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 - 01/19/1999
Batch run: 10/17/2016
Rev:01/19/1999