DI 52150.015 Determining the Applicable Limit
The applicable limit is the amount used to determine if WC/PDB offset applies.
A. Factors to determine the applicable limit
The applicable limit is the higher of:
The total family benefit (TFB) per DI 52150.005; or
80 percent of the average current earnings (ACE). See DI 52150.010.
Subtract the monthly WC/PDB amount from the applicable limit to determine if the disability insurance benefit (DIB) is offset (i.e., reduced).
NOTE: Redetermine the applicable limit if there is a change in the TFB or ACE.
NH only entitled, PIA 550.00, 80% ACE 625.00
NH entitled along with two children, PIA 550.00, MAX 675.30, 80% ACE 650.40
TFB = total of MBAs: 550.00 (NH) + 62.60 (C1) + 62.60 (C2) = 675.20
80% ACE 650.40
Applicable limit is 675.20, the TFB.