Subpart H--EVALUATION OF DISABILITY

�220.100
Evaluation of disability for any regular employment.
�220.101
Evaluation of mental impairments.
�220.102
Non-severe impairment(s), defined.
�220.103
Two or more unrelated impairments--initial claims.
�220.104
Multiple impairments.
�220.105
Initial evaluation of a previous disability.
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Subpart I--MEDICAL CONSIDERATIONS

�220.110
Listing of Impairments in appendix 1 of this part.
�220.111
Medical equivalence.
�220.112
Conclusions by physicians concerning the claimant's disability.
�220.113
Symptoms, signs, and laboratory findings.
�220.114
Evaluation of symptoms, including pain.
�220.115
Need to follow prescribed treatment.
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Subpart J--RESIDUAL FUNCTIONAL CAPACITY

�220.120
The claimant's residual functional capacity.
�220.121
Responsibility for assessing and determining residual functional capacity.
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Subpart K--VOCATIONAL CONSIDERATIONS

�220.125
When vocational background is considered.
�220.126
Relationship of ability to do work and residual functional capacity.
�220.127
When the only work experience is arduous unskilled physical labor.
�220.128
Age as a vocational factor.
�220.129
Education as a vocational factor.
�220.130
Work experience as a vocational factor.
�220.131
Work which exists in the national economy.
�220.132
Physical exertion requirements.
�220.133
Skill requirements.
�220.134
Medical-vocational guidelines in appendix 2 of this part.
�220.135
Exertional and nonexertional limitations.
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Subpart L--SUBSTANTIAL GAINFUL ACTIVITY

�220.140
General.
�220.141
Substantial gainful activity, defined.
�220.142
General information about work activity.
�220.143
Evaluation guides for an employed claimant.
�220.144
Evaluation guides for a self-employed claimant.
�220.145
Impairment-related work expenses.
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Subpart M--DISABILITY ANNUITY EARNINGS RESTRICTIONS

�220.160
How work for a railroad employer affects a disability annuity.
�220.161
How work affects an employee disability annuity.
�220.162
Earnings report.
�220.163
Employee penalty deductions.
�220.164
Employee end-of-year adjustment.
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Subpart N--TRIAL WORK PERIOD AND REENTITLEMENT PERIOD FOR ANNUITANTS DISABLED FOR ANY REGULAR EMPLOYMENT

�220.170
The trial work period.
�220.171
The reentitlement period.
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Subpart O--CONTINUING OR STOPPING DISABILITY DUE TO SUBSTANTIAL GAINFUL ACTIVITY OR MEDICAL IMPROVEMENT

�220.175
Responsibility to notify the Board of events which affect disability.
�220.176
When disability continues or ends.
�220.177
Terms and definitions.
�220.178
Determining medical improvement and its relationship to the annuitant's ability to do work.
�220.179
Exceptions to medical improvement.
�220.180
Determining continuation or cessation of disability.
�220.181
The month in which the Board will find that the annuitant is no longer disabled.
�220.182
Before a disability annuity is stopped.
�220.183
Notice that the annuitant is not disabled.
�220.184
If the annuitant becomes disabled by another impairment(s).
�220.185
The Board may conduct a review to find out whether the annuitant continues to be disabled.
�220.186
When and how often the Board will conduct a continuing disability review.
�220.187
If the annuitant's medical recovery was expected and the annuitant returned to work.
Appendix
Appendix 1 to Part 220--Listing of Impairments
Appendix
Appendix 2 to Part 220--Medical-Vocational Guidelines
Appendix
Appendix 3 to Part 220--Railroad Retirement Board Occupational Disability Standards
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