BASIC (09-08)

DI 52150.005 Total Family Benefits (TFB)

The TFB is the total of all disability insurance benefits (DIB) monthly amounts for the number holder (NH) and any auxiliaries entitled on the NH’s SSN in the first-considered date of offset. For the definition of first-considered date of offset, see DI 52150.020.

A. Computing the TFB

Compute the TFB using benefit amounts in the first-considered date of offset.

1. Compute the TFB after reduction events

Compute the TFB using benefit amounts after the following reduction events:

  • Disability family maximum (DMAX) - for adjusting benefits for the family maximum, see RS 00615.756, and for using the DMAX, see RS 00615.740.

  • Age - including DIB after reduced RIB, for information about reduced benefits, see RS 00615.005, and regarding DIB after reduced RIB, see RS 00615.410.

  • Dual entitlement - use only the excess benefit amount (LEMBA). For an explanation of dual entitlement, see RS 00615.020.

2. Compute the TFB before deduction events

Compute the TFB using benefit amounts before the following deduction events:

  • Annual Earnings test - for instructions, see DI 52150.075 – Work Deductions and Offset of Auxiliary Benefits.

  • Government Pension Offset - see GN 02608.100 – Government Pension Offset (GPO) Provision.

Reference:

GN 02603.055 - Deductions When Workers' Compensation/Public Disability Benefit (WC/PDB) Offset Applies

3. Compute the TFB before suspension events

Compute the TFB using benefit amounts before the following suspension events:

  • Prisoner or fugitive felon suspension - for prisoner suspension, see GN 02607.160 and for fugitive felon provisions, see GN 02613.001.

  • Substantial Gainful Activity (SGA) during the Extended Period of Eligibility (EPE) - for information regarding suspension of disability benefits, see DI 10105.095.

  • No child in care - as defined in RS 01310.001.

B. Benefit amounts excluded from the TFB

The following entitlements are not included in the TFB:

  1. Divorced spouse (B6) benefits effective 01/01/91 and later in these situations:

    • the couple has been divorced for at least two continuous years.

      EXAMPLE: The NH and spouse were divorced in October 2003. The NH becomes entitled to DIB in April 2008. Because the couple has been divorced for at least two continuous years, the divorced spouse is not included in the TFB.

    • The NH was entitled to the current DIB in the month prior to the month of divorce.

      EXAMPLE: The NH was entitled to the current DIB in the month prior to the month of divorce. The NH was entitled to DIB effective April 2008. The couple divorces in July 2008. The divorced spouse is not included in the TFB beginning July 2008.

      For rules regarding divorced spouse entitlement prior to 01/01/91, see RS 00202.035C.2.

  2. A divorced spouse originally entitled as an independently entitled divorced spouse

  3. Delayed claimants. If a delayed claimant is subsequently entitled, the TFB and possibly the amounts payable after offset must be adjusted. For information regarding delayed claimants, see GN 01010.140.

  4. Technical entitlement only benefits (the beneficiary is entitled to higher benefits on another record). For simultaneous entitlement of a spouse, see RS 00202.025; for widow’s benefits, see RS 00207.002; and for child benefits, see RS 00615.770.

C. Events that do not change the TFB

The following events are protected increases and do not change the TFB:

  1. Cost-of-living adjustment (COLA) increase.

  2. Primary insurance amount (PIA) increase due to a recomputation effective after the first-considered date of offset.

  3. Combined