TN 4 (09-86)

NL 00711.305 Guide to the Use of Totalization Paragraphs

The paragraphs in this chapter are intended to be a guide for responding to inquiries about international Social Security agreements and the benefits payable under these agreements. Certain paragraphs in this guide, in addition to those located in NL 00711.310 and NL 00720.360, may be used on award or denial notices.

These paragraphs do not cover all situations. You should, when necessary, modify them and/or add your own paragraphs to meet the needs of individual situations.

CAUTION: In your letter to the public, you may use the term “totalization” when referring to international Social Security agreements, but you must be sure the reader understands the term. You should either explain it or enclose the SSA Publication which defines the term “totalization benefit.”

The following guide is arranged by subject and directs you to the paragraphs that can be used in given situations. Some paragraphs may be used in situations other than those mentioned.

 Paragraph Number

Opening Paragraphs

  
Reference to Totalization Application17000
Reference to Totalization Inquiry — General17001
Reference to Totalization Inquiry — Specific Country17002
Inquiry Referred for Reply17003
Third Party Inquiry17004
Delay in Responding to Inquiry17005

General Information About Totalization

General Explanation of International Social Security Agreements17010
Effective Date of Agreements — General17011
Effective Date of Negotiated, Unapproved Agreement — General17012
Effective Date of Agreement in Force17013
Specific Inquiry and/or Interest in Filing — Agreement Not Effective17014
Keeping Informed for Effective Date of Negotiated, Unapproved Agreement17015
Agreement Not Yet Negotiated17016
Dual Coverage — Agreement Not Yet Negotiated/Effective17017
Filing an Application — Agreement Not Yet Effective17018
Referral to Other Country17019
Referral of Inquiry to Other Country17020
Referral to Pamphlet17021
Claimant Questions A Foreign Country's Decision17022

Coverage and Benefits

Combining Coverage Under More Than One Agreement17030
Coverage Required for U.S. Totalization Benefits17031
How the U.S. Combines Coverage Under the International Agreements17032
How Totalization Benefits Are Computed17033
How Totalization Benefits Are Paid17034
Totalization Benefits Awarded17035

Claims Leads and Filing Applications

Filing an Application — General17040
Filing an Application When Inquirer Lives in Agreement Country17041
Further Development Needed on Totalization Claim17042
RSDI Awarded — Totalization Claim Pending17043
Possible Claims Lead for Spouse — Life Claim17044
Possible Claims Lead for Spouse — Survivor Claim17045
Claims Lead — Claim Filed with Foreign Country17046
Request for Consent17047

Securing Foreign Earnings Records and Stalls

Notification That Only U.S. Earnings Have Been Used in the Decision17050
Notification That the Foreign Earnings Record Will Be Requested17051
Claimant Will Be Informed When Application is Sent to the Foreign Agency17052
Decision Refers Only to U.S. Benefits Under Totalization17053
Application is Also a Foreign Application17054
Notification That the Foreign Earnings Record Has Been Requested17055
Notification That Claims Package Sent17056
Foreign Application Has Been Sent17057A
Data From Foreign Application Has Been Sent17057B
Earnings Record Requested — Specific Delay17058
General Delay17059
Notification That Regular U.S. Social Security Benefits Will Continue17060
Foreign Government Will Notify the Claimant About Application for Foreign Benefits17061
Referral of Claimant to the Foreign Agency for Status of Foreign Claim17062

