TN 16 (06-24)

DI 23510.020 Death after Filing – Title II (Chart)

Use this chart to determine required disability determination services (DDS) actions regarding Form SSA-831 (Disability Determination and Transmittal), notification, and any special routing instructions. For additional instructions related to these procedures, see DI 23510.001 and DI 23510.010.

Situation Claim Type Determination DDS action

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

Disability insurance benefit (DIB) or disabled widow(er) benefit (DWB) (Initial or Reconsideration)

No Determination

See Processing “No Determination” Claims, DI 81020.127

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

Established onset date (EOD) same as AOD

DIB, childhood disability beneficiary (CDB), DWB (Initial or Reconsideration)

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.

Notification

No DDS-prepared notification is required.

EOD after POD (whether the EOD is more than or less than five full months before the month of death);

or

 

Closed Period

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.

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”)

DIB, CDB, or DWB (Initial or Reconsideration)

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.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0423510020
DI 23510.020 - Death after Filing – Title II (Chart) - 06/21/2024
Batch run: 06/21/2024
Rev:06/21/2024