Earnings Inquiry Request
Submit this Earnings Inquiry Request (by email to xxxxxxx@xxxx.com or fax to 703-683-3289) for beneficiaries with Tickets assigned to your organization in order to give you more earnings information before deciding to submit a Payment Request. Upon receiving this Earnings Inquiry Request (EIR), MAXIMUS will access quarterly wage earnings records in the National Directory of New Hires (NDNH) and send you a written response indicating that the beneficiaries in question do or do not have earnings on record at or above three times Substantial Gainful Activity (SGA) for each calendar quarter available. Wage earnings at this level in a quarter MAY mean that the beneficiary earned over SGA for EACH of the three months within the quarter. This, in turn, MAY indicate that your EN is eligible for payment. Because there is some lag time between the actual earnings period and the data appearance in the NDNH, only calendar quarters ending over five months ago will be available.
**Please Note the following points:
- Only written EIR requests will be accepted. Responses will not be given to verbal requests.
- Because the NDNH stores earnings data for only the last 8 quarters, the oldest information available is 8 quarters plus 8 months (for lag time) back, or just over 2 ½ years.
- If this form is submitted via email, it must be sent by the named Signatory Authority, Primary Contact, or Authorized Negotiator identified in your EN RFP/contract. If this form is faxed, it must be signed by the same.
- Earnings information is only available 8 months after the time period in which it was earned: 3 months for the end of a quarter plus 5 months for the records to appear.
- Earnings information is not available for time periods prior to the date of Ticket assignment.
- This earnings information in NO WAY GUARANTEES that you are eligible for EN payment. Several others variable apply when granting EN payment. Even if the beneficiary is listed below with earnings over three times SGA for a quarter, your payment request MAY STILL BE DENIED. The only way to determine if a beneficiary has achieved payment outcomes is to submit a payment request to MAXIMUS.
Complete the following portion of the form:
