POMS Reference

DI 23510: Death Cases

BASIC (09-08)

A. Determination paragraph to use when the claimant dies after filing

Use this chart to determine the correct determination paragraph, i.e., element 3 of the personalized disability explanation:

Basis for determination Reg. basis code shown in Item 22 Determination paragraph (See NL 00708.100 Numbered Paragraphs)

Impairment not severe at time of death – Medical consideration alone

N30

N41

330.3

1351, 330.3

Capacity for substantial gainful activity (SGA) – any relevant past work

N31

N42

330

1351, 330

Capacity for SGA – other than relevant past work

N32

N42

330

1351, 330

Impairment prevented SGA for a period of less than 12 months

N34

N45

331.1

1351, 331.1

Impairment prevents SGA at time of adjudication/death, but is not expected to have prevented SGA for a period of 12 months

N35

N46

331

1351, 331

Insufficient evidence furnished

N36

341

Failure or refusal to submit to a consultative examination (CE)

N37

342

Applicant does not want to continue development of the claim

N38

343

Applicant willfully failed to follow prescribed treatment

N39

381