[Title 20 CFR T]
[Code of Federal Regulations (annual edition) - April 1, 1996 Edition]
[Title 20 - EMPLOYEES' BENEFITS]
[Chapter III - SOCIAL SECURITY ADMINISTRATION]
[Part 404 - FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- )]
[Subpart T - Totalization Agreements]
[From the U.S. Government Publishing Office]




  20
  EMPLOYEES' BENEFITS
  2
  1996-04-01
  1996-04-01
  false
  Totalization Agreements
  T
  Subpart T
  
    EMPLOYEES' BENEFITS
    SOCIAL SECURITY ADMINISTRATION
    FEDERAL OLD-AGE, SURVIVORS AND DISABILITY INSURANCE (1950- )
  


Subpart T--Totalization Agreements


Sec. 404.1901  Introduction.

    (a) Under section 233 of the Social Security Act, the President may 
enter into an agreement establishing a totalization arrangement between 
the social security system of the United States and the social security 
system of a foreign country. An agreement permits entitlement to and the 
amount of old-age, survivors, disability, or derivative benefits to be 
based on a combination of a person's periods of coverage under the 
social security system of the United States and the social security 
system of the foreign country. An agreement also provides for the 
precluding of dual coverage and dual social security taxation for work 
covered under both systems. An agreement may provide that the provisions 
of the social security system of each country will apply equally to the 
nationals of both countries (regardless of where they reside). For this 
purpose, refugees, stateless persons, and other nonnationals who derive 
benefit rights from nationals, refugees, or stateless persons may be 
treated as nationals if they reside within one of the countries.
    (b) The regulations in this subpart provide definitions and 
principles for the negotiation and administration of totalization 
agreements. Where necessary to accomplish the purposes of totalization, 
we will apply these definitions and principles, as appropriate and 
within the limits of the law, to accommodate the widely diverse 
characteristics of foreign social security systems.



Sec. 404.1902  Definitions.

    For purposes of this subpart--
    Act means the Social Security Act (42 U.S.C. 301 et seq.).
    Agency means the agency responsible for the specific administration 
of a social security system including responsibility for implementing an 
agreement; the Social Security Administration (SSA) is the agency in the 
U.S.
    Agreement means the agreement negotiated to provide coordination 
between the social security systems of the countries party to the 
agreement.

[[Page 493]]

The term agreement includes any administrative agreements concluded for 
purposes of administering the agreement.
    Competent authority means the official with overall responsibility 
for administration of a country's social security system including 
applicable laws and international social security agreements; the 
Secretary of HEW is the competent authority in the U.S.
    Period of coverage means a period of payment of contributions or a 
period of earnings based on wages for employment or on self-employment 
income, or any similar period recognized as equivalent under the social 
security system of the U.S. or under the social security system of the 
foreign country which is a party to an agreement.
    Residence or ordinarily resides, when used in agreements, has the 
following meaning for the U.S. Residence or ordinarily resides in a 
country means that a person has established a home in that country 
intending to remain there permanently or for an indefinite period of 
time. Generally, a person will be considered to have established a home 
in a country if that person assumes certain economic burdens, such as 
the purchase of a dwelling or establishment of a business, and 
participates in the social and cultural activities of the community. If 
residence in a country is established, it may continue even though the 
person is temporarily absent from that country. Generally, an absence of 
six months or less will be considered temporary. If an absence is for 
more than six months, residence in the country will generally be 
considered to continue only if there is sufficient evidence to establish 
that the person intends to maintain the residence. Sufficient evidence 
would include the maintenance of a home or apartment in that country, 
the departure from the country with a reentry permit, or similar acts. 
The existence of business or family associations sufficient to warrant 
the person's return would also be considered.
    Social security system means a social insurance or pension system 
which is of general application and which provides for paying periodic 
benefits, or the actuarial equivalent, because of old-age, death, or 
disability.



Sec. 404.1903  Negotiating totalization agreements.

    An agreement shall be negotiated with the national government of the 
foreign country for the entire country. However, agreements may only be 
negotiated with foreign countries that have a social security system of 
general application in effect. The system shall be considered to be in 
effect if it is collecting social security taxes or paying social 
security benefits.



