Confused about Family Maximum Benefit (FMB) distribution among child, disabled adult child, and CIC - SS benefits don't match expectations
I started collecting my retirement benefits early at 62 back in October 2024. My Primary Insurance Amount (PIA) is $3,250 and the SSA told me my Family Maximum Benefit (FMB) is $6,085. I've got three family members who qualify for benefits on my record: 1. My 18-year-old son who's finishing his senior year of high school 2. My 30-year-old daughter who has a disability and just transitioned from SSI to Disabled Adult Child (DAC) benefits 3. My wife who qualifies as a parent with a Child-in-Care (CIC) because she takes care of our disabled daughter We submitted all the applications, and supposedly everything's been approved. But the award letters we got look nothing like what the SSA rep told us to expect! I've called multiple times but keep getting disconnected or transferred to people who can't answer my questions. Can anyone please explain: 1. What exactly is my "Auxiliary Benefit" total and how is it calculated? 2. Are my family members' payments calculated from the Auxiliary Benefit or the FMB? 3. Should my three beneficiaries receive equal payments, or is there a formula for how it's split? 4. Based on my PIA and FMB, what should the total monthly amount be for all three of them combined? 5. After my son graduates high school this spring and is no longer eligible, how will the benefit amounts change for my wife and disabled daughter? I'm completely lost trying to make sense of these benefit calculations, and the SSA hasn't been any help. Thanks in advance for any insights!
19 comments
Dmitry Ivanov
I can help clarify this complicated situation! The auxiliary benefit is the portion of your FMB that can go to your dependents. 1. Your auxiliary benefit total is the difference between your FMB ($6,085) and your PIA ($3,250), so about $2,835 total available for your dependents. 2. The distributions are based on percentages of your PIA, but capped by the FMB. Each dependent is eligible for 50% of your PIA, but when multiple beneficiaries draw simultaneously, they're subject to the family maximum rules. 3. No, they aren't necessarily divided equally. The SSA applies what's called the 'family maximum formula' that can reduce each person's benefit proportionally. Generally each dependent could get up to 50% of your PIA ($1,625 each), but since three people would exceed your FMB, their benefits will be reduced proportionally. 4. Your three dependents combined should receive approximately $2,835 total (the difference between your FMB and PIA), but the exact distribution depends on individual circumstances. 5. When your son ages out, the family maximum will be recalculated. Generally, your wife and disabled daughter's benefits would increase since there are fewer beneficiaries sharing the auxiliary amount, up to 50% of your PIA each if that doesn't exceed the FMB.
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StarSailor
•Thank you so much for this detailed explanation! So if I understand correctly, they split about $2,835 between them, but not necessarily equally? What confuses me is that our disabled daughter is getting significantly less than 50% of my PIA, and my wife's benefit seems really small too. Is there a specific formula for how they divide that $2,835 when the maximum is reached?
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Ava Garcia
This sounds so frustrating!!! I went thru almost the EXACT same situation last year with my disabled son and wife. The SS office gave me THREE different answers about how the benefits would be divided. One rep told me everyone gets equal shares, another said it's based on who applied first (which makes NO sense), and a third couldn't even explain the calculation at all!!!
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StarSailor
•It's maddening! Did you ever get it sorted out? It feels like nobody at SSA understands their own rules sometimes.
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Ava Garcia
•Eventually yes, but only after I demanded to speak to a technical expert who actually knew the rules. Took me SIX phone calls and 2 office visits!!!
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Miguel Silva
The family maximum formula can be really confusing. The way it typically works is: - Your FMB of $6,085 minus your benefit of $3,250 leaves $2,835 for dependents - But they don't just divide that equally - Each dependent starts with their full entitlement (50% of your PIA, so $1,625 each) - That would total $4,875 for all three ($1,625 × 3) - Since that exceeds your FMB, each dependent gets proportionately reduced The formula is: (Individual entitlement ÷ Sum of all entitlements) × Available auxiliary amount So for each dependent: ($1,625 ÷ $4,875) × $2,835 = about $945 each But here's where it gets tricky - your DAC benefits may follow different rules than your wife's CIC benefits or your high school student's benefits. DAC benefits in particular sometimes get priority in the calculation. When your son ages out, they'll recalculate. The formula would then be: ($1,625 ÷ $3,250) × $2,835 = about $1,417 each for your wife and disabled daughter. I highly recommend getting an appointment with a Technical Expert at your local office. Regular phone reps often don't understand these calculations.
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StarSailor
•Thank you for breaking down the calculation! This is exactly what I needed. So it sounds like each dependent is getting reduced by the same proportion when the maximum is reached. I'm still confused why their current payments don't seem to match this calculation, but at least I understand the concept now. Is there anything specific I should mention when I request a Technical Expert? The last time I visited the office they just told me to call the 800 number, and when I called, they just referred me back to the local office.
