Identification Number:
DI 60075 TN 1
Intended Audience:See Transmittal Sheet
Originating Office:ORDP ORDES
Title:Promoting Opportunity Demonstration (POD)
Type:POMS Transmittals
Program:Disability
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part DI – Disability Insurance
Chapter 600 – Research Studies, Demonstrations and Experiments
Subchapter 75 – Promoting Opportunity Demonstration (POD)
Transmittal No. 1, 01/29/2019

Audience

FO/TSC: CS, CS TII, CS TXVI, CSR, CTE, DRT, FR, OA, OS, RR, TA, TSC-CSR;
PSC: BA, CA, CS, DE, DEC, DS, DTE, ICDS, IES, ILPDS, ISRA, PETE, RECONR, SCPS, TSA, TST;
ODD-DDS: ADJ, DHU;
OCO-OEIO: BIES, CC, CR, CTE, ERE, FCR, FDE, PETL, RECONE, RECONR, RECOVR;
OCO-ODO: BET, BTE, CCE, CR, CST, CT, CTE, CTE TE, DE, DEC, DS, DSE, PETE, PETL, RCOVTA;

Originating Component

ORDES

Effective Date

Upon Receipt

Background

Section 823 of the Bipartisan Budget Act (BBA) of 2015 amends Section 234 of the Social Security Act and instructs SSA to carry out a demonstration project testing a $1-for-$2 benefit offset. This demonstration called the Promoting Opportunity Demonstration (POD) must be voluntary and individuals can withdraw from the project at any time but not retroactively. POD enrollment began January 2018 through December 2018. To address new workflows and changes to existing workflows ORDES updated POD POMS.

 

Summary of Changes

DI 60075.030 Field Office (FO), Processing Center (PC), and National 800 Number Network (N8NN) Responsibilities under the Promoting Opportunity Demonstration (POD)

The update to sections include:

  • a revised Ticket to Work process detailing the payment system for Employment Networks (EN)

  • two new DCF screens specifically for POD participants

  • Paperless alert codes for POD exception cases

  • correction to UTI TER035.

DI 60075.050 Promoting Opportunity Demonstration (POD) Operations Units – Processing Centers

Processing limitation alerts and Disability Control File POD screens

DI 60075.065 Appeal Process for Promoting Opportunity Demonstration (POD) Overpayments

Added Section E to provide instructions to the POD workgroup staff in the PCs on how to process reconsideration requests on monthly earnings submissions. The difference between a late earnings submission and a reconsideration request was also explained.

DI 60075.070 Promoting Opportunity Demonstration (POD) Notices

Fixed error in UTI TER035, was reading TER053

DI 60075.030 Field Office (FO), Processing Center (PC), and National 800 Number Network (N8NN) Responsibilities under the Promoting Opportunity Demonstration (POD)

A. POD participant questions legitimacy of project

Letters from Abt Associates (Abt) tell POD participants to contact either the POD Call Center or their POD work incentive counselor (WIC) to report work activity. If a POD participant contacts an FO, PC, or the N8NN with questions about the POD project, refer the POD participant to one of the following:

NOTE: FO, PC, and N8NN staff can identify POD treatment-group participants based on DP coding on the Disability Control File (DCF) demo screen - Select #16 Demonstration Project on the DCF MCDR - and Master Beneficiary Record (MBR) coding as described in DI 60075.015.

B. POD participant reports work activity to FO, PC, or N8NN

POD participants may be concurrently entitled to Title II and Title XVI benefits and will be required to report their earnings to Abt for Title II and their FO for Title XVI purposes. If a POD participant attempts to report Title II work to the FO, PC or N8NN, please follow the instructions below:

1. Work reports

If a Social Security Disability Insurance (SSDI) beneficiary reports work activity, the FO, PC, or N8NN should follow the normal processing instructions for establishing a work report in eWork. When establishing the work report, eWork populates a red alert message identifying the beneficiary as a POD participant and a contact number for Abt Associates. POD participants are to report work activity directly to their POD counselor or Abt. eWork will not accept a work report input during the POD participation period.

2. Recording submitted proof of earnings

Do not accept any proof of earnings or IRWE from a POD participant for Title II purposes. Return all documentation of earnings or IRWE to the beneficiary with instructions to contact the POD Call Center or POD counselor. The POD Call Center number is 1-888-771-9188.

NOTE : If the beneficiary is entitled to SSI, make a copy of the documentation and accept the report for SSI purposes. POD participants may have dual reporting responsibilities for Title II and Title XVI. Return original documentation to the beneficiary and advise them to report Title II earnings and IRWE to their POD counselor.

C. Work Continuing Disability Reviews (CDRs)

POD participants are exempt from work CDRs while participating in the POD. Instead, SSA evaluates earnings outside of eWork and applies offset using the POD Automated System (PAS). eWork generates the following warning message when trying to initiate a work CDR for a POD participant:

POD Participant. The beneficiary is currently in the POD program. Access to eWork – Initiate/Update Work Review is restricted. Refer beneficiary to the POD Call Center 888-771-9188.”

D. Reopening or reconsideration of a determination prior to the POD start date

FOs and PCs can reopen or reconsider a determination in eWork made prior to the start date of POD participation (found on the DCF). The reopening or reconsideration is for a closed period and will only evaluate earnings up to the end date of the last review period. Earnings from the month after the prior review period end date to the date of current effectuation are not evaluated.

eWork may allow a technician to input earnings during the POD participation period when performing a reconsideration or reopening, however the earnings are not used in the determination. The “Earnings and Events” screen in eWork will show all earnings input, but will not record a TWP/EPE or IRP code as a Decision Event Code for earnings posted during the POD participation period.

NOTE : Once a beneficiary completes POD participation, all reopening or reconsiderations of pre-POD determinations are restricted.

E. Ticket to Work program cases

A beneficiary participating in the Ticket to Work (TTW) program is eligible for the POD. However, the POD will apply an alternate rule for issuing payments to a qualified service provider assigned a ticket by a POD participant in treatment groups 1 and 2.

The outcome period for a POD participant will start after all Phase 2 Milestone payments are paid. Since there are no work CDRs during POD participation, outcome payments are determined by averaging posted earnings from one of two internal systems available to SSA: state quarterly wage reporting or annual IRS reporting. If averaged earnings are above the standard SGA threshold, then the Employment Network (EN) qualifies for payment. While the SGA threshold determines outcome payments, the POD does not make a formal SGA determination. Therefore, outcome payments are not tied to benefit suspension.

Payments to EN providers for POD participants are automatically evaluated on a quarterly basis as part of the existing ePay process without the EN having to submit proof of earnings in the usual manner.

The maximum of 36 total payments for SSDI beneficiaries, whether through a combination of milestone-outcome payments or all outcome payments, still applies.

1. Verify Earnings (VY) issues

If the FO receives a systems-generate TICKET VY issue for a POD participant, view the DEMO screen in the DCF for the DP demo indicator and close the issue by keying the current date in the CLOSED field. In the remarks section, mark the reason for close out as "POD case". Tickles may reappear if alleged wages continue to post to the DCF and no verified wages are posted for the POD cases. The FO should continue to close the T2VY issues and only verify and post T16 wages to the SSID.

The TTW program staff in the Office of Research, Demonstration, and Employment Support (ORDES) at Headquarters in Baltimore, MD, will manually process Employment Network (EN) payments for these T2VY issues. For more information on VY issues for TTW cases and the Continuing Disability Review Worksheet (CDRW) screen, see DI 55030.010 and DI 13010.605.

F. Expedited reinstatement (EXR) and initial disability applications

POD participants assigned to treatment group 2 can have their entitlement to SSDI terminate if they experience a period of 12 consecutive months in full offset (that is, their benefit is reduced to zero). In these situations, they will remain a participant in the POD, but will not be eligible for the $1 for $2 offset until they become re-entitled to disability benefits through a new claim or EXR. If the beneficiary decides to pursue a new claim or EXR, Abt will refer the beneficiary to the N8NN to make an appointment with their local FO to file the appropriate paperwork.

If POD participants become re-entitled to SSDI, they resume eligibility for the $1 for $2 offset beginning with the new month of entitlement (MOE), as long as they still have months remaining in their POD participation period.

A beneficiary re-entitled through a new claim is subject to TWP regulations beginning the month after the POD participation period ends.

A beneficiary re-entitled through an EXR claim will begin the Initial Reinstatement Period (IRP) the month after the POD participation period ends.

NOTE: EXR or initial disability applications must meet regular SSDI rules for approval. We do not offset provisional benefits for EXR claims.

G. Medical CDRs and work development

A beneficiary participating in the POD is still subject to medical CDRs.

1. POD workgroup unit discovers need for a medical CDR

When a medical review is due, the PITAG/I&E unit transfers the case to the FO to develop the case and send it to the DDS for a medical decision.

2. FO or PC discovers need for a medical CDR

If the FO or PC discovers a need for a medical review for a POD participant with earnings on the record, do not attempt to initiate a work review. The POD evaluates earnings outside of eWork. It may appear that earnings are undeveloped per the DCF and eWork, but the POD Automated System (PAS) is evaluating and offsetting earnings. Proceed with medical CDR development as though all earnings are developed per regular SSDI rules.

In a Form SSA-5002 (Report of Contact), state that the beneficiary is participating in the POD (MMDDYY – MMDDYY) and is not subject to work CDRs during participation.

NOTE: Annotate in the Electronic Data Collect System (EDCS) that the beneficiary is a POD participant and that the POD evaluates earnings on a monthly basis, outside of the eWork system.

3. Work development during the POD offset period

The POD evaluates earnings during the participation period on a monthly basis using the PAS. The FOs and PCs do not have to develop work when processing medical CDRs. However, they must notify DDS that work development is complete.

4. Medical cessation

If the DDS finds medical improvement, review the MBR for a HISTDEMO group and a Demonstration Project Indicator (DPI) code of DP.

a. MBR has HISTDEMO group and a DPI code of DP

If the MBR has this coding, send an email to the appropriate POD PC email account according to jurisdiction, see DI 60075.050A, with the subject “POD Case – Medical Cessation”. Indicate in the email that the POD participant has medically ceased and the PC must update the MBR.

