TN 18 (10-98)

SI 02301.320 How to Pay the PPL

A. Introduction

In most cases, the system will continue to pay the PPL on a record when the recipient appeals in the 10-day period after rceiving an advance notice and the FO promptly inputs rquired DPD entries including a GK status code of P. However, there are situations which require FOs to change the PPL on a record and issue a manual notice.

CAUTION: This section explains in general how to pay the PPL in the most common appeal situations where the system has processed an adverse action to a record. Detailed systems instructions on providing payment continuation in various appeal situations are in SM 01305.555.

B. Procedure

When a recipient appeals an adverse action processed to his or her record and qualifies for payment continuation, use the chart below to decide:

  • when to pay the PPL on the record,

  • when to manually recompute the PPL and input to pay a new PPL, and

  • when and how to issue a manual notice.

REMINDER: The PPL and other DPD entries displayed in the DUPR segment enable the system to pay continuing benefits at the PPL. The system posts the PPL when it processes an adverse action and issues an automated GK notice. FOs input the PPL with an adverse action that requires a manual GK notice.

If...then...and send...

the adverse action is due to a single change

the adverse action is due to multiple changesandrecipient does not request payment based on changes not under appeal*

the recipient requests payment continuation after waiving it

pay the PPL on the record including any past benefits due based on the PPL

NOTE: For eligible couples, pay the PPL couples, pay the PPL to both or reduced benefits only to a member who requests it.

  • no manual notice if unreduced benefits will continue uninterrupted

    OR

  • an SSA-L8165-U2 with no appeal rights to restore reduced benefits to the PPL. Select appropriate paragraphs from NL 00803.025. Include GBKM01 when paying past benefits due.

the adverse action is due to multiple changesandrecipient requests payment based on changes not under appeal*

recompute the PPL using only changes not under appeal, input those changes with the new PPL. Pay the new PPL including any past benefits due based on the new PPL

no manual notice (the system will issue an SSA-L8165 with no appeal rights).

the recipient requests a reduced payment and disagrees with the amount or reconsiders and requests unreduced benefits based on the original PPL

input and pay the original PPL including any past benefits due based on the original PPL (subject to subsequent changes, see SI 02301.325)

  • no manual notice, if unreduced benefits will continue uninterrupted

    OR

  • an SSA-L8165-U2 with no appeal rights to restore reduced benefits to the PPL. Select appropriate paragraphs from NL 00803.025. Include GBKM01 when paying past benefits due.

*REMINDER: A recipient must on his or her own initiative request a reduction in the PPL based on changes that are not under appeal. See instructions in SI 02301.310B, on explaining payment continuation.

C. Process

FOs input the required DPD entries explained in SM 01305.555 to pay continuing benefits at the PPL. To pay past benefits due based on the PPL, FOs must use OTP procedures explained in SM 01901.001. This chart describes the process based on systems cutoffs:

When inputting the GK data...then the system will pay the PPL starting...and the FO must pay...
the first day of the month through the recurring cu