# SSR 78-14: SSR 78-14: Rescinded 1984

> Federal · Rulings · Rescinded

URL: https://www.frixlaw.com/law-library/statutes/SSA_SSR_OASI_SSR_78_14

## Section

- **Citation:** SSR 78-14
- **Heading:** SSR 78-14: Rescinded 1984
- **Jurisdiction:** Federal
- **Kind:** Rulings
- **Status:** Rescinded
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Social Security Rulings / OASI / Attorney Fees / SSR 78-14

## Text

SSR 78-14

PURPOSE:

To set out a new policy with respect to title II, title XVIII, and black
lung part B reconsideration processes and to provide information related
to the period of time within which a claimant and, where appropriate,
providers and suppliers of services (under title XVIII) can request
reconsideration of a title II, title XVIII, or black lung part B benefit
initial determination.

CITATIONS:

Program Simplification Proposal dated May 19, 1975. Public Law (P.L.
94-202, Sections 4 and 5. House and Senate Committee Reports regarding
H.R. 10727 (P.L. 94-202). Commissioner's testimony on September 19, 1975,
before the Subcommittee on Social Security of the Committee on Ways and
Means. Action memorandum dated November 21, 1975 (IDI-1), approved by the
Commissioner on December 1, 1975. Regulations No. 4, section 404.911;
Regulations No. 5, section 405.711; and Regulations No. 10, section
410.624.

PERTINENT HISTORY:

The prescribed period of time currently allowed for requesting a title
II, title XVIII, and black lung benefits reconsideration is 6 months from
the date of mailing of notice of an initial determination. The
administrative precedent of conforming the reconsideration time frame to
the hearing time frame was established as a title II administrative
procedure in 1940 when the reconsideration process was provided as an
option to a hearing without forfeiting the claimant's right to a hearing
if the claimant wished to pursue an unfavorable reconsideration
determination. The time frames for the reconsideration and hearing levels
were more closely linked in 1959 when the reconsideration step was made
mandatory by regulations before the title II hearing would be authorized.
Since the law provided at least 6 months for a hearing to be requested, it
was necessary to protect the rights of a claimant who was required to go
through the intervening reconsideration step before a hearing would be
held
and hearing levels
were more closely linked in 1959 when the reconsideration step was made
mandatory by regulations before the title II hearing would be authorized.
Since the law provided at least 6 months for a hearing to be requested, it
was necessary to protect the rights of a claimant who was required to go
through the intervening reconsideration step before a hearing would be
held. If a claimant had been limited to less than 6 months (e.g., 3
months) within which to request a reconsideration, and failing to file
timely had been precluded from going on to the hearing level (because of
the mandatory reconsideration step) the claimant would, in effect, have
been deprived of his/her right to a hearing under the law even though 6
months have not elapsed since notification of the determination.
Therefore, the time frame of 6 months as provided for title II hearings
became, in effect, an aggregate double 6- month prior for the combined
levels. This policy was also applied to title XVIII and the black lung
benefit program.

Historically, therefore, the reconsideration time frame duplicated the
statutory hearing time frame to protect the claimants' statutory rights to
a hearing. In addition, a common time frame for the reconsideration level
and hearing level alleviates any added confusion that would result on the
part of the public if the period of time allowed for each level were
different. The enactment of P.L. 94-22 (January 2, 1976) makes the time
period for requesting a hearing under the titles II, XVI, XVIII, and black
lung programs uniform, i.e., 60 days from the date of receipt of the
notice of a determination. Therefore, the implementation of this policy
will conform the reconsideration time frame to the newly enacted time
frame of 60 days for hearings requests in accordance with P.L. 94-202 and
thereby sustain the preexistent pattern of common time frames for the two
levels in the appeals process.
lung programs uniform, i.e., 60 days from the date of receipt of the
notice of a determination. Therefore, the implementation of this policy
will conform the reconsideration time frame to the newly enacted time
frame of 60 days for hearings requests in accordance with P.L. 94-202 and
thereby sustain the preexistent pattern of common time frames for the two
levels in the appeals process.

Additionally, the adoption of a uniform time frame of 60 days for the
reconsideration step for all Social Security Administration (SSA) programs
will provide more efficient processing when an issue at question is common
to more than one program (i.e., an issue involving both title II and tile
XVI). The policy recommendation to change the title XVI time frame to 60
days has been promulgated under separate cover.

