TN 1 (03-99)

GN 01725.210 Developing Evidence in Claims for Dutch Benefits

A. Introduction

The following subsections show the types of evidence that may be used to support claims for Dutch benefits.

B. Policy - General

Under the agreement with the Netherlands, SSA will take applications for both regular and Totalization benefits on behalf of the Netherlands and provide limited assistance in obtaining evidence needed to support the claim.

C. Policy - Using U.S. evidence

Evidence which is used to establish a factor of entitlement for U.S. Social Security benefits may also be used by the Netherlands to establish the same factor for Dutch benefits. Consequently, it is unnecessary for the applicant to submit additional evidence to document a factor of entitlement for Dutch benefits when that factor has already been verified for SSA purposes.

D. Policy - Entitlement factors

The following indicates what factors of entitlement, in addition to insured status, must be established in claims for Dutch benefits.

1. Retirement

The entitlement factors which must be established for Dutch retirement claims are:

  • age of worker

  • marriage or living with another person, if a spouse's/partner's supplement claimed

2. Survivors

The entitlement factors which must be established for Dutch survivors claims are:

  • death of worker

  • age of surviving spouse and date of marriage, if widow(er) benefit claimed

  • date of divorce, if divorced widow(er) benefit claimed

  • age and relationship of child, if child's benefit or supplement claimed

3. Disability

The entitlement factors which must be established for Dutch disability claims are:

  • age of worker

  • degree of disability (medical evidence)

E. Procedure - General

Take the following actions when developing evidence to support claims for Dutch benefits.

1. Accepting Evidence

Accept any evidence the applicant wishes to submit. If the applicant does not want to release an original document, photocopy the evidence and certify the copy.

CAUTION: Do not hold claims for Dutch benefits for prolonged periods pending receipt of evidence. If an applicant is unable to obtain needed evidence within a reasonable time, transmit the claim to OIO without the evidence. Advise the applicant that the responsible Dutch agency will contact him/her directly to obtain any evidence it needs.

2. Types of Evidence

If the applicant requests guidance on the type of evidence to submit, see:

3. Document the File

Document the file to show when a factor of entitlement for a Dutch benefit has already been verified for a U.S. claim.

a. Concurrent Title II Claim

Send a photocopy of the relevant evidence with the Dutch claim to OIO if the concurrent title II claim will be sent to a PSC other than OIO.

b. Prior Title II Claim

Include an MBR printout in the claims file sent to OIO to show which factors, other than disability, have been verified in a prior file.

4. Obtain Record of NH's U.S. Coverage

Obtain a record of the NH's U.S. coverage in all claims for Dutch benefits. When the applicant is filing for both U.S. and Dutch benefits, completion of the MCS screens will automatically generate a separate earnings record for the Dutch claim.

When a claimant files for Dutch benefits only, which is a complex MCS exclusion, request an Informational/Certified Earnings Record (ICERS). For more information about requesting a U.S. earnings record, see GN 01702.215C.3.

F. Procedure - Retirement claims

In addition to taking the actions in GN 01725.210E., take the following actions when developing Dutch retirement claims.

1. Obtain Statement of Residence

If the claimant was born before 1942, indicate in the “Remarks” section of the paper Form SSA-2490-BK the claimant's place(s) of residence from age 59 on. If the claim is taken on MCS, enter this information on the TOTALIZATION REMARKS (FRMK) screen. The Dutch agency needs this information to determine whether to compute the Dutch benefit using noncontributory coverage credits (see GN 01725.125A.1.).

2.