Code of Federal Regulations (Last Updated: November 8, 2024) |
Title 20 - Employees' Benefits |
Chapter III - Social Security Administration |
Part 410 - FEDERAL COAL MINE HEALTH AND SAFETY ACT OF 1969, TITLE IV - BLACK LUNG BENEFITS (1969- ) |
Subpart A - Introduction, General Provisions, and Definitions |
§ 410.101 - Introduction. |
§ 410.110 - General definitions and use of terms. |
§ 410.120 - Disclosure of program information. |
§ 410.130 - Periods of limitation ending on nonworkdays. |
Subpart B - Requirements for Entitlement; Duration of Entitlement; Filing of Claims and Evidence |
§ 410.200 - Types of benefits; general. |
§ 410.201 - Conditions of entitlement; miner. |
§ 410.202 - Duration of entitlement; miner. |
§ 410.210 - Conditions of entitlement; widow or surviving divorced wife. |
§ 410.211 - Duration of entitlement; widow or surviving divorced wife. |
§ 410.212 - Conditions of entitlement; child. |
§ 410.213 - Duration of entitlement; child. |
§ 410.214 - Conditions of entitlement; parent, brother, or sister. |
§ 410.215 - Duration of entitlement; parent, brother, or sister. |
§ 410.216 - “Good cause” for delayed filing of proof of support. |
§ 410.219 - Filing a claim under State workmen's compensation law; when filing such claim shall be considered futile. |
§ 410.220 - Claim for benefits; definitions. |
§ 410.221 - Prescribed application and request forms. |
§ 410.222 - Execution of a claim. |
§ 410.223 - Evidence of authority to execute a claim on behalf of another. |
§ 410.224 - Claimant must be alive when claim is filed. |
§ 410.226 - Periods for which claims are effective. |
§ 410.227 - When a claim is considered to have been filed; time and place of filing. |
§ 410.228 - Requests and notices to be in writing. |
§ 410.229 - When written statement is considered a claim; general. |
§ 410.230 - Written statement filed by or for a miner on behalf of a member of his family. |
§ 410.231 - Time limits for filing claims. |
§ 410.232 - Withdrawal of a claim. |
§ 410.233 - Cancellation of a request for withdrawal. |
§ 410.234 - Interim provisions. |
§ 410.240 - Evidence. |
§ 410.250 - Effect of conviction of felonious and intentional homicide on entitlement to benefits. |
Subpart C - Relationship and Dependency |
§ 410.300 - Relationship and dependency; general. |
§ 410.310 - Determination of relationship; wife. |
§ 410.311 - Determination of relationship; divorced wife. |
§ 410.320 - Determination of relationship; widow. |
§ 410.321 - Determination of relationship; surviving divorced wife. |
§ 410.330 - Determination of relationship; child. |
§ 410.340 - Determination of relationship; parent, brother, or sister. |
§ 410.350 - Determination of dependency; wife. |
§ 410.351 - Determination of dependency; divorced wife. |
§ 410.360 - Determination of dependency; widow. |
§ 410.361 - Determination of dependency; surviving divorced wife. |
§ 410.370 - Determination of dependency; child. |
§ 410.380 - Determination of dependency; parent, brother, or sister. |
§ 410.390 - Time of determinations. |
§ 410.391 - Legal impediment. |
§ 410.392 - Domicile. |
§ 410.393 - “Member of the same household”; “living with”; “living in the same household”; and “living in the miner's household”. |
§ 410.394 - [Reserved] |
§ 410.395 - Contributions and support. |
Subpart D - Total Disability or Death Due to Pneumoconiosis |
§ 410.401 - Scope of subpart D. |
§ 410.410 - Total disability due to pneumoconiosis, including statutory presumption. |
§ 410.412 - “Total disability” defined. |
§ 410.414 - Determining the existence of pneumoconiosis, including statutory presumption. |
§ 410.416 - Determining origin of pneumoconiosis, including statutory presumption. |
§ 410.418 - Irrebuttable presumption of total disability due to pneumoconiosis. |
§ 410.422 - Determining total disability: General criteria. |
§ 410.424 - Determining total disability: Medical criteria only. |
§ 410.426 - Determining total disability: Age, education, and work experience criteria. |
§ 410.428 - X-ray, biopsy, and autopsy evidence of pneumoconiosis. |
§ 410.430 - Ventilatory studies. |
§ 410.432 - Cessation of disability. |
§ 410.450 - Death due to pneumoconiosis, including statutory presumption. |
§ 410.454 - Determining the existence of pneumoconiosis, including statutory presumption—survivor's claim. |
§ 410.456 - Determining origin of pneumoconiosis, including statutory presumption—survivor's claim. |
§ 410.458 - Irrebuttable presumption of death due to pneumoconiosis—survivor's claim. |
§ 410.462 - Presumption relating to respirable disease. |