Sec. 404.1904  Effective date of a totalization agreement.

    Section 233 of the Social Security Act provides that a totalization 
agreement shall become effective on any date provided in the agreement 
if--
    (a) The date occurs after the expiration of a period during which at 
least one House of Congress has been in session on each of 60 days 
following the date on which the agreement is transmitted to Congress by 
the President; and
    (b) Neither House of Congress adopts a resolution of disapproval of 
the agreement within the 60-day period described in paragraph (a) of 
this section.

[49 FR 29775, July 24, 1984]



Sec. 404.1905  Termination of agreements.

    Each agreement shall contain provisions for its possible 
termination. If an agreement is terminated, entitlement to benefits and 
coverage acquired by an individual before termination shall be retained. 
The agreement shall provide for notification of termination to the other 
party and the effective date of termination.

                           Benefit Provisions



Sec. 404.1908  Crediting foreign periods of coverage.

    (a) General. To have foreign periods of coverage combined with U.S. 
periods of coverage for purposes of determining entitlement to and the 
amount of benefits payable under title II, an individual must have at 
least 6 quarters of coverage, as defined in section 213 of the Social 
Security Act, under the U.S. system. As a rule, SSA will accept foreign 
coverage information, as certified by the foreign country's agency, 
unless otherwise specified by the agreement.

[[Page 494]]

No credit will be given, however, for periods of coverage acquired 
before January 1, 1937.
    (b) For quarters of coverage purposes. (1) Generally, a quarter of 
coverage (QC) will be credited for every 3 months (or equivalent 
period), or remaining fraction of 3 months, of coverage in a reporting 
period certified to SSA by the other country's agency. A reporting 
period used by a foreign country may be one calendar year or some other 
period of time. QCs based on foreign periods of coverage may be credited 
as QCs only to calender quarters not already QCs under title II. The QCs 
will be assigned chronologically beginning with the first calendar 
quarter (not already a QC under title II) within the reporting period 
and continuing until all the QCs are assigned, or the reporting period 
ends. Example: Country XYZ, which has an annual reporting period, 
certifies to SSA that a worker has 8 months of coverage in 1975, from 
January 1 to August 25. The worker has no QCs under title II in that 
year. Since 8 months divided by 3 months equals 2 QCs with a remainder 
of 2 months, the U.S. will credit the worker with 3 QCs. The QCs will be 
credited to the first 3 calendar quarters in 1975.
    (2) If an individual fails to meet the requirements for currently 
insured status or the insured status needed for establishing a period of 
disability solely because of the assignment of QCs based on foreign 
coverage to calendar quarters chronologically, the QCs based on foreign 
coverage may be assigned to different calendar quarters within the 
beginning and ending dates of the reporting period certified by the 
foreign country, but only as permitted under paragraph (b)(1) of this 
section.



Sec. 404.1910  Person qualifies under more than one totalization agreement.

    (a) An agreement may not provide for combining periods of coverage 
under more than two social security systems.
    (b) If a person qualifies under more than one agreement, the person 
will receive benefits from the U.S. only under the agreement affording 
the most favorable treatment.
    (c) In the absence of evidence to the contrary, the agreement that 
affords the most favorable treatment for purposes of paragraph (b) of 
this section will be determined as follows:
    (1) If benefit amounts are the same under all such agreements, 
benefits will be paid only under the agreement which affords the 
earliest month of entitlement.
    (2) If benefit amounts and the month of entitlement are the same 
under all such agreements, benefits will be paid only under the 
agreement under which all information necessary to pay such benefits is 
first available.
    (3) If benefit amounts under all such agreements are not the same, 
benefits will be paid only under the agreement under which the highest 
benefit is payable. However, benefits may be paid under an agreement 
under which a lower benefit is payable for months prior to the month of 
first entitlement to such higher benefit.

[44 FR 42964, July 23, 1979, as amended at 49 FR 29775, July 24, 1984]



Sec. 404.1911  Effects of a totalization agreement on entitlement to hospital insurance benefits.

