Initially, only 56 percent of the jobs in the United States were covered by Social Security. Today, the system is nearly universal, with 94 percent of individuals in paid employment in the United States working in covered employment. State and local government workers are not required to participate in the Social Security program if they participate in a public retirement system through their employers. However, state and local governments, through agreements known as Section 218 agreements, may elect to participate in the program. Of the 23.2 million state and local workers in the United States, about 6.6 million are not covered by Social Security. Other workers not covered by Social Security include federal employees hired before 1984, railroad workers, some family employees, some students, and some members of the clergy. or the
Government Pension Offset (GPO). However, this was abolished with the passage of the
Social Security Fairness Act. Railroad workers were covered by the
Railroad Retirement Board before Social Security was founded. Today, they still are, though a portion of each railroad pension is designated as "equivalent" to Social Security. Railroad workers also participate in Medicare. All state and local government employees hired since 1986, or who are covered by Section 218 Agreements, participate in Medicare even if not covered for purposes of Social Security benefits.
Old age, survivors and disability SSA administers the retirement, survivors, and disabled social insurance programs, which can provide monthly benefits to aged or disabled workers, their spouses and children, and to the survivors of insured workers. In 2010, more than 54 million Americans received approximately $712 billion in Social Security benefits. The programs are primarily financed by taxes which employers, employees, and the self-insured pay annually. These revenues are placed into a special
trust fund. These programs are collectively known as
Retirement, Survivors, Disability Insurance (RSDI). SSA administers its disability program partly through its Office of Hearing Operations (OHO), which has regional offices and hearing offices across the United States. OHO processes claims that have been appealed from the first (in prototype states) or second unfavorable determination through the state-based Disability Determination Services (DDS) who develop and process claims at the initial and reconsideration levels of review. OHO runs offices for the approximately 1,200 Administrative Law Judges (ALJs) who develop, evaluate, and adjudicate appellate claims and provide substantive hearings for claimants to obtain testimony and expert evidence prior to issuing a hearing decision with findings of fact and law regarding each claim. OHO publishes a procedural manual called the Hearings, Appeals, and Litigation Law Manual (HALLEX) which "defines procedures for carrying out policy and provides guidance for processing and adjudicating claims" for OHO, the Appeals Council (AC), the Division of Civil Actions (DCA) levels. "It also includes policy statements resulting from Appeals Council
en banc meetings under the authority of the Appeals Council Chair." The RSDI program is the primary benefits program administered by the U.S. federal government, and for some beneficiaries is the vital source of income. Increasing access to this benefit program for low-income or homeless individuals is one of SSA's goals. SSA is a member of the
United States Interagency Council on Homelessness and works with other municipal, county, state, local and federal partners to increase access and approval for SSI/SSDI benefits who are eligible.
Supplemental Security Income (SSI) SSA also administers the
Supplemental Security Income (SSI) program, which is needs-based, for the aged, blind, or disabled. Prior to the 1972 Amendments to the Social Security Act, low-income aged, blind, or disabled persons received benefits from state-run programs called Old-Age Assistance, Aid to the Blind, and Aid to the Permanently and Totally Disabled. These programs received federal funding, but varied in terms of eligibility requirements and benefit payments. The 1972 Amendments replaced these programs with the SSI program. SSA was assigned responsibility for the SSI program and began operations in 1974. Federal benefit payments up to $943 for an SSI individual and $1,371 for an SSI couple are available from the program. SSI benefits are paid out of the general revenue of the United States of America. Some states supplement the federal amount. Because SSI is needs-based, eligibility is restricted to persons with limited income and resources. In addition, eligibility is generally restricted to U.S. citizens, nationals, and some other groups (such as some refugees) who reside in one of the 50 U.S. states, the District of Columbia, or the Northern Mariana Islands. U.S. citizens and nationals who reside in American Samoa, Guam, Puerto Rico, and the U.S. Virgin Islands are not eligible for SSI. In 2019, 8 million individuals received SSI, including 1.1 million disabled children, 4.6 million disabled adults, and 2.3 million persons 65 or older. In some cases, individuals may be eligible for Social Security (RSDI) benefits and SSI benefits. For example, a disabled individual who worked in Social Security-covered employment and who has limited income and resources may receive a Social Security disability benefit (due to employment prior to disability) and a partial SSI benefit (due to limited income and resources). SSA refers to these beneficiaries as "concurrent" beneficiaries.
Medicare The administration of the
Medicare program is a responsibility of the
Centers for Medicare and Medicaid Services, but SSA offices are used for determining initial eligibility, some processing of premium payments, and for limited public contact information. They also administer a financial needs-based program called Extra Help, which helps beneficiaries pay the premiums, deductibles, and coinsurance associated with prescription drug coverage under Part D of Medicare. Benefits under this program are estimated to be worth about $5,000 per year. Individuals may apply online for the Extra Help program or by calling SSA. ==Operations==