Quick Reference Guide IX - 2011

Quick Reference to Social Security Benefits
Adapted from Matrix Advocacy ProjectPhiladelphia, PA Region 9
TITLE XVI:
Supplemental Security Income (SSI)
TITLE II:
Social Security Disability Insurance (SSDI) or Childhood Disability Beneficiaries (CDB) (SSDAC) or Disabled Widow(er) (DWB)
Eligibility: to be eligible for TITLE II based on a mental or
physical disability including blindness, that is expected to last 12 months or result in death and individual must: have worked and paid Social Security taxes (FICA), have the required # of quarters to be insured, or the disabled widow(er) (DWB), or the adult disabled child (DAC) of a qualified worker; Not be performing SGA; Be a citizen of the United States, or a legal alien, and, File an application. There are some restrictions as to what countries checks can be mailed.
Eligibility: to be eligible for TITLE XVI based on a mental or

physical disability that is expected to last at least 12 months (excluding blindness) or result in death, an individual must: Not be performing SGA; Can get credit for subsidy or IRWE at initial application; (no SGA test after eligibility is established); Have limited income/resources (under $2000 ind./$3000.00 couple); Be a citizen of the United States or a legal alien, and be a resident of the Country; File an application and file for any other benefits for which they may be eligible.
CDB/SSDAC Eligibility: Disability began before age 22;Must

be 18 years old and unmarried; The qualified worker (QW) (parents, sometimes grandparents) must meet one of the following criteria: Deceased; Receiving Title II Retirement or Disability benefits;
Cash Payment: The maximum amount for which one can be

eligible is the sum of the Federal Benefit Rate (FBR) plus any State supplement. This amount may be lower if the individual receives other Income or support.
Disabled Widow(er)s Eligibility: Disability occurred within 7

years of QWs death; at least age 50; not remarried prior to age 60
Checks Begin (Recipient): Payments begin with the 1st full

month of eligibility after the applications is filed.
Cash Benefit (Entitlement): The payment amount is based on

the individuals lifetime average earnings covered by Social Security. Workers compensation payments and/or public disability payments may reduce the payment amount.
Medical Coverage: Medicaid Usually no waiting period.

(209bStates have different requirements.)
Work Incentive Available while on TITLE XVI:

Individuals on TITLE XVI can go to work and retain some, if not all of their payments through the use of the Work Incentive provisions of the Social Security Act. These include: Earned Income Exclusion; *Impairment-Related Work Expenses (IRWE); Plan for Achieving Self-Support (PASS); Student Earned Income Exclusion; *Blind Work Expense (BWE); Property Essential to Self-Support; 1619(a) and Extended Medicaid [1619(b); Section 301 Vocational Rehabilitation Client; Expedited Reinstatement of Benefits; State Medicaid Buy-In if available *Subsidy (only at initial application).
Checks Begin: An individual must wait five (5) full months after
the onset of the disability before receiving TITLE II benefits (exception, DAC). There may be up to 12 months of retroactivity, if applicable.
Medical Coverage: Medicare, after two years of benefits. Work Incentives Available While on TITLE II:
TITLE II beneficiaries can return to work and retain their benefits through the proper use of the Work Incentive provisions of the Social Security Act. These include: Higher SGA level for Beneficiaries who are Blind; A Trial Work Period; Extended Period of Eligibility; *Impairment Related Work Expenses (IRWE); *Subsidy; Medicare for People with Disabilities who Work; Section 301 Vocational Rehabilitation Client Expedited Reinstatement of Benefits, Extended Medicare; State Medicaid Buy-In if available Although PASS is legislatively a Title XVI WI, TITLE II beneficiaries can use their cash benefit to pay for PASS expenditures only if the employment goal will likely result in earning above SGA or to replace current benefits, which ever is higher.
Checks Stop: An individual who has been receiving TITLE XVI

will no longer receive checks when: that person is determined to be no longer disabled; Countable Income exceeds the BreakEven Point (relates to cash payment) (FBR x 2+GIE + EIE=BEP or when the countable unearned income plus the countable earned income exceeds the current FBR); or Resources exceed the individual limit of $2000/$3000.00 couple. The charted threshold amounts for 1619b eligibility: 2010 Threshold: (Note Individual Thresholds can be determined by SSA) AZ $30,870.00 Northern Marian Islands $17,196.00 HI $36,977.00 NV $30,135.00 CA $35,023.00 Blind Threshold: CA $35,716.00 NV $32,759.00 Income is counted when it is received. SSI supplements and secures income from either earned or unearned sources, up to the FBR.
Checks Stop: An individual who has been receiving TITLE II will

