TN 28 (04-19)

GN 02250.244 Waiver Development Check List

A. Check list for waiver development

Review any available documents which may contain information relevant to the overpayment, such as the overpayment notice, Master Beneficiary Record (MBR), Reconciling Recovery of Overpayments Accounting and Reporting System (ROAR), Payment History Update System (PHUS), and material from the folder. Review the SSA-632 and all supporting documents to assist with the waiver determination.

B. Table guide

Use the below table as a guide to determine if you need to request additional information from the overpaid person in order to develop and process the waiver request.

 

  IF THEN
1. The SSA-632-BK contains conflicting statements. Contact the overpaid person to resolve the conflicts.
The fault allegation is inconsistent with the facts or is not related to the overpayment. Contact the overpaid person to resolve the conflicts and obtain relevant information.
The SSA-632-BK shows people who cannot be covered by the request Inform the person that we need a separate waiver request from each person requesting a waiver.
The representative payee and beneficiary submitted one waiver request. Inform the payee and beneficiary that we need a separate waiver request from each person if both are liable for the overpayment.
The SSA-632-BK does not identify separate financial information for each member of the household. Inform the overpaid person the he or she needs to specify which family member owns the financial account.
The overpaid person did not provide a signed SSA-4641. Inform the overpaid person that he or she must submit a signed SSA-4641, if you need the financial account information to make a defeats the purpose waiver determination.
The overpaid person did not verify his or her family members' financial information. Inform the overpaid person that he or she must submit verification of the financial information for family members.
The overpaid person's expenses exceed income and he or she did not did not explain how he or she is paying household bills. Ask the overpaid person to provide an explanation.
The overpaid person's received a large retroactive check and there is no comparable asset Ask the overpaid person to explain how he or she spent the check.
2. The person alleges misunderstanding about allowable earnings. Ask the overpaid person to provide evidence showing that he or she restricted his or her take-home pay to the allowable amount.
The person alleges that he or she did not know that earnings before the first month of entitlement would cause deductions. Ask the overpaid person to provide evidence showing that his or her earnings after the first month of entitlement did not exceed the limit.
The person has earnings higher than expected. Ask the overpaid person to verify the amount of his or her earnings and how and when the earnings were paid.
The person alleges not knowing that special payments would cause deductions. Ask the overpaid person to provide an employer's statement about the type and amount of the special payment.
The person alleges not knowing that earnings after termination would cause deductions. Ask the overpaid person to provide a breakdown of his or her earnings for the year of termination.
The person alleges not understanding deduction or entitlement provisions. Ask the overpaid person to provide evidence that shows a bona fide attempt to comply with the provisions of the law.

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0202250244
GN 02250.244 - Waiver Development Check List - 04/19/2019
Batch run: 04/19/2019
Rev:04/19/2019