TN 1 (03-97)
GN 01714.015 How the FSP Processes and Develops Claims Filed with a Belgian Agency
When an applicant for Belgian benefits indicates coverage in the U.S. on the Belgian application and is not already a U.S. beneficiary, the Belgian agency routes a liaison Form BE/USA 3 to the FSP. The Belgian agency provides information on the form to identify the applicant and certifies the filing date. The Belgian agency also indicates on the form BE/USA 3, the need for a U.S. coverage record and other claims related information. If the Belgian coverage record has been established, the agency includes a copy.
Follow the procedures below which explain how the FSP should process referrals from the Belgian agency.
Claimant is eligible for U.S. Benefits
If the claimant meets the age and QC requirements for U.S. benefits, obtain Form SSA-2490-F4 (Part I) and the appropriate RSDI applications and evidence, OR obtain a signed statement that the claimant does not want to file a claim.
Forward claims to IBO in DIO with the liaison Form BE/USA 3 and the Belgian coverage record.
If the Belgian agency has requested information from DIO on form BE/USA 3, attach a flag to the material with the following information:
The Belgian agency has requested information on this case. After award or disallowance action, forward the folder to a BET in the DIO modules.
Claimant is not Eligible for U.S. Benefits or is Already Entitled
If the claimant is clearly not eligible for U.S. benefits or is already entitled, no claims development action is necessary.
If the Belgian agency has requested information, forward Form BE/ USA 3 and any attached material to the modules in DIO. If no information was requested, destroy the Belgian agency forms.