A beneficiary is entitled to one TWP during a period of entitlement. When a beneficiary
is simultaneously entitled to two or more Title II disability benefits, they are entitled
to a separate TWP on each entitlement. If we credit TWP service months on one record
before the claimant became entitled on another record, the TWP months cannot be charged
to the subsequent record.
Consequently, the beneficiary could be in a separate work incentive status (e.g.,
a TWP on one record and Extended Period of Eligibility (EPE) on another) if the entitlement
dates differ, and they worked between entitlement dates; or, we could find different
total service months used on different entitlements.
Example: A disabled beneficiary is a parent with child in care (BIC E), and has Medicare (they
are disabled and over 50, but has a child in their care). They work and use TWP or
EPE months. When their youngest child is no longer eligible for benefits, we convert
them to a higher benefit payment (from BIC E to BIC W - disabled widow). Consider
this transition as one period of disability based on their entitlement as an E who
is deemed disabled for Medicare DI 25501.360. TWP or EPE months from their E entitlement apply when they are converted to W DI 13010.035H.
The Disability Control File (DCF) presents summary information for dual-entitlement
claims, and claims with multiple TWPs. Find the summary information for a particular
claim on the Entitlement Summary (ESUM) Screen (see MSOM CDR 002.006). Use eWork on
all entitlements; the eWork system propagates the earnings information onto the VERN
screen onto the DCF.
NOTE: For Medicare Qualified Government Employees (MQGE): If an MQGE becomes insured for
disability benefits, they are subject to the same disability evaluation and reviews
as a beneficiary who is entitled to disability based on insured status. For more information
on MQGE disability claims, see DI 11035.001.