§ 410.470 - Determination by nongovernmental organization or other governmental agency. |
§ 410.471 - Conclusion by physician regarding miner's disability or death. |
§ 410.472 - Consultative examinations. |
§ 410.473 - Evidence of continuation of disability. |
§ 410.474 - Place and manner of submitting evidence. |
§ 410.475 - Failure to submit evidence. |
§ 410.476 - Responsibility to give notice of event which may affect a change in disability status. |
§ 410.490 - Interim adjudicatory rules for certain part B claims filed by a miner before July 1, 1973, or by a survivor where the miner died before January 1, 1974. |
Appendix to Subpart D of Part 410 |
Subpart E - Payment of Benefits |
§ 410.501 - Payment periods. |
§ 410.505 - Payees. |
§ 410.510 - Computation of benefits. |
§ 410.511 - Certification to dependent of augmentation portion of benefit. |
§ 410.515 - Modification of benefit amounts; general. |
§ 410.520 - Reductions; receipt of State benefit. |
§ 410.530 - Reductions; excess earnings. |
§ 410.535 - Reductions; effect of an additional claim for benefits. |
§ 410.536 - Reductions; effect of augmentation of benefits based on subsequent qualification of individual. |
§ 410.540 - Reductions; more than one reduction event. |
§ 410.550 - Nonpayment of benefits to residents of certain States. |
§ 410.560 - Overpayments. |
§ 410.561 - Notice of right to waiver consideration. |
§ 410.563 - Liability of a certifying officer. |
§ 410.565 - Collection and compromise of claims for overpayment. |
§ 410.570 - Underpayments. |
§ 410.580 - Relation to provisions for reductions or increases. |
§ 410.581 - Payments on behalf of an individual. |
§ 410.582 - Submission of evidence by representative payee. |
§ 410.583 - Responsibility of representative payee. |
§ 410.584 - Use of benefits for current maintenance. |
§ 410.585 - Conservation and investment of payments. |
§ 410.586 - Use of benefits for beneficiary in institution. |
§ 410.587 - Support of legally dependent spouse, child, or parent. |
§ 410.588 - Claims of creditors. |
§ 410.589 - Accountability. |
§ 410.590 - Transfer of accumulated benefit payments. |
§ 410.591 - Eligibility for services and supplies under part C of title IV of the act. |
§ 410.561a - When waiver may be applied and how to process the request. |
§ 410.561b - Fault. |
§ 410.561c - Defeat the purpose of title IV. |
§ 410.561d - Against equity and good conscience; defined. |
§ 410.561e - When an individual is “without fault” in a reduction-overpayment. |
§ 410.561f - When an individual is “without fault” in an entitlement overpayment. |
§ 410.561g - When an individual is at “fault” in a reduction-overpayment. |
§ 410.561h - When adjustment or recovery of an overpayment will be waived. |
Subpart F - Determinations of Disability, Other Determinations, Administrative Review, Finality of Decisions, and Representation of Parties |
§ 410.601 - Determinations of disability. |
§ 410.610 - Administrative actions that are initial determinations. |
§ 410.615 - Administrative actions that are not initial determinations. |
§ 410.620 - Notice of initial determination. |
§ 410.621 - Effect of initial determination. |
§ 410.622 - Reconsideration and hearing. |
§ 410.623 - Reconsideration; right to reconsideration. |
§ 410.624 - Time and place of filing request. |
§ 410.625 - Parties to the reconsideration. |
§ 410.626 - Notice of reconsideration. |
§ 410.627 - Reconsidered determination. |
§ 410.628 - Notice of reconsidered determination. |
§ 410.629 - Effect of a reconsidered determination. |
§ 410.630 - Hearing; right to hearing. |
§ 410.631 - Time and place of filing request. |
§ 410.632 - Parties to a hearing. |
§ 410.633 - Additional parties to the hearing. |
§ 410.634 - Administrative Law Judge. |
§ 410.635 - Disqualification of Administrative Law Judge. |
§ 410.636 - Time and place of hearing. |
§ 410.637 - Hearing on new issues. |
§ 410.638 - Change of time and place for hearing. |
§ 410.639 - Subpenas. |
§ 410.640 - Conduct of hearing. |
§ 410.641 - Evidence. |
§ 410.642 - Witnesses. |
§ 410.643 - Oral argument and written allegations. |
§ 410.644 - Record of hearing. |
§ 410.645 - Joint hearings. |
§ 410.646 - Consolidated issues. |
§ 410.647 - Waiver of right to appear and present evidence. |
§ 410.648 - Dismissal of request for hearing; by application of party. |
§ 410.649 - Dismissal by abandonment of party. |
§ 410.650 - Dismissal for cause. |
§ 410.651 - Notice of dismissal and right to request review thereon. |
§ 410.652 - Effect of dismissal. |
§ 410.653 - Vacation of dismissal of request for hearing. |
§ 410.654 - Administrative Law Judge's decision or certification to Appeals Council. |