    A person may not become entitled to hospital insurance benefits 
under section 226 or section 226A of the Act by combining the person's 
periods of coverage under the social security system of the United 
States with the person's periods of coverage under the social security 
system of the foreign country. Entitlement to hospital insurance 
benefits is not precluded if the person otherwise meets the 
requirements.

                           Coverage Provisions



Sec. 404.1913  Precluding dual coverage.

    (a) General. Employment or self-employment or services recognized as 
equivalent under the Act or the social security system of the foreign 
country shall, on or after the effective date of the agreement, result 
in a period of coverage under the U.S. system or under the foreign 
system, but not under both. Methods shall be set forth in the agreement 
for determining under which system the employment, self-employment, or 
other service shall result in a period of coverage.
    (b) Principles for precluding dual coverage. (1) An agreement 
precludes dual

[[Page 495]]

coverage by assigning responsibility for coverage to the U.S. or a 
foreign country. An agreement may modify the coverage provisions of 
title II of the Act to accomplish this purpose. Where an agreement 
assigns coverage to the foreign country, it may exempt from coverage 
services otherwise covered by the Act. Where an agreement assigns 
coverage to the U.S., it may extend coverage to services not otherwise 
covered by the Act but only for taxable years beginning on or after 
April 20, 1983.
    (2) If the work would otherwise be covered by both countries, an 
agreement will exempt it from coverage by one of the countries.
    (3) Generally, an agreement will provide that a worker will be 
covered by the country in which he or she is employed and will be exempt 
from coverage by the other country.

    Example: A U.S. national employed in XYZ country by an employer 
located in the United States will be covered by XYZ country and exempt 
from U.S. coverage.

    (4) An agreement may provide exceptions to the principle stated in 
paragraph (b)(3) of this section so that a worker will be covered by the 
country to which he or she has the greater attachment.

    Example: A U.S. national sent by his employer located in the United 
States to work temporarily for that employer in XYZ country will be 
covered by the United States and will be exempt from coverage by XYZ 
country.

    (5) Generally, if a national of either country resides in one 
country and has self employment income that is covered by both 
countries, an agreement will provide that the person will be covered by 
the country in which he or she resides and will be exempt from coverage 
by the other country.
    (6) Agreements may provide for variations from the general 
principles for precluding dual coverage to avoid inequitable or 
anomalous coverage situations for certain workers. However, in all cases 
coverage must be provided by one of the countries.
[44 FR 42964, July 23, 1979, as amended at 50 FR 36575, Sept. 9, 1985]



Sec. 404.1914  Certificate of coverage.

    Under some agreements, proof of coverage under one social security 
system may be required before the individual may be exempt from coverage 
under the other system. Requests for certificates of coverage under the 
U.S. system may be submitted by the employer, employee, or self-employed 
individual to SSA.



Sec. 404.1915  Payment of contributions.

    On or after the effective date of the agreement, to the extent that 
employment or self-employment (or service recognized as equivalent) 
under the U.S. social security system or foreign system is covered under 
the agreement, the agreement shall provide that the work or equivalent 
service be subject to payment of contributions or taxes under only one 
system (see sections 1401(c), 3101(c), and 3111(c) of the Internal 
Revenue Code of 1954). The system under which contributions or taxes are 
to be paid is the system under which there is coverage pursuant to the 
agreement.

                         Computation Provisions



Sec. 404.1918  How benefits are computed.

    (a) General. Unless otherwise provided in an agreement, benefits 
will be computed in accordance with this section. Benefits payable under 
an agreement are based on a pro rata primary insurance amount (PIA), 
which we determine as follows:
    (1) We establish a theoretical earnings record for a worker which 
attributes to all computation base years (see Secs. 404.211(b) and 
404.241(c)) the same relative earnings position (REP) as he or she has 
in the years of his or her actual U.S. covered work. As explained in 
paragraph (b)(3) of this section, the REP is derived by determining the 
ratio of the worker's actual U.S. covered earnings in each year to the 
average of the total U.S. covered wages of all workers for that year, 
and then averaging the ratios for all such years. This average is the 
REP and is expressed as a percentage.
    (2) We compute a theoretical PIA as prescribed in Sec. 404.1918(c) 
based on the theoretical earnings record and the provisions of subpart C 
of this part.
    (3) We multiply the theoretical PIA by a fraction equal to the 
number of quarters of coverage (QC's) which the

