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42 U.S.C. § 428Benefits at age 72 for certain uninsured individuals

submitted 91 years ago by Pub. L. 89-368 to r/title-42-THE-PUBLIC-HEALTH-AND-WELFARE · 1,521 words · no verdicts yet

in plain englishAI-generated · not legal advice

This section gives certain uninsured people age 72 and older a modest monthly benefit if they meet residency and citizenship rules. The benefit is reduced by any government pension the person or spouse gets, and it is not paid during months of state cash assistance, SSI, or foreign residence. Congress reimburses the trust fund each year for these payments.

(a) Eligibility A person qualifies for a benefit under this section only if all of these are true: (1) the person has turned 72; (2) either the person turned 72 before 1968, or the person turned 72 after 1967 and before 1972 and has at least 3 quarters of coverage for every calendar year after 1966 and before the year they turned 72; (3) the person is a resident of the United States and is either a U.S. citizen or a lawfully admitted permanent resident who has lived continuously in the United States for the 5 years right before filing; and (4) the person has filed an application. If all four are met, the person gets a benefit for each month starting with the first month after September 1966 in which they qualify, through the month before they die. An application filed more than 3 months before the person actually meets requirements (1), (2), and (3) does not count. (b) Amount of benefits The monthly benefit is the larger of two numbers: $64.40, or the amount most recently set in its place under section 415(i). (c) Reduction for government pension system benefits (1) The benefit is reduced, but never below zero, by the amount of any periodic government pension benefit the person is eligible for that month. (2) If only one spouse in a couple gets a benefit under this section, that benefit is further reduced (never below zero) by however much the other spouse's government pension benefits exceed what the entitled spouse's own benefit would otherwise be. (3) If both spouses get benefits under this section, each spouse's benefit is further reduced (never below zero) by however much the other spouse's government pension benefits exceed that other spouse's own benefit amount. (4) In deciding whether someone is eligible for a government pension for these reductions, the law assumes: the person has applied for it; the person's spouse has applied for it if that's required; and both have already retired if retirement is required for eligibility. (5) If a government pension is paid on some schedule other than monthly, the Commissioner of Social Security spreads its value across the right calendar months. (6) If, after all this, the monthly amount would come to less than $1, it is cut to zero. For a couple where both get benefits, this $1 rule applies to their combined total, not each person separately. (7) If a computed benefit is not an even multiple of $0.10, it is rounded up to the next $0.10. (8) The Commissioner may let payments under $5 build up until they reach $5 before paying them out. (d) Suspension for months in which cash payments are made under public assistance or in which supplemental security income benefits are payable No benefit is paid for a month in which the person — or the person's spouse, if the person's needs were counted in the spouse's aid — receives state cash assistance under specific federal-state aid programs. The only exception is if the state notifies the Commissioner that this aid is ending with that month's payment and the person will not be getting SSI the following month. Separately, no benefit is paid for any month in which the person is eligible for SSI, unless the Commissioner decides SSI will not actually be payable to that person the following month. (e) Suspension where individual is residing outside United States No benefit is paid for any month in which the person does not live in the United States. For this subsection, "United States" means the 50 states and the District of Columbia. (f) Treatment as monthly insurance benefits For certain other purposes — subsections (t) and (u) of section 402, and section 1395s (which deals with Medicare enrollment) — a monthly benefit paid under this section counts as if it were a regular monthly insurance benefit under section 402. (g) Annual reimbursement of Federal Old-Age and Survivors Insurance Trust Fund Congress authorizes yearly appropriations to reimburse the Federal Old-Age and Survivors Insurance Trust Fund. This covers: (1) payments made under this section, in the second-earlier fiscal year and all fiscal years before that, to people who had less than 3 quarters of coverage as of the start of the calendar year containing the paid month; (2) the extra administrative cost of making those payments; and (3) any interest the Trust Fund lost because of those payments and costs. The goal is to put the Trust Fund back in the same financial position it would have been in if these payments had never been made. (h) Definitions (1) "Quarter of coverage" includes a quarter of coverage as defined for railroad retirement purposes in section 228e(l) of title 45. (2) "Governmental pension system" means Social Security itself, or any other pension system set up by the United States, a state, a subdivision of a state, or an entity wholly owned by any of them, that pays pensions, retirement or retired pay, or annuities for personal services — but this does not include workers' compensation payments or VA compensation for a service-connected disability or death. (3) "Periodic benefit" includes a lump-sum payment if that lump sum is standing in for what would otherwise be periodic payments. (4) Whether someone counts as a husband or wife for any month is decided under subsection (h) of section 416, without using subsections (b) and (f) of section 416.
the actual law source: uscode.house.gov ↗public domain
(a) Eligibility

