Social Security and Medicare Flashcards
Paying Into the System
- social security benefits are paid from the 6.2% tax on each employees wages (matched by employers) and the 12.4% tax on self employment earnings.
- These FICA taxes are imposed on a maximum of $127,000 in wages for 2017.
- 1.45% is paid by both employees and employers on wages for medicare
- employees pay an additional .9% medicare surtax on wages and self-employment income over $200,000
Who is not covered by OASDI
- Federal employees hired before 1984
- Railroad Employees
- family employment
- ministers, members of religious orders, and christian science practitioners, only if claiming an exemption
- student nurses
- newspaper delivery persons under the age of 18
- students working for a college or club
Family Employment Rules
There is no coverage for the following family employees:
- a child under the age of 18 hired by a parent
- a child 18 to 21 years of age employed by a parent to perform work that is not in the parent’s trade or business
- A person employed by a spouse to perform work that is not in the spouse’s trade or business
- A parent employed by a child to perform work not in the child’s trade or business
Eligibility
- to earn one credit, a worker must earn $1,300 in 2017 in covered wages or self-employment income
- a worker can earn a maximum of 4 credits per year.
- earnings not subject to FICA taxes do not count
- workers are eligible once they earn 40 credits.
Averaged Indexed Monthly Earnings (AIME)
- the highest 35 years of earnings where FICA taxes were applied are taken and indexed for inflation and then added together.
- the sum of that is divided by 420 (the number of months in 35 years)
Primary Insurance Amount (PIA)
- the AIME is multiplied by a reduced percentage to determine the benefit amount.
- If AIME is less than $885, then AIME x 90% = monthly benefit
- If AIME is greater than $885 but less than $5,336, then $796.50 plus 35% of the amount over $885 = monthly benefit
- If AIME is greater than $5,336, then $2,221 plus 15% of the amount over $5,336 = monthly benefit
Early Retirement
-benefits are reduced by 5/9 of a percent for every month that a worker begins receiving benefits before full retirement age for the first 36 months prior to retirement.
Disability Benefits
- if a client is able to earn $1,170 per month on average in 2017, he or she is considered to be engaging in substantial gainful activity and will not be eligible.
- If disability begins before age 24, six credits earned during the three prior years before becoming disabled are needed.
- If disability begins between ages 24 and 30, credits for half the time between age 21 and the onset of disability are needed
- as you get older, the more credits are needed to qualify.
Survivor’s Benefits
- the surviving spouse must be at least 60 years of age or 50 if disabled.
- the surviving spouse will receive 100% of the deceased worker’s PIA if the survivorship benefits begin at the spouse’s full retirement age
- a surviving child is entitled to 75% of the deceased workers PIA. Must be under 18. A child who is over 18 and disabled before age 22 will be eligible after age 18.
- A spouse who is caring for a child under age 16 is entitled to benefits that are 75% of the PIA.
Death Benefit
-a death benefit of $225 is payable at the death of the covered worker.
Divorced Spouse
-beginning at age 62 they are entitled to 50% of PIA when the marriage lasted at least 10 years and the divorced spouse has not remarried.
The Blackout Period
-a surviving spouse will receive benefits until the youngest child reaches age 16, benefits will then cease until the spouse turns age 60 (50 if disabled)
Working After Retirement - the Earnings Test
- if full retirement age has been reached then no amount of income will reduce benefits
- if under full retirement age benefits will be reduced by $1 for every $2 by which earned income exceeds $16,920. Reduced $1 for every $3 over $44,880
Windfall Elimination and Government Pension Offset (WEP)
-applies to those who earned a pension in a job where no security taxes were paid, but also worked in other jobs long enough to qualify for Social Security/Disability benefits.
Medicare Program
- Part A - coverage is for hospitalization
- Part B - doctors services and many other services
- Part C - medicare advantage plan offered by private companies as an HMO or PPO option. It is an alternative to parts A/B
- Part D - provides prescription drug coverage