[[Page 496]]

worker completed under the U.S. Social Security system over the number 
of calendar quarters in the worker's coverage lifetime (see paragraph 
(d)(2) of this section). See Sec. 404.140 for the definition of QC.
    (4) If the pro rata PIA is higher than the PIA which would be 
computed if the worker were insured under the U.S. system without 
totalization, the pro rata PIA will be reduced to the later PIA.
    (b) Establishing a theoretical earnings record. (1) To establish a 
worker's theoretical earnings record, we divide his or her U.S. earnings 
in each year credited with at least one U.S. QC by the average of the 
total wages of all workers for that year and express the quotient as a 
percentage. For the years 1937 through 1950, the average of the total 
wages is as follows:

------------------------------------------------------------------------
                                                              Average of
                                                              the total 
                            Year                               wages of 
                                                             all workers
------------------------------------------------------------------------
1937.......................................................    $1,137.96
1938.......................................................     1,053.24
1939.......................................................     1,142.36
1940.......................................................     1,195.00
1941.......................................................     1,276.04
1942.......................................................     1,454.28
1943.......................................................     1,713.52
1944.......................................................     1,936.32
1945.......................................................     2,021.40
1946.......................................................     1,891.76
1947.......................................................     2,175.32
1948.......................................................     2,361.64
1949.......................................................     2,483.20
1950.......................................................     2,543.96
------------------------------------------------------------------------

    (2) For years after 1950, the average of the total wages is as 
prescribed in Sec. 404.211(c). If a worker has earnings in the year 
preceding the year of eligibility or death, or in a later year, we may 
not have been able to establish the average of the total wages of all 
workers for that year. Therefore, we will divide a worker's actual 
earnings in these years by the average of the total wages for the latest 
year for which that information is available. Average wage information 
is considered available on January 1 of the year following the year in 
which it is published in the Federal Register.
    (3) The percentages for all years of actual covered earnings are 
then averaged to give the worker's REP for the entire period of work in 
the U.S. In determining the percentages for all years of covered 
earnings and the REP, we make adjustments as necessary to take account 
of the fact that the covered earnings for some years may have involved 
less than four U.S. QC's. The actual earnings that are taken into 
account in determining the percentage for any year with 1, 2, or 3 QC's 
cannot exceed \1/4\, \1/2\, or \3/4\, respectively, of the maximum 
creditable earnings for that year. When we determine the REP from the 
percentages for all years, we add the percentages for all years, divide 
this sum by the total number of QC's credited to the worker, and 
multiply this quotient by 4 (see Example 1 of paragraph (d) of this 
section). This has the effect of calculating the REP on a quarterly 
basis.
    (4) For each of the worker's computation base years (see 
Secs. 404.211(b), 404.221(b) and 404.241(c)), we multiply the average of 
the total wages of all workers for that year by the worker's REP. The 
product is the amount of earnings attributed to the worker for that 
year, subject to the annual wage limitation (see Sec. 404.1047). The 
worker's theoretical earnings record consists of his or her attributed 
earnings based on his or her REP for all computation base years. 
However, we do not attribute earnings to computation base years before 
the year of attainment of age 22 or to computation base years beginning 
with the year of attainment of retirement age (or the year in which a 
period of disability begins), unless the worker is actually credited 
with U.S. earnings in those years. In death cases, earnings for the year 
of death will be attributed only through the quarter of death, on a 
proportional basis.
    (c) Determining the theoretical PIA. We determine the worker's 
theoretical PIA based on his or her theoretical earnings record by 
applying the same computation method that would have applied under 
subpart C if the worker had these theoretical earnings and had qualified 
for benefits without application of an agreement. However, when the 
criteria in Sec. 404.210(a) for the Average Indexed Monthly Earnings 
(AIME) computation method are met, only that method is used. If these 
criteria are not met but the criteria in Sec. 404.220(a) for the Average 
Monthly Wage method are met, then only that

