Your Client Got a Social Security Clawback Notice. What Should They Do?

Q&A April 01, 2024 at 02:34 PM
Share & Print

What You Need To Know

  • The SSA recently announced changes in how they recover overpayments of benefits.
  • If your client gets a Social Security clawback notice, they may be able to get a waiver or set up a repayment plan at a lower withholding rate.
  • Social Security Commissioner Martin O'Malley says he's working to address the root causes of overpayments.
Social security card and money

When the Social Security Administration makes mistakes, it's the beneficiaries who must pay.

About a million people a year are billed by the agency for benefit overpayments, often thousands of dollars, "60 Minutes" reported in late 2023. Those who did not pay had their benefits withheld until the overpayment was recovered, often leading to financial harship.

In response to outcry over the clawbacks, Social Security Commissioner Martin O'Malley told Congress March 20 that SSA was ceasing the practice of withholding 100% of benefits, effective March 25.

Those who do not respond to repayment notices now have their benefits withheld at a rate of 10%, or $10, whichever is greater.

The SSA says 10% is a "much more reasonable default withholding rate," similar to the current rate in the Supplemental Security Income (SSI) program.

ThinkAdvisor caught up with Maria Freese, senior legislative representative at the National Committee to Preserve Social Security and Medicare, to discuss the recent change and how advisors can help clients who've been overpaid.

How will your client know if they are being overpaid by Social Security?

The Social Security Administration sends out a notice to anyone they believe has been overpaid.

Why do Social Security overpayments happen? Who is most at risk?

Overpayments can happen for a number of reasons. Sometimes a beneficiary might have trouble understanding the rules so they make mistakes that result in overpayments.

Frequently, they report income changes to SSA but it takes the agency a long time to process the changes, and in the meantime beneficiaries are being overpaid. This has been a real problem during the last couple of years because the agency is experiencing very low staffing levels due to underfunding by Congress. And anyone can be at risk.

Retirees can receive overpayments, but those most likely to be affected are those receiving disability (SSDI) payments and Supplemental Security Income (SSI) beneficiaries. SSI is not part of Social Security but it is administered by the SSA.

The automatic garnishment of checks only happens if the beneficiary fails to contact SSA after receiving an overpayment notice.

My client got an overpayment notice. What should they do?

Anyone who receives an overpayment notice should contact SSA as they have a number of options. If they believe the overpayment notice is wrong, they can appeal the overpayment — SSA calls it a reconsideration. One of the changes made by the new SSA Commissioner Martin O'Malley is that the burden to prove the notice is correct will now be on the agency, rather than the beneficiary. They can also request a waiver or apply for a repayment plan.

Can my client get a waiver? How?

If it turns out a beneficiary has been overpaid but they will have a hard time repaying the amount due, they can request a waiver. Typically to receive a waiver the overpayment cannot have been your fault and you must show inability to repay or hardship. Beneficiaries must file a request for waiver with SSA and Commissioner O'Malley has announced the agency is working to make it easier for waivers to be granted.

What about repayment plans?

If a beneficiary doesn't qualify for a waiver, they may be eligible for a repayment plan. SSA previously would automatically withhold a beneficiary's entire benefit check until the overpayment was repaid. Commissioner O'Malley has announced the agency will no longer withhold 100% of checks as of March 25.

The automatic percentage withheld will now be 10% (or $10, whichever is greater) of a beneficiary's check. New overpayments will have the 10% amount withheld automatically.  Those with existing overpayments will take a little longer for SSA to process and may need to contact SSA to request the change. If a beneficiary requests a repayment plan with less than 10% withheld, the agency will approve the request if it results in the overpayment being satisfied within 60 months.

To qualify, Social Security beneficiaries would only need to provide a verbal summary of their income, resources, and expenses, and recipients of the means-tested SSI program would not need to provide even this summary. This is also a change as previously SSA attempted to complete the repayment plan within 36 months. There are limited exceptions to the above, primarily if the overpayment resulted from fraud.

What else should clients know about O'Malley's recent changes?

In addition to the process changes mentioned above, Commissioner O'Malley is spearheading other changes that are designed to get at some of the root causes of overpayments, to keep them from happening in the first place.

For example, he is requesting more funding for the agency so it can hire staff and improve the agency's information systems. This should lead to changes in income being processed more quickly.  He has announced SSA is establishing information exchanges with payroll data providers so the agency can receive notification of income changes automatically, relieving beneficiaries of the burden of constantly updating the agency on their incomes. This not only eliminates the need for a beneficiary to file the report but also cuts out the need for someone at SSA to input the data into the agency's computers.

SSA is also making changes to the rules that apply to SSI beneficiaries such as eliminating food from in-kind support and maintenance calculations, and expanding the definitions of rental subsidies and public assistance households. These changes should not only make it easier for SSI beneficiaries but also reduce the number of overpayments made to them.

NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Related Stories

Resource Center