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Connor O'Brien

Can unfiled tax returns delay Social Security benefits at FRA and Medicare enrollment?

Just had a conversation with my brother-in-law who's turning 67 next month and has been putting off filing his Social Security retirement. He dropped a bombshell that he hasn't filed his taxes for the last 3 years (self-employed carpenter) and now he's worried SS might deny his application or delay his benefits because of it! He's also concerned about getting Medicare started since he never enrolled at 65. I always thought Social Security and taxes were separate systems?? I know they look at your earnings record, but do they actually check if you've FILED your taxes? Does anyone know if this will mess up his Medicare too? He's panicking and I promised I'd ask around.

My cousins husband went thru something similar. SS didn't deny him benefits but they DID hold them up while they investigated. Took almost 4 months to sort out! Medicare was a bigger headache for him - they wanted proof of income for the IRMAA determination and without tax returns it was a nightmare. Tell your brother in law to file those returns ASAP even if he can't pay whats owed right away.

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Oh wow, 4 months is a long time to wait when you're counting on that income! Did they eventually give him all the back payments for the months they were investigating?

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Unfiled tax returns don't automatically prevent you from receiving Social Security retirement benefits. SSA and IRS are separate agencies, but they do share information. The real issue is that without filed tax returns, SSA may not have complete earnings records to calculate his Primary Insurance Amount (PIA) correctly, especially if he's self-employed. For Medicare, the bigger concern is he's already 2 years late for enrollment. He'll face permanent late enrollment penalties (10% for each 12-month period he could have had Part B but didn't), and he'll need to wait until the General Enrollment Period (January-March) with coverage starting July. He should: 1. File those tax returns immediately 2. Apply for Social Security right away 3. Contact Medicare about special enrollment options that might be available to him

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Thank you for such a detailed explanation! I had no idea about those Medicare penalties - that's really concerning. I'll definitely tell him to file ASAP. Do you know if he'll have to pay all the back taxes before SSA will approve his benefits?

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when my dad retired the ssa used his w2s not his tax returns to figure his benefit amount. if your bro in law has been paying self employment taxes they should have that on record. the Medicare penalty is the biggest problem here!!! my mom had to pay extra FOREVER because she signed up late

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This is an important distinction - if he's self-employed, he would need Schedule SE filed with tax returns to properly credit his earnings. Without those tax filings, SSA may not have all his earnings recorded, which could significantly impact his benefit calculation. Self-employment income isn't automatically reported to SSA like W-2 wages are.

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I had a NIGHTMARE dealing with both SSA and Medicare last year because of unfiled taxes. My benefits were delayed for 5 months and I almost lost my house!!! The local office kept giving me different answers every time I called. I finally found a service called Claimyr (claimyr.com) that got me through to an actual SSA agent after trying for weeks. They have a video showing how it works: https://youtu.be/Z-BRbJw3puU Basically, your brother-in-law needs to: 1) File those tax returns IMMEDIATELY 2) Apply for Social Security right away 3) Request an earnings record from SSA to make sure all income is accounted for. Tell him not to delay any longer - the Medicare penalties just keep growing!

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Thanks for sharing that service. It's nearly impossible to get through to SSA these days! I've been trying for weeks to ask about my husband's application status. Did you actually get a live person when you used it?

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Yes! Got through to a real person in about 20 minutes after spending days trying on my own. The agent was able to see exactly what was happening with my claim and explain why it was held up. Saved me weeks of stress.

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My personal experience FYI: I retired in 2023 and hadn't filed taxes for 2 years (was going through cancer treatment and just didn't have the energy). SSA DID pay my benefits but they calculated them based on older earnings which messed up my amount. After I filed the missing returns, they recalculated and I got an adjustment payment. THE BIG PROBLEM was Medicare - got hit with both the late enrollment penalty AND a higher IRMAA surcharge because they defaulted me to the highest income bracket without tax returns to prove otherwise. Tell your BIL to file those returns IMMEDIATELY!!!!!!!

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That's scary about them putting you in the highest IRMAA bracket by default! I'll definitely warn him. Glad to hear you got through your cancer treatment - that's way more important than paperwork.

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The real question is why hasn't he filed his taxes for 3 years?? The IRS will come after him eventually. Social Security might be the least of his problems tbh

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I know, I've been telling him that for years! His wife passed away 4 years ago and he's been kind of a mess with paperwork since then. But you're right, the IRS issues could be even bigger than the Social Security ones.

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To answer your follow-up question - no, he doesn't need to pay all back taxes before receiving benefits. SSA doesn't care about tax debt. However, if he owes the IRS, they can potentially garnish up to 15% of his Social Security benefits through the Federal Payment Levy Program. For Medicare, he needs to act during the next General Enrollment Period (January-March 2025). The Part B premium penalty is 10% for each full 12-month period he could have had Part B but didn't sign up. Since he's 2 years late, that's a 20% penalty he'll pay for the rest of his life. He should also check if he qualifies for any Special Enrollment Periods - sometimes there are exceptions for unusual circumstances.

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the permanent penalty is the worst part!!! my mom pays extra EVERY SINGLE MONTH even tho shes been on medicare for 12 years now. tell him to get started on this ASAP!!

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There's a critical aspect of this situation that hasn't been fully addressed. As a self-employed person, your brother-in-law's earnings only get credited to his Social Security record when he files a tax return with Schedule SE. Without those filings, SSA may be missing significant earnings in his record. He should: 1. Immediately request his earnings record from SSA (through my Social Security account online) 2. Compare this with his actual earnings for those years 3. File those tax returns with Schedule SE to ensure all earnings are credited 4. Apply for both Social Security retirement and Medicare right away Regarding Medicare, he's in what's called a "penalty situation" now, but he should still enroll immediately to prevent further penalties. The Part B premium penalty increases by 10% for each full 12-month period of delay. The Medicare IRMAA (Income-Related Monthly Adjustment Amount) determination will also be complicated without recent tax returns, potentially placing him in a higher payment tier by default.

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This is really helpful information, especially about the Schedule SE. He's definitely earned enough to qualify for good benefits, but I'm worried those earnings aren't being recorded without the tax filings. I'll help him check his earnings record online today.

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This happened to my neighbor and he did get his benefits but they were calculated wrong. Be prepared for a long fight with SSA to get it fixed. Just make sure he files those returns ASAP!

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Thank you all SO MUCH for the helpful advice. I just talked to my brother-in-law and gave him all your suggestions. He's going to file the tax returns this week (he's meeting with an accountant tomorrow). He's also going to apply for Social Security right away and check his earnings record. I'm really worried about those Medicare penalties though - sounds like he's going to be paying extra for the rest of his life. :( I'll update this thread once we know more about how it all works out.

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Good luck to him! And remember that the Medicare penalty isn't the end of the world - better to get enrolled now and pay the penalty than to keep delaying and making it worse. The most important thing is getting coverage!

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I'm glad to hear your brother-in-law is taking action! Getting an accountant involved is smart - they can help ensure everything is filed correctly and potentially set up payment plans if he owes taxes. One thing to add: when he applies for Social Security, he should specifically mention the unfiled returns to the representative. They may be able to flag his application for review once those returns are processed, which could help avoid delays. Also, if his wife had any Social Security benefits before she passed, he might want to ask about survivor benefits - sometimes those can be higher than his own retirement benefit. Keep us posted on how it goes!

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