Every individual who—

(1)

has attained the age of 72,

(2)
(A)

attained such age before 1968, or (B)(i) attained such age after 1967 and before 1972, and (ii) has not less than 3 quarters of coverage, whenever acquired, for each calendar year elapsing after 1966 and before the year in which he or she attained such age,

(3)

is a resident of the United States (as defined in subsection (e)), and is (A) a citizen of the United States or (B) an alien lawfully admitted for permanent residence who has resided in the United States (as defined in section 410(i) of this title) continuously during the 5 years immediately preceding the month in which he or she files application under this section, and

(4)

has filed application for benefits under this section,

shall (subject to the limitations in this section) be entitled to a benefit under this section for each month beginning with the first month after September 1966 in which he or she becomes so entitled to such benefits and ending with the month preceding the month in which he or she dies. No application under this section which is filed by an individual more than 3 months before the first month in which he or she meets the requirements of paragraphs (1), (2), and (3) shall be accepted as an application for purposes of this section.

(b) Amount of benefits

The benefit amount to which an individual is entitled under this section for any month shall be the larger of $64.40 or the amount most recently established in lieu thereof under section 415(i) of this title.

(c) Reduction for government pension system benefits
(1)

The benefit amount of any individual under this section for any month shall be reduced (but not below zero) by the amount of any periodic benefit under a governmental pension system for which he or she is eligible for such month.

(2)

In the case of a husband and wife only one of whom is entitled to benefits under this section for any month, the benefit amount, after any reduction under paragraph (1), shall be further reduced (but not below zero) by the excess (if any) of (A) the total amount of any periodic benefits under governmental pension systems for which the spouse who is not entitled to benefits under this section is eligible for such month, over (B) the benefit amount as determined without regard to this subsection.

(3)

In the case of a husband or wife both of whom are entitled to benefits under this section for any month, the benefit amount of each spouse, after any reduction under paragraph (1), shall be further reduced (but not below zero) by the excess (if any) of (A) the total amount of any periodic benefits under governmental pension systems for which the other spouse is eligible for such month, over (B) the benefit amount of such other spouse as determined without regard to this subsection.

(4)

For purposes of this subsection, in determining whether an individual is eligible for periodic benefits under a governmental pension system—

(A)

such individual shall be deemed to have filed application for such benefits,

(B)

to the extent that entitlement depends on an application by such individual’s spouse, such spouse shall be deemed to have filed application, and

(C)

to the extent that entitlement depends on such individual or his or her spouse having retired, such individual and his or her spouse shall be deemed to have retired before the month for which the determination of eligibility is being made.

(5)

For purposes of this subsection, if any periodic benefit is payable on any basis other than a calendar month, the Commissioner of Social Security shall allocate the amount of such benefit to the appropriate calendar months.

(6)

If, under the foregoing provisions of this section, the amount payable for any month would be less than $1, such amount shall be reduced to zero. In the case of a husband and wife both of whom are entitled to benefits under this section for the month, the preceding sentence shall be applied with respect to the aggregate amount so payable for such month.

(7)

If any benefit amount computed under the foregoing provisions of this section is not a multiple of $0.10, it shall be raised to the next higher multiple of $0.10.

(8)

Under regulations prescribed by the Commissioner of Social Security, benefit payments under this section to an individual (or aggregate benefit payments under this section in the case of a husband and wife) of less than $5 may be accumulated until they equal or exceed $5.

(d) Suspension for months in which cash payments are made under public assistance or in which supplemental security income benefits are payable

The benefit to which any individual is entitled under this section for any month shall not be paid for such month if—

(1)

such individual receives aid or assistance in the form of money payments in such month under a State plan approved under subchapter I, X, XIV, or XVI, or under a State program funded under part A of subchapter IV, or

(2)

such individual’s husband or wife receives such aid or assistance in such month, and under the State plan the needs of such individual were taken into account in determining eligibility for (or amount of) such aid or assistance,

unless the State agency administering or supervising the administration of such plan notifies the Commissioner of Social Security, at such time and in such manner as may be prescribed in accordance with regulations of the Commissioner of Social Security, that such payments to such individual (or such individual’s husband or wife) under such plan are being terminated with the payment or payments made in such month and such individual is not an individual with respect to whom supplemental security income benefits are payable pursuant to subchapter XVI or section 211 of Public Law 93–66 for the following month, nor shall such benefit be paid for such month if such individual is an individual with respect to whom supplemental security income benefits are payable pursuant to subchapter XVI or section 211 of Public Law 93–66 for such month, unless the Commissioner of Social Security determines that such benefits are not payable with respect to such individual for the month following such month.

