Refer to each benefit separately in the notice.
EXAMPLE: Concurrent disposition of benefits:
Totalization benefits are not payable since regular benefits are being awarded based
on U.S. coverage alone.
-
•
State in the award notice that foreign coverage was not considered since the NH was
insured without it (CAPS paragraph MX04 or RX04).
-
•
The general closeout language which states the claimant is not eligible for any other
type of benefit is not sufficient.
EXAMPLE: No concurrent disposition of benefits:
A claim for regular RSDI benefits is disallowed for lack of insured status, and no
decision on the totalization benefit can be made until the record of coverage is received
from the foreign country.
-
•
Send the claimant a disallowance notice for regular RSDI benefits; and
-
•
advise the claimant in the notice that the disallowance does not apply to totalization
benefits (CAPS paragraph MX02 or RX02); and
-
•
provide the reason for the delay on a decision on the totalization benefit (e.g.,
pending receipt of information from the foreign agency, CAPS paragraph MX02 or RX02).