You are here: Home Government ... Social Security: ... How To Choose A ... Summary
Information about all aspects of finances affected by a serious health condition. Includes income sources such as work, investments, and private and government disability programs, and expenses such as medical bills, and how to deal with financial problems.
Information about all aspects of health care from choosing a doctor and treatment, staying safe in a hospital, to end of life care. Includes how to obtain, choose and maximize health insurance policies.
Answers to your practical questions such as how to travel safely despite your health condition, how to avoid getting infected by a pet, and what to say or not say to an insurance company.

Summary

The usual order of preference in selecting a Representative Payee depends on the identity of the beneficiary. The rules are different for:

Beneficiary Under Age 18

The order of preference in selecting a Representative Payee for a beneficiary under age 18 is as follows:

  • A natural or adoptive parent who has custody of the beneficiary or a court-appointed legal guardian;
  • A natural or adoptive parent who does not have custody of the beneficiary but:
    • Contributes toward the beneficiary's support; and
    • Demonstrates strong concern for the beneficiary's well-being.
  • A relative or stepparent who has custody of the beneficiary;
  • Any one of the following:
    • A relative who does not have custody of the beneficiary but contributes toward the beneficiary's support and demonstrates concern for the beneficiary's well-being; or
    • A friend with custody who provides for the beneficiary's needs; or
    • An authorized social agency that has custody of the beneficiary but has not been awarded custody by the court;
    • A relative or close friend who does not have custody of the beneficiary but demonstrates strong concern for the beneficiary's well-being; and
    • An authorized social agency or custodial institution.

A Beneficiary 18 Or Older Who Is Incapable For Reasons Other Than Substance Abuse

The order of preference in selecting a Representative Payee is as follows for a beneficiary age 18 or older, who is incapable for reasons other than substance abuse:

  • A legal guardian, spouse, or other relative who has custody of the beneficiary, or who shows a strong concern for the personal welfare of the beneficiary; 
  • A friend who has custody of the beneficiary, or who shows strong concern for the beneficiary's personal welfare; 
  • Any one of the following:
    • A public or nonprofit agency or institution having custody of the beneficiary;
    • A federal institution without custody; 
    • A statutory guardian or voluntary conservator; 
    • A private institution operated for profit and licensed under state law that has custody of the beneficiary;
    • People other than the above who can carry out the responsibilities of a Payee and who are able and willing to serve, without reimbursement for services, as a Payee for a beneficiary; such as:
      •  
        • Members of community groups or organizations who volunteer to serve as a Payee for a beneficiary; and
        • A friend without custody but who demonstrates a strong concern for the personal welfare of the beneficiary.

A Beneficiary 18 Or Older Who Has A Substance Abuse Problem

For an incapable beneficiary age 18 or over who has a substance abuse condition, the order of preference in selecting a Representative Payee is as follows:

  • A community-based nonprofit social service agency licensed or bonded by the State;
  • A Federal, State, or local government agency whose mission is to carry out income maintenance, social service, or health care-related activities;
  • A State or local government agency with fiduciary responsibilities;
  • A designee of an agency (other than of a federal agency) referred to above, if appropriate.
  • A family member may be selected as Payee if the family member:
    • Demonstrates strong concern;
    • Is able and willing to exercise adequate supervision of the beneficiary's behavior; and
    • Is actively involved in the beneficiary's treatment program.
  • If none of the above preferred payees are available, a payee is selected from alternate sources in the following order of preference:
    • A legal guardian who has custody or who demonstrates strong concern for the personal welfare of the beneficiary;
    • A treatment provider;
    • A relative or friend who has custody of the beneficiary. A friend in this context is an individual with longstanding ties to the beneficiary who demonstrates strong concern for the welfare of the beneficiary;
    • A public or nonprofit agency or institution having custody of the beneficiary;
    • A private institution, operated for profit and licensed under state law, that has custody of the beneficiary;
    • People other than the above who are qualified to carry out the responsibilities of a payee for a beneficiary. For example, members of community groups or organizations who volunteer to serve as payee for a beneficiary; and
    • A friend who shows strong concern for the personal welfare of the beneficiary.

NOTE: While substance abuse is no longer a disability for the purposes of becoming eligible for SSDI and SSI, Social Security will still apply the above order of preference for recipients with a recent history of substance addiction.

To Learn More