TN 23 (02-16)

A. AETH01 Factsheet and Worksheets Captions and UTI's

AETH01 – HEADER

How Work Affects Your Social Security

AETC07 – CAPTION

 The Yearly Earnings Limit  

AETC08 – CAPTION

A Special Rule That Applies To Earnings In One Year

AETC09 – CAPTION

If Your Expected Earnings Change

AET045 – EXPLANATION ON HOW EARNINGS CAN AFFECT A BENEFICIARY WHEN HE OR SHE IS UNDER FULL RETIREMENT AGE.

When you get Social Security retirement benefits before you reach full retirement age, there is a limit to the amount you can earn and still receive benefits. And, if other family members get benefits on your Social Security record, your earnings may affect the total family benefits.

Once you are full retirement age or older, there is no limit on the amount you can earn while you and your family receive benefits.

AET046 – EXPLANATION OF BENEFIT WITHHOLDING

Each year, there is a limit to the amount you can earn for the year and still qualify for full benefits. If you earn over the allowed amount for the year, we usually withhold $1 in benefits for every $2 you earn above the limit.

When we know that you expect to earn over the limit, we withhold benefits. At the end of the year, when we know how much you actually earned, we pay any additional benefits that you are due. Or if we paid you too much in benefits, we ask you to pay us back. However, in the year you turn full retirement age, we only withhold $1 for every $3 you earn above the limit:

AET047 – EXPLANATION OF THE SPECIAL ONE-YEAR RULE EARNINGS TEST

Sometimes, people who retire in mid-year have already earned more than the yearly earnings limit before they retire. That's why there's a special rule that applies to earnings for one year, usually the first year of retirement. Under this rule, you can receive a full Social Security payment for any whole month you are "retired," regardless of your yearly earnings. This year, a person under full retirement age is considered retired if he:

• Works for wages and earns (1) or less in a month; or

• Works less than 45 hours a month in self-employment.

BRR013 – UTI INFORMS THE BENEFICIARY TO REPORT ANY CHANGES IN EARNINGS

To help us pay you correctly, please report any change in your earnings to us. If you see that your earnings will be different from your last report or your earlier estimate, please call or visit any Social Security office to let us know.

B. AETH02 Factsheet and Worksheet Captions and UTI's

AETH02 – HEADER ON THE FACT SHEET

How to Estimate Earnings

AETC10 – CAPTION

If You Work For Wages

AETC11 – CAPTION

If You Are Self-Employed

AETC12 – CAPTION

If You Work For Wages and Are Self-Employed

If You Work For Wages and Are Self-Employed

AET048 – WORKSHEET ON HOW TO ESTIMATE EARNINGS

If (1) (2) self-employed in (3), you need to estimate (4) net earnings from self-employment for the year. Then, prorate that amount by the number of months before (5).

To prorate, divide (6) estimated net earnings for the year by 12 (the number of months in a year). This will give (7) average estimated net earnings per month. Multiply this number times the number of months before (8).

For example, if you estimate (9) net earnings for the year at $48,000 and (10) (11) (12) in (13), here is how you would prorate (14) net earnings:

$48,000 12 = $4,000 X (15) = (16)

AET049 – FACTSHEET UTI ON HOW TO ESTIMATE EARNINGS

If (1) (2) for wages and (3) self-employed in (4), add (5) wages for the months before (6) to (7) estimated prorated net earnings from self-employment for that same period. Or if you estimate a net loss from self-employment for any of the months before (8), subtract that amount from (9) wages.

AET050 – FACTSHEET UTI ON HOW TO ESTIMATE EARNINGS

If (1) (2) for wages, you can check (3) pay stub to find out how much (4) earned in (5) before attaining full retirement age in (6).

Look at the pay stub for the last pay period before (7).

(8) earnings include:

(9) total gross wages, plus any tips (10) received, plus any contributions (11) made to a tax-deferred savings plan not counted in (12) gross wages.

C. BENH01 Factsheet and Worksheet Captions and UTI's

BENH01 – HEADER ON THE FACTSHEET

Your Monthly Benefits

PMT018 – FACTSHEET UTI USED AFTER THE HEADER BENHO1

Below we show the monthly changes to (1) benefit amount (2) (3).