The PITAG (PC1-6) or I&E unit (PC7) will code the medical CDR determination on the MBR. The FO should not attempt to input the medical cessation information via the post entitlement online system (POS). Doing so will cause the input to except and delay the posting of the medical information to the MBR.

b. MBR does not have a HISTDEMO group or a DPI code of DP

If the MBR does not have a HISTDEMO group, the system will automatically process the termination as long as the proper medical cessation coding appears on the MBR DIB line.

NOTE: Follow normal procedures for processing a medical CDR and appeals for all POD cases including those where Section 301 payment continuation applies. The local FO should take control of this case and process it normally.

5. POD participant – offset user

If a beneficiary contacts SSA about changing an address, phone number, direct deposit, or representative payee, check the MBR for the HISTDEMO group. A POD offset case has a DPI code of DP on the MBR.

N OTE : Changes to the SSID will follow normal processing procedures.

a. MBR does not have DPI code of DP

If there is no HISTDEMO line or the HISTDEMO line has a DPI code other than DP, follow normal procedures for processing changes to the MBR.

b. MBR has DPI code of DP

If the HISTDEMO line has a DPI code of DP:

  • Follow normal procedures for processing changes to the MBR if the action date is after the POD stop date and the date of the action is after the stop date; and

  • If the action date is on or before the POD stop date, and the date of the action falls between the start and stop dates on the HISTDEMO line, follow normal procedures for processing changes to the MBR. The HISTDEMO field will prevent the action from processing through POS. The POS exception will create an Action Control Record (ACR) in Paperless for the PC of jurisdiction. The PITAG/I&E unit will verify the information and process any changes.

6. PC attempts to input a PE action

If a non-POD unit in the PC attempts to input a PE action through a MADCAP or MACADE transaction within the start and stop dates of the demonstration project, an alert specifies the need to access an additional screen to override the current demonstration information on the MBR. This is a preventative measure to avoid incorrect inputs by the PCs. PC staff should refer necessary actions within the demonstration period to the PITAG (PC1-6) or I&E unit (PC7) within the PC of jurisdiction.

H. Special processing scenarios

These instructions will assist you when you encounter situations where special processing applies:

Scenario

Alert

Action

Attempting to create a Work Report in eWork when the beneficiary is still participating in the POD

POD Participant The Beneficiary is currently in the POD program. Access to eWork – Work Report Summary is restricted. Refer beneficiary to the POD Call Center ( 888 ) 771-9188 .

If the person is also on SSI see DI 60075.030B.

Do not accept the work report from the POD beneficiary. Instead, return all documentation to the beneficiary. Instruct the beneficiary to report all work to the POD counselor or the POD Call Center.

Attempting to create a Work Review in eWork during the POD participation period Start and Stop date.

POD Participant – The beneficiary is currently in the POD program. Access to eWork – Initiate/Update Work Review is restricted. Refer bene ficiary to the POD Call Center 888-771-9188 .

P C User:

If you are attempting to set this case up in eWork because of the continuing disability review enforcement operation (CDREO), annotate the Action Control Record (ACR) “NAN-POD participant.” Send the ACR to FIN FIN.   

Clear the Enforcement via the CDR PC Input (IPCA) screen on the DCF using 8=SSR/MBR CONDITIONS-STOP CDR. Annotate to the DCF remarks that the CDR was stopped due to POD participation.

FO User:

Clear the Enforcement via the CDR FO Input (IFOA) screen using 5=SSR/MBR/STOP CDR. Annotate to the DCF remarks that the CDR was stopped due to POD participation.

Attempting to initiate an IC evaluation in eWork during the POD participation period.

POD Participant – The beneficiary is currently in the POD program. Access to eWork – Initiate/Update IC Evaluation is restricted. Refer beneficiary to the POD Call Center 888-771-9188 .

The IC function of eWork is not a work around for the restricted Initiate/Update Work Review screen. All work CDRs during POD are restricted.

Instruct the beneficiary to contact the POD Call Center to report earnings.

A FO or PC user attempts to save new information for a protected POD month in an eWork Short Path, or attempts to reopen a month in the protected period from a prior review on the Earnings Details Screens during a post-POD work CDR.

Work Review Summary Screen will display:

***Prior POD Beneficiary***

The information you changed is in the Short Path period. The EPE events (e.g. EPE Begin Month, Cessation, Reinstatements, and Suspensions ) during the Short Path period are based on the months previously entered. This period contains months within a protected POD demonstration period and cannot be reopened.

Do not attempt to input earnings related information after the month of the last work CDR decision in eWork and prior to and during the POD period. Only input earnings after the STOP date of POD participation.

I. Fraud issues and the POD

Normal processing procedures apply for all fraud cases. A POD participant will remain in the POD during the investigation and processing of fraud allegations. However, if the decision involves removing earnings that affected the offset decision, we will modify our decisions accordingly. For more information on handling fraud, see DI 11006.025.

J. Post-POD work CDRs

POD participants can withdraw from the demonstration at any point within their participation period. When POD participation ends, the beneficiary reverts to regular SSDI rules for work the following month. We may need to process a work CDR following POD participation in order to evaluate SGA level earnings. If processing a post-POD work CDR, follow these steps:

  1. 1. 

    Initiate Work CDR: eWork will identify the beneficiary as a Prior POD Beneficiary;

  2. 2. 

    Develop earnings for the post-POD review period only: eWork will set a review start date for the first month after POD participation ends. Do not develop or input wages in the POD participation period; and

  3. 3. 

    Do not attempt to reopen any prior decisions: eWork will restrict the reopening of any decision prior to POD.

NOTE: Excuse all earnings from the last recorded decision in eWork through the end of POD participation from regular rules SSDI evaluation. It is important to evaluate earnings within the new review period only in eWork.

DI 60075.050 Promoting Opportunity Demonstration (POD) Operations Units – Processing Centers

The POD operations units are located within PC1 through PC7. The PITAG unit is responsible for POD operational work in PC1 through PC6. The Inquiries & Expedited Unit (I&E) is responsible for the POD operational workload in PC7.

A. Contact information for POD units within Processing Centers (PCs)

Each PC has a dedicated POD-specific email account used to handle all POD inquires. The email accounts will replace the Modernized Development Worksheet (MDW) process for communication between Field Offices (FO), PC, and the POD work units within the PC. The following is a list of POD email addresses for each PC:

B. Request for assistance

1. FO process

When a FO has a question about a POD case, the FO technician should:

  • send a request for assistance to the PC of jurisdiction via the established POD mailbox;

  • input “POD – Request for Assistance” in the subject field;

  • include the beneficiary’s name, social security number, and a detailed description of the request.

NOTE: The FO technician should only contact the PCs for information pertaining to POD waiver requests or personal conference inquiries. If the beneficiary brings in any information pertaining to the POD, the FO technician should refer the beneficiary to the POD Call Center (1-888-771-9188).

2. PC process

When responding to a FOs request for assistance, the PC technician should:

  • send the response directly to the field office of jurisdiction mailbox (do not reply to the sender of the request); and

  • input “POD – Request for Assistance” in the subject field.

NOTE: The PC technician should only contact the FO when responding to requests for assistance related to POD waiver requests or personal conference inquiries.

3. How to locate FO mailbox

  • Obtain a MBR;

  • Locate the office code (DOC) on the PAYMENT line;

  • Access IMAIN;

  • Select DOORS Online;

  • Enter office code and click search; and

  • The email address is located under the contact information.

C. Impairment related work expenses (IRWE) evaluation

POD participants can have their monthly offset threshold raised to the amount of their itemized and approved IRWE if that amount exceeds the standard trial work period (TWP) threshold. If a POD participant reports IRWE for a month in excess of the TWP threshold, Abt will add the report to a review queue in the Information Data System (IDS). Abt will email the central POD PC email account (see DI 60075.050A) in the PC of jurisdiction alerting the POD unit that there is an IRWE allegation that needs review.

The POD contact person in the servicing PC receives the email alert from Abt that an IRWE case needs review and creates an ACR in Paperless with the generic comment, “POD IRWE review needed.” The type-of-event-level (TOEL) used for POD IRWE is:

TOEL1 TOEL2 TOEL3 TOEL4 FILE ID

DISAB BENOFF POD ALERT PODALRT

A POD unit technician then accesses the IDS and reviews the record associated with the IRWE submission. All supporting documentation is stored in the IDS. For IRWE approval instructions, follow DI 10520.001.

After review of the IRWE record, the POD unit technician will update the record in IDS with the total approved IRWE amount. Abt will submit the complete earnings file with approved IRWE via IDS. The POD Automated System (PAS) receives the file and adjusts the threshold for offset to the approved IRWE amount, if above the standard threshold.

D. Undeliverable POD notices

For undeliverable POD notices, follow normal procedures per GN 02605.055.

E. Processing limitation alert through the Processing Center Action Control System (PCACS)

PAS creates a PCACS alert when it cannot adjust a beneficiary’s benefit for the POD. An Action Control Record (ACR) created in Paperless shows the TOEL of the work involved. The TOEL created for the POD is:

TOEL 1 TOEL 2 TOEL 3 TOEL 4 FILE ID

DISAB BENOFF POD ALERT PODALRT

The following table lists the processing limitations, exceptions, and alerts of the PAS. The output in the POD ACR will contain a three-digit code that identifies the type of action needed. The ID’s from 100-199 are processing edits that also require a manual database update, 200-899 are processing edits that do not require a database update, and 900-999 are processing alerts:

ID

Description

101

Code error - manual processing required, update database

102

103

104

105

Code error - manual processing required, update database

Code error - manual processing required, update database

Code error - manual processing required, update database

Code error - manual processing required, update database

201

Current Suspense, EE coding required

202

No ABN field

203

MACADE/MADCAP action pending

204

Missing match - manual processing required

205

MACADE transaction failed

206

MACADE/MADCAP action pending

301

Termination or Suspension – need manual action

302

PAR REC – recovery amount greater than MBA

303

Triple entitlement

304

Dual entitlement

305

No ABN field

306

Missing match - manual processing required

307

MACADE transaction failed

308

MACADE/MADCAP action pending

309

More than six rows in MACADE - manual action required

312

LESSDO calculated prior to COM - Calculation needed

314

IRWE submitted for multiple months - Calculation needed
399 POD Earnings Overpayment Recon - check databade for recalculated rates
401 Death not on record, check numident
402 12 months of full offset - terminate benefits 13th month
403 PAR REC - recovery amount greater than MBA
404 Triple entitlement
405 Dual entitlement
406 No ABN field
407 MACADE batch error - manual processing required
408 Missing match - manual processing required
409 MACADE transaction failed
410 MACADE/MADCAP action pending
411 More than six rows in MACADE - manual action required
412 Review suspense