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Zainab Ismail
I've been through this exact nightmare trying to get straight answers about family maximum benefit distributions. After weeks of getting nowhere with SSA phone calls, I found Claimyr (claimyr.com) and it was a game-changer. They got me through to an actual SSA agent in about 15 minutes when I had been trying for days. The agent connected me with a Technical Expert who explained my family's benefit calculation. They have a video showing how it works: https://youtu.be/Z-BRbJw3puU I was skeptical at first but desperate enough to try anything. Saved me hours of frustration and I finally got the answers I needed about my daughter's benefits.
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StarSailor
•Thanks for the suggestion. At this point I'm willing to try anything to get some clear answers. I'll check out that site and video. Did they connect you directly to someone who understood the family maximum calculations or did you still have to ask for a Technical Expert?
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Zainab Ismail
•They connected me to a regular agent first, but I specifically asked that agent for a Technical Expert who understands family maximum benefit calculations. The first agent actually admitted they weren't trained on those complex calculations and transferred me to someone who could help. Just be very specific about needing someone who understands the family maximum formula and DAC benefits.
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Connor O'Neill
wow this is exactly why i hate dealing with ss! nobody knows what theyre doing and everyone tells u something different. i gave up trying to understand how they calculate my widows benefits and just take whatever they give me lol
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QuantumQuester
•Same! I tried asking about my spousal benefits and got 3 different answers from 3 different people. Finally just accepted what they gave me because fighting it was too exhausting.
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Yara Nassar
I had a similar situation with my disabled son a few years ago. One thing to know is that when your son ages out of benefits, your wife might lose her CIC benefits UNLESS she's caring for your disabled adult child. The CIC benefit is only available if caring for a child under 16 OR a disabled child of any age. If your wife is the caregiver for your disabled daughter, she should still qualify for the CIC benefit even after your son graduates. Also, DAC benefits (for your disabled daughter) usually get priority in the family maximum calculation. If your daughter was on SSI before, the DAC benefit should be higher since SSI has all those income and resource limits that DAC doesn't have. The rules are incredibly complex, and in my experience, even many SSA employees don't fully understand them. I literally had to print out their own policy manual (POMS) and bring it to my appointment to get the correct calculation. It's publicly available online if you want to read the rules yourself.
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StarSailor
•That's extremely helpful information about my wife potentially keeping her CIC benefit! Yes, she is the primary caregiver for our disabled daughter, so hopefully that means she'll continue to receive benefits. I didn't even think about that aspect. Do you happen to know where I can find the POMS section that explains the family maximum calculation? I'd love to read the official rules before my next appointment.
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Yara Nassar
•The main POMS section for family maximum is RS 00615. For how benefits are computed when the family maximum applies, look specifically at RS 00615.020. For disabled adult children specifically, check DI 10115.001. You can find all POMS at https://secure.ssa.gov/apps10/poms.nsf/Home?ReadForm Just be prepared - it's written in very technical language and can be hard to follow, but it's the actual rules SSA is supposed to follow.
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QuantumQuester
i think your disabled daughter should get priority for benefits. my cousin's kid has down syndrome and when he switched from SSI to DAC they told us he gets his benefit amount first before anyone else. something about disabled children getting protected status in the calculations? might be worth asking about that specifically.
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Dmitry Ivanov
To answer your specific question about what happens after your son graduates: The family maximum won't change - it stays tied to your PIA. But with one fewer beneficiary, the amount available will be redistributed. However, there's a special rule called the "pie shrinking rule" that might affect your situation. When a beneficiary stops receiving benefits, sometimes the total auxiliary amount available to remaining beneficiaries actually shrinks slightly rather than staying the same. Rather than trying to calculate this yourself, I strongly recommend requesting a written benefit estimate from SSA that shows what everyone's benefit will be after your son ages out. Make sure to specify that you need an estimate that accounts for the family maximum redistribution when your son turns 19. Ask for this in writing - that way if they calculate it incorrectly, you'll have documentation to support an appeal later.
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StarSailor
•I had no idea about the "pie shrinking rule" - this is exactly why this is all so confusing! I'll definitely request that written estimate. Is there a specific form I should ask for, or just request a written explanation of future benefit amounts?
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Dmitry Ivanov
•There's no specific form - just ask for a "written benefit estimate showing the recalculation of family benefits after my son ages out." Make sure to emphasize that you need it in writing and that it should show all beneficiaries' amounts before and after the change. If they refuse to provide it in writing, ask to speak to a supervisor - you have a right to this information in writing.
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