Social Security (L4) Flashcards

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1
Q

TAXES
= FICA (Federal Insurance Contributions Act)
= SECA (Self-Employed Contributions Act)

A
  • 6.2% on wages (up to the wage based of $147,000 in 2022)
  • 1.45% on all wages
  • EE ONLY: 0.9% Medicare surtax on wages and self-employment income over the thresholds below:
    ○ MFJ = $250,000
    ○ MFS = $125,000
    ○ Single = $200,000
    ○ Head of Household = $200,000
    ○Qualifying Widow(er) with dependent child =
    $200,000
  • Taxes DO NOT accumulate per individual, but in the general receipts of the US government
  • Often Referred to as OASDI (Old Age, Survivor, and Disability Insurance)
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2
Q

Those Covered by OASDI

A
  • Covered
    ○ Federal EEs hired since 1984
    ○ US Armed Forces
    ○ Self-Employed persons
    ○ EEs of nonprofit organizations
    ○ Hospital interns
    ○ Domestic workers
    ○ Farmer/agricultural workers
  • NOT Covered
    ○ Federal EEs hired PRIOR to 1984
    ○ Railroad EEs
    ○ Family employment**
    ○ Ministers
    ○ Member of religious orders
    ○ Student nurses
    ○ Newspaper delivery persons under age 18
    ○ Students working for college or club

**Family Employment Rules Disallow
○ a child under 18 hired by a parent (not
corporation)
○ A child 18-24 employed by work that is not in the
parents trade or business (cleaning the office)
○ A spouse employed for work that is not in the
spouses trade or business
○ A parent employed for work that is not in the child
trade or business

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3
Q

Categories of Social Security Benefits

A
  • Retirement benefits
    • Disability benefits
    • Death Benefits
    • Survivors benefits
    • Medicare
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4
Q

Retirement Benefits

A

Current or Full Retirement Age (FRA)

○ Born BEFORE 1938
§ 65

○ Born BETWEEN 1938-1942
§ Add two months per year

○ Born BETWEEN 1043-1954
§ 66

○ Born Between 1955-1959
§ Add 2 months per year

○ Born in 1960 or Later
§ 67

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5
Q

Reduced Benefit for Early Retirement at AGE 62

A
  • If FRA is 65, then age 62 is 80% of full retirement benefits
  • If FRA is 66, then age 62 is 75% of full retirement benefits
  • If FRA is 67, then age 62 is 70% of full retirement benefits
  • Benefits are REDUCED by 5/9 of 1% for each month, for the first 3 years that a worker retires early
  • Benefits are then REDUCED by 5/12 of 1% for each month beyond the first 3 years
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6
Q

Retirement Eligibility

A
  • To qualify for retirement benefits a worker must be “fully insured”
  • Fully Insured = worker must earn 40 quarters of coverage
  • A quarter of coverage is based on the dollar amount of earnings
  • One quarter of coverage (2022)
    ○ = $1,510 in wages subject to SS
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7
Q

Increase in Retirement Benefits

A

○ Depending on the birth year, retirees gain an additional increase in monthly benefits by delaying the receipt of SS each month after reaching their FRA until age 70.

○ The annual and monthly increases are listed below

	§ 1933-1934
		□ Yearly increase = 5.5%
		□ Monthly rate of increase = 11/24 of 1%
		
	§ 1935-1936
		□ Yearly increase = 6% 
		□ Monthly rate of increase = 1/2 of 1%
		
	§ 1937-1938
		□ Yearly increase = 6.5%
		□ Monthly rate of increase = 13/24 of 1%
		
	§ 1939-1940
		□ Yearly increase = 7% 
		□ Monthly rate of increase = 7/12 of 1% 
		
	§ 1941-19342
		□ Yearly increase = 7.5% 
		□ Monthly rate of increase = 5/8 of 1%
		
	§ 1943 or later
		□ Yearly increase = 8% 
		□ Monthly rate of increase = 2/3 of 1%
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8
Q

Important Social Security Beneficiaries

A
  • Disabled insured workers under age 65
  • Retired insured worker under age 62
  • A spouse of retired or disabled worker who is at least 62 OR is caring for a child under 16 or disabled child
  • A divorced spouse or a retired or disabled worker, if the ex-spouse is age 62 and was married to the worker for at least 10 years and did not remarry by age 60
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9
Q

Reduction of Benefits

A
  • Retire to EARLY and Benefits are PERMANENTLY REDUCED
    ○ Reduced by 5/9 of 1% each month for the first 3
    years that a worker retires early
    ○ REDUCED by 5/12 of 1% for each month beyond
    the first 3 years that the worker retires early
  • Benefits can be TEMPORARILY REDUCED if you can earn too much (2022)
    ○ Early Retirement
    * Benefit is reduced $1 for every $2 above the
    earnings threshold for persons BELOW FRA
    * Threshold = $19,560 (annual limit, monthly
    test)○ FRA
    * In the year in which you reach the age of
    retirement benefit is reduced $1 for every $3
    above the earnings threshold
    * Threshold = $51,960 (annual limit, monthly
    test)○ Taxation of SS Benefit
    * Up to 85% of benefit may be taxed
    * Threshold are based upon combined Income
    * Combined Income:
    □ AGI
    □ Nontaxable interest
    □ Foreign earned income
    □ 1/2 of retirement benefit
      * HURDLES:
          □ MFJ
              ® 1st Hurdle = $32,000
              ® 2nd Hurdle = $44,000
          □ Single
              ® 1st Hurdle = $25,000
              ®2nd Hurdler = $34,000
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10
Q