902

Special message limit exceeded

903

LESSDO suspense – DBS make whole, check AURORA for notice

904

Aux - missing DOEC date

905

Aux - RFD does not match LAF

906

Aux – Suspense, EE coding required

907

Aux limit exceeded – suspend benefits according to BIC A

908

ENB limit exceeded, see incomplete notice in AURORA

909

Aux limit exceeded – pay benefits according to BIC A

910

Aux suspense – pay benefits according to BIC A

911

Withdrawal notice needed – no POD coding on MBR

912

ENB limit exceeded, see incomplete notice in AURORA

913

Aux – payment does not match

914

915

916

917

918

919

920

Aux – overpayment, no SIC

Aux – payment does not match

FRA attainment, review entitlement

LESSDO suspense - DBS make whole, check AURORA for notice

ENB limit exceeded, see incomplete notice in AURORA

Aux suspense - pay benefits according to BIC A

AUX limit exceeded - pay benefits according to BIC A

F. Processing manual MACADE action for POD cases

Benefit Authorizers (BAs) in specialized workgroups within the PC will:

  • review why the POD case is a processing limitation;

  • take corrective action to complete the processing limitation;

  • calculate monthly offset amount from Paperless output;

  • refer to a Disability Examiner (DE) to update the POD data input screen on the DCF with any changes for each manually processed transaction;

  • key in POD data for initial POD cases;

  • adjust the monthly benefit taking into consideration POD offset;

  • select proper notice language; and

  • post special messages to the master beneficiary record (MBR).

1. Demonstration project DMO screen (HISTDEMO)

The DMO screen (on the MBR) for the POD beneficiary is coded with the demonstration project indicator (DPI) with DP and the START date that is equal to the month of random assignment and a STOP date of 06/30/2021.

DEMO

DEMO project indicator: DP

DST: start date of offset

DSP: stop date of offset

 

MDE 012218 DEMONSTRATION PROJECT (HISTDEMO) DM

SSN: 111-11-1111 BIC: A

[ DPI START STOP

[ (MMCCYY) (MMCCYY)

| D P 012018 062021

2. HST screen

When offset is applied, code the offset benefit amount with a Work Indication Code (WIC) of Z. If there is dual entitlement, apply any excess offset to the DWB or CDB record.

If the offset amount is higher than the full monthly benefit amount (MBA), place the HA in LAF SQ by coding a reason for deduction (RFD) of Q, a WIC of Z and Reason for Suspension Termination (RFST) of DMPRDP (Demonstration Project DP), then place any auxiliaries on the record in LAF SQ.

NOTE: We consider prior months’ work as a closed period or overpayment (OP).

3. Example of current operating month (COM) equals first month of offset

Action taken in 01/2018 to apply offset. The primary insurance amount (PIA) is 1018.60 for 12/2017. The offset amount is $522.00. The BA codes the HST, DEMO, and SMG screens with the following information:

HST

PIC: A (BIC for POD beneficiary)

MR: 496.60 (Offset MBA)

FROM: 01/2018 (Month of earnings submission)

TO: CON

COM: COM

RFD: Blank (POD beneficiary is not in full offset)

WIC: Z

RFST: Blank

ABS: (ABN field on MBR)

ARC: Blank

OCO: Blank

ENB: P* (see POD notice fill-ins in DI 60075.080).

MDE 011018 PAYMENT HISTORY HST

SSN: 111-11-1111

 

[ SLN PIC BIC MR FROM TO RFD WIC SIC RFST

| 001 A 0496.60 011 8 con Z

| 002

| 003

| 004

| 005

| 006

COM (MM): 01 ABS: XYZ ARC: OCO:

XSSN: XBIC:

PRI: PDI: INT:

ENB: P*WDS024,840.00*ERN096,1884.00,01/2017*WDS025,522.00,02/2017*BEN139,496.00,01/2017.

DEMO

DEMO project indicator: DP

DST: 01/2018 (start date of participation)

DSP: 06/2021 (stop date of participation)

MDE 011018 DEMONSTRATION PROJECT (HISTDEMO) DM

SSN: 111-11-1111 BIC: A

[ DPI START STOP

[ (MMCCYY) (MMCCYY)

| DD 01201 8 062021

SMG

HA IN POD PROJECT, SPECIAL PROCESSING REQUIRED. SEE DI 60075.000.

MDE 011018 SPECIAL MESSAGE DATA (SP MSG) SMG

SSN: 111-11-1111

MSG1 : HA IN POD PROJECT, SPECIAL PROCESSING REQUIRED. SEE DI 60075.000.

TRAN DATE:

DEL(#): STANDARD MSG CODE (?, 01-51): DEL DATE (MMYY):

4. Example of MACADE action for POD participant

A BA takes action on 05/2018 to apply offset retroactive to 02/2018. PIA is $1370.50, effective 12/17. The offset amount is $522.00.

The BA codes the HST, DEMO, and SMG screens with the following information:

HST

PIC: A (BIC for POD beneficiary)

MR: 848.50 (Offset MBA)

FROM: 01/2018 (Month of earnings submission)

TO: CON

COM: COM

RFD: Blank (POD beneficiary is not in full offset)

WIC: Z

RFST: Blank

ABS: ABN field on MBR

ARC: Blank

OCO: Blank

ENB: P* (see POD notice fill-ins in DI 60075.080).

MDE 051018 PAYMENT HISTORY HST

SSN: 111-11-1111

[ SLN PIC BIC MR FROM TO RFD WIC SIC RFST

| 001 A 848.50 011 8 0418 Z 80

| 002 A 848.50 0518 CON Z

| 003

| 004

| 005

| 006

COM (MM): 05 ABS: XYZ ARC: OCO:

XSSN: XBIC:

PRI: PDI: INT:

ENB: P*WDS024,840.00*ERN096,1884.00,02/2017*WDS025,522.00,02/2017*BEN139,848.00,02/2017*OPT179,4110.00,02/2017-THROUGH-01/2017,2544.00,02/2017-THROUGH-01/2017,1566.00

 

DEMO

DEMO project indicator: DP

DST: 01/2018 (start date of offset)

DSP: 06/2021 (stop date of offset)

MDE 051018 DEMONSTRATION PROJECT (HISTDEMO) DM

SSN: 111-11-1111 BIC: A

[ DPI START STOP

[ (MMCCYY) (MMCCYY)

| DD 01201 8 062021

SMG

HA IN POD PROJECT, SPECIAL PROCESSING REQUIRED. SEE DI 60075.000.

MDE 051018 SPECIAL MESSAGE DATA (SP MSG) SMG

SSN: 111-11-1111

MSG1 : HA IN POD PROJECT, SPECIAL PROCESSING REQUIRED. SEE DI 60075.000.

TRAN DATE:

DEL(#): STANDARD MSG CODE (?, 01-51): DEL DATE (MMYY):

NOTE: MADCAP calculates the overpayment automatically.

DI 60075.065 Appeal Process for Promoting Opportunity Demonstration (POD) Overpayments

When a POD participant reports monthly earnings higher than the offset threshold amount, we will apply a $1 for $2 benefit offset, following the procedure set out in DI 60075.040. An overpayment occurs when a POD participant submits a late earnings report or when we need to apply additional benefit offset based on the annual earnings posted at the end of the year. The master beneficiary record (MBR) displays POD overpayments by the type of event (TOE) code of 80 with an explanation of BOND/POD DEMO. Since POD overpayments have the same type-of-event (TOE) code (80) as Benefit Offset National Demonstration (BOND) overpayments, it is important to distinguish between the two in order to send the appeal to the correct location. To distinguish between a POD overpayment and a BOND overpayment:

  • View the Special Message field on the MBR - Special Message will explain whether the beneficiary is in either the POD or the BOND;

  • View the HISTDEMO on the MBR for a DPI of DP; and

  • View DCF DEMO screen for DPI of DP and Start and Stop dates of participation.

A POD participant may request reconsideration or waiver of the overpayment. The specialized unit within the servicing PC has jurisdiction of reconsideration requests on POD overpayments, including updating the Debt Management System (DMS) with a detailed explanation of the reconsideration decision and faxing this determination into the electronic folder (eView or NDRED). The field offices (FO) are responsible for processing waiver requests and hearing requests (hearing requests are forwarded to OHO per GN 03103.080A.1.). POD cases are work issues and should be flagged and faxed into Paperless with the HA 501 NONDIB-ALJ Hearing Req (NON-DIB) barcode. This option is available through I-Main Production for Non-PC users. Use TOEL Appeal RHEAR.

A. POD participant inquires about overpayment

1. Overpayment event type is BOND/POD DEMO and Special Message/HISTDEMO/DCF indicate POD participation

Abt assists POD participants with notice explanation and waiver or reconsideration forms. For more information on Abt call center staff, see DI 60075.025B.

a. Waiver inquiry

If the beneficiary decides to request a waiver:

  • follow usual procedures to post the informal waiver request in Debt Management System (DMS) to stop overpayment recovery (for more information on waiver request, see GN 02201.034);

  • send the notice in DPS titled “Request for Waiver Cover Letter”;

  • send a Form SSA-632-BK (Request for Waiver of Overpayment Recovery or Change in Repayment Rate) to the beneficiary;

  • send an email to the appropriate POD central email account (DI 60075.050A) for the servicing PC requesting an explanation of the overpayment in DMS if unable to determine through notices.

b. Reconsideration inquiry

If the beneficiary is in the FO to file a reconsideration on a POD issue, take the following actions:

  • secure the Form SSA-561-U2 (Request for Reconsideration);

  • update DMS to stop overpayment recovery;

  • store the SSA-561, including supporting documentation if provided, in eView or NDRED;

  • return the SSA-561 and all supporting documentation to the beneficiary;

  • refer the beneficiary to the POD Call Center (1-888-771-9188) after providing reconsideration forms; and

  • send an email to the appropriate POD central email account (DI 60075.050A) for the servicing PC, notifying them of the action you have taken. State in the email that the reconsideration is for a POD overpayment.

c. If the beneficiary is not in the FO

If a beneficiary is not in the FO but inquiring about a POD overpayment, refer the beneficiary to the POD Call Center. The POD Call Center (1-888-771-9188) will direct the beneficiary to the POD counselor who supplies the beneficiary with appropriate forms to file the overpayment appeal.

