TN 23 (12-17)

NL 00725.190 “DDD” UTIs – Disability Date Denials

DDD004 New Claim or Reconsideration – Same Issue as Previously Denied Disability Claim

We denied  (1)  previous claim for disability benefits. Our previous decision covered the same issues as this claim. We do not have any new information to change our decision.

Fill-ins:

(1) “your”/FN

DDD005 New Claim or Reconsideration after Prior Substantive Denial Alleging Onset after Insured Status Last Met

The information you gave us does not show that there was any change in  (1)  health before  (2)  . This was when  (3)  last met the earnings requirement for receiving benefits.

Fill-ins:

(1) “your”/FN possessive

(2) date disability last met

(3) “you”/“she”/“he”

DDD006 Widow(er) Files Request for Reconsideration after Substantive Denial – Prior Medical Adjudicated after Prescribed Period Last Expired

The information you gave us does not show that there was any change in  (1)  health before  (2)  . This was the last date  (3)  could qualify for benefits as a disabled  (4)  .

Fill-ins:

(1) “your”/FN possessive

(2) date disability last met

(3) “you”/“she”/“he”

(4) “widow”/“widower”

DDD007 Disabled Child Files Request for Reconsideration after Substantive Denial – Prior Denial Adjudicated after Child Attained Age 22

The information you gave us does not show that there was any change in  (1)  health before  (2)  . This was the last date  (3)  could qualify for benefits as a disabled child.

Fill-ins:

(1) “your”/“her”/“his”

(2) month/day/year=age 22 years

(3) “you”/“she”/“he”

DDD008 Number Holder Not Insured at Alleged Onset or Later – New Claim or Reconsideration Affirms Denial

 (1)   (2)  not qualify for disability benefits because  (3)  not worked long enough under Social Security.

We figure work under Social Security in credits. Please read the enclosed pamphlet, “How You Earn Social Security Credits,” which explains how the credits are earned and how many a person must have to receive benefits.

Since  (4)  not have enough work credits to qualify for benefits, we did not make a decision about whether  (5)  disabled under our rules.

Fill-ins:

(1) “You”/FN

(2) “do”/“does”

(3) “you have”/“she has”/“he has”

(4) “You do”/“She does”/“He does”

(5) “you are”/“she is”/“he is”

DDD009 Widow(er) Prescribed Period Expired Before Alleged Onset – Initial or Reconsideration Decision

We cannot pay  (1)  because  (2)  not disabled within a 7-year period. To qualify,  (3)  would need to meet any one of the following rules:

 (4)  disability began within 7 years after the month that the worker died.

 (5)  disability began within 7 years after the month that  (6)  benefits as a  (7)  ended.

 (8)  disability began within 7 years after the month that  (9)  earlier period of disability ended.

For  (10)  to qualify for benefits,  (11)  disability must have begun before  (12)  , the date  (13)  7-year period ended. You told us  (14)  first became disabled on  (15)  . This date is after the 7-year period.

Since  (16)  not meet the 7-year period requirement, we did not make a decision about whether  (17)  disabled under our rules.

Fill-ins:

(1) “you”/FN

(2) “you were”/“she was”/“he was”

(3) “you”/“she”/“he”

(4) “your”/“her”/“his”

(5) “your”/“her”/“his”

(6) “your”/“her”/“his”

(7) “mother”/“father”

(8) “your”/“her”/“his”

(9) “your”/“her”/“his”

(10) “you”/“her”/“him”

(11) “your”/“her”/“his”

(12) prescribed period end date in format January 1991

(13) “your”/“her”/“his”

(14) “you”/“she”/“he”

(15) alleged onset date

(16) “You do”/“She does”/“He does”

(17) “you are”/“she is”/“he is”

DDDR10 New DWB Application – Prior Denial Under Same Law

 (1)   (2)  not qualify for benefits because this application concerns issues which were decided when an earlier claim was denied. We do not have any information which would cause us to change our earlier decision.

The information you gave us does not show that there was any change in  (3)  health before  (4)  . This was the last day  (5)  could qualify for benefits as a disabled  (6)  .

If you have any new information about  (7)  health on or before  (8)  , you need to give it to us so we can review it.

Fill-ins:

(1) “You”/FN

(2) “do”/“does”

(3) “your”/“her”/“his”

(4) prescribed period end date

(5) “you”/“she”/“he”

(6) “widow”/“widower”

(7) “your”/“her”/“his”

(8) prescribed period end date

DDDR11 Death Within 5 Months of Disability Onset

 (1)  did not qualify for disability benefits because to qualify  (2)  had to be disabled at least 5 full calendar months in a row before death. This requirement is not met because  (3)  was given as the date the disability started and  (4)  as the date of death.

Fill-ins:

(1) NH name

(2) “she”/“he”

(3) alleged onset date

(4) NH's date of death

DDD012 Reporting Health Changes after New Claim or Reconsideration Disallowance

If you have any new information about  (1)  health on or before  (2)  , please send it to us. We need to review it to see if we can change our previous decision.

Fill-ins:

(1) “your”/FN possessive

(2) HA - date last insured/DWB - date prescribed period last met/ DAC - date age 22 attained

DDD017 Number Holder Attained Full Retirement Age in Waiting Period or Earlier Based on Alleged Onset – No Earlier Onset Possible

To qualify for benefits, a person must be disabled for at least 5 full calendar months in a row before reaching full retirement age. You told us that  (1)  became disabled on  (2)  . Our records show that  (3)  reached full retirement age,  (4)   (5)   (6)   (7)  in  (8)  .

Fill-ins:

(1) you/Ms. plus beneficiary's last name/Mr. plus beneficiary's last name

(2) Onset date (month/day/year)

(3) “you”/“she”/“he”

(4) full retirement age, in format “65”

(5) “and”/NULL

(6) additional FRA months in format “2”/NULL

(7) months/NULL

(8) NH's DOB plus full retirement age, in the format June 1998

DDD018 Number Holder Attained Age 65 in Waiting Period or Earlier – Onset Established

To qualify for benefits, a person must be disabled for at least 5 full calendar months in a row before reaching full retirement age. Using the facts you gave us, we found that  (1)  did not become disabled under our rules until  (2)  . Our records show that  (3)  reached full retirement age,  (4)   (5)   (6)   (7)  in  (8)  .

Fill-ins:

(1) you/Ms. plus beneficiary's last name/Mr. plus beneficiary's last name

(2) Current DDO (month/day/year)

(3) “you”/“she”/“he”

(4) full retirement age, in format “65”

(5) and/null

(6) show additional FRA months in format “2”/null

(7) months/null

(8) NH-DOB plus full retirement age, in the format June 1998


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900725190
NL 00725.190 - "DDD" UTIs - Disability Date Denials - 12/21/2017
Batch run: 12/21/2017
Rev:12/21/2017