Identification Number:
GN 02610 TN 28
Intended Audience:See Transmittal Sheet
Originating Office:ORDP OISP
Title:Title II/Title XVI (Windfall) Offset GN 02610.045
Type:POMS Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM
Part GN – General
Chapter 026 – Posteligibility
Subchapter 10 – Title II/Title XVI (Windfall) Offset
Transmittal No. 28, 08/26/2020

Audience

PSC: BA, CA, CCRE, CS, ICDS, IES, ILPDS, IPDS, ISRA, PETE, RECONR, SCPS, SPIKE, TSA, TST;
OCO-OEIO: BIES, BTE, CR, CTE, FCR, PETL, RECONR;
OCO-ODO: BTE, CR, CST, CTE, CTE TE, PETE, PETL;
FO/TSC: CS, CS TII, CS TXVI, CSR, CTE, DRT, DT, FR, OA, OS, RR, TA, TSC-CSR;

Originating Component

OISP

Effective Date

Upon Receipt

Background

This transmittal updates our instructions for the SSI eComputations application so the user can compute windfall offset amounts and transmit windfall offset information through e4345 application. .

Summary of Changes

GN 02610.045 How To Complete SSI Offset Summary — SSA-4346-U2

We made editorial corrections and updates throughout the section

Subsection A and B.1 - Clarified use of the paper forms SSA-4346-U2 and SSA-4968 when the SSI eComputations application is not available or cannot process the actions.

Subsection B.2 - Updated the step/action chart to instruct technicians to use the e4345 application.

GN 02610.045 How To Complete SSI Offset Summary — SSA-4346-U2

A. Introduction

Field Office (FO) technicians should use the SSI eComputations (eComps) application and the associated SSI eComputations User Guide to perform manual Title II and Title XVI windfall offset computations.

If the SSI eComps application is not available or the windfall offset computations cannot be completed in eComps due to limitations of the application (see Chapter 10 of the User Guide), FO technicians will use the form SSA-4346-U2 (SSI Offset Summary) to compute the windfall offset amounts manually. Form SSA-4346-U2 is the equivalent of the Windfall Results, Windfall Offset, and Windfall Offset Summary tabs in eComps.

FO technicians will also need to fill out the form SSA-4968 (SSI RMA Payment Worksheet) to complete the SSA-4346-U2 if they cannot complete any computations using eComps. Form SSA-4968 is the equivalent of the Computational Results tab in eComps.

B. SSA-4346-U2

1. Number of Forms

Only one SSA-4346-U2 is necessary for a case with:

  • dual entitlement (D/E),

  • Retirement and Survivor Insurance Benefits/Disability Insurance Benefits (RSI/DIB), or

  • in couple's cases where both members are entitled to retroactive Title II benefits.

However, when using form SSA-4346-U2 to perform computations, technicians must save the form SSA-4968 (or printouts from eComps they were able to use eComps to complete the RMA computations) along with a copy of the completed SSA-4346-U2.

If you are computing the Title II offset amounts for both members of a SSI couple simultaneously, use the step action chart in SI 02610.040C along with the chart below to complete the offset computations.

2. Step Action Chart

STEP ACTION

1

Collect the queries.

  1. a. 

    Obtain an SSR Full History query, which will contain the Computation History Segment (CMPH) for the individual(s). (SM 01601.790)

  2. b. 

    Obtain a FULL MBR (FACT) for the Title II benefits the individual(s) would have received in the windfall offset period if the Title II benefits had been paid when due.

2

Gather the form(s) from the inForm Library at: http://inform.ba.ssa.gov/

  1. a. 

    Obtain a copy of the SSA-4346-U2 – SSI Offset Summary.

  2. b. 

    Obtain a copy of the SSA-4968 – SSI RMA Payment Worksheet.

NOTE: If you are able to complete the monthly RMA computations in eComps, you do not also need to complete a paper SSA-4968.

3

Complete the following cells at the top of the SSA-4346-U2 form:

  1. a. 

    SSN-NUMBER HOLDER

    • The SSN of the insured or deceased person on the Title II record from which the individual is eligible to receive Title II benefits. It may be the individual’s own record, a parent’s, or a spouse’s Title II record.

  2. b. 

    NAME-NUMBER HOLDER

    • The name of the insured or deceased person on the Title II record from which the individual is eligible to receive Title II benefits. It may be the individual’s own record, a parent’s, or a spouse’s Title II record.

  3. c. 

    SSN-OFFSET CLAIMANT

    • The SSN of the individual(s) who received (or will receive) SSI benefits in the windfall offset period.

  4. d. 

    NAME-OFFSET CLAIMANT

    • The name of the individual(s) who received (or will receive) SSI benefits in the windfall offset period.

  5. e. 

    STATE CODE

    • This is only required when the individual(s) resided in a state that provides a state supplementary payment during the windfall offset period. The SSI Claims System will prefill a State and county code in the CMPH segment based on the residence ZIP code, see SM 01601.790 . For more information about state supplementary payments, see SI 01400.000.

4

Complete the SSI OFFSET PERIOD cell and the “1 COMP” column on form SSA-4346-U2:

  1. a. 

    Locate the SSI OFFSET PERIOD cell at the top of the table.

  2. b. 

    Record the month of the windfall offset begin date (WOBD) after the word “FROM”.

  3. c. 

    Record the month of the windfall offset end date (WOED) after the word “THRU”.

  4. d. 

    Locate the “1 COMP” column directly below the SSI OFFSET PERIOD cell.

  5. e. 

    List the months in the windfall period in column "1 COMP" in chronological order from top to bottom.

For definitions of WOBD & WOED, see GN 02610.022 .

5

Collect the FAM data from the SSR.

Locate the SSI federal amount due (FAM) for each month of the windfall period in the CMPH field of the SSR.

6

Record the SSR FAM data on SSA-4346-U2.

  1. a. 

    If the individual would have received (or already received) DIB in the windfall offset period, then enter the FAM for each month of the offset period in column "2 DIB".

  2. b. 

    If the individual would have received (or already received) RSI benefits in the windfall offset period, then enter the FAM for each month of the offset period in column "3 RSI".

  3. c. 

    If the individual would have received (or already received) both DIB and RSI benefits in the same month, DIB is the primary benefit. Enter the FAM for each month of the offset period in column “2 DIB”.

  4. d. 

    If the individual would have received (or already received) DIB and RSI benefits in different months of the windfall offset period, then enter the FAM under the “2 DIB” or “3 RSI” column for the appropriate months.

To determine the type(s) of Title II benefit(s) the individual is receiving or due, you may need to review:

  • the information sent by the PC to the FO through the e4345 application or on a paper SSA-4345-U2,

  • the UMIH section of the SSR (SM 01601.760), or

  • lines on the Full MBR(s) (FACT) from which the individual is receiving benefits, such as the INSURED line (SM 00510.071) or the BENE ENT line (SM 00510.190).

7

If necessary, collect the SAM data from the SSR record the SAM data on the SSA-4346-U2.

Locate the state amount due (SAM) for each month of the windfall period in the CMPH field of the SSID.

If the individual also received payments from a federally administered state supplement program, record the SSR SAM data on SSA-4346-U2. Follow the same procedure from Steps 3 through 4 above to complete state amount due (SSR SAM) for columns "4 DIB" and "5 RSI" on the SSA-4346-U2.

8

Compute the NEW FAM & NEW SAM.

To compute the NEW FAM/NEW SAM amounts, follow the instructions in SI 02005.090 and complete form SSA-4968 (SSI RMA Payment Worksheet) for each month in the offset period. Completing the SSA-4968 for each month in the windfall period will provide you with the new monthly SSI federal amount due (NEW FAM) and new monthly state supplement amount due (NEW SAM) for each month. The NEW FAM and NEW SAM are the federal and state SSI amounts that would have been due to the individual if the individual’s Title II benefits had been issued when they were due.

NOTE: If you are able to complete the monthly RMA computations in eComps, you may use a printout of the RMA computations from eComps instead of completing the paper SSA-4968.

General Reminders:

  • Count the Title II benefits as income in the months the payments would have been received even if the individual has not yet received the payments. (SI 00830.010B.1)

  • Account for any legal expenses, such as representative’s fees (GN 03920.001) or certain out of pocket legal expenses (GN 03920.010A.4), as is required by SI 00830.100. SI 02006.210 provides instructions about how to deduct legal expenses from the amount of retroactive Title II benefits counted as income.

Title II Payment Data:

  • Use the Title II payment information sent by the PC to the FO through the e4345 application or a paper SSA-4345-U2 to complete these computations.

  • If you do not have the retroactive Title II benefit information from the PC, review the HISTORY data line on the MBR to determine the Title II benefits that would have been paid in the windfall offset period if Title II benefits had been paid when they were due. (SM 00510.585 & SM 00510.175) Keep in mind the HISTORY data line will only show a new line when something changes, so a benefit from one line will continue each month at the same rate until a new line is posted, indicating a change. Also, remember the MBR will show the month for which the Title II benefit is due, not the month in which the individual(s) received (or would have received) the Title II benefit payment.

9

Record the NEW FAM & NEW SAM amounts on the SSA-4346-U2.

  1. a. 

    Enter the NEW FAM amounts into the appropriate columns ("2 DIB" and "3 RSI") on the SSA-4346-U2 for each of the months for which you computed a new benefit amount using the SSA-4968 (or eComps).

  2. b. 

    If the individual also received payments from a federally administered state supplement program, enter NEW SAM amounts into the appropriate columns ("4 DIB" and "5 RSI") on the SSA-4346-U2 for each of the months for which you computed a new benefit amount using the SSA-4968 (or eComps).

10

Compute the FOA and SOA for each month listed on the SSA-4346-U2.

  1. a. 

    In columns "2 DIB" through "5 RSI" on the SSA-4346-U2, subtract the NEW FAM or NEW SAM amount from the SSR FAM or SSR SAM amount for each row. The results will be the federal offset amount (FOA) and state offset amount (SOA) for each month.

    • (SSR FAM – NEW FAM = FOA)

    • (SSR SAM – NEW SAM = SOA)

  2. b. 

    Record the results in the appropriate FOA or SOA columns under columns "2 DIB" through "5 RSI" on the SSA-4346-U2, even if the result is a negative number.

11

Compute the FOA and SOA totals.

Total the FOA's and SOA's on bottom of their respective columns on the SSA-4346-U2.

NOTE: If the total for any of the FOA or SOA columns would be a negative number, write zero in as the total for that column.

12

Complete the last row on the form with your information.

  1. a. 

    Record your name on the box labeled DETERMINED BY.

  2. b. 

    Record your job title in the box labeled TITLE.

  3. c. 

    Record the date you completed the form in the box labeled DATE.

13

Update the SSR.

Follow steps in SM 01320.201 to post the results of the manual Title II offset computations to the SSR for the individual or both members of a couple’s case. Make sure you fill out every field in SM 01320.201B that applies to your case.

14

Save copies of the worksheets.

  1. a. 

    Open eView and locate the individual’s electronic file using the SSN in the SSN-OFFSET CLAIMANT cell at the top of the SSA-4346-U2 worksheet. If the individual does not have an electronic file in eView, open the NDRed application and enter the individual’s SSN to create fax cover sheets for the forms.

    • Both eView and NDRed have specific fax cover sheets for the SSA-4968 and SSA-4346-U2.

  2. b. 

    Print the appropriate fax cover sheet for each document you used to complete these computations.

  3. c. 

    Fax copies of the SSA-4346-U2, SSA-4968 (or a printout of the eComps RMA computation results), and any other documents you filled out to complete these computations into the individual(s) electronic folder.

15

Send the windfall offset information to the PC.

The e4345 application was developed to enable the Processing Center (PC) and FO to be able to exchange windfall offset data electronically. It is a web-based version of the paper SSA-4345-U2.

Follow the instructions in the Field Office User's Guide to complete the e4345. Refer to GN 02610.049 – How to Complete Sections II and III of SSA-4345-U2 and GN 02610.047 – How to Complete Section I of Record of Manual Title II Computation – SSA-4345-U2 as needed.

NOTE: If the e4345 application is unavailable, follow the steps in GN 02610.047 and GN 02610.049 to record the data on a paper SSA-4345-U2. Once the application becomes available, you will need to enter the data into the e4345 application. If your case cannot wait until the e4345 application is available again, fax the paper SSA-4345-U2 into the individual’s electronic folder and notify the appropriate PC of the actions you took and the location of the SSA-4345-U2.

C. Exhibit of the SSA-4346-U2 (Supplemental Security Income Offset Summary)

To view this form, go to SSA-4346-U2.

D. References

GN 02610.010 How to Identify Potential Windfall Offset Cases

GN 02610.022 The Windfall Offset Period

GN 02610.040 How To Manually Compute Title II Offset For Both Members of An SSI Couple Simultaneously

GN 03920.005 Representative's Fees Subject to SSA's Authorization

GN 03920.010 Representative's Fees Not Subject to Social Security Administration's (SSA) Authorization

SI 00830.010 When to Count Unearned Income

SI 00830.100 Expenses of Obtaining Income

SI 01400.000 State Supplementary Payments

SI 02005.090 SSA-4968 - SSI RMA Payment Worksheet

SI 02006.201 Special Considerations for Month of Actual Receipt of Retroactive Title II Benefits—PMA Month

SI 02006.210 Field Office Representative Fee Adjustment Procedures Summary and Worksheets

SM 00510.071 Insured Status Met (Insured) Data Line

SM 00510.175 Benefit (BENEFIT) Data Line

SM 00510.190 Beneficiary Claim (BENE ENT) Data Line

SM 00510.585 History (HISTORY) Data Line

SM 01320.201 How to Post Results of a Manual Title II Offset Computation to the SSR

SM 01601.760 Unearned Income Data - UMIHSM 01601.790 Computation History – CMPH


GN 02610 TN 28 - Title II/Title XVI (Windfall) Offset GN 02610.045 - 8/26/2020