TN 20 (05-11)

RS 00301.107 Identification and Development of Deemed Fully Insured Status

A. Policy for identification and development of deemed fully insured status

If a number holder (NH) does not have enough quarters of coverage to be fully insured under the regular rules, determine whether the NH qualifies under the deemed fully insured provision. Also, develop if the individual is fully insured but an earlier month of entitlement (MOET) is possible under the deemed fully insured provision.

B. Development for identification and development of deemed fully insured status

1. Establishing employment status

If the claimant submits a W-2 (Wage and Tax Statement) for 1983 or 1984 from the nonprofit organization, accept the allegation that the NH was an employee as of 01/01/84. The W-2 should meet the acceptability criteria in RS 01403.040. If necessary, contact the employer to resolve the matter.

2. Sources

Below are the sources for establishing employment status:

  • Earnings record;

  • claimant;

  • employer;

  • primary and secondary evidence of wages (RS 01403.010 through RS 01403.077) and;

  • a precedent file.

3. When to contact employer

Contact the employer to establish that deemed fully insured status does exist.

EXAMPLE: The employer will be in a position to know whether a waiver certificate was in effect on 01/01/84, and whether the NH was an employee as of 01/01/84.

4. When to use a precedent file

To avoid needless contacts with employers, follow instructions in GN 01010.800. Use the precedent file to establish whether the claimant filed a waiver certificate described in RS 00301.107B.5. in this section and document the claims file.

5. Waiver certificate in effect

A Form W-2 for 1983 from the nonprofit organization that shows that Federal Insurance Contributions Act (FICA) tax was paid is sufficient documentation that the deemed fully insured provision does not apply; assume that a waiver certificate was in effect on 01/01/84.

6. Treatment of church employees

The 1983 Amendments included employees of a church or church-controlled organization in the deemed fully insured provision. However, the Deficit Reduction Act of 1984 gave these employers the option of having services performed by its employees excluded from employment for SS purposes. These church employees are deemed self-employed and cannot qualify under the deemed fully insured provision. For more information, see RS 01802.234 and RS 01901.660.

7. Earnings record (ER) requests if deemed fully insured status applies

If deemed fully insured status applies after development, annotate ER request remarks: “Apply Deemed Fully Insured Status.” For additional information on Deemed Fully Insured Status, refer to RS 00301.106. The Office of Earnings Operations applies the provision in determining fully insured status.


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http://policy.ssa.gov/poms.nsf/lnx/0300301107
RS 00301.107 - Identification and Development of Deemed Fully Insured Status - 05/26/2011
Batch run: 05/26/2011
Rev:05/26/2011