no longer receive checks: When a person is determined no longer disabled; The first month after the end of the Extended Period of Eligibility when earnings are SGA and the Grace Period has been used. Income is counted when it is earned. Considered Unearned Income. * indicates work incentives that can be used at initial application
Disability Policy & Studies - University of Missouri 2011
Substantial Gainful Activity (SGA) and Trial Work Period Service Month (TWP) Amounts SGA Beginning Date and End Date January 1, 2010 - December 31, 2011 January 1, 2009 December 31, 2009 January 1, 2008 December 31, 2008 January 1, 2007 December 31, 2007 January 1, 2006 - December 31, 2006 January 1, 2005 - December 31, 2005 January 1, 2004 - December 31, 2004 January 1, 2003 - December 31, 2003 January 1, 2002 - December 31, 2002 January 1, 2001 - December 31, 2001 July 1, 1999 - December 31, 2000 January 1, 1990 - June 30, 1999 December 31, 1989 and earlier TWP Beginning Date and End Date January 1, 2010-December 31, 2011 January 1, 2009 December 31, 2009 January 1, 2008- December 31, 2008 January 1, 2007 - December 31, 2007 January 1, 2006 - December 31, 2006 January 1, 2005 - December 31, 2005 January 1, 2004 -December 31, 2004 January 1, 2003 - December 31, 2003 January 1, 2002 - December 31, 2002 January 1, 2001 - December 31, 2001 January 1, 1990 - December 31, 2000 December 31, 1989 and earlier Amount $1,000.00/$1,640.00 for individuals who are blind $980.00/$1,640.00 for individuals who are blind $940.00/$1,570.00 for individuals who are blind $900.00/$1,500.00 for individuals who are blind $860.00/$1,450.00 for individuals who are blind $830.00/$1,380.00 for individuals who are blind $810.00/$1,350.00 for individuals who are blind $800.00/ $1,330.00 for individuals who are blind $780.00 $740.00 $700.00 $500.00 $300.00 Amount $720.00/80 hours a month self employment $700.00/80 hours a month self employment $670.00/80 hours a month self employment $640.00/80 hours a month self employment $620.00/80 hours a month self employment $590.00/80 hours a month self employment $580.00/80 hours a month self employment $570.00/80 hours a month self employment $560.00/80 hours a month self employment $530.00/80 hours a month self employment $200.00/40 hours a month self employment $75.00/40 hours a month self employment
Social Security Cost-Of-Living Adjustment and Other Automatic Increases for 2011 SSI Federal Payment Standard: 2011 rates o Individual $674.00* o Couple $1,011.00* o Individual VTR $224.66 o Couple VTR $337.00 o Individual PMV $244.66 o Couple PMV $357.00 SSI Resources Limits: 2010 rates o Individual $2,000.00 o Couple $3,000.00 SSI Student Exclusion: 2010 rates o Monthly limit $1,640.00* o Annual Limit $6,600.00*
Cost-of-Living Adjustment (COLA):
*There is no COLA, and there was a decrease in the National Average Wage Index, by Statute these amounts remain unchanged.

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Quick Reference to Social Security Benefits

Adapted from Matrix Advocacy ProjectPhiladelphia, PA Region 9

Eligibility: to be eligible for TITLE XVI based on a mental or

CDB/SSDAC Eligibility: Disability began before age 22;Must

Cash Payment: The maximum amount for which one can be

Disabled Widow(er)s Eligibility: Disability occurred within 7

Checks Begin (Recipient): Payments begin with the 1st full

Cash Benefit (Entitlement): The payment amount is based on

Medical Coverage: Medicaid Usually no waiting period.

Work Incentive Available while on TITLE XVI:

Checks Stop: An individual who has been receiving TITLE XVI

Checks Stop: An individual who has been receiving TITLE II will

Cost-of-Living Adjustment (COLA):

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