Disability Benefit

A
  • Social Security Definition○ There is severe physical or mental impairment for 5 months that is expected to prevent the worker from performing substantial work for at least one year or result in death○ Benefit would begin in the 6th month following the 5-month waiting period○ How much of a benefit is paid depends on credits earned and the age of the worker when disabled
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11
Q

Disability Eligibility

A
  • A worker is covered for disability if:○ Age 31 or greater; the worker is fully insured (40 quarters) and earned 20 quarters in the last 40 quarters○ Between age 24-40; a worker has earned 1/2 of Quarters available since age 21 to disability.○ If ages 21-24; a worker has earned 6 quarters in the last 12 quarters
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12
Q

Survivorship Eligibility

A
  • A worker must be either fully insured (40 quarters) OR “currently insured”
    ○ Currently Insured = at least 6 quarters of coverage
    in the last 13 quarters
  • A child under age 18, under 19 if in high school (aka secondary school), or disabled prior to age 22
    ○ Entitled to survivorship benefits whether a worker
    is currently insured or full insured
  • A spouse with a child under age 16 is entitled to survivorship benefits for the care of the child, whether the worker is currently or fully insured
  • NO COVERAGE for spouse of a currently insured worker
  • There is spousal coverage, if worker was fully insured.
    ○ Survivor benefits would start when the surviving
    spouse has reached age 60
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13
Q

Medicare Benefits

A
  • Federal health insurance for people 65 and older
  • Spouses can qualify at 65 based on the other spouse’s work record
  • Three Parts:
    ○ Medicare A
    ○ Medicare B
    ○ Medicare D
  • Eligible persons are automatically enrolled if at least receiving retirement benefits, OR any age if receiving social security disability for at least 2 years.
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14
Q

Medicare Part A (2022)

A
  • Hospital Insurance (Cover Places):
    ○ Places include hospital care and home health care
    ○ Semi-Private room, meals, operating and recovery
    room, lab tests, x-rays
    ○ Hospice care
    ○ Skilled nursing care facility FOLLOWING a covered
    hospital stay
  • Benefit Periods
    ○ Determine the amount paid by the insured
    ○ Benefit Period BEGINS on the 1st day the insured
    is in the hospital and ends after 60 days of no
    further skilled care
    ○ The deductible is $1,556 per benefit period
    § The first 60 days is just the deductible
    ○ Beyond the 60th day, the following coinsurance
    amounts will apply:
    § $389 for fays 61-90, per day
    § $778 for days 91-150 for each lifetime reserve
    day. There are only a total of 60 lifetime reserve
    days
    § $194.50 per day for skilled nursing care days
    21-100. The first 20 days following a hospital
    stay are covered 100%
    § Custodial care services are NOT provided,
    including nursing care facilities that provide
    assistance with ADLs
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15
Q

Medicare Part B (2022)

A
  • Provides coverage for:
    ○ Doctor visits
    ○ Ambulance
    ○ Lab tests
    ○ Outpatient therapy
    ○ Clinical research
    ○ Durable medical equipment (wheelchairs, hospital
    beds, walker, oxygen)
    ○ Mental health (inpatient, outpatient, partial
    hospitalization)
    ○ Getting a second opinion before surgery
    ○ Home health care
    ○ An initial preventative visit and annual wellness
    visit
  • DOES NOT COVER
    ○ Dental care, denture
    ○ Cosmetic surgery
    ○ Hearing aids
    ○ Eye exams
  • The insured is automatically enrolled in Part B, UNLESS an individual opts out
  • The standard premium is $170.10 per month and premiums are deducted from Social Security (higher premiums for individuals with income over $91,000 (single) OR $182,000(MFJ)).
  • The deductible is $233 per year
  • After Satisfying the deductible then Part B covers 80%. THERE IS NOT STOP LOSS LIMIT
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16
Q

Medicare Part C - Medicare Advantage

A
  • Must own and pay for Part A and Part B
  • Coverage similar to an HMO, PPO, or POS plan
  • Coverage is regional. Emergency care will be provided outside coverage area
  • Coverage includes vision, dental, hearing
17
Q

Medicare Part D

A
  • Provides prescription drug coverage benefits
  • Wide variation across plans. Most require a premium and have deductibles and co-pays
18
Q

Medicare Supplemental Insurance

A

Sold by private insurance companies and is designed to offset costs associated with Medicare deductibles and coinsurance

19
Q

Applying for Medicare

A
  • If an insured receiving SS at 65 then he is automatically enrolled in Medicare
  • If an insured is NOT receiving SS at 65 then he must enroll
20
Q

Medicare in Foreign Countries

A
  • In most situations Medicare DOES NOT provide health care coverage for services received outside of the US
  • 3 exceptions to the rule:
    ○ You’re in the US when you have a medical
    emergency and the foreign hospital is closer than
    the nearest US hospital○ You’re traveling through Canada without
    unreasonable delay by the most direct route
    between Alaska and another state when a medical
    emergency occurs and the Canadian hospital is
    closer than the nearest US hospital○ You live in the US and the foreign hospital is closer
    to your home than the nearest US hospital,
    regardless of whether it is an emergency or NOT.