GN 01010: Adjudicative Policy and Standards
TN 13 (11-11)
A. Procedure for requesting a legal opinion
Upon receipt of the request for a legal opinion, fully review the provided information to decide whether you need an opinion. After review, follow the procedures below.
1. Opinion is not necessary
If no opinion is necessary (e.g., if resolved, the issue would not affect the adjudicative decision), return the request to the originating component with an appropriate explanation and ensure that the claim is adjudicated properly.
2. Opinion is available
If a pertinent opinion is available and there is no question about its continued applicability, cite the opinion per GN 01010.810, ensure that the claim is adjudicated accordingly, and advise the requesting component.
3. Opinion is not available
If no pertinent legal opinion is available but it is needed, ensure that all claims actions for claimants not affected by the legal question are complete before requesting the opinion.
a. State Law
If no precedent opinion exists, take the following actions:
Review the information and if the state in question is not within the jurisdiction of the requesting component (see GN 00305.001), forward the request to the ARC, MOS or his or her designee for the region in which the state is located.
If the state involved is within the jurisdiction of the requesting component, approve and submit the request for an opinion to the corresponding Regional Chief Counsel (RCC) and include the following language in the submittal:
“Please forward a copy of your response by e-mail as a WORD attachment to the Office of PolicyNet and Program Support (OPPS) using the following e-mail address: ^Regional Attorney Opinions.”
Provide an informational copy of the submittal to the originating component and maintain a copy in the claims file.
If the request concerns a possible amendment to a state law which appears in the POMS (e.g., small estate statue, state law on legitimation, etc.), ask the RCC to provide appropriate language for a new POMS entry and the effective date of the change if appropriate.
b. Federal Law
Approve and submit the requests for interpretation of federal law to the Office of Disability and Income Security Programs (ODISP).
Provide an informational copy to the originating component and maintain a copy in the claims file.
c. Foreign Law, the number holder (NH) domiciled in a foreign country
Approve and submit the request through the Office of International Policy (OIP) to the Office of General Council (OGC) and include the following language in the submittal:
“Please forward a copy of your response by e-mail as WORD attachment to the Office of PolicyNet and Program Support (OPPS) using the following E-Mail address: ^Regional Attorney Opinions.”
Provide an informational copy to the originating component and maintain a copy in the claims file.
d. Foreign Law, the NH is not domiciled in a foreign country
If an issue involves a foreign law but the NH is not domiciled in a foreign country or was not residing in one at the time of death:
Approve and submit the question to the RCC in the region where the NH is or was domiciled and include the following language in the submittal:
“Please forward a copy of your response by e-mail as WORD attachment to the Office of PolicyNet and Program Support (OPPS) using the following E-Mail address: ^Regional Attorney Opinions.”
Provide an informational copy to the requesting component and maintain a copy in the claims file.
4. Other RCC referrals
The following situations are not considered requests for legal opinions within the meaning of this subchapter but should also be approved and forwarded to the appropriate RCC:
Compromise offers regarding an overpayment (see GN 02410.210);
Bankruptcy documents (see GN 02215.200C); and
Questions regarding a Court’s authority to issue a garnishment order (see GN 02410.210).
B. Procedure for when a legal opinion is already pending
For title II claims, if the request for a legal opinion is pending due to a submission for the same issue on another social security number (SSN):
Forward the request to the RCC for association with the original submission. If the pending request has a listing code, use it to list this case.
If a listing code was not previously assigned, list the case using a listing code within the 900 series (i.e., not one assigned for national use, see GN 01040.005C).
If you receive new information or unusual circumstances occur which should be taken into consideration in evaluating the issue, forward the pertinent claims material to the RCC for association with the original submission.
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