TN 2 (03-10)
DI 44001.130 Notices – Dual Eligibility Railroad Cases
When the Great Lakes Program Service Center – Disability Processing Branch (GLPSC-DPB) makes a disability determination, the disability processing specialist (DPS) completes the disability determination forms SSA-831/832/833, personalized disability notices (PDNs), and any supplemental rationales using the MIDAS Legacy processing system. When the case is closed, the decisional notice and rationale are uploaded to the certified electronic folder (CEF) and stored in the appropriate section.
The DPS follows State disability determination services (DDS) guidelines for preparing notices when a totally or partially unfavorable disability determination is made, including preparation of the PDN and any supplemental rationales. Most fully favorable allowance determination notices are systems-generated; however, in certain situations, the GLPSC-DPB provides the field office (FO) with special instructions for notices released by the FO. See, Types of Notices DI 26535.005.
A. MIDAS notices
GLPSC-DPB uses the MIDAS legacy system to process all claims, both CEFs and modular disability folders, except for electronic disability collection system (EDCS) exclusion cases. For dual eligibility railroad (RR) claims adjudicated using the MIDAS legacy system, the following notices are available:
RRB CC DENIAL
RRB T2 DENIAL
RRB T2 20/40 DENIAL*
RRB T16 DENIAL
RRB FREEZE ALLOWANCE**
RRB CC RECON DENIAL
RRB T2 RECON DENIAL
RRB T16 RECON DENIAL
T2 CESSATION DWB
T2 CESSATION AUX
* Use the RRB T2 20/40 DENIAL notice for dual eligibility medical denials when the NH does not meet the insured status requirements for cash disability insurance benefits (DIB). Do not use the RRB T2 20/40 DENIAL notice for joint freeze 20/40 cases, since joint freeze cases are paper cases and are not processed using MIDAS. See DI 44005.000 for joint freeze cases.
**Use the RRB FREEZE ALLOWANCE notice for dual eligibility disability allowances where the NH does not meet the insured status requirements for cash DIB benefits, but has been awarded a period of disability freeze.
B. Manual notices
For EDCS exclusion cases, the GLPSC-DPB prepares a manual notice. Manual notices for career railroad claims are located on the GLPSC-DPB shared drive, under “DPB Letters – Railroad Letters” and “RECON LETTERS.”
C. Railroad Retirement Board (RRB) eligibility paragraph
If the file does not reflect whether the claimant filed a claim with RRB, add the following paragraph to the allowance notice when the individual has at least 60 months of creditable RR service earned after 12/31/95 (or 120 months earned at any time):
We note that your railroad earnings record indicates that you have at least 60 months of creditable RR service earned after 12/31/95 (or at least 120 months earned at any time) which makes you eligible to apply for disability benefits under the disability provisions of the Railroad Retirement Act. If you have not already done so, you may wish to contact the Railroad Retirement Board regarding the filing of an application for disability benefits.
Determine the appropriate pamphlets to be included with the various types of notices refer to NL 00603.115.