§ 410.655 - Effect of Administrative Law Judge's decision. |
§ 410.656 - Removal of hearing to Appeals Council. |
§ 410.657 - Appeals Council proceedings on certification and review; procedure before Appeals Council on certification by the Administrative Law Judge. |
§ 410.658 - Evidence in proceeding before Appeals Council. |
§ 410.659 - Decision of Appeals Council. |
§ 410.660 - Right to request review of Administrative Law Judge's decision or dismissal. |
§ 410.661 - Time and place of filing request. |
§ 410.662 - Action by Appeals Council on review. |
§ 410.663 - Procedure before Appeals Council on review. |
§ 410.664 - Evidence admissible on review. |
§ 410.665 - Decision by Appeals Council or remanding of case. |
§ 410.666 - Effect of Appeals Council's decision or refusal to review. |
§ 410.667 - Dismissal by Appeals Council. |
§ 410.668 - Extension of time to request reconsideration. |
§ 410.669 - Extension of time to request hearing or review or begin civil action. |
§ 410.670 - Review by Appeals Council. |
§ 410.671 - Revision for error or other reason; time limitation generally. |
§ 410.673 - Good cause for reopening a determination or decision. |
§ 410.674 - Finality of suspension of benefit payments for entire taxable year because of earnings. |
§ 410.675 - Time limitation for revising finding suspending benefit payments for entire taxable year because of earnings. |
§ 410.676 - Notice of revision. |
§ 410.677 - Effect of revised determination. |
§ 410.678 - Time and place of requesting hearing on revised determination. |
§ 410.679 - Finality of findings with respect to other claims for benefits based on the disability or death of a miner. |
§ 410.680 - Imposition of reductions. |
§ 410.681 - Change of ruling or legal precedent. |
§ 410.682 - General applicability. |
§ 410.683 - Certification of payment; determination or decision providing for payment. |
§ 410.684 - Representation of party; appointment of representative. |
§ 410.685 - Qualifications of representative. |
§ 410.686 - Authority of representative. |
§ 410.687 - Rules governing the representation and advising of claimants and parties. |
§ 410.688 - Disqualification or suspension of an individual from acting as a representative in proceedings before SSA. |
§ 410.689 - Notice of charges. |
§ 410.690 - Withdrawal of charges. |
§ 410.691 - Referral to the Deputy Commissioner for Programs and Policy, or his or her designee, for hearing and decision. |
§ 410.692 - Hearing on charges. |
§ 410.693 - Decision by hearing officer. |
§ 410.694 - Right to request review of the hearing officer's decision. |
§ 410.695 - Procedure before Appeals Council on review of hearing officer's decision. |
§ 410.696 - Evidence admissible on review. |
§ 410.697 - Decision by Appeals Council on review of hearing officer's decision. |
§ 410.698 - Dismissal by Appeals Council. |
§ 410.699 - Reinstatement after suspension or disqualification. |
§ 410.670a - Judicial review. |
§ 410.670b - Interim provision for the adjudication of certain claims filed prior to May 19, 1972. |
§ 410.670c - Application of circuit court law. |
§ 410.683a - [Reserved] |
§ 410.683b - Transfer or assignment. |
§ 410.675a - Late completion of timely investigation. |
§ 410.686a - Proceedings before a State or Federal court. |
§ 410.686b - Fee for services performed for an individual before the Social Security Administration. |
§ 410.686c - Petition for approval of fee. |
§ 410.686d - Payment of fees. |
§ 410.686e - Services rendered for an individual in a proceeding before the Administration under part B of title IV of the Act. |
§ 410.687a - Effective date. |
§ 410.629a - Expedited appeals process; conditions for use of such process. |
§ 410.699a - Penalties for fraud. |
§ 410.629b - Expedited appeals process; place and time of filing request. |
§ 410.629c - Expedited appeals process; parties. |
§ 410.629d - Expedited appeals process; agreement requirements. |
§ 410.629e - Expedited appeals process; effect of agreement. |
§ 410.629f - Effect of a request that does not result in agreement. |
Subpart G - Rules for the Review of Denied and Pending Claims Under the Black Lung Benefits Reform Act (BLBRA) of 1977 |
§ 410.700 - Background. |
§ 410.701 - Jurisdiction for determining entitlement under part B. |
§ 410.702 - Definitions and terms. |
§ 410.703 - Adjudicatory rules for determining entitlement to benefits. |
§ 410.704 - Review procedures. |
§ 410.705 - Duplicate claims. |
§ 410.706 - Effect of the Social Security Administration determination of entitlement. |
§ 410.707 - Hearings and appeals. |