2. Overpayment event type is not POD

Follow existing rules for processing any other overpayments on the beneficiary’s record (including Disability DIB Cessation), even if he or she has a POD overpayment on the ROAR, or is currently in POD. For overpayment processing instructions, see GN 02201.001.

If the specialized work groups within the PC receive a reconsideration for a non-POD overpayment, they take the following actions:

  1. a. 

    receipt into DMS and transfer to the FO of jurisdiction,

  2. b. 

    fax into the electronic folder eView or NDRED, and

  3. c. 

    send an MDW to the FO of jurisdiction.

B. FO procedure to process a POD waiver

The FOs are responsible for processing waiver requests and hearing requests (hearing requests are forwarded to OHO per GN 03103.080A).

If a POD participant decides to file a waiver, follow these procedures:

1. Waiver inquiry

If the beneficiary, representative payee, or authorized representative wants to file a waiver, follow the usual procedures to post the informal waiver request in DMS to stop overpayment recovery. Send the notice in DMS titled “Request for Waiver Cover Letter” with the form SSA-632-BK.

2. Waiver received in FO

If the beneficiary returns the form SSA-632-BK directly to the FO, follow the usual procedures to post the waiver request in DMS. Check DMS for an explanation of how the POD overpayment occurred. If an explanation is not in DMS, send an email to the appropriate POD central email account within the servicing PC requesting an explanation of the POD overpayment. The PITAG (PC 1-6) or I&E (PC7) Unit will review the case and provide an explanation in the debt management system. The FO should continue development needed for the waiver.

3. Waiver received in PC

Prior to transferring the waiver request to the FO, the PC posts an explanation in the debt management system to explain how the overpayment occurred. Determining without fault and the inability to re-pay is the FO’s responsibility. The PC notifies the FO of the waiver request via Modernized Development Worksheet (MDW), including a summary of any evidence submitted, and faxes all evidence into eView or NDRED.

4. National 800 Number Network (N8NN) process for POD waiver requests

If you receive a call from the beneficiary, representative, or authorized representative requesting an explanation of an overpayment notice, refer the person to the POD Call Center (1-888-771-9188).

If the beneficiary, representative payee, or authorized representative calls and states that he or she wants to file a waiver, continue to follow procedures in TC 26001.080. Refer the caller to the POD Call Center for assistance.

C. FO procedure to process POD reconsideration requests

The PITAG (PCs 1-6) and I&E Unit (PC7) within the servicing PC is responsible for making a decision on POD overpayment reconsideration requests. If the field office receives a reconsideration request on a POD overpayment:

  1. 1. 

    input the reconsideration request in DMS;

  2. 2. 

    fax the Form SSA-561-U2 and any accompanying evidence into the eView or Non-Disability Repository for Evidentiary Document (NDRED) as appropriate;

  3. 3. 

    email the POD centralized account for the servicing PC indicating the beneficiary is requesting a reconsideration on a POD overpayment. For additional information about reconsideration requests, see DI 60075.075A.1.b, in this section;

  4. 4. 

    return the SSA-561 and any accompanying evidence to the beneficiary; and

  5. 5. 

    refer the beneficiary to the POD Call Center (1-888-771-9188).

D. National 800 Number Network (N8NN) procedure to process POD reconsideration requests

1. Request for reconsideration

If you receive a call from a beneficiary, representative payee, or authorized representative requesting to file reconsideration on an overpayment and he or she is a POD participant or is representing a POD participant, refer the caller to the POD Call Center (1-888-771-9188). Inform the caller to file all reconsideration requests for POD overpayments through Abt Associates. Abt will provide the POD participant with the necessary SSA-561-U2 form to file a reconsideration.

2. Reconsideration follow-up

If you receive a call from the beneficiary, representative payee, or authorized representative requesting a status of the reconsideration filed by or on behalf of a POD participant, direct the caller to the POD Call Center (1-888-771-9188).

DI 60075.070 Promoting Opportunity Demonstration (POD) Notices

A. MACADE ENB coding

For cases the POD Automated System (PAS) cannot process, the POD work unit in the processing center (PC) of jurisdiction codes the enclosure notice block (ENB) field on the history (HST) screen with the PAS paragraphs. The Manual Adjustment Credit and Award Data Entry (MACADE) system generates the following notices:

  • The POD offset notice;

  • The auxiliary suspense and reinstatement notice;

  • The POD BRI adjustment notice

  • The beneficiary and MEF end of year reconciliation (EOYR) notice; and

  • The EOYR appeal notice.

NOTE: The ENB field begins with “P” for a complete POD notice or “Q” for an incomplete POD notice.

B. POD universal text identifiers (UTI)

1. New Caption DIBC14

Promoting Opportunity Demonstration (POD)

2. New Caption REFC08

If You Have Questions About POD

3. New Caption REFC09

If You Have Questions That Are Not About POD

4. New UTI ALS101

ALS101 is the standard appeals language for any beneficiary enrolled in POD.

New Language:

If you think this information is not correct or you want to report any changes in your work plans or earnings, please get in touch with your benefits counselor at Abt Associates. Please call their toll-free number at 1-888-771-9188 to report any changes.

New Language with Fill-Ins:

If *F1 this information is not correct or *F2 to report any changes in *F3 work plans or earnings, please get in touch with *F4 benefits counselor at Abt Associates. Please call their toll-free number at 1-888-771-9188 to report any changes.

Fill-Ins:

*F1-1 you think

*F1-2 [Beneficiary name] thinks

*F2-1 you want

*F2-2 he wants

*F2-3 she wants

*F3-1 your

*F3-2 his

*F3-3 her

*F4-1 your

*F4-2 his

*F4-3 her

5. New UTI BEN128

Caption: None

Use BEN128 for all POD BRI adjustment notices.

New Language:

We may have let you know earlier that we would increase your benefits to $700.00 per month due to the rise in the cost of living. Because of your participation in the Promoting Opportunity Demonstration (POD), we have refigured your benefits. This notice corrects the calculation to apply the cost of living increase to your original benefit before the reduction for POD earnings. Your new monthly amount (before deductions) is $600.00.

New Language with Fill-Ins:

We may have let *F1 know earlier that we would increase *F2 benefits to *F3 per month due to the rise in the cost of living. Because of *F4 participation in the Promoting Opportunity Demonstration (POD), we have refigured *F5 benefits. This notice corrects the calculation to apply the cost of living increase to *F6 original benefit before the reduction for POD earnings. *F7 new monthly amount (before deductions) is *F8.

Fill-Ins:

*F1-1 you

*F1-2 Name

*F2-1 your

*F2-2 his

*F2-3 her

*F3-1 BRI/MBR monthly benefit amount in $$$$$.¢¢ format

*F4-1 your

*F4-2 his

*F4-3 her

*F5-1 your

*F5-2 his

*F5-3 her

*F6-1 your

*F6-2 his

*F6-3 her

*F7-1 Your

*F7-2 His

*F7-3 Her

*F8-1 New offset amount monthly benefit amount in $$$$$.¢¢ format

6. New UTI BEN134

Caption: Your Benefits

Use BEN134 for all POD End Date of Participation notices.

New Language:

You are no longer eligible for the project because you have had benefits terminated prior to the POD start date of participation. If you are receiving benefit payments based on disability, your payments may stop the first month you do substantial gainful work.

New Language with Fill-Ins:

*F1 no longer eligible for the project because *F2 *F3. If *F4 receiving benefit payments based on disability, *F5 payments may stop the first month *F6 substantial gainful work.

Fill-Ins:

*F1-1 You are

*F1-2 Beneficiary full name is

*F2-1 you have

*F2-2 he has

*F2-3 she has

*F3-1 had benefits terminated prior to the POD start date of participation

*F3-2 participated in another demonstration

*F3-3 moved to a foreign country

*F3-4 received benefits paid by the railroad

*F3-5 elected to receive benefits not based on a disability

*F3-6 no longer met the POD eligibility criteria

*F4-1 you are

*F4-2 he is

*F4-3 she is

*F5-1 your

*F5-2 his

*F5-3 her

*F6-1 you do

*F6-2 he does

*F6-3 she does

7. New UTI BEN135

Caption: Why We Cannot Pay You

Use BEN135 if an auxiliary's benefits end in suspense for the current month.

New Language:

We cannot pay you benefits for January 2017 under the rules of the Promoting Opportunity Demonstration (POD). This is due to John Doe’s work and earnings. This does not change any current benefits you receive.

New Language with Fill-Ins:

We cannot pay *F1 benefits for *F2 under the rules of the Promoting Opportunity Demonstration (POD). This is due to *F3 work and earnings. This does not change any current benefits *F4.

Fill-Ins:

*F1-1 you

*F1-2 [Beneficiary name] possessive

*F2-1 MM/CCYY

*F2-2 MM/CCYY through MM/CCYY

*F3-1 Name (POD participant) possessive

*F4-1 you receive

*F4-2 he receives

*F4-3 she receives

8. New UTI BEN136

Caption: None

Use BEN136 in all POD Earnings Notices that include an underpayment.

New Language:

You will soon receive a check for $500.00. This check is for benefits due to you for January 2017 through March 2017 under the rules of the Promoting Opportunity Demonstration (POD). You are due this check because of a change in your work and earnings. This does not change any current benefits you receive.

New Language with Fill-Ins:

*F1 will soon receive a check for *F2. This check is for benefits due to *F3 for *F4 under the rules of the Promoting Opportunity Demonstration (POD). *F5 due this check because of a change in *F6 work and earnings. This does not change any current benefits *F7.

Fill-Ins:

*F1-1 You

*F1-2 Beneficiary full name

*F2-1 Refund amount in $$$$$.¢¢ format

*F3-1 you

*F3-2 him

*F3-3 her

*F4-1 MM/CCYY

*F4-2 MM/CCYY through MM/CCYY

*F5-1 You are

*F5-2 He is

*F5-3 She is

*F6-1 your

*F6-2 his

*F6-3 her

*F6-4 POD beneficiary's name (possessive)

*F7-1 you receive

*F7-2 he receives

*F7-3 she receives

9. New UTI BEN130

Caption: None

Use BEN130 when a POD EOYR reconsideration results in no change to benefits.

