Outline of a Benefits Analysis (Illustrative)

Outline of a Benefits Analysis (illustrative)[1]

Name:______

SSN:______

Date:______

Current benefits: concurrent beneficiary

SSDI$602.00 per month (current); Date of entitlement: 6/99

SSI$168.00 per month (current); Date of entitlement: 1/00

Two children get SSDI of $129 each per month

Health insuranceMedicare, Parts A & B, and Medi-Cal; Sons both have Medi-Cal

Housing assistanceCurrent total rent: $2,100.00

(HUD, Section 8)HUD portion: $1,815.00; Client portion: $285.00

Total value of benefits$2,843.00 per month plus health insurance

Other income:$521 per month, child support

Resources:Currently has about $950 in checking account

IDA account – saving $20.00 per month for sons’ future education.

Matching funds from TANF. Was told by SSA it was OK.

Employment status:Currently not working

Worked part-time, vitamin sales (12/01 – 2/02)

Research: According to SSA, there is no record of Trial Work Months being

used. However, their records show noticeable earnings in 2002.

No overpayments on current record. Client reports one past

overpayment, which was waived.

Went through CDR in March 2002

Benefit issues to consider in vocational planning:

1). Learn about relevant “work support rules” for SSDI:

•Discuss Trial Work Months and how to best use them

•Extended Period of Eligibility (EPE)

•Begin to use SSDI tracking form

•Work at SGA

•3-month grace period

•Impairment Related Work Expenses (IRWE). Would like to

see a doctor, which current insurance will not cover.

•Extension of Medicare Part A for 4.5 years beyond

current 4 years after beneficiary goes to work

•Expedited Reinstatement

2). Learn about relevant “work support rules” for SSI:

•SSI waiver rules continue through 9/30/03 (NOTE:

extended subsequent to analysis)

•$3 of $4, above $65, excluded (usually $2 of $4)

•Independence Accounts

•“Breakeven” point

•Medi-Cal 1619B

3). Learn about how wages will impact Housing Assistance

Benefit management issues:

1). Reporting wages

2). SSA notices

[1]From Draft of Individual Self-Sufficiency Planning (ISSP) Project: Five-Year Evaluation Report