[[Page 497]]

method is used. If neither of these criteria are met, then the old-start 
method described in Sec. 404.241 is used. If a theoretical PIA is to be 
determined based on a worker's AIME, theoretical earnings amounts for 
each year, determined under paragraph (b) of this section, are indexed 
in determining the AIME under Sec. 404.211.
    (d) Determining the pro rata PIA. We then determine a pro rata PIA 
from the theoretical PIA. The pro rata PIA is the product of--
    (1) The theoretical PIA; and
    (2) The ratio of the worker's actual number of U.S. QC's to the 
number of calendar quarters in the worker's coverage lifetime. A 
coverage lifetime means the worker's benefit computation years as 
determined under Sec. 404.211(e), Sec. 404.221(c), or Sec. 404.241(d).

    Example 1: C attains age 62 in 1982 and needs 31 QC's to be insured. 
C worked under the U.S. system from July 1, 1974 to December 31, 1980 
and therefore has only 6\1/2\ years during which he worked under the 
U.S. system (26 QC's). C, however, has worked under the Social Security 
system of a foreign country that is party to a totalization agreement, 
and his total U.S. and foreign work, combined as described in 
Sec. 404.1908, equals more than 31 QC's. Thus, the combined coverage 
gives C insured status. The benefit is computed as follows:
    Step 1: Establish C's theoretical earnings record:
    The following table shows: (1) C's actual U.S. covered earnings for 
each year, (2) the average of the total wages of all workers for that 
year and (3) the ratio of (1) to (2):

----------------------------------------------------------------------------------------------------------------
                                                                              C's actual                        
                                                                                 U.S.      National   Percentage
                                Year                                   QC's     covered     average    ratio of 
                                                                               earnings      wage     (1) to (2)
----------------------------------------------------------------------------------------------------------------
                                                                                     (1)         (2)         (3)
----------------------------------------------------------------------------------------------------------------
                                                                                                                
1974...............................................................        2   $2,045.08   $8,030.76    25.46558
1975...............................................................        4    7,542.00    8,630.92    87.38350
1976...............................................................        4    9,016.00    9,226.48    97.71874
1977...............................................................        4    9,952.00    9,779.44   101.76452
1978...............................................................        4   10,924.00   10,556.03   103.48587
1979...............................................................        4   12,851.00   11,479.46   111.94777
1980...............................................................        4   11,924.00   12,513.46    95.28939
----------------------------------------------------------------------------------------------------------------

    C's REP is the average of the ratios in column 3, adjusted to take 
account of the fact that C had only 2 QC's in 1974. Thus, the REP equals 
the sum of the figures in column 3 (623.05537), divided by the total 
number of C's QC's (26) and multiplied by 4, or 95.85467 percent.
    Since C attained age 62 in 1982, his computation base years are 1951 
through 1981. To establish his theoretical earnings record we use 
95.85467 percent of the national average wage for each of the years 1951 
through 1981. Since national average wage data is not available for 
1981, for that year we attribute 95.85467 percent of the national 
average wage for 1980 or $11,994.74. His theoretical earnings record 
would look like this:

1951.......................................................    $2,683.13
1952.......................................................     2,850.07
1953.......................................................     3,009.30
1954.......................................................     3,024.83
1955.......................................................     3,164.58
1956.......................................................     3,385.93
1957.......................................................     3,490.76
1958.......................................................     3,521.51
1959.......................................................     3,695.96
1960.......................................................     3,841.01
1961.......................................................     3,917.35
1962.......................................................     4,113.51
1963.......................................................     4,214.38
1964.......................................................     4,386.62
1965.......................................................     4,465.60
1966.......................................................     4,733.65
1967.......................................................     4,997.33
1968.......................................................     5,340.79
1969.......................................................     5,649.44
1970.......................................................     5,929.80
1971.......................................................     6,227.75
1972.......................................................     6,838.08
1973.......................................................     7,265.94
1974.......................................................     7,697.86
1975.......................................................     8,273.14
1976.......................................................     8,844.01
1977.......................................................     9,374.05
1978.......................................................    10,118.45
1979.......................................................    11,003.60
1980.......................................................    11,994.74
1981.......................................................    11,994.74
                                                                        