New Language:

Thank you for providing us with information about your earnings for last year. You asked us to determine if there has been a change in the amount of benefits payable to you under POD because of this information. Based on this evidence, we have determined that there is no change to your monthly benefit amount for this period. This decision does not change any benefits you may be currently receiving.

New Language with Fill-Ins:

Thank you for providing us with information about *F1 earnings for last year. *F2 asked us to determine if there has been a change in the amount of benefits payable to *F3 under POD because of this information. Based on this evidence, we have determined that there is no change to *F4 monthly benefit amount for this period. This decision does not change any benefits *F5 may be currently receiving.

Fill-Ins:

*F1-1 your

*F1-2 Beneficiary full name [possessive]

*F2-1 You

*F2-2 He

*F2-3 She

*F3-1 you

*F3-2 him

*F3-3 her

*F4-1 your

*F4-2 his

*F4-3 her

*F5-1 you

*F5-2 he

*F5-3 she

10. New UTI BEN129

Caption: None

Use BEN129 when a POD EOYR reconsideration results in a change to benefits.

New Language:

Thank you for providing us with information about your earnings for the last year. You asked us to determine if there has been a change in benefits payable to you under POD because of this information.

New Language with Fill-Ins:

Thank you for providing us with information about *F1 earnings for the last year. *F2 asked us to determine if there has been a change in benefits payable to *F3 under POD because of this information.

Fill-Ins:

*F1-1 your

*F1-2 Beneficiary full name [possessive]

*F2-1 You

*F2-2 He

*F2-3 She

*F3-1 you

*F3-2 him

*F3-3 her

11. New UTI BEN137

Use as a lead paragraph for all POD EOYR Reconsideration notices.

New Language:

We received a request for an explanation.

New Language with Fill-Ins:

We received a request *F1.

Fill-Ins:

*F1-1 for an explanation

*F1-2 that we not collect the overpayment

*F1-3 that we review our decision

*F1-4 that we review our decision and not collect the overpayment

*F1-5 that we withhold a different amount

12. New UTI BEN138

Use when POD participant's participation period is over.

New Language:

You have been a participant in the Promoting Opportunity Demonstration (POD). The special rules for POD will no longer apply to you beginning July 2021. You asked to be withdrawn from the project. If you are receiving benefit payments based on disability, your payments may stop the first month you do substantial gainful work.

New Language with Fill-Ins:

*F1 been a participant in the Promoting Opportunity Demonstration (POD). The special rules for POD will no longer apply to *F2 beginning *F3. *F4.

Fill-ins:

*F1-1: You have

*F1-2: Beneficiary name has

*F2-1: you

*F2-2: him

*F2-3: her

*F3-1: Date in MM/CCYY format

 

*F4-1: You asked to be withdrawn from the project. If you are receiving benefit payments based on disability, your payments may stop the first month you do substantial gainful work.

*F4-2: He asked to be withdrawn from the project. If he is receiving benefit payments based on disability, his payments may stop the first month he does substantial gainful work.

*F4-3 She asked to be withdrawn from the project. If she is receiving benefit payments based on disability, her payments may stop the first month she does substantial gainful work.

*F4-4: Null

13. New UTI BEN131

Use in the POD End Date of Participation notice.

New Language:

Your participation period ends June 2021. Payments may end with the month you do substantial gainful work after June 2017.

New Language with Fill-Ins:

*F1 participation period ends *F2. Payments may end with the month *F3 substantial gainful work after *F4.

Fill-ins:

*F1-1: Your

*F1-2: Beneficiary name possessive

*F2-1: Date in MM/CCYY format

*F3-1: you do

*F3-2: he does

*F3-3: she does

 

*F4-1: Date in MM/CCYY format

14. New UTI BEN132

Use BEN132 in an End of Year Reconciliation notice or an EOYR Reconsideration notice when either notice results in an overpayment or underpayment.

New Language:

This overpayment resulted from the difference in the total amount of earnings that you submitted during 2018 and the actual amount that you earned, during that year. We determined the overpayment after we recalculated your offset based on your actual annual earnings.

New Language with Fill-Ins:

This *F1 resulted from the difference in the total amount of earnings that *F2 submitted during *F3 and the actual amount that *F4 earned, during that year. We determined the *F5 after we recalculated *F6 offset based on *F7 actual annual earnings.

 

Fill-ins:

*F1-1: overpayment

*F1-2: underpayment

*F2-1: you

*F2-2: he

*F2-3: she

*F3-1: EOYR year in CCYY format

*F4-1: you

*F4-2: he

*F4-3: she

*F5-1: overpayment

*F5-2: underpayment

*F6-1: your

*F6-2: his

*F6-3: her

*F7-1: your

*F7-2: his

*F7-3: her

15. New UTI BEN133

Use BEN133 when a beneficiary has not reported earnings for three months and we send a reminder notice.

New Language:

If you are working and have not submitted your earnings, please contact Abt Associates immediately. We show their contact information under the heading, “If You Have Questions About POD”. If you do not submit earnings, we may pay you incorrect benefit payments.

New Language with Fill-Ins:

If *F1 working and *F2 not submitted *F3 earnings, please contact Abt Associates immediately. We show their contact information under the heading, “If You Have Questions About POD”. If *F4 not submit earnings, we may pay *F5 incorrect benefit payments.

Fill-ins:

*F1-1: you are

*F1-2: Name is

*F2-1: you have

*F2-2: he has

*F2-3: she has

*F3-1: your

*F3-2: his

*F3-3: her

*F4-1: you do

*F4-2: he does

*F4-3: she does

*F5-1: you

*F5-2: him

*F5-3: her

16. New UTI BEN139

Use BEN139 when benefits are offset due to earnings.

New Language:

Based on your offset your monthly benefits are

Amount Date

$800.00 April 2018

New Language with Fill-Ins:

Based on *F1 offset *F2 monthly benefits are

Amount Date

*F3 *F4

Fill-ins:

*F1-1: your

*F1-2: Beneficiary's name possessive

*F2-1: your

*F2-2: his

*F2-3: her

*F3-1: POD MBC for that month in $$$$$.¢¢ format

*F4-1: Date in MM/CCYY format

17. New UTI BEN140

Use BEN140 when more than one month is needed for BEN139. This will continue the columns at the end of the BEN139. No further language required. Repeat as many times as needed.

New Language:

$1000.00 May 2018

New Language with Fill-Ins:

*F1 *F2

Fill-ins:

*F1-1: POD MBC for that month in $$$$$.¢¢ format

*F2-1: Date in MM/CCYY format

18. New UTI BRR081

Caption: None

Use BRR081 if offset results in beneficiary coming out of suspense status in current month.

New Language:

Because of your work and earnings, benefits are payable to you under the rules of the Promoting Opportunity Demonstration (POD). If your work or earnings change, we may not be able to pay some benefits in the future.

New Language with Fill-Ins:

Because of *F1 work and earnings, benefits are payable to *F2 under the rules of the Promoting Opportunity Demonstration (POD). If *F3 work or earnings change, we may not be able to pay some benefits in the future.

Fill-Ins:

*F1-1 your

*F1-2 POD [Beneficiary full name] possessive

*F2-1 you

*F2-2 him

*F2-3 her

*F3-1 your

*F3-2 his

*F3-3 her

19. New UTI BRR082

Use BRR082 if action results in full earnings offset in the current month.

New Language:

Because of your work and earnings, no benefits are payable to you now under the rules of the Promoting Opportunity Demonstration (POD). If your work or earnings change, we may be able to pay some benefits in the future.

New Language with Fill-Ins:

Because of *F1 work and earnings, no benefits are payable to *F2 now under the rules of the Promoting Opportunity Demonstration (POD). If *F3 work or earnings change, we may be able to pay some benefits in the future.

Fill-Ins:

*F1-1 your

*F1-2 POD [Beneficiary full name] possessive

*F2-1 you

*F2-2 him

*F2-3 her

*F3-1 your

*F3-2 his

*F3-3 her

20. New UTI ERN095

Use ERN095 if the participant submitted IRWE above the standard threshold.

New Language:

You have submitted impairment-related work expenses that have raised the threshold to $1000 for January 2018. This threshold will return to $870.00 next month if you do not submit impairment-related work expenses for that month.

New Language with Fill-Ins:

*F1 submitted impairment-related work expenses that have raised the threshold to *F2 for *F3. This threshold will return to *F4 next month if you do not submit impairment-related work expenses for that month.

 

Fill-ins:

*F1-1: You have

*F1-2: Beneficiary Name has

*F2-1: Total approved IRWE for that month in $$$$$.¢¢ format

*F3-1: Date in MM/CCYY format

*F4-1: TWP rate

21. New UTI ERN096

Use ERN096 whenever earnings are reported by the participant.

New Language:

You submitted earnings of

Amount Date

$4,000.00 April 2017

New Language with Fill-Ins:

*F1 submitted earnings of

Amount Date

*F2 *F3

Fill-ins:

*F1-1: You

*F1-2: Beneficiary Name

*F1-2: Total earnings submitted for that month in $$$$$.¢¢ format

*F1-3: Date in MM/CCYY format

22. New UTI ERN097

Use ERN097 when more than one month is needed for ERN096. This will continue the columns at the end of the ERN096. No further language required. Repeat as many times as needed.

New Language:

$3000.00 May 2018

New Language with Fill-Ins:

*F1 *F2

Fill-ins:

*F1-1: Total earnings submitted for that month in $$$$$.¢¢ format

*F2-1: Date in MM/CCYY format

23. New UTI REF172

Use REF172 in all POD notices.

New Language:

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt Associates answer your questions.

New Language with Fill-Ins:

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt Associates answer your questions.

24. New UTI TER035

Use TER035 in all POD termination notices.

New Language:

You have been receiving $0 in benefits for twelve consecutive months because of work. Therefore, you are no longer disabled as of January 2017 according to POD rules. The last month for which you are eligible to receive benefits is December 2016.

If you receive disability benefits in the future, contact Abt Associates to report earnings. We show their contact information under the heading, “If You Have Questions About POD”.

New Language with Fill-Ins:

*F1 been receiving $0 in benefits for twelve consecutive months because of work. Therefore, *F2 no longer disabled as of *F3 according to POD rules. The last month for which *F4 eligible to receive benefits is *F5.

