Workers' Compensation/Public Disability Benefit Questionnaire



Section 224 of the Act provides for the reduction of disability insurance benefits (DIB) when the combination of DIB and any worker's compensation (WC) and/or certain Federal, State, or Local public disability benefits (PDB) exceeds 80% of the worker's predisability earnings. Data needs to be collected to determine whether or not the worker's receipt of WC/PDB payments will cause a reduction of DIB.
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