    Step 2: Compute the theoretical PIA: Since C attains age 62 in 1982, 
we determine his theoretical PIA using an AIME computation. In applying 
the AIME computation, we index each year's earnings on the theoretical 
earnings record in accordance with Sec. 404.211(d). In this example, the 
theoretical PIA is $453.
    Step 3: Compute the pro rata PIA:


                                                        Theoretical PIA                                         
                                                      x  Actual U.S. QC's                                       
                                        ----------------------------------------------                          
                                                     calendar quarters in                                       
                                                   benefit computation years                                    
                                                                                                                
                                                                                                                
                                                $453  x  26 QC's (6\1/2\ years)                                 
                                        ----------------------------------------------                          
                                                    104 quarters (26 years)                                     
                                                                                                                
                                                                                                                
                                              =$113.20 pro rata PIA                                             
                                                                                                                

    Example 2: M needs 27 QC's to be insured, but she has only 3 years 
of work (12 QC's) under the U.S. system. M has enough foreign work, 
however, to be insured. She attained age 62 in 1978, and her U.S. 
covered earnings were in 1947, 1948 and 1949. Based on M's date of 
birth, her theoretical PIA can be computed, in accordance with 
Sec. 404.220, under a new start method. If M's earnings in 1947, 1948, 
and 1949 were 50 percent, 60 percent and

[[Page 498]]

70 percent, respectively, of the average wage for each year, her REP 
would be 60 percent. For each year in the computation period, 60 percent 
of the average wage for that year will be attributed as M's assumed 
earnings. The theoretical PIA will then be computed as described in 
Secs. 404.220 through 404.222.
    To determine M's pro rata PIA, the theoretical PIA will be 
multiplied by the ratio of the actual number of U.S. QC's to the number 
of calendar quarters in the benefit computation years. There are 22 
benefit computation years, or 88 quarters. The pro rata PIA would, 
therefore, be \12/88\ x theoretical PIA.

    (e) Rounding of benefits. (1) If the effective date of the pro rata 
PIA is before June 1982, we will round to the next higher multiple of 10 
cents if it is not already a multiple of 10 cents.
    (2) If the effective date of the pro rata PIA is June 1982 or later, 
we will round to the next lower multiple of 10 cents if it is not 
already a multiple of 10 cents.
    (f) Auxiliary and survivors benefits; reductions; family maximum. We 
will determine auxiliary and survivors benefit amounts (see subpart D) 
on the basis of the pro rata PIA. We will apply the regular reductions 
for age under section 202(q) of the Act to the benefits of the worker or 
to any auxiliaries or survivors which are based on the pro rata PIA (see 
Sec. 404.410). Benefits will be payable subject to the family maximum 
(see Sec. 404.403) derived from the pro rata PIA. If the pro rata PIA is 
less than the minimum PIA, the family maximum will be 1\1/2\ times the 
pro rata PIA.

[49 FR 29775, July 24, 1984]



Sec. 404.1919  How benefits are recomputed.

    Unless otherwise provided in an agreement, we will recompute 
benefits in accordance with this section. We will recompute the pro rata 
PIA only if the inclusion of the additional earnings results in an 
increase in the benefits payable by the U.S. to all persons receiving 
benefits on the basis of the worker's earnings. Subject to this 
limitation, the pro rata PIA will be automatically recomputed (see 
Sec. 404.285) to include additional earnings under the U.S. system. In 
so doing, a new REP will be established for the worker, taking the 
additional earnings into account, and assumed earnings in the 
computation base years used in the original computation will be 
refigured using the new REP. Assumed earnings will also be determined 
for the year of additional earnings using the new REP. The additional 
U.S. earnings will also be used in refiguring the ratio described in 
Sec. 404.1918(d)(2).

[49 FR 29777, July 24, 1984]



Sec. 404.1920  Supplementing the U.S. benefit if the total amount of the combined benefits is less than the U.S. minimum benefit.