If *F6 disability benefits in the future, contact Abt Associates to report earnings. We show their contact information under the heading, “If You Have Questions About POD”.

Fill-ins:

*F1-1: You have

*F1-2: Beneficiary’s name has

*F2-1: you are

*F2-2: he is

*F2-3: she is

*F3-1: Date in MM/CCYY format

 

*F4-1: you are

*F4-2: he is

*F4-3 she is

*F5-1: Date in MM/CCYY format

*F6-1: you receive

*F6-2: he receives

*F6-3: she receives

25. New UTI WDS024

Use WDS024 whenever offset is applied due to earnings.

New Language:

In POD, a qualified individual is provided an opportunity to work and earn over a $870.00 threshold and have $1 of benefits withheld for every $2 earned over this amount.

New Language with Fill-Ins:

In POD, a qualified individual is provided an opportunity to work and earn over a *F1 threshold and have $1 of benefits withheld for every $2 earned over this amount.

Fill-ins:

*F1-1: TWP rate

26. New UTI WDS025

Use WDS025 whenever benefits are offset.

New Language:

We determine how much to reduce your benefit payments under the $1 for $2 offset based on your submitted earnings from the prior month.

Next, we subtract the POD threshold amount from the earnings you submitted and divide the remaining amount by two. This is the monthly offset amount. The monthly offset amount is the amount by which your benefits are reduced under the benefit offset. Based on the earnings you submitted and the computations above, your monthly offset is

Amount Date

$200.00 April 2018

New Language with Fill-Ins:

We determine how much to reduce *F1 benefit payments under the $1 for $2 offset based on *F2 submitted earnings from the prior month.

Next, we subtract the POD threshold amount from the earnings *F3 submitted and divide the remaining amount by two. This is the monthly offset amount. The monthly offset amount is the amount by which *F4 benefits are reduced under the benefit offset. Based on the earnings *F5 submitted and the computations above, *F6 monthly offset is

Amount Date

*F7 *F8

Fill-ins:

*F1-1: your

*F1-2: Beneficiary Name possessive

*F2-1: your

*F2-1: his

*F2-3: her

*F3-1: you

*F3-2: he

*F3-3: she

*F4-1: your

*F4-2: his

*F4-3: her

 

*F5-1: you

*F5-2: he

*F5-2: she

*F6-1: your

*F6-2: his

*F6-3: her

*F7-1: Monthly offset amount in $$$$$.¢¢ format

*F8-1: date in MM/CCYY format

27. New UTI WDS026

Use WDS026 when more than one month is needed for WDS025. This will continue the columns at the end of the WDS025. No further language required. Repeat as many times as needed.

New Language:

$350.00         May 2018

New Language with Fill-Ins:

  *F1             *F2

Fill-ins:

*F1-1: Monthly offset amount in $$$$$.¢¢ format

*F2-1: Date in MM/CCYY format

     

Sample Notices

1. POD Reminder – No earnings submission for three months

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                          Date:

                                                                                          Claim Number:

 

Name and address

 

[LIS004 – Approved]

We are writing to give you new information about the *F1 (Disability) benefits which *F2 (you receive) on this Social Security record.

 

[INFC08 – Approved] – Things to Remember

[POD UTI BEN133]

If *F1 (you are) working and *F2 (you have) not submitted *F3 (your) earnings, please contact Abt Associates immediately. We show their contact information under the heading, “If You Have Questions About POD”. If *F4 (you do) not submit earnings, we may pay *F5 (you) incorrect benefit payments.

 

[RCT053 – Approved]

 *F1 (You) must promptly report any changes that may affect *F2 (your) benefits. Failure to do so could mean *F3 (you) may have to repay any benefits not due. Let us know if:

  • *F4 (You) went to work since *F5 (your) last report or *F6 (you return) to work in the future; or

  • *F7 (You) already reported *F8 (your) work, but *F9 (your) duties or pay changed. (Remember to keep records of work and earnings such as pay statements from the employer); or

  • *F10 (Your) doctor says *F11 (your) condition has improved even if *F12 (you return) to work now; or

  • *F13 (You) applied for, start getting or have a change in the amount of *F14 (your) workers compensation or another public disability benefit; or

  • *F15 (You start) paying for work expenses related to *F16 (your) disability such as special transportation or the amount paid for these work expenses changes or *F17 (you) no longer *F18 (pay) for such expenses. (Remember to keep records and proof of payment for any work expenses.)

[POD Caption REFC08] - If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD Caption REFC09] – If You Have Questions That Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:
                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)
If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

  

2. POD Earnings Offset Notice

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                        Date:

                                                                                        Claim Number:

 

Name and address

 

[LIS004 – Approved]

We are writing to give you new information about the *F1 (Disability) benefits which *F2 (you receive) on this Social Security record.

 

[POD Caption DIBC14] – Promoting Opportunity Demonstration (POD)

[POD UTI WDS024]

In POD, a qualified individual is provided an opportunity to work and earn over a *F1 (TWP rate) threshold and have $1 of benefits withheld for every $2 earned over this amount.

 

[CHKC09 – Approved] – Your Benefits

[POD UTI ERN096] Use ERN097 to continue paragraph if more than one month submitted

*F1 (You) submitted earnings of

 

Amount     Date

*F2 (earnings) *F3 (month).

 

[POD UTI ERN095] Repeat if more than one month of earnings supplied

*F1 (You have) submitted impairment-related work expenses that have raised the threshold to *F2 (approved IRWE amount) for *F3 (month). This threshold will return to *F4 (TWP amount) next month if you do not submit impairment-related work expenses for that month.

 

[POD UTI WDS025] Use WDS026 to continue paragraph if more than one month submitted

We determine how much to reduce *F1 (your) benefit payments under the $1 for $2 offset based on *F2 (your) submitted earnings from the prior month.

 

Next, we subtract the POD threshold amount from the earnings *F5 (you) submitted and divide the remaining amount by two. This is the monthly offset amount. The monthly offset amount is the amount by which *F6 (your) benefits are reduced under the benefit offset. Based on the earnings *F7 (you) submitted and the computations above, *F8 (your) monthly offset is

 

Amount Date

*F9 (POD offset amount) *F10 (first month).

 

[POD UTI BEN139] Use BEN140 to continue paragraph if more than one month submitted

Based on *F1 (your) earnings *F2 (your) monthly benefits are

Amount Date

*F3 (POD MBC) *F4 (first month)

 

[PAYC38 – Approved] – What We Will Pay

[RNS034 – Approved]

  • You will soon receive a payment for $$$$$.¢¢, which is the money you are due through MM/YYYY.

  • After that you will receive $$$$$.¢¢ on or about the 3rd of each month.

[POD UTI BRR081] Use if offset results in beneficiary coming out of suspense status in current month

Because of *F1 (your) work and earnings, benefits are payable to *F2 (you) under the rules of the Promoting Opportunity Demonstration (POD). If *F3 (your) work or earnings change, we may not be able to pay some benefits in the future.

 

[POD UTI BRR082] Use if offset ends in suspense in current month

Because of *F1 (Your) work and earnings, no benefits are payable to *F2 (you) now under the rules of the Promoting Opportunity Demonstration (POD). If *F3 (your) work or earnings change, we may be able to pay some benefits in the future.

 

[POD UTI BEN136] Use if late earnings are submitted and back payment is due

*F1 (You) will soon receive a check for *F2 (PMA amount). This check is for benefits due to *F3 (you) for *F4 (months adjusted) under the rules of the Promoting Opportunity Demonstration (POD). *F5 (You are) due this check because of a change in *F6 (your) work and earnings. This does not change any current benefits *F7 (you receive).

 

[ALSC01 – Approved] – Do You Think We Are Wrong

[POD UTI ALS101]

If *F1 (you) think this information is not correct or *F2 (you want) to report any changes in *F3 (your) work plans or earnings, please get in touch with *F4 (your) benefits counselor at Abt Associates. Please call their toll-free number at 1-888-771-9188 to report any changes.

 

Optional paragraphs, only use if Medicare Part B is being deducted from benefits

[HIBC01 - Approved] - Information About Medicare

[HIB187—Approved]

We will continue to deduct Medicare premiums from your monthly checks.

 

[POD Caption REFC08] – If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is *1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD Caption REFC09] – If You Have Questions that Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:
                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)
 If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

  

3. POD BRI Adjustment Notice

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                               Date:

                                                                                                Claim Number:

 

Name and address

 

[LIS004 – Approved]

We are writing to give you new information about the *F1 (Disability) benefits which *F2 (you receive) on this Social Security record.

 

[POD UTI BEN128]

We may have let *F1 (you) know earlier that we would increase *F2 (your) benefits to *F3 (MBA that appears on MBR) per month due to the rise in the cost of living. Because of *F4 (your) participation in the Promoting Opportunity Demonstration (POD), we have refigured *F5 (your) benefits. This notice corrects the calculation to apply the cost of living increase to *F6 (your) original benefit before the reduction for POD earnings. *F7 (Your) new monthly amount (before deductions) is *F8 (MBA after POD BRI).

 

[ALSC01 – Approved] – Do You Think We Are Wrong

[POD UTI ALS101]

If *F1 (you) think this information is not correct or *F2 (you want) to report any changes in *F3 (your) work plans or earnings, please get in touch with *F4 (your) benefits counselor at Abt Associates. Please call their toll-free number at 1-888-771-9188 to report any changes.

 

[POD Caption REFC08– If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD Caption REFC09] – If You Have Questions that Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:
                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)
 If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

  

4. POD End of Year Reconciliation Notice

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                             Date:

                                                                                              Claim Number:

 

Name and address

 

[LIS004 – Approved] Use if there is an underpayment

We are writing to give you new information about the *F1 (disability) benefits which *F2 (you receive) on this Social Security record.

 

[OPT161 – Approved] Use if there is an overpayment

We are writing to give *F1 new information about the *F2 (disability) benefits which *F3 (you receive) on this Social Security record. In the rest of this letter, we will tell *F4 (you):

       How we paid *F5 (you) *F6 (amount of overpayment) too much in benefits; and

       What to do if *F7 (you think) we are wrong about the overpayment.

 

[CHKC09 – Approved] – Your Benefits

[BEN106 - Approved]

Based on *F1 (your) earnings of *F2 (earnings amount) for *F3 (year of EOYR), we should have paid *F5 (new POD MBC) *F6 (first adjusted month).

