TN 49 (08-08)
DI 11010.315 Disability Insurance Benefits (DIB) Claimant Dies after File Sent to Disability Determination Services (DDS) and Survivor Claim Filed
Field Office (FO) Procedure
If the claimant dies after the file is sent to DDS, use the following procedure:
Follow the procedures in Sending Initial Disability Insurance Benefits (DIB), Freeze Claims to the Disability Determination Services (DDS) - DI 11010.255, if no disability determination is necessary.
If the Field Office (FO) does not request the return of the DIB folder because a disability determination is necessary, forward the survivor claim to the Processing Center (PC) after adjudication. Manually clear the DIB segment and complete the screens on the Survivor's claims.
Adjudicate the Survivor's claim while the DIB claim is pending at DDS, since Modernized Claims System (MCS) segmentation exists.
Process the Survivor's claims through Earnings Computation (EC).
Once the survivor's segments have cleared, re-enter the DIB segment and obtain an Earnings Record (E/R) through EC or the Informational Certified Earnings Records System (ICERS).
Adjudicate the DIB claim when it is returned from the DDS with an A-101 (manual award) or by MADCAP Direct Data Entry (MACADE) input SSA-3428 (Determination of Disallowance). If a Survivor’s claim is involved, determine if DIB Exclusion computation results in a higher death PIA, using ICRS or ICF.