    If a resident of the U.S. receives benefits under an agreement from 
both the U.S. and from the foreign country, the total amount of the two 
benefits may be less than the amount for which the resident would 
qualify under the U.S. system based on the minimum PIA as in effect for 
persons first becoming eligible for benefits before January 1982. An 
agreement may provide that in the case of an individual who first 
becomes eligible for benefits before January 1982, the U.S. will 
supplement the total amount to raise it to the amount for which the 
resident would have qualified under the U.S. system based on the minimum 
PIA. (The minimum benefit will be based on the first figure in column IV 
in the table in section 215(a) of the Act for a person becoming eligible 
for the benefit before January 1, 1979, or the PIA determined under 
section 215(a)(1)(C)(i)(I) of the Act (as in effect in December 1981) 
for a person becoming eligible for the benefit after December 31, 1978.)

[49 FR 29777, July 24, 1984]



Sec. 404.1921  Benefits of less than $1 due.

    If the monthly benefit amount due an individual (or several 
individuals, e.g., children, where several benefits are combined in one 
check) as a result of a claim filed under an agreement is less than $1, 
the benefits may be accumulated until they equal or exceed $5.

                            Other Provisions



Sec. 404.1925  Applications.

    (a)(1) An application, or written statement requesting benefits, 
filed with the competent authority or agency of a country with which the 
U.S. has

[[Page 499]]

concluded an agreement shall be considered an application for benefits 
under title II of the Act as of the date it is filed with the competent 
authority or agency if--(i) An applicant expresses or implies an intent 
to claim benefits from the U.S. under an agreement; and
    (ii) The applicant files an application that meets the requirements 
in subpart G of this part.
    (2) The application described in paragraph (a)(1)(ii) of this 
section must be filed, even if it is not specifically provided for in 
the agreement.
    (b) Benefits under an agreement may not be paid on the basis of an 
application filed before the effective date of the agreement.



Sec. 404.1926  Evidence.

    (a) An applicant for benefits under an agreement shall submit the 
evidence needed to establish entitlement, as provided in subpart H of 
this part. Special evidence requirements for disability benefits are in 
subpart P of this part.
    (b) Evidence submitted to the competent authority or agency of a 
country with which the U.S. has concluded an agreement shall be 
considered as evidence submitted to SSA. SSA shall use the rules in 
Secs. 404.708 and 404.709 to determine if the evidence submitted is 
sufficient, or if additional evidence is needed to prove initial or 
continuing entitlement to benefits.
    (c) If an application is filed for disability benefits, SSA shall 
consider medical evidence submitted to a competent authority or agency, 
as described in paragraph (b) of this section, and use the rules of 
subpart P of this part for making a disability determination.



Sec. 404.1927  Appeals.

    (a) A request for reconsideration, hearing, or Appeals Council 
review of a determination that is filed with the competent authority or 
agency of a country with which the U.S. has concluded an agreement, 
shall be considered to have been timely filed with SSA if it is filed 
within the 60-day time period provided in Secs. 404.911, 404.918, and 
404.946.
    (b) A request for reconsideration, hearing, or Appeals Council 
review of a determination made by SSA resulting from a claim filed under 
an agreement shall be subject to the provisions in subpart J of this 
part. The rules governing administrative finality in subpart J of this 
part shall also apply.



Sec. 404.1928  Effect of the alien non-payment provision.

    An agreement may provide that a person entitled to benefits under 
title II of the Social Security Act may receive those benefits while 
residing in the foreign country party to the agreement, regardless of 
the alien non-payment provision (see Sec. 404.460).



Sec. 404.1929  Overpayments.

    An agreement may not authorize the adjustment of title II benefits 
to recover an overpayment made under the social security system of a 
foreign country (see Sec. 404.501). Where an overpayment is made under 
the U.S. system, the provisions in subpart F of this part will apply.



Sec. 404.1930  Disclosure of information.

    The use of information furnished under an agreement generally shall 
be governed by the national statutes on confidentiality and disclosure 
of information of the country that has been furnished the information. 
(The U.S. will be governed by pertinent provisions of the Social 
Security Act, the Freedom of Information Act, the Privacy Act, the Tax 
Reform Act, and other related statutes.) In negotiating an agreement, 
consideration, should be given to the compatibility of the other 
country's laws on confidentiality and disclosure to those of the U.S. To 
the extent possible, information exchanged between the U.S. and the 
foreign country should be used exclusively for purposes of implementing 
the agreement and the laws to which the agreement pertains.