Denials

Denial — Less Than Six QC's17070
Denial — Insured Status Still Not Met After Including Foreign Earnings17071
Earnings Additional QC's17072
Denial — Entitled to RSDI Benefit17073
Denial Based on Application Filed with Foreign Country17074
Denial — Unrestricted Totalization Application — Claimant Not Yet Retirement Age17075
Denial of Regular U.S. Auxiliary Benefits on Totalization Notices17076
Denial of U.S. Auxiliary Totalization Benefits17077
Denial of U.S. Totalization Benefits — Failure to Meet Disability Requirements of the Law17078
Denial of U.S. Totalization Because the Foreign Earnings Were Under Dual Coverage17079
Denial of U.S. Totalization Benefits Because the Foreign Earnings Were Before 193717080
Denial of U.S. Totalization Benefits Because Foreign Earnings Were From Voluntary Coverage or Excused Periods17081
Denial of U.S. Totalization Benefits Because the Foreign Country Was Unable to Locate Alleged Earnings17082
Denial of U.S. Benefits for a Brother or Sister Filing Under an International Agreement17083
Denial — Work in Foreign Country Not Covered17084
Denial — Foreign Country Certifies No Earnings — Foreign Earnings Alleged Before 193717085

HI/SMI

Foreign Coverage Cannot Be Used to Establish HI Entitlement — General17090
HI/SMI Information for Spouse, Widow or Widower17091
HI/SMI Information for Totalization Beneficiary Who is a U.S. Resident Under Age 6517092
HI/SMI Denied — Totalization Beneficiary is Age 65 or Older or Has Been Entitled to Disability Benefits for a Continuous Period of at Least 24 Months17093
Deemed Insured HI17094

Close-Out and Recon

No Further Benefits Payable By the U.S17100
No Further Benefits Payable By the U.S. Without the Inclusion of Foreign Earnings17101
No Further Benefits Payable by the U.S. With the Exception of Totalization Benefits17102
Reconsideration Paragraph Using Totalization's Address17103

Closing Paragraphs

Referral to DO or FSP17110
Finding the Address and Phone Number of DO17111
Alpha Inquiry17112
Referral to DO17113

Alien Nonpayment

Alien Nonpayment17120
Claimant is Using a Bank Address17121

Paragraphs Specific to the Italian Agreement

Regular U.S. Social Security Benefits Will Continue — Italian Totalization Claim Pending17130
General Explanation of the Choice of Benefits Under the International Agreement with Italy17138
Election Notice — Italian Earnings Record Received — Lower Benefit Applies17139A
Election — Choice of Lower U.S. Totalization Benefit17139B
Election — Response if Lower Benefit Elected17139C
Election — Totalization Benefit Lower But Earlier Month of Entitlement17140
Election — Benefits from Italy17141
Election — Effect of Guaranteed Minimum17142
Completion of Election Form for U.S. Benefits17143
Completion of Election Form for U.S. and Italian Benefits17144
Completion of Election Form for Italian Benefits17145

Paragraphs Specific to the German Agreement

German Inquiry — Claimant Already Entitled to German Benefits17170
Forwarding Application for Retroactive Voluntary Contributions to the German Agency17171
Referral to the German Agency Regarding Filing for Current Contributions17172
Referral to the D/USA 317173
Claim Forwarded to BFA17174
Claim Forwarded to LVA17175

Paragraphs Specific to thE Agreement With Switzerland

Referring Swiss Nationals to Consular Office17180
Completion of CH/USA 2.1, 2.2 and/or 2.317181
Follow-up Request for CH/USA 2.1, 2.2 and 2.317182
Claim Forwarded to CSC17183

Paragraphs Specific to the Canadian Agreement

Effective Date — Canada17190

Sample Letters

1. Italian Election Notice — Obtaining Election for Italy

2. Italian Election Notice — U.S. Benefits Only

3. Response to Request for Agreement Information

4. Request for Consent

5. Claims Package Sent — Foreign Earnings Record Requested

6. Claims Package Sent — Foreign Earnings Record Not Requested

7. Denial — Claimant Entitled to RSDI Benefits

8. Denial Based on Application Filed with Agreement Country

9. Denial — Claimant Not Insured with Foreign Earnings


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900711305
NL 00711.305 - Guide to the Use of Totalization Paragraphs - 07/06/2012
Batch run: 07/06/2012
Rev:07/06/2012