TN 2 (02-06)

DI 13050.010 Time Limit for Requesting Expedited Reinstatement

A. Policy

An individual can request an extension of the time period for requesting expedited reinstatement (EXR) if he/she has good cause for not filing the request timely. The good cause request and determination should be conducted in the same manner as other good cause determinations for extending time limits (see GN 03101.020 and SI 04005.015).

1. Time Period

If an individual does not request EXR within the consecutive 60-month period beginning with the month that entitlement or eligibility terminated, the individual can ask for an extension of time to request reinstatement.

2. Good Cause

An individual's request for an extension of time must be in writing and must give the reason(s) why the EXR request was not made within the stated time period. If the reason(s) shows that the individual has good cause for missing the deadline, then an extension of time for requesting EXR can be given.

EXAMPLE: An individual files for EXR in July 2003. The individual's entitlement to DIB should have terminated in 1997 due to SGA (DBC of 04/97). The FO makes this determination in July 2003. The individual has not engaged in SGA since 2001. As the individual was not notified that that his or her benefits were terminated until July 2003, the field office establishes good cause for the late filing and processes the EXR request with a filing date of July 2003.

B. Procedure - Determining the 60-Month Request Period

1. Title II

Check the MBR to find the date of benefit cessation (DBC) field of the DIB line or the TERMINATION field on the most recent occurrence of the BENE ENT line (see SM 00510.190 and SM 00510.200). If the date the EXR request is filed is within the 60-month period beginning with the date of benefit cessation (as shown in the DBC field or the TERMINATION field), consider the request timely filed.

2. Title XVI

Check the date of the T31 entry in the computation history (CMPH) segment of the appropriate SSID record. If the date the EXR request is filed is within the 60-month period beginning with the date of eligibility termination (i.e. the date of the T31 entry), the request is timely filed.

C. Procedure - Documentation and Evaluation For Good Cause

1. Documentation

Document the individual's reason(s) for making the request after the 60-month period on a SSA-795, Statement of Claimant or Other Person, and retain in the EXR folder. File supporting documents or evidence in the EXR folder.

2. Determination

Determine whether good cause exists; use the standards described in GN 03101.020 and SI 04005.015. Prepare a SSA-553, Special Determination, or SSA-5002, Report of Contact.

3. Notify Individual

If good cause for late filing cannot be established, inform the individual that he/she is ineligible for EXR and discuss filing a new application for benefits. If the individual wishes to file a request for EXR, accept the request, process the denial for not being timely filed, and issue an EXR technical denial notice.

If good cause exists, complete a request for EXR and process accordingly. Document the good cause finding in Remarks (IRMK screen) of the DCF when the EXR request is established.

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DI 13050.010 - Time Limit for Requesting Expedited Reinstatement - 02/16/2006
Batch run: 01/12/2015