| |
| |
| Introduction | |
| |
| |
| Social Security | |
| |
| |
| Medicare | |
| |
| |
| The Financial Condition of Social Security | |
| |
| |
| The Financial Condition of Medicare | |
| |
| |
| The Outlook for the Future | |
| |
| |
| Reform Proposals | |
| |
| |
| How Big Is the Social Security Financing Problem | |
| |
| |
| |
| Overview of the Social Security System | |
| |
| |
| Function and Operation of the Social Security System | |
| |
| |
| Social Security Benefits | |
| |
| |
| |
| Coverage Under the Social Security Act | |
| |
| |
| Overview of Coverage | |
| |
| |
| Defining Employer and Employee | |
| |
| |
| Self-Employment Coverage | |
| |
| |
| Officers, Directors, Partners, and Stockholders | |
| |
| |
| Direct Sellers, Traveling Salespeople, and Commission Drivers | |
| |
| |
| Manufacturers' Representatives | |
| |
| |
| Life Insurance Agents | |
| |
| |
| Crews on Fishing Boats | |
| |
| |
| Railroad Employees | |
| |
| |
| Foreign Students and Other Nonimmigrant Aliens | |
| |
| |
| Members of the U.S. Uniformed Armed Forces | |
| |
| |
| Federal Government Employees | |
| |
| |
| Family Employment | |
| |
| |
| State and Local Government Employees | |
| |
| |
| Domestic Workers | |
| |
| |
| |
| Social Security Taxes and Earnings | |
| |
| |
| Tax and Income Apportionment | |
| |
| |
| Employers and Employees | |
| |
| |
| Wages | |
| |
| |
| Domestic Workers | |
| |
| |
| Tips | |
| |
| |
| Self-Employment Income | |
| |
| |
| |
| Benefits Programs | |
| |
| |
| Retirement Benefits | |
| |
| |
| Disability Benefits | |
| |
| |
| Benefits for Dependents | |
| |
| |
| Survivor's Benefits | |
| |
| |
| The American Recovery and Reinvestment Act of 2009 | |
| |
| |
| |
| Application for Benefits and Proof of Entitlement | |
| |
| |
| Application for Benefits | |
| |
| |
| Calculating Benefit Payment Amounts | |
| |
| |
| Evidence for Benefits | |
| |
| |
| |
| Entitlement for Disability | |
| |
| |
| Determining Disability | |
| |
| |
| Evidentiary Requirements | |
| |
| |
| Resumed Employment and Benefit Termination | |
| |
| |
| Ticket to Work Act | |
| |
| |
| |
| Payment of Benefits | |
| |
| |
| Calculation of Benefits | |
| |
| |
| Maximum Family Benefit | |
| |
| |
| Procedures for Payment of Benefits | |
| |
| |
| Persons Who Can Receive Payments | |
| |
| |
| Benefits Under Foreign Social Security Systems | |
| |
| |
| Procedures for Payment of Benefits | |
| |
| |
| The American Recovery and Reinvestment Act of 2009 | |
| |
| |
| |
| Administrative Review Process | |
| |
| |
| Hearing Before an Administrative Law Judge | |
| |
| |
| Representatives' Fees | |
| |
| |
| Review by the Appeals Council | |
| |
| |
| Review by Federal District Court | |
| |
| |
| |
| Loss of Benefits | |
| |
| |
| Retirement Test | |
| |
| |
| Excess Earnings | |
| |
| |
| Recipients of Dependent's or Survivor's Benefits | |
| |
| |
| Earnings of Insurance Agents | |
| |
| |
| |
| Introduction to Medicare | |
| |
| |
| How Medicare Works | |
| |
| |
| The Four Parts of Medicare | |
| |
| |
| Coverage and Claims | |
| |
| |
| Obtaining Information | |
| |
| |
| |
| Eligibility for Medicare | |
| |
| |
| |
| |
| |
| |
| |
| |
| |
| Medicare Secondary Payer Rules | |
| |
| |
| Other Insurance | |
| |
| |
| Group Health Plans | |
| |
| |
| |
| Medicare Claims and Appeals | |
| |
| |
| General Rules | |
| |
| |
| Rules Relating to Part A Claims | |
| |
| |
| Rules Relating to Part B Claims | |
| |
| |
| Rules Relating to Medicare HMOs | |
| |
| |
| Rules Relating to Medicare Advantage Organizations | |
| |
| |
| Health Privacy | |
| |
| |
| Additional Requirements Under ERISA | |
| |
| |
| Rules Under the 2003 Medicare Legislation | |
| |
| |
| Revised Rules Under the 2005 and 2009 CMS Regulations | |
| |
| |
| General Rules Under the 2005 and 2009 CMS Regulations | |
| |
| |
| Initial Determinations | |
| |
| |
| ALJ Hearings | |
| |
| |
| Medicare Appeals Council Review | |
| |
| |
| The Recovery Audit Contractor (RAC) P | |