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GN 01726: DIO and FSP Processing Under the Agreement with the Netherlands

Effective Dates: 04/09/2014 - Present

BASIC (08-94)

A. Policy

As indicated in GN 01726.220.D.4.c., question 1 of form SSA-2960-NL must be completed in certain situations to indicate whether the worker was insured for U.S. benefits at the time of his/her death or disability onset. In many cases this can be ascertained from an MBR on the worker's SSN. If not an earnings record (ER) will be needed.

B. Procedure

Use the following procedure to determine if the worker was insured.

 

STEP ACTION
1 Locate the LAF code in the BENEFIT field of a current MBR for the worker's SSN. If there is no LAF code, go to Step 2.
 

  • If the LAF code is C or a two digit code beginning with A,D,S or T, answer “yes” to question II.C.1. of form SSA-2960-NL.

  • If the LAF code is other than above, go to Step 2.
2 Ascertain from a current ER how many QCs the
worker has.
 

  • If the “Total QCs” entry at the end of the ER or the “RSI HAS” entry in the “INS STAT” line of the ER is 40 or more, answer “yes” to question II.C.1. of Form SSA-2960-NL.

  • If the “Total QCs” or “RSI HAS” entry is less than 40 refer the case to a CA for an insured status determination.
3 If the CA advises that the worker was insured at death or disability onset, answer “yes” to question II.C.1. of form SSA-2960-NL
4 If the CA advises that the worker was NOT insured at death or disability onset, answer “no” to question II.C.1. of form SSA-2960-NL.
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GN 01725: Agreement with the Netherlands
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GN 017: Totalization Benefits
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GN 01727: Agreement with Portugal
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