I will explain in detail about cases where a waiver request can be denied.

When the SSA receives a waiver request related to overpayment, it can deny the request if it determines that you were at fault. Waivers can primarily be denied if the cause of the erroneous payment was due to your negligence or wrongdoing. Here are some examples of such cases.

1. Failure to Provide Required Information

  • If you did not provide important information that you were required to give to the SSA, overpayment may occur. For example, if you fail to report changes in income, residence, or family composition within 10 days, overpayment may happen. If you did not provide the necessary information to the SSA, your waiver request may be denied.

2. Knowing That You Provided Incorrect Information

  • If you knew that you provided incorrect information but concealed it or did not report it, the SSA may determine that you were at fault. For example, if you understated your income or underreported your assets, the SSA may deny the waiver for the resulting overpayment.

3. Receiving a Check Twice and Cashing It

  • If you received a check twice and cashed it, this could lead to erroneous payment, and your waiver request is likely to be denied. In such a situation, the SSA may consider that you have unjustly benefited.

4. Previous Similar Overpayment Cases

  • If there have been similar overpayment cases in the past, and you have previously received erroneous payments for the same reason, the SSA may determine that you were at fault. Repeated overpayments may be considered as your mismanagement.

5. Noncompliance with Written Agreement for Conditional Payments

  • Some payments are made conditionally. For example, if the SSA requires you to use the amount paid under certain conditions, and you do not comply with those conditions, overpayment may occur. For instance, if you agreed in writing to spend $2,000 within three months but did not comply, the SSA may determine that overpayment exists and may demand repayment.

6. Fault of Another Person Applied to You

  • If you are a representative payee, and the representative fails to report or disclose incorrect information, you may be held responsible for the overpayment fault. For example, if a child receives SSI and the child's parent fails to report incorrect information, the child may not be at fault, but the parent may be held accountable for the wrongdoing.

A waiver request for overpayment is possible when you acknowledge the overpayment and prove the resulting financial hardship, inequity, or conscience issues. However, if overpayment occurred due to your fault, such as providing incorrect information, noncompliance with conditional payments, or receiving a check twice, the waiver may be denied. If your waiver request is denied, you can request a review through an appeal, which allows for a reassessment of the waiver status.