Effective Dates: 01/10/2019 - Present Previous | Next

Basic (01-19)

GN 01760.215 Applications for Benefits under the Agreement with Uruguay

A. Filing for U.S. Totalization benefits

An applicant filing for benefits under the agreement with Uruguay must complete Form SSA-2490-BK (Application for Benefits under a U.S. International Social Security Agreement). The applicant must complete this form whether the application is for benefits from the following:

  • •

    United States only;

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    Uruguay only; or

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    from both countries.

B. Using the Modernized Claims System (MCS) version of Form SSA-2490-BK

1. When to use the MCS version

Form SSA-2490-BK (Application for Benefits under a U.S. International Social Security Agreement) is available through MCS. Use the MCS version only when the number holder (NH) is filing for one of the following benefits:

  • •

    U.S. retirement or disability Totalization benefits; or

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    a concurrent claim for U.S. retirement or disability benefits (regular or Totalization) and Uruguayan benefits.

2. When not to use the MCS version

Do not use the MCS version of Form SSA-2490-BK when the applicant is filing

for the following:

  • •

    Uruguayan benefits only; or

  • •

    U.S. or Uruguayan survivor benefits.

Use a paper or electronic Form SSA-2490-BK for Totalization survivor claims.

For instructions on how to complete the SSA-2490-BK, see GN 01702.110.

NOTE: If there is an existing U.S. Totalization life claim award, do not take an

SSA-2490-BK in claims for U.S. auxiliary benefits or survivor claims.

C. Determining the required application screens on MCS for Totalization benefits

Use the following information to determine the application screens to complete when taking claims under the Agreement with Uruguay for U.S. Totalization benefits or Uruguayan benefits:

1. U.S. Totalization benefits only

a. When taking retirement or disability claims:

Complete the following screens:

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    MCS application;

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    TOTL (see MS MCS 03509.011); and

  • •

    SSA-2490 (see MS MCS 03507.001).

b. When taking survivor claims:

Complete the following screens:

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    MCS application;

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    TOTL (see MS MCS 03509.011); and

  • •

    Part I of the paper or electronic Form SSA-2490-BK.

2. Uruguayan benefits only (regular or Totalization)

Claims for Uruguayan benefits only (regular or Totalization) are MCS exclusions. Complete Parts I and II of the paper or electronic Form SSA-2490-BK.

3. Uruguayan benefits only (regular or Totalization) and U.S. (regular or Totalization)

a. Retirement or disability claims

In retirement or disability claims, complete the following screens:

  • •

    MCS application;

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    Totalization (TOTL) (see MS MCS 03509.011); and

  • •

    SSA-2490 (see MS MCS 03507.001).

b. Survivor claims

In survivor claims, complete the following screens:

  • •

    Appropriate MCS;

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    Totalization (TOTL) (see MS MCS 03509.011); and

  • •

    Parts I and II of the paper or electronic Form SSA-2490-BK

D. Procedure for entering the Uruguayan social insurance number

Enter the worker’s and each claimant's Uruguayan social insurance number on all claims. If the social insurance number is unknown, enter all of the following information under Part I of Form SSA-2490-BK:

  • •

    worker's full name, including both the paternal and maternal last names (see GN 00302.460; GN 00302.470 and GN 00307.160).

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    worker's employment history, including the names of employers and dates of employment; and

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    name of the agency to which the worker last contributed

NOTE: The Uruguayan agency will need this information to transmit the NH's Uruguayan coverage record.

E. Procedure for required remarks

If the worker or a claimant presents his or her social insurance number card, document under remarks that the worker or claimant submitted this evidence.

F. References

GN 01702.110 Application for Benefits under a U.S. International Social Security (Totalization) Agreement (Form SSA-2490-BK)

MS MCS 03509.011 Totalization (TOTL)

MS MCS 03507.001 Introduction to SSA-2490 – Overview

GN 00302.460 Discrepancy in Claimant's Name — Minor Differences

GN 00302.470 Discrepancy in Claimant's Name — Major Differences

GN 00307.160 Requesting Evidence from Spanish-Speaking Countries – Spanish Surnames

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http://policy.ssa.gov/poms.nsf/lnx/0201760215
GN 01760.215 - Applications for Benefits under the Agreement with Uruguay - 01/10/2019
Batch run: 01/10/2019
Rev:01/10/2019