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Alleged onset date (AOD) less than five full months before the month of death and
no possibility of earlier onset (waiting period case).
For additional instructions, see DI 23510.001C
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Disability insurance benefit (DIB) or disabled widow(er) benefit (DWB) (Initial or
Reconsideration)
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No Determination
See Processing “No Determination” Claims, DI 81020.127
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SSA-831
required
(Determined by current legacy system limitations)
DCPS cases do not require SSA-831
Complete only the following items not propagated by the system:
Items 30 & 31: Examiner signs and dates.
Item 34 (Remarks): Enter “Death in waiting period - no possibility of earlier onset.”
Notification
No DDS-prepared notification is required.
SSA-831
not
required
(Determined by current legacy system limitations) Process per the instructions in DI 81020.127
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Established onset date (EOD) same as AOD
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DIB, childhood disability beneficiary (CDB), DWB (Initial or Reconsideration)
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Allowance
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SSA-831
Complete as usual with the following exceptions:
Item 17 (Diary): Enter
-
•
“NXP” for the diary type,
-
•
“0000” for the diary date (may be 4 or 6 characters depending on DDS legacy system), and
-
•
“7” for the diary reason.
Notification
No DDS-prepared notification is required.
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EOD after POD (whether the EOD is more than or less than five full months before the
month of death);
or
Closed Period
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DIB, CDB, or DWB (Initial or
Reconsideration)
|
Partially Favorable Allowance
|
SSA-831
Complete as usual with the following exceptions:
Item 17 (Diary): Enter
-
•
“NXP” for the diary type,
-
•
“0000” for the diary date (may be 4 or 6 characters depending on DDS legacy system), and
-
•
“7” for the diary reason.
Item 29 (Ltr): Enter “PSC/DL”. (If the system is unable to generate the proper disability
determination notice and a manual notice must be prepared.)
Notification
Prepare a personalized disability explanation in the third person.
Routing
Route case to the field office (FO) with a Special Handling flag.
See, Certified Electronic Folder (CEF) Flags, DI 81020.085.
Alert the FO via email to release the notice attachment when the case is processed.
For electronic disability insurance benefit (eDib) cases see Electronic Case Closure,
DI 81020.130.
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Severe impairment did not last 12 months nor was it the cause of death
Or
Any fully unfavorable determination (excludes “death in the waiting period”)
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DIB, CDB, or DWB (Initial or Reconsideration)
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Denial
|
SSA-831
Complete as usual with the following exceptions:
Notification
Prepare a personalized disability explanation in the third person. Alert the FO to
release the notice attachment when the claim is processed.
For DWB and CDB cases, the personalized disability explanation does not include a
decision paragraph.
Routing
Route the case to the FO with a Special Handling flag.
See Certified Electronic Folder (CEF) Flags, DI 81020.085.
Alert the FO via email that the notice attachment should be released when the claim
is processed.
For eDib cases, see Electronic Case Closure DI 81020.130.
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