 

[BEN120 – Approved] Use with BEN106 for all subsequent months if more than one month adjusted

 

[OPT179 – Approved]

We paid *F1 (you) $*F2 (MBC Paid) for *F3 (mm/ccyy, mm/ccyy through mm/ccyy). Since we should have paid *F4 (you) $*F5 (MBC should have been paid) for *F6 (mm/ccyy, mm/ccyy through mm/ccyy), we paid *F7 (you) $*F8 (amount of overpayment/underpayment) *F9 (more, less) than *F10 (you were) due.

 

[POD UTI BEN132] Use if an underpayment or overpayment is generated

This *F1 (overpayment/underpayment) resulted from the difference in the total amount of earnings that *F2 (you) submitted during *F3 (EOYR year) and the actual amount that *F4 (you) earned, during that year. We determined the *F5 (overpayment/underpayment) after we recalculated *F6 (your) offset based on *F7 (your) actual annual earnings.

 

[POD UTI BEN138] Use if EOYR is run after POD period is over

*F1 (You have) been a participant in the Promoting Opportunity Demonstration (POD). The special rules for POD will no longer apply to *F2 (you) beginning *F3 (month after POD end date).

 

[OPTC05 – Approved] – How To Pay Us Back Only used in case of overpayment

[RFU001 – Approved] Use if the current LAF indicates anything other than current pay or deferred

You should refund this overpayment within 30 days. Please make your check or money order payable to "Social Security Administration," and send it to us in the enclosed envelope. Include *F1 (your) claim number (as shown above) on your check or money order.

 

If you cannot refund the full *F2 (overpayment amount) now, please send:

A partial payment

An explanation of why you cannot pay the full amount now, and

A plan to repay the money.

 

[RFU012 – Approved] Use if the current LAF indicates current pay or deferred

You should refund this overpayment of *F1 (overpayment amount) within 30 days. Please make your check or money order payable to "Social Security Administration," and send it to us in the enclosed envelope. Include *F2 (your) claim number (as shown above) on your check or money order.

 

If we do not receive your refund within 30 days, we will hold back *F3 (your) full benefits starting with the payment you would normally receive about *F5 (end date of deferral). We will continue holding back *F6 (your) benefits until we recover the overpayment.

 

If you cannot refund the full overpayment now or cannot afford to have us hold back *F7 (your) full benefits, you may ask us to hold back a smaller amount each month. Contact us to discuss your plan for repaying the balance. You may need to show us proof of *F8 (your) assets, monthly income, and expenses.

 

[OPT165 – Approved] Use if REFU012 is used above

We will pay you a monthly check of *F1 (current month benefit) until we start to collect the overpayment.

 

[ALSC06 – Approved] – Do You Think We Are Wrong About The Overpayment Use for overpayment

[WAV002 – Approved]

You have certain rights with respect to this overpayment and its recovery.

  1. 1. 

    Right to Appeal: If you disagree in any way with this overpayment determination, you have the right, within 60 days of the date you receive this notice, to request that the determination be reconsidered. If you request this independent review of the overpayment determination, please submit any additional information you have which pertains to the overpayment.

  2. 2. 

    Right to Request Waiver: You also have the right to request a determination concerning the need to recover the overpayment. An overpayment must be refunded or withheld from benefits unless both of the following are true:

    •  

      The overpayment was not your fault in any way; and

    •  

      You could not meet your necessary living expenses if we recovered the overpayment, or recovery would be unfair for some other reason.

If you request waiver, we may need a statement of your assets and monthly income and expenses.

 

If you request reconsideration and/or waiver within 30 days, the overpayment will not have to be recovered until the case is reviewed. This review is described in more detail on the attached Form SSA-3105, Important Information About Your Appeal and Waiver Rights. The people in any Social Security office will be glad to help you complete the forms for requesting reconsideration (SSA-561-U2, Request for Reconsideration) and/or waiver (SSA-632-F4, Overpayment Recovery Questionnaire).

 

Even if you do not want to request reconsideration or waiver, please call, write or visit any Social Security office if you have any questions or need more information. Please take this letter with you if you do visit an office.

 

[ALSC27 – Approved] – If You Want To Appeal

[ALS120 – Approved]

If you disagree with this decision, you have the right to appeal. We will review your case and consider any new facts you have. A person who did not make the first decision will decide your case. We will correct any mistakes. We will review those parts of the decision which you believe are wrong and will look at any new facts you have. We may also review those parts which you believe are correct and may make them unfavorable or less favorable to you.

 

[POD Caption REFC08] – If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD Caption REFC09] – If You Have Questions that Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:
                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)
If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

  

5. POD Auxiliary Notice – action ends in suspense

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                       Date:

                                                                                        Claim Number:

 

Name and address

 

[LIS004 – Approved] Use if there is an underpayment

We are writing to give you new information about the *F1 (disability) benefits which *F2 (you receive) on this Social Security record.

 

[OPT161 – Approved] Use if there is an overpayment

We are writing to give *F1 new information about the *F2 (disability) benefits which *F3 (you receive) on this Social Security record. In the rest of this letter, we will tell *F4 (you):

How we paid *F5 (you) *F6 (amount of overpayment) too much in benefits; and

What to do if *F7 (you think) we are wrong about the overpayment.

 

[CHKC09 – Approved] – Your Benefits

[POD UTI BEN135]

We cannot pay *F1 (you) benefits for *F2 (mm/ccyy) under the rules of the Promoting Opportunity Demonstration (POD). This is due to *F3 (Name of POD participant's) work and earnings. This does not change any current benefits *F4 (you receive).

 

[OPT169 – Approved] Use if there is an overpayment

Since we paid *F1 (you) *F2 (amount paid) for *F3 (dates paid), we paid *F4 (you) *F5 (amount of overpayment/underpayment) *F6 (more/less) than *F7 (you were) due.

 

[OPTC05 – Approved] – How To Pay Us Back Only used in case of overpayment

[RFU001 – Approved] Use if the current LAF indicates anything other than current pay or deferred

You should refund this overpayment within 30 days. Please make your check or money order payable to "Social Security Administration," and send it to us in the enclosed envelope. Include *F1 (your) claim number (as shown above) on your check or money order.

 

If you cannot refund the full *F2 (overpayment amount) now, please send:

  •  

    A partial payment

  •  

    An explanation of why you cannot pay the full amount now, and

A plan to repay the money.

 

[RFU012 – Approved] Use if the current LAF indicates current pay or deferred

You should refund this overpayment of *F1 (overpayment amount) within 30 days. Please make your check or money order payable to "Social Security Administration," and send it to us in the enclosed envelope. Include *F2 (your) claim number (as shown above) on your check or money order.

 

If we do not receive your refund within 30 days, we will hold back *F3 (your) full benefit starting with the payment you would normally receive about *F5 (end date of deferral). We will continue holding back *F6 (your) benefits until we recover the overpayment.

 

If you cannot refund the full overpayment now or cannot afford to have us hold back *F7 (your) full benefit, you may ask us to hold back a smaller amount each month. Contact us to discuss your plan for repaying the balance. You may need to show us proof of *F8 (your) assets, monthly income, and expenses.

 

[OPT165 – Approved] Use if REFU012 is used above

We will pay you a monthly check of *F1 (current month benefit) until we start to collect the overpayment.

 

[ALSC06 – Approved] – Do You Think We Are Wrong About The Overpayment Use for overpayment

[WAV002 – Approved]

You have certain rights with respect to this overpayment and its recovery.

  1. 1. 

    Right to Appeal: If you disagree in any way with this overpayment determination, you have the right, within 60 days of the date you receive this notice, to request that the determination be reconsidered. If you request this independent review of the overpayment determination, please submit any additional information you have which pertains to the overpayment.

  2. 2. 

    Right to Request Waiver: You also have the right to request a determination concerning the need to recover the overpayment. An overpayment must be refunded or withheld from benefits unless both of the following are true:

    •  

      The overpayment was not your fault in any way; and

    •  

      You could not meet your necessary living expenses if we recovered the overpayment, or recovery would be unfair for some other reason.

 

If you request waiver, we may need a statement of your assets and monthly income and expenses.

 

If you request reconsideration and/or waiver within 30 days, the overpayment will not have to be recovered until the case is reviewed. This review is described in more detail on the attached Form SSA-3105, Important Information About Your Appeal and Waiver Rights. The people in any Social Security office will be glad to help you complete the forms for requesting reconsideration (SSA-561-U2, Request for Reconsideration) and/or waiver (SSA-632-F4, Overpayment Recovery Questionnaire).

 

Even if you do not want to request reconsideration or waiver, please call, write or visit any Social Security office if you have any questions or need more information. Please take this letter with you if you do visit an office.

 

[ALSC27 – Approved] – If You Want To Appeal

[ALS023– Approved]

If you disagree with this decision, you have the right to appeal. We will review your case and consider any new facts you have. A person who did not make the first decision will decide your case. We will correct any mistakes. We will review those parts of the decision, which you believe are wrong and will look at any new facts you have. We may also review those parts, which you believe are correct and may make them unfavorable or less favorable to you.

 

You have 60 days to ask for an appeal.

 

The 60 days start the day after you get this letter. We assume you got this letter 5 days after the date on it unless you show you did not get it within the 5-day period.

 

You must have a good reason for waiting more than 60 days to ask for an appeal.

 

You have to ask for an appeal in writing. We will ask you to sign a form SSA-561-U2, called “Request for Reconsideration”. Contact one of our offices if you want help.

 

Please read the enclosed pamphlet: Your Right to Question the Decision Made on Your Social Security Claim”. It contains more information about the appeal.

 

[POD Caption REFC08] – If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD UTI REFC09] – If You Have Questions that Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:
                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)
If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

  

6. POD Auxiliary Notice – action puts auxiliary back in pay status

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                                                      Date:

                                                                                                                      Claim Number:

 

Name and address

 

[LIS004 – Approved]

We are writing to give you new information about the *F1 (disability) benefits which *F2 (you receive) on this Social Security record.

 

[PAYC38 – Approved] – What We Will Pay

[POD UTI BEN136]

*F1 (You) will soon receive a check for *F2 (amount). This check is for benefits due to *F3 (you) for *F4 (months of backpay) under the rules of the Promoting Opportunity Demonstration (POD). *F5 (You are) due this check because of a change in *F6 (POD participant's) work and earnings. This does not change any current benefits *F7 (you receive).

