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The Disability Screening Process and the Labor Market Behavior of Accepted and Rejected Applicants: Evidence from the Health and Retirement Study

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Abstract

This paper uses Social Security earnings records linked to data from the Health and Retirement Study to examine the labor market behavior of rejected and accepted disability applicants prior to their application. We find that rejected applicants have substantially lower earnings and labor force participation rates during the decade prior to application than beneficiaries. Also, we find some evidence of a divergence between these groups, with rejected applicants leaving the labor force at a faster rate than beneficiaries as their application date approaches. One interpretation of these results is that the disability screening process on average separates those who are at least partially motivated by adverse economic circumstances when applying for disability benefits from other applicants.

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Notes

  1. The 1984 reforms represent a classic tradeoff between Type I and Type II error. The reform lowered Type I error, the likelihood of rejecting applicants who are truly disabled at the expense of Type II error, the likelihood of accepting applicants who should not qualify.

  2. For example, even if DI induces able-bodied people to apply for benefits, it does not necessarily imply that these people would remain in the labor force absent DI.

  3. Another important benefit to disability recipients is medical insurance. DI recipients are automatically enrolled in Medicare after being in the program for 2 years. SSI recipients are generally enrolled in Medicaid immediately.

  4. In 2006, the Federal Benefit Rate was $603 for individuals and $904 for couples.

  5. See Bound and Burkhauser (1999) for a review of the literature on government disability programs.

  6. While Bound (and most other studies) focuses on male applicants, Chen and van der Klaauw include both male and female applicants in their analysis.

  7. See Parsons (1991) and Bound (1991) for a debate about the reliability of this empirical strategy.

  8. They also look at the health characteristics of their sample. However, for the most part, their health information is self-reported with the disability application.

  9. Approximately 85% of the overall HRS sample consented to this matching.

  10. Also, another 145 have applications prior to 1992, but are excluded from the sample because the exact year of application is not observed.

  11. Note that all earnings are in 1999 dollars.

  12. Recall that Bound’s sample spans the 1970s, whereas Chen and van der Klaauw use data for the 1990s and data from von Wachter et al. (Forthcoming) span from 1978 to 2004.

  13. By contrast, 57% of those without disability applications reporting being in the labor force. By 1996, the primary respondent from each household is between age 55 and 65, so a number of people in this group are retired.

  14. Again, those with any labor earnings are considered in the labor force.

  15. A simpler solution would be to look separately at SSI and DI applicants, but the HRS often does not distinguish between applications to the two programs (or if applications were filed for both programs).

  16. A similar analysis was also tried keeping only those with $10,000 or more in earnings for the seven through 10 years prior to application. This analysis yielded similar results.

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Correspondence to Seth H. Giertz.

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We thank Dan Black and Jan Ondrich for helpful comments. This research was supported, in part, by the Center for Retirement Research at Boston College pursuant to a grant from the U.S. Social Security Administration funded as part of the Retirement Research Consortium.

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Giertz, S.H., Kubik, J.D. The Disability Screening Process and the Labor Market Behavior of Accepted and Rejected Applicants: Evidence from the Health and Retirement Study. J Labor Res 32, 237–253 (2011). https://doi.org/10.1007/s12122-011-9110-0

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