SI 02305: Redeterminations of Eligibility and/or Payment Amount
TN 44 (09-03)
A. Introduction
An RZ may be the only posteligibility contact a recipient has with SSA. Therefore, interviewers need to be alert to recipients' potential eligibility to other benefits at the time of the RZ contact.
B. Policy
SSI recipients must file for other benefits to which they may be entitled. Any allegations or statements made by recipients or their representative payees during the RZ interview which indicate potential entitlement to other benefits must be explored.
Interviews must explore potential eligibility for all classes of Title II benefits. If the recipient appears eligible for Title II, the interviewer must determine if the Title II application that resulted from the filing of the Title XVI application was properly adjudicated per GN 00204.027 and SI 00601.035. If the application was properly adjudicated, an RZ can be used to protect the claimant’s filing date for Title II benefits. See GN 00204.015 for the policy and procedures.
C. List of other benefits
Following are examples of other benefits to which recipients may be entitled:
Title II (e.g., retirement, disability, widows/widowers, parents) benefits;
Federal employment
Military service;
Railroad;
State or local government;
Union;
Private employer; or
Foreign government
Special Veterans Benefits – Title VIII.
D. Procedure
See SI 02305.110 for exploring Title II entitlement.
The following are indicators for potential eligibility to Title II benefits:
Insured status (KZ) diary is in the DIAR segment of a SSID;
KP diary is in the DIAR segment of a SSID to indicate that one member of a couple is not receiving Title II spouse’s benefits
Recipient is divorced or widowed and may be eligible for benefits based on divorced/deceased spouse's records;
Widow(er) recipient is receiving benefits on spouse's record, is age 62 or older, and may be eligible for to retirement benefits on his/her own record; and
Disabled children may be eligible for benefits on their parents' records if the parents are collecting benefits.
NOTE: Use DISCO whenever developing potential eligibility for Title II benefits.
E. References
Overview of the Filing for Other Program Benefits Requirement, SI 00510.001
General Applications Taking Practices, GN 00201.005
Protective Filing, GN 00204.010 and SI 00601.015–SI 00601.025
Closing out Protective Filings, GN 00204.012, GN 00204.015 and SI 00601.037
Adjudicating Title II When a Title XVI Application is Filed, SI 00601.035
Closeout Notices, SI 00601.040