TN 22 (12-17)
MAR001 Disallowance - Divorce
To qualify for benefits as a divorced (1) , (2) must meet one of these requirements:
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(3) and (4) must have been married under the laws of (5) , where (6) lived when (7) , or
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•
(8) the same rights as a spouse to inherit from (9) under the laws of (10) .
The facts we have do not show that either requirement is met.
Fill-ins:
(1) “widow”/“widower”/“wife”/“husband”/“mother”/“father”/“disabled widow”/“disabled
widower”
(2) “you”/“she”/“he”
(3) You/SN
(4) NH's FN
(5) State name of residence at time of death or time of filing
(6) NHs SN
(7) “[7a] died”/“[7b] applied for benefits”
[7a] “she”/“he”
[7b] “you”/SN
(8) “you have”/ “she has”/”he has”
(9) NHs SN
(10) same as fill-in (5)
MAR002 Disallowance – Marriage not Valid
To qualify for benefits as a (1) , (2) must meet one of these requirements:
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•
(3) and (4) must (5) married under the laws of (6) , where (7) lived when (8) , or
-
•
(9) went through a ceremony which (10) thought resulted in a legal marriage with (11) and (12) still living with (13) when (14) , or
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•
(15) the same rights as a spouse to inherit from (16) under the laws of (17) .
The facts we have do not show that any of these requirements is met.
Fill-ins:
(1) “wife”/“husband”/“widow”/“widower”/“mother”/“father”/“disabled widow”/“disabled
widower”
(2) “you”/“she”/“he”
(3) “you”/SN
(4) NH's FN
(5) “have been”/“be”
(6) State name
(7) NH's SN
(8) “[8b] died”/“[8a] applied for benefits”
[8a] “she/he”
[8b] “you”/“she”/“he”
(9) “you”/SN
(10) “you”/“she”/“he”
(11) NH's SN
(12) “you were”/“she was”/“he was”
(13) “her/him”
(14) “PN died”/“PN applied for benefits”
[14a] “she/he”
[14b] “you”/“she”/“he”
(15) SN has/you have
(16) NH's SN
(17) State name
MAR007 Disallowance Due to Remarriage – Widow(er)
To qualify for benefits as a (1) , (2) must meet one of these requirements:
(3) not married now, or
(4) remarried after age 60, or
(5) remarried after age 50 while (6) entitled to benefits as a disabled (7) .
The facts we have do not show that any of these requirements is met.
Fill-ins:
(1) “widow”/“widower”
(2) “you”/“she”/”he”
(3) “you are”/ “she is”/“he is”
(4) “you”/“she”/“he”
(5) “you”/”she”/”he”
(6) “you were”/“she was”/ “he was”
(7) “widow”/“widower”
MAR010 Disallowance – Child Married
(1) not qualify for child's benefits because (2) married.
Fill-ins:
(1) “You do”/“She does”/ “He does”
(2) “you are”/“she is”/ “he is”
MAR011 Disallowance – Parent Married
(1) not qualify for parent's benefits because (2) married after (3) death.
Fill-ins:
(1) “You do”/ “She does”/”He does”
(2) “you”/“she”/ “he”
(3) NH FN possessive
MARR12 Medicare Disallowance – Divorced Spouse
To qualify for Medicare as a divorced (1) , (2) must meet one of these requirements:
(3) and (4) must have been married under the laws of (5) , where (6) lived when (7) , or
(8) the same rights as a spouse to inherit from (9) under the laws of (10) .
The facts we have do not show that either requirement is met.
Fill-ins:
(1) “wife”/“husband”
(2) “you”/“she”/“he”
(3) “you”/“she”/“he”
(4) NH's FN
(5) State name *
(6) NH's SN
(7) “she died”/“he died”/“she applied for Medicare”/“he applied for Medicare”/“you
applied for Medicare”
(8) “you have”/“she has”/“he has”
(9) NH's SN
(10) State name
(*) indicates that the fill-in is manual
MARR13 MEDICARE DISALLOWANCE - MARRIAGE
To qualify for Medicare as a (1) , (2) must meet one of these requirements:
(3) and (4) must (5) married under the laws of (6) , where (7) lived when (8) , or
(9) went through a ceremony which (10) thought resulted in a legal marriage with (11) and (12) still living with (13) when (14) , or
(15) the same rights as a spouse to inherit from (16) under the laws of (17) .
The facts we have do not show that any of these requirements is met.
Fill-ins:
(1) “widow”/“widower”/“wife”/“husband”
(2) “you”/“she”/“he”
(3) “you”/“she”/ “he”
(4) NH's FN
(5) “have been”/“be”
(6) State name *
(7) NH's SN
(8) “she died”/”he died”/”she applied for Medicare”/”he applied for Medicare”/”you
applied for Medicare”
(9) “you”/“she”/“he”
(10) “you”/“she”/“he”
(11) NH's SN
(12) “you were”/ “she was”/ “he was”
(13) “her”/“him”
(14) “she died”/”he died”/ “she applied”/ “he applied”/ “you applied”
(15) “you have”/“she has”/“he has”
(16) NH's SN
(17) State name *
(*) indicates that the fill-in is manual
(1) not qualify for Medicare as (2) (3) because (4) earlier marriage was never ended.
Fill-ins:
(1) “You do”/ “He does”/ “She does”
(2) NH Name (possessive)
(3) “widow”/ “widower”
(4) “your”/“his”/ “her”
MAR024 Disallowed Mother/Father - Claimant has Re-married
To qualify for (1) benefits, (2) must:
not be married now, or
be married to someone who is entitled to Social Security benefits.
(3) not qualify because (4) married a person who was not entitled to Social Security benefits, and (5) marriage has not ended.
Fill-ins:
(1) “mother's”/“father's”
(2) “you”/beneficiary's SN
(3) “You do”/“She does”/ “He does”
(4) “you”/“she”/“he”
(5) “your”/“her”/“his”
MAR026 Disallowed Spouse – Claimant has Re-married
(1) not qualify for benefits as a divorced (2) because (3) remarried and that marriage has not ended.
Fill-ins:
(1) “You do”/beneficiary's SN plus “does”
(2) “wife”/“husband”
(3) “you”/“she”/“he”