 

[ALSC27 – Approved] – If You Want To Appeal

[ALS023– Approved]

If you disagree with this decision, you have the right to appeal. We will review your case and consider any new facts you have. A person who did not make the first decision will decide your case. We will correct any mistakes. We will review those parts of the decision, which you believe are wrong and will look at any new facts you have. We may also review those parts, which you believe are correct and may make them unfavorable or less favorable to you.

 

You have 60 days to ask for an appeal.

 

The 60 days start the day after you get this letter. We assume you got this letter 5 days after the date on it unless you show you did not get it within the 5-day period.

 

You must have a good reason for waiting more than 60 days to ask for an appeal.

 

You have to ask for an appeal in writing. We will ask you to sign a form SSA-561-U2, called “Request for Reconsideration”. Contact one of our offices if you want help.

 

Please read the enclosed pamphlet: Your Right to Question the Decision Made on Your Social Security Claim”. It contains more information about the appeal.

 

[POD Caption REFC08] – If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD Caption REFC09] – If You Have Questions that Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:
                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)
If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

  

7. EOYR Reconsideration – no change in benefits

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                            Date:

                                                                                            Claim Number:

 

Name and address

 

[POD UTI BEN137]

We received a request *F1 (that we review our decision).

 

[CHKC09 – Approved] – Your Benefits

[POD UTI BEN130]

Thank you for providing us with information about *F1 (your) earnings for last year. *F2 (You) asked us to determine if there has been a change in the amount of benefits payable to *F3 (you) under POD because of this information. Based on this evidence, we have determined that there is no change to *F4 (your) monthly benefit amount for this period. This decision does not change any benefits *F5 (you) may be currently receiving.

 

[BEN107 – Approved]

This means we paid *F1 (you) correctly based on the evidence *F2 (you) provided for the reconciliation year.

 

[ALSC01 – Approved] – Do You Think We Are Wrong

[POD UTI ALS101]

If *F1 (you) think this information is not correct or *F2 (you want) to report any changes in *F3 (your) work plans or earnings, please get in touch with *F4 (your) benefits counselor at Abt Associates. Please call their toll-free number at 1-888-771-9188 to report any changes.

 

[ALSC27 – Approved] – If You Want To Appeal

[ALS023– Approved]

If you disagree with this decision, you have the right to appeal. We will review your case and consider any new facts you have. A person who did not make the first decision will decide your case. We will correct any mistakes. We will review those parts of the decision, which you believe are wrong and will look at any new facts you have. We may also review those parts, which you believe are correct and may make them unfavorable or less favorable to you.

 

You have 60 days to ask for an appeal.

 

The 60 days start the day after you get this letter. We assume you got this letter 5 days after the date on it unless you show you did not get it within the 5-day period.

 

You must have a good reason for waiting more than 60 days to ask for an appeal.

 

You have to ask for an appeal in writing. We will ask you to sign a form SSA-561-U2, called “Request for Reconsideration”. Contact one of our offices if you want help.

 

Please read the enclosed pamphlet: Your Right to Question the Decision Made on Your Social Security Claim”. It contains more information about the appeal.

 

[POD Caption REFC08] – If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD Caption REFC09] – If You Have Questions that Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:
                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)
If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

  

8. EOYR Reconsideration – change in benefits

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                                       Date:

                                                                                                       Claim Number:

 

Name and address

 

[POD UTI BEN137]

We received a request *F1 (that we review our decision).

 

[CHKC09 – Approved] – Your Benefits

[POD UTI BEN129]

Thank you for providing us with information about *F1 (your) earnings for the last year. *F2 (You) asked us to determine if there has been a change in benefits payable to *F3 (you) under POD because of this information.

 

[OPT179 – Approved]

We paid *F1 (you) *F2 (MBC Paid) for *F3 (period of EOYR). Since we should have paid *F4 (you) *F5 (MBC should have been paid) for *F6 (period of EOYR), we paid *F7 (you) *F8 (amount of overpayment/underpayment) *F9 (more, less) than *F10 (you were) due.

 

[POD UTI BEN132]

This *F1 (overpayment/underpayment) resulted from the difference in the total amount of earnings that *F2 (you) submitted during *F3 (EOYR year) and the actual amount that *F4 (you) earned, during that year. We determined the *F5 (overpayment/underpayment) after we recalculated *F6 (your) offset based on *F7 (your) actual POD earnings.

 

[POD UTI BEN138] Use if EOYR reconsideration is run after POD period is over

*F1 (You have) been a participant in the Promoting Opportunity Demonstration (POD). The special rules for POD will no longer apply to *F2 (you) beginning *F3 (month after POD end date). *F4

 

[ALSC01 – Approved] – Do You Think We Are Wrong

[RCN021 – Approved]

We changed our earlier decision because of new facts we received.

 

If you think we are wrong, you have the right to request a hearing. At the hearing, a person who has not seen your case before will look at it. That person is an Administrative Law Judge. In the rest of our letter, we will call this person an ALJ. The ALJ will review those parts of the decision, which you believe are wrong. The ALJ will look at any new facts you have and correct any mistakes. The ALJ may also review those parts, which you believe are correct and make them unfavorable or less favorable to you.  

 

You have 60 days to ask for a hearing.

 

The 60 days start the day after you get this letter.

 

You must have a good reason if you wait more than 60 days to ask for a hearing.

 

You have to ask for a hearing in writing. If you want to make a request, please contact one of our offices. We can help you complete the required form.

 

Please read the enclosed pamphlet, "Your Right To An Administrative Law Judge Hearing And Appeals Council Review Of Your Social Security Case." It contains more information about the hearing.

 

[POD Caption REFC08] – If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD Caption REFC09] – If You Have Questions that Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:

                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)

 If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

  

9. POD End Date of Participation

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                                  Date:

                                                                                                  Claim Number:

 

Name and address

 

[LIS004 – Approved]

We are writing to give you new information about the *F1 (disability) benefits which *F2 (you receive) on this Social Security record.

 

[CHKC09 – Approved] – Your Benefits

[POD UTI BEN138]

*F1 (You have) been a participant in the Promoting Opportunity Demonstration (POD). The special rules for POD will no longer apply to *F2 (you) beginning *F3 (first day of the month after POD end date). *F4.

*F4-A: You asked to be withdrawn from the project. If you are receiving benefit payments based on disability, your payments may stop the first month you do substantial gainful work.

*F4-B: He asked to be withdrawn from the project. If he is receiving benefit payments based on disability, his payments may stop the first month he does substantial gainful work.

*F4-C She asked to be withdrawn from the project. If she is receiving benefit payments based on disability, her payments may stop the first month she does substantial gainful work.

*F4-D: Null

 

[POD UTI BEN134] Use if BEN138 fill-in 4 is A, B, or C)

*F1 (You are) no longer eligible for the project because *F2 (you have) *F3 (no longer met the POD eligibility criteria). If *F4 (you are) receiving benefit payments based on disability, *F5 (your) payments may stop the first month *F6 (you do) substantial gainful work.

 

[POD UTI BEN131] Use if BEN138 fill-in 4 is D)

*F1 (Your) participation period ends *F2 (POD end date). Payments may end with the month *F3 (you do) substantial gainful work after *F4 (POD end date).

 

[POD Caption REFC08] – If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD Caption REFC09] – If You Have Questions that Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:
                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)
If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

  

10. POD Termination Notice

  

Social Security Administration

Retirement, Survivors and Disability Insurance

 

                                                                                     Date:

                                                                                     Claim Number:

 

Name and address

 

[TER039 – Approved]

We are writing to tell *F1 (you) that *F2 (you no longer qualify) for *F3 (disability) benefits beginning *F4 (termination date).

 

[CHKC09 – Approved] – Your Benefits

[POD UTI TER035]

*F1 (You have) been receiving $0 in benefits for twelve consecutive months because of work. Therefore, *F2 (you are) no longer disabled as of *F3 (termination date) according to POD rules. The last month for which *F4 (you are) eligible to receive benefits is *F5 (month before termination date).

 

If *F6 (you) receive disability benefits in the future, contact Abt Associates to report your earnings. We show their contact information under the heading, “If You Have Questions About POD”.

 

[ALSC01 – Approved] – Do You Think We Are Wrong

[POD UTI ALS101]

If *F1 (you) think this information is not correct or *F2 (you want) to report any changes in *F3 (your) work plans or earnings, please get in touch with *F4 (your) benefits counselor at Abt Associates. Please call their toll-free number at 1-888-771-9188 to report any changes.

 

[ALSC27 – Approved] – If You Want To Appeal

[ALS023– Approved]

If you disagree with this decision, you have the right to appeal. We will review your case and consider any new facts you have. A person who did not make the first decision will decide your case. We will correct any mistakes. We will review those parts of the decision, which you believe are wrong and will look at any new facts you have. We may also review those parts, which you believe are correct and may make them unfavorable or less favorable to you.

 

You have 60 days to ask for an appeal.

 

The 60 days start the day after you get this letter. We assume you got this letter 5 days after the date on it unless you show you did not get it within the 5-day period.

 

You must have a good reason for waiting more than 60 days to ask for an appeal.

 

You have to ask for an appeal in writing. We will ask you to sign a form SSA-561-U2, called “Request for Reconsideration”. Contact one of our offices if you want help.

 

Please read the enclosed pamphlet: “Your Right to Question the Decision Made on Your Social Security Claim”. It contains more information about the appeal.

 

[POD Caption REFC08] – If You Have Questions About POD

[POD UTI REF172]

If you have any questions about POD, you may call our partner Abt Associates. Their toll-free number is 1-888-771-9188. They will help you by phone or they will set up an appointment with the POD local office that serves your area. When you call, please have this letter with you. It will help the counselors at Abt answer your questions.

 

[POD Caption REFC09] – If You Have Questions that Are Not About POD

[CTDO – Approved]

If you have any questions, you may call us at *F1 (1-800-772-1213) or call your local Social Security office at *F2 (Local FO#). We can answer most questions over the phone. You may also write or visit any Social Security office. The office that serves your area is located at:

                   *F3 (FO Address)
                   *F4 (FO Address)
                   *F5 (FO Address)
                   *F6 (FO Address)

 If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly.

 

[Signature]

 


DI 60075 TN 1 - Promoting Opportunity Demonstration (POD) - 1/29/2019