In claims situations, review the E/R with claimant and:
If lag earnings are necessary for the NH to obtain insured status or development of
lag earnings is required per RS 01404.005B.1. then:
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Enter “N” to the question on the EARN screen: “Do you wish us to compute your benefits
and complete your claim without using unposted recent earnings (Y/N)?
NOTE: If evidence of the earnings is not received within 10 days, process the claim without
using lag. Do not consider this a partial award.
If insured status is not an issue or development of lag earnings is not otherwise
required per RS 01404.005B.1., then:
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Do not obtain an allegation of the lag earnings or discuss including lag earnings
in the computation with the claimant.
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Do not complete the MCS EARN screen, instead leave it blank and enter through it.
MCS does not require any entry on the screen.
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If the alleged lag earnings are entered on the EARN screen complete it as usual but
show the “PRF” code with “N” and enter “Y” in response to the question: “Do you wish
us to compute your benefits and complete your claim without using unposted recent
earnings? (Y/N)”
NOTE: If lag earnings are not entered on the EARN screen, the adjudicator will need to complete
the DEME manually as appropriate for deduction purposes. If evidence of lag is submitted
which permits the use of the wages in the initial claim, then:
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Include the earnings for computation purposes; and
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Do not take any action to add the earnings to the MEF; and
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If evidence of the earning is subsequently submitted, process the recomputation.