TN 3 (02-95)

GN 01703.110 How to Document Insured Status Decisions

A. Introduction

If a record of foreign coverage was obtained to adjudicate a claim, document the claims file to show that the foreign coverage was considered. Foreign periods of coverage should be credited only to the extent they are needed to provide totalization insured status. There are two methods for determining and documenting that insured status is met.

B. Procedure - manual worksheet method

Follow the guidelines below for the manual worksheet method.

1. When to use

Complete a totalization insured status worksheet in the following situations:

  • disability claims

  • claims in which the deceased NH is currently insured

  • claims where insured status is not met after foreign coverage is credited

  • claims where it is too close to call; i.e., where insured status is met using combined coverage, but there are fewer than 5 QC's of foreign coverage in excess of the number needed for totalization insured status

  • any claim where the CA prefers to complete the worksheet.

2. How to complete

For each year in which there is a U.S. and/or a foreign QC:

  • Display a U.S. QC as “C.”

  • Display a foreign QC as “F.”

  • Display no QC as “N.”

  • Show QCs in proper order.

    Example: In 1968 there are 4 F QCs. In 1969, the first quarter is an “F” and the last quarter is a “C.” Enter, “1968 FFFF 1969 FNNC.”

  • Enter the date last insured for disability claims.

  • Sign and date the form.

C. Procedure - observation method

The following section provides guidelines for the use of the observation method.

1. When to use

Use the observation method when it is obvious from a quick review of the foreign coverage record that totalization insured status is met; i.e., the record shows far more foreign coverage than is needed.

Example: A NH requires 33 QCs to meet fully insured status. He has 30 QCs of U.S. coverage and the foreign coverage record displays 5 years of non-coinciding coverage.

2. How to display

Enter the number of foreign QCs needed to meet totalization insured status in item 7 of Form SSA-101-U3.

D. Exhibit

TOTALIZATION INSURED STATUS WORKSHEET

Year                Quarters         Year                 Quarters

                      1  2  3  4                        1  2   3  4 

 

 1937                                   1970                           
 1938                                  1971                            
 1939                                  1972                            
 1940                                  1973                            
 1941                                  1974                            
 1942                                  1975                            
 1943                                  1976                            
 1944                                  1977                            
 1945                                  1978                            
 1946                                  1979                            
 1947                                  1980                            
 1948                                  1981                            
 1949                                  1982                            
 1950                                  1983                            
 1951                                  1984                            
 1952                                  1985                            
 1953                                  1986                            
 1954                                  1987                            
 1955                                  1988                            
 1956                                  1989                            
 1957                                  1990                            
 1958                                  1991                            
 1959                                  1992                            
 1960                                  1993                            
 1961                                  1994                            
 1962                                  1995                            
 1963                                  1996                            
 1964                                  1997                            
 1965                                  1998                            
 1966                                  1999                            
 1967                                  2000                            
 1968                           
 1969                           

 

Date Last Insured                      

 

 Claim Authorizer
Date
 Office of International
 Operations

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0201703110
GN 01703.110 - How to Document Insured Status Decisions - 02/24/2014
Batch run: 02/24/2014
Rev:02/24/2014