BASIC (02-94)

GN 01734.015 How OIO Totalization Modules and CDB Process and Develop Claims Filed With a Luxembourg Agency

A. Introduction

When a U.S. claim is filed with a Luxembourg agency, the agency forwards Form LUX/USA 3 certifying the date of filing. In addition, the appropriate block in Item I.D. should be checked to indicate that a U.S. claim has been filed.

B. Policy

When a Luxembourg agency certifies factors of entitlement as "verified" in Part II of the form LUX/USA 3, the certification may be accepted as proof of the eligibility factor. Further development is not required unless there is a material discrepancy.

C. Procedure - Totalization modules

Use this instruction for processing form LUX/USA 3 if:

  • the block is checked in item I.D to indicate the claimant is filing a U.S. claim, or

  • a statement of intent to file a U.S. claim is attached.

     

StepAction

1

Provide information and/or material that the Luxembourg agency requested on the form LUX/USA 3.

2

Determine if the claimant is eligible for U.S. benefits.

  • If yes, route all material to CDB to develop a claim.

  • If no, go to step 3.

3

If the claimant is not eligible or is already entitled to U.S. benefits, send an informal denial notice.

D. Procedure - CDB

Use this instruction for developing claims filed with a Luxembourg agency.

 

If the worker is..then...

fully insured

  • obtain the appropriate RSDI
    application,

  • obtain evidence to establish factors of entitlement that were not established by the Luxembourg agency,

  • adjudicate the RSDI applications, and

  • forward the claim to Mods 1-5.

     

not insured and has
at least 6 QCs

  • obtain the appropriate RSDI application and form SSA-2490-F4,

  • obtain evidence to establish factors of entitlement not established by the Luxembourg agency, adjudicate RSDI application, and forward the claim to Mod 6 or 7.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0201734015
GN 01734.015 - How OIO Totalization Modules and CDB Process and Develop Claims Filed With a Luxembourg Agency - 04/18/2014
Batch run: 04/18/2014
Rev:04/18/2014