The dollar amounts in the column “Monthly Amounts Credited” are the amounts we thought (4) due each month based on information we had at the time. Based on the information we now have, we have corrected the amounts that (5) due during this time. We used these "Corrected Monthly Amounts" to decide whether we paid (6) too much or too little.

PMT019 – FACTSHEET UTI THAT IS USED AS THE HEADING FOR THE “YOUR MONTHLY BENEFITS” CHART

Months Monthly Amounts Corrected Monthly

Credited/Paid Amounts

PMT020 – FACTSHEET UTI THAT SHOWS THE SINGLE MONTHLY BENEFIT CREDITED (MBC) CHANGES FOR THE “YOUR MONTHLY BENEFITS” CHART

(1) (2) (3)

PMT022 – CLOSING PARAGRAPH OF FACTSHEET UTI BENH01

The amounts credited or paid to (1) may not match the payments (2) actually received. This is because there may have been reasons in (3) case why we could not pay (4) this amount. For example, we may have withheld Medicare premiums or money because of another debt.

PMT025 – FACTSHEET UTI THAT SHOWS THE MONTHLY BENEFIT CREDITED (MBC) CHANGES WHEN THE CHANGE IS FOR MORE THAN ONE MONTH ON THE “YOUR MONTHLY BENEFITS” CHART

(1)

(2) (3) (4)

D. ERNH01 Factsheets and Worksheets Captions and UTI's

ERNH01 – THIS UTI IS THE HEADING ON THE FACT SHEET. NOTE: THIS FACT/WORKSHEET INCLUDING ALL THE UTI'S WITHIN CAN APPEAR ONLY ON A WORKING BENEFICIARY NOTICE

How We Figured (1) (2) For (3)

ERNC06 – CAPTION

Result Of (1) (2) Earnings

ERN016 – FACTSHEET UTI THAT GIVES THE BENEFICARY HIS OR HER ESTIMATED EARNINGS FOR AN OPEN YEAR

You told us that you expect to earn (1) (2).

ERN019 – FACTSHEET UTI THAT GIVES THE BENEFICIARY ACTUAL EARNINGS FOR A PRIOR YEAR

You earned (1) (2)

AET051 – FACTSHEET UTI THAT GIVES THE ANNUAL LIMIT AMOUNT

Less the (1) earnings limit of (2) (3)

AET037 – FACTSHEET UTI THAT GIVES THE BENEFICIARY'S EARNINGS OVER THE ANNUAL EARNINGS LIMIT FOR A YEAR

The amount you (1) above the allowed amount is (2) (3).

AET052 – FACTSHEET UTI THAT GIVES THE BENEFICIARY'S BENEFIT OFFSET DUE AMOUNT DUE TO EARNINGS OVER THE ANNUAL EARNINGS LIMIT FOR A YEAR

We deduct $1 in benefits for every (1) you earn over the allowed amount. The amount we should (2) from your benefits based on your (3) earnings (rounded down to a whole dollar) (4).

WDS010 – FACTSHEET UTI EXPLAINS TO THE BENEFICIARY THAT BENEFITS NEED TO BE WITHHELD FOR THE ENTIRE YEAR DUE TO THEIR ANNUAL EARNINGS

The amount we should withhold based on (1) expected earnings is more than (2) total benefits of (3).

WDS014 – FACTSHEET UTI THAT IS USED WITH UTI WDS010 EXPLAINS TO THE BENEFICIARY THAT BENEFITS NEED TO BE WITHHELD FOR THE ENTIRE YEAR DUE TO HIS OR HER ANNUAL EARNINGS

(So we need to withhold all your benefits this year (1).)

WDS012 – FACTSHEET UTI THAT IS USED FOR ESTIMATED EARNINGS YEARS AND EXPLAINS TO THE WORKING BENEFICIARY THAT WHEN THE EXACT AMOUNT OF EARNINGS IS PROCESSED ANY UNDERPAYMENT WILL BE PAID AND ANY OVERPAYMENT WILL BE CHARGED

At the end of the year, when we know how much (1) actually earned, we will pay (2) any benefits due. Or if we paid too much, we will ask (3) to pay us back.