(e) Suspension where individual is residing outside United States

The benefit to which any individual is entitled under this section for any month shall not be paid if, during such month, such individual is not a resident of the United States. For purposes of this subsection, the term “United States” means the 50 States and the District of Columbia.

(f) Treatment as monthly insurance benefits

For purposes of subsections (t) and (u) of section 402 of this title, and of section 1395s of this title, a monthly benefit under this section shall be treated as a monthly insurance benefit payable under section 402 of this title.

(g) Annual reimbursement of Federal Old-Age and Survivors Insurance Trust Fund

There are authorized to be appropriated to the Federal Old-Age and Survivors Insurance Trust Fund for the fiscal year ending June 30, 1969, and for each fiscal year thereafter, such sums as the Commissioner of Social Security deems necessary on account of—

(1)

payments made under this section during the second preceding fiscal year and all fiscal years prior thereto to individuals who, as of the beginning of the calendar year in which falls the month for which payment was made, had less than 3 quarters of coverage,

(2)

the additional administrative expenses resulting from the payments described in paragraph (1), and

(3)

any loss in interest to such Trust Fund resulting from such payments and expenses,

in order to place such Trust Fund in the same position at the end of such fiscal year as it would have been in if such payments had not been made.

(h) Definitions

For purposes of this section—

(1)

The term “quarter of coverage” includes a quarter of coverage as defined in section 228e(l) of title 45.

(2)

The term “governmental pension system” means the insurance system established by this subchapter or any other system or fund established by the United States, a State, any political subdivision of a State, or any wholly owned instrumentality of any one or more of the foregoing which provides for payment of (A) pensions, (B) retirement or retired pay, or (C) annuities or similar amounts payable on account of personal services performed by any individual (not including any payment under any workmen’s compensation law or any payment by the Secretary of Veterans Affairs as compensation for service-connected disability or death).

(3)

The term “periodic benefit” includes a benefit payable in a lump sum if it is a commutation of, or a substitute for, periodic payments.

(4)

The determination of whether an individual is a husband or wife for any month shall be made under subsection (h) of section 416 of this title without regard to subsections (b) and (f) of section 416 of this title.

Source credit: (Aug. 14, 1935, ch. 531, title II, § 228, as added Pub. L. 89–368, title III, § 302(a), Mar. 15, 1966, 80 Stat. 67; amended Pub. L. 90–248, title I, § 102(b), title II, § 241(a) Jan. 2, 1968, 81 Stat. 827, 916; Pub. L. 91–172, title X, § 1003(b), Dec. 30, 1969, 83 Stat. 740; Pub. L. 92–5, title II, § 202(b), Mar. 17, 1971, 85 Stat. 10; Pub. L. 92–336, title II, § 201(g)(2), July 1, 1972, 86 Stat. 411; Pub. L. 93–233, §§ 2(b)(1), 18(c), Dec. 31, 1973, 87 Stat. 952, 968; Pub. L. 98–21, title III, § 305(a)–(d), Apr. 20, 1983, 97 Stat. 113; Pub. L. 98–369, div. B, title VI, §§ 2662(e), 2663(j)(3)(A)(iv), July 18, 1984, 98 Stat. 1159, 1170; Pub. L. 101–508, title V, § 5114(a), Nov. 5, 1990, 104 Stat. 1388–273; Pub. L. 102–54, § 13(q)(3)(B)(i), June 13, 1991, 105 Stat. 279; Pub. L. 103–296, title I, § 107(a)(4), Aug. 15, 1994, 108 Stat. 1478; Pub. L. 104–193, title I, § 108(a)(2), Aug. 22, 1996, 110 Stat. 2165.)

history & why it existsrecord from the source credit
  • 1935Enacted · Pub. L. 89-368 · 80 Stat. 67
  • 1968Amended · Pub. L. 90-248 · 81 Stat. 827, 916
  • 1969Amended · Pub. L. 91-172 · 83 Stat. 740
  • 1971Amended · Pub. L. 92-5 · 85 Stat. 10
  • 1972Amended · Pub. L. 92-336 · 86 Stat. 411
  • 1973Amended · Pub. L. 93-233 · 87 Stat. 952, 968
  • 1983Amended · Pub. L. 98-21 · 97 Stat. 113
  • 1984Amended · Pub. L. 98-369 · 98 Stat. 1159, 1170
  • 1990Amended · Pub. L. 101-508 · 104 Stat. 1388
  • 1991Amended · Pub. L. 102-54 · 105 Stat. 279
  • 1994Amended · Pub. L. 103-296 · 108 Stat. 1478
  • 1996Amended · Pub. L. 104-193 · 110 Stat. 2165

A history note hasn’t been published yet. The record shows enactment by Pub. L. 89-368 on 1935-08-14.

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