TN 24 (12-94)
1161. Situation Where Used:
IC: Recipient's spouse is eligible for part, but not all, of initial period of eligibility.
PE: Change in spouse's eligibility causes SSI payment to increase or stay the same.
If SSI decreases, use paragraph 2180.
(1) spouse (2) eligible to receive Supplemental Security Income payments (3) .
| (1) |
Your |
| |
Her |
| |
His |
| (2) |
is |
| |
was |
| (3) |
for (Month/Year) |
| |
for (Month/Year) through (Month/Year) |
| |
for (Month/Year) on |
1180. Situation Where Used:
IC: Recipient is a member of an eligible couple. The other member was paid as an eligible
individual with an ineligible spouse while the case was being adjudicated.
(1) spouse received Supplemental Security Income payments of (2) (3) . Since the law limits the total monthly amount we can pay (4) to (5) , (6) eligible for only (7) for (8) .
| (1) |
Choice 1 - Your |
| |
Choice 2 - Her |
| |
Choice 3 - His |
| (2) |
$$$.¢¢ |
| (3) |
Choice 1 - for (Month/Year) |
| |
Choice 2 - for (Month/Year) through (Month/Year) |
| (4) |
Choice 1 - you and your spouse |
| |
Choice 2 - her and her spouse |
| |
Choice 3 - him and his spouse |
| (5) |
$$$.¢¢ |
| (6) |
Choice 1 - you are |
| |
Choice 2 - she is |
| |
Choice 3 - he is |
| (7) |
$$$.¢¢ |
| (8) |
Choice 1 - this month |
| |
Choice 2 - this period |
1181. Situation Where Used:
Couple case—separate notice being sent to spouse.
(1) spouse will receive a separate notice.
| (1) |
Choice 1 - Your |
| |
Choice 2 - Her |
| |
Choice 3 - His |
1183. Situation Where Used:
Couple not living together during initial eligibility (separation of less than 6 months),
but still paid as a couple.
(1) (2) living together (3) .
| (1) |
Choice 1 - You and your spouse |
| |
Choice 2 - She and her spouse |
| |
Choice 3 - He and his spouse |
| (2) |
Choice 1 - are |
| |
Choice 2 - are not |
| |
Choice 3 - were |
| |
Choice 4 - were not |
| (3) |
Choice 1 - for (Month/Year) |
| |
Choice 2 - for (Month/Year) through (Month/Year) |
| |
Choice 3 - for (Month/Year) on |
1184. Situation Where Used:
Couple status does not exist for part of initial period of eligibility (separation
of 6 months or more).
For Supplemental Security Income purposes, (1) not being paid as a member of a couple (2) .
| (1) |
Choice 1 - you are |
| |
Choice 2 - she is |
| |
Choice 3 - he is |
| (2) |
Choice 1 - for (Month/Year) |
| |
Choice 2 - for (Month/Year) through (Month/Year) |
| |
Choice 3 - for (Month/Year) on |
1185. Situation Where Used:
Denial—claimant considered to be an individual for some months and member of a couple
for other months.
For Supplemental Security Income purposes (1) (2) considered as a member of a couple (3) .
-
(1)
Choice 1 - you
Choice 2 - she
Choice 3 - he
-
(2)
Choice 1 - are
Choice 2 - are not
Choice 3 - were
Choice 4 - were not
Choice 5 - is
Choice 6 - is not
Choice 7 - was
Choice 8 - was not
-
(3)
Choice 1 - for (Month/Year)
Choice 2 - for (Month/Year) through (Month/Year)
Choice 3 - for (Month/Year) on
1186. Situation Where Used:
Allowance for one member of a couple—other member awaiting disability determination.
The payment amount shown above is based on (1) own application. We have not yet made a decision on the application for Supplemental
Security Income filed by (2) spouse. If (3) spouse is found eligible, (4) payment amount will be reduced because (5) spouse will receive a Supplemental Security Income payment also. (6) will get another notice if this happens.
-
(1)
Choice 1 - your
Choice 2 - her
Choice 3 - his
-
(2)
Choice 1 - your
Choice 2 - her
Choice 3 - his
-
(3)
Choice 1 - your
Choice 2 - her
Choice 3 - his
-
(4)
Choice 1 - your
Choice 2 - her
Choice 3 - his
-
(5)
Choice 1 - your
Choice 2 - her
Choice 3 - his
-
(6)
Choice 1 - You
Choice 2 - She
Choice 3 - He
2180. Situation Where Used:
Claimant receiving payments as member of a couple for one period and as an individual
for another. Payment reduction due to change in spouse's eligibility.
(1) spouse is eligible to receive supplemental security income payments (2) (3) . Since the law limits the total monthly amount we can pay (4) spouse to (5) , (6) own payment must be reduced to the amount shown above.
-
(1)
Choice 1 - Your
Choice 2 - Her
Choice 3 - His
-
(2)
Choice 1 - for (Month/Year)
Choice 2 - for (Month/Year) through (Month/Year)
Choice 3 - for (Month/Year) on
Choice 4 - for up to 3 months beginning (Month/Year)
-
(3)
Choice 1 - ,
Choice 2 - and
Choice 3 - .
-
(4)
Choice 1 - you and your
Choice 2 - her and her
Choice 3 - him and his
-
-
(6)
Choice 1 - your
Choice 2 - her
Choice 3 - his
2181. Situation Where Used:
Recipient has an increase in payment amount because the spouse's presumptive eligibility
has ended and a disability determination has not been made.
We have not yet made a final determination about whether (1) spouse is disabled. Since (2) spouse can receive no more than 3 months payments while we are making this determination,
payments for (3) spouse are being stopped. (4) payment amount has been refigured as shown above.
Manual Paragraphs
-
(1)
Choice 1 - your
Choice 2 - her
Choice 3 - his
-
(2)
Choice 1 - your
Choice 2 - her
Choice 3 - his
-
(3)
Choice 1 - your
Choice 2 - her
Choice 3 - his
-
(4)
Choice 1 - Your
Choice 2 - Her
Choice 3 - His
MARMO1. Situation Where Used:
To show periods when members of an eligible couple are or are not living together.
For Supplemental Security Income eligiblity purposes, it has been determined that
(1) (2) spouse and that (3) (4) living together (5) .
-
(1)
Choice 1 - (Name) is
Choice 2 - (Name) was
-
(2)
Choice 1 - your
Choice 2 - her
Choice 3 - his
-
(3)
Choice 1 - you
Choice 2 - she
Choice 3 - he
-
(4)
Choice 1 - are
Choice 2 - were
Choice 3 - is
Choice 4 - was
Choice 5 - are not
Choice 6 - were not
Choice 7 - is not
Choice 8 - was not
-
(5)
Choice 1 - for (Month/Year)
Choice 2 - for (Month/Year) through (Month/Year)
Choice 3 - for (Month/Year) on