Body
Revision 21-2; Effective April 1, 2021
| A | Primary Claimant |
| B | Wife, 62 or over (1st claimant) |
| B1 | Husband, 62 or over (1st claimant) |
| B2 | Young wife with a child in her care (1st claimant) |
| B3 | Wife, 62 or over (2nd claimant) |
| B4 | Husband, 62 or over (2nd claimant) |
| B5 | Young wife with a child in her care (2nd claimant) |
| B6 | Divorced wife, 62 or over (1st claimant) |
| B7 | Young wife with a child in her care (3rd claimant) |
| B8 | Wife, 62 or over (3rd claimant) |
| B9 | Divorced wife, 62 or over (2nd claimant) |
| BA | Wife, 62 or over (4th claimant) |
| BD | Wife, 62 or over (5th claimant) |
| BG | Husband, 62 or over (3rd claimant) |
| BH | Husband, 62 or over (4th claimant) |
| BJ | Husband, 62 or over (5th claimant) |
| BK | Young wife with a child in her care (4th claimant) |
| BL | Young wife with a child in her care (5th claimant) |
| BN | Divorced wife, 62 or over (3rd claimant) |
| BP | Divorced wife, 62 or over (4th claimant) |
| BQ | Divorced wife, 62 or over (5th claimant) |
| BR | Divorced husband, 62 or over (1st claimant) |
| BT | Divorced husband, 62 or over (2nd claimant) |
| BW | Young husband with a child in his care (2nd claimant) |
| BY | Young husband with a child in his care (1st claimant) |
| C1-C9* | Child (minor, disabled or student) |
| CA-CK | Child (minor, disabled or student) CA = C11, CB = C12, etc. |
| D | Widow, 60 or over (1st claimant) |
| D1 | Widower, 60 or over (1st claimant) |
| D2 | Widow, 60 or over (2nd claimant) |
| D3 | Widower, 60 or over (2nd claimant) |
| D4 | Widow (remarried after turning 60) (1st claimant) |
| D5 | Widower (remarried after turning 60) (1st claimant) |
| D6 | Surviving divorced wife, 60 or over (1st claimant) |
| D7 | Surviving divorced wife, 60 or over (2nd claimant) |
| DB | Widow, age 60 or over (3rd claimant) |
| D9 | Widow (remarried after turning 60) (2nd claimant) |
| DA | Widow (remarried after turning 60) (3rd claimant) |
| DC | Surviving divorced husband, 60 or over (1st claimant) |
| DD | Widow, 60 or over (4th claimant) |
| DG | Widow, 60 or over (5th claimant) |
| DH | Widower, 60 or over (3rd claimant) |
| DJ | Widower, 60 or over (4th claimant) |
| DK | Widower, 60 or over (5th claimant) |
| DL | Widow (remarried after turning 60) (4th claimant) |
| DM | Surviving divorced husband, 60 or over (2nd claimant) |
| DN | Widow (remarried after turning 60) (5th claimant) |
| DP | Widower (remarried after turning 60) (2nd claimant) |
| DQ | Widower (remarried after turning 60) (3rd claimant) |
| DR | Widower (remarried after turning 60) (4th claimant) |
| DS | Surviving divorced husband, 60 or over (3rd claimant) |
| DT | Widower (remarried after turning 60) (5th claimant) |
| DV | Surviving divorced wife, 60 or over (3rd claimant) |
| DW | Surviving divorced wife, 60 or over (4th claimant) |
| DX | Surviving divorced husband, 60 or over (4th claimant) |
| DY | Surviving divorced wife, 60 or over (5th claimant) |
| DZ | Surviving divorced husband, 60 or over (5th claimant) |
| E | Mother (widow) (1st claimant) |
| E1 | Surviving divorced mother (1st claimant) |
| E2 | Mother (widow) (2nd claimant) |
| E3 | Surviving divorced mother (2nd claimant) |
| E4 | Father (widower) (1st claimant) |
| E5 | Surviving divorced father (1st claimant) |
| E6 | Father (widower) (2nd claimant) |
| E7 | Mother (widow) (3rd claimant) |
| E8 | Mother (widow) (4th claimant) |
| E9 | Surviving divorced father (2nd claimant) |
| EA | Mother (widow) (5th claimant) |
| EB | Surviving divorced mother (3rd claimant) |
| EC | Surviving divorced mother (4th claimant) |
| ED | Surviving divorced mother (5th claimant) |
| EF | Father (widower) (3rd claimant) |
| EG | Father (widower) (4th claimant) |
| EH | Father (widower) (5th claimant) |
