Question juridique clé
Whether the insured person was entitled to free legal representation in the IV administrative/pre-decision procedure
Solution extraite
The requirements were not met; the administrative procedure was not sufficiently complex and no special personal circumstances made a lawyer necessary.
Motifs extraits
Art. 37(4) ATSG sets a strict exception standard for administrative proceedings. The case was a normal new application after prior denial, with ordinary medical-evidence issues. Conflicting medical opinions, a possible additional neurological assessment, and the claimant’s lack of professional training did not create exceptional complexity or inability to cope with support from non-lawyer social institutions.