The Commissioner indicated SSA was seeking a common time frame of 60 days
for the reconsideration and hearing level when he testified before the
House of Representatives Subcommittee on Social Security, Committee on
Ways and Means on September 1975, and endorsed this position again when he
approved an action memorandum (IDI-1 dated November 21, 1975),
recommendation on this subject on December 1, 1975.

The House and Senate Committee Reports which describe the effects of H.R.
10727 refer to a common time frame of 60 days for the reconsideration and
hearing level. The text of the reports indicate that Congress intended the
legislative action of H.R. 10727 to embrace both time frames even though
the reconsideration step to the appeals process is administrative and not
contained in the law.
he House and Senate Committee Reports which describe the effects of H.R.
10727 refer to a common time frame of 60 days for the reconsideration and
hearing level. The text of the reports indicate that Congress intended the
legislative action of H.R. 10727 to embrace both time frames even though
the reconsideration step to the appeals process is administrative and not
contained in the law.

The establishment of a common time frame for all levels of the appeals
process was included in the recommendations proposed by the Office of
Program Operations Legislative Task Force to Simplify Procedures in this
report of May 19, 1975. The reduction in the period of time allowed to
request a reconsideration is not expected to deprive the claimant of his
or her right to protest a decision. Although the length of time he or she
will have to request a reconsideration will be shortened, the 60-day
period is considered adequate time for a person to express dissatisfaction
with a determination. In fact, statistics found in the Hearings Report of
the House of Representatives (based on an analysis done in 1972) show that
about 62 percent of the persons appealing for reconsideration do so by 60
days and about 45 percent have done so within 30 days. Even in cases where
the time limit has expired and the initial determination has become final
as defined in Section 404.908, Subpart J of Regulations No. 4 (20 CFR
404.908), an initial determination may be reopened when there is new and
material evidence presented up to 4 years after the initial determination.
In addition, Section 404.953 (20 CFR 404.953), Subpart J provides for an
extension of the time allowed to file for a reconsideration if good cause
is established.
e final
as defined in Section 404.908, Subpart J of Regulations No. 4 (20 CFR
404.908), an initial determination may be reopened when there is new and
material evidence presented up to 4 years after the initial determination.
In addition, Section 404.953 (20 CFR 404.953), Subpart J provides for an
extension of the time allowed to file for a reconsideration if good cause
is established.

For purposes of effectuating administrative actions flowing from an
initial determination, at the inception of the title XVI program, the
assumption was founded that the party to the determination shall be
presumed to have received the notice within 5 days from the date shown on
that notice unless there is reasonable evidence to the contrary. Then the
request for reconsideration must be filed with SSA within a prescribed
period from the date of the receipt of the notice. However, title II,
title XVIII, and black lung part B benefits do not have such a provision.
In these latter three programs, the time for requesting reconsideration
runs from the date of the mailing of the notice of the initial
determination. In order to further guarantee consistency among the various
SSA programs, the adoption of the 5-day presumption rule (as found in
Section 416.1419, Subpart N) would alleviate any confusion which variance
in the programs may produce.

POLICY DIRECTIVE STATEMENT:

A claimant, the representative of a claimant, or a provider or a supplier
of services (under title XVIII) who is dissatisfied with an initial title
II, XVIII or black lung part B determination may request a reconsideration
of such determination if the request is filed within 60 days after receipt
of such notice. Therefore, SSA's initial determination shall become final
upon the expiration of that 60-day period from the receipt of the notice
of such determination to the claimant unless a request for reconsideration
has been filed
e
II, XVIII or black lung part B determination may request a reconsideration
of such determination if the request is filed within 60 days after receipt
of such notice. Therefore, SSA's initial determination shall become final
upon the expiration of that 60-day period from the receipt of the notice
of such determination to the claimant unless a request for reconsideration
has been filed. In addition, the receipt of a notice shall be presumed to
have occurred no later than 5 days after the date shown on the notice
unless there is reasonable evidence to the contrary. (This is the same
presumption that has applied in title XVI programs.) Reconsideration
remains a required step in the appeals process that must take place prior
to a hearing.

FURTHER INFORMATION:

This directive applies to all procedures authorized by the provisions of
Title XVIII of the Social Security Act which incorporate Section 205(b) of
the Act (i.e., 1862(d)(3), 1869(b) and (c), 1876(f) and 1879(d)).

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/SSA_SSR_OASI_SSR_78_14. Check the current official text before relying on it. Not legal advice.
