BASIC (09-08)

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:

  1. The total family benefit (TFB) per DI 52150.005; or

  2. 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.

B. Examples

EXAMPLE 1:

NH only entitled, PIA 550.00, 80% ACE 625.00

  • TFB 550.00

  • 80% ACE 625.00

  • Applicable limit is 625.00, the 80% ACE

EXAMPLE 2:

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.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0452150015
DI 52150.015 - Determining the Applicable Limit - 09/25/2008
Batch run: 01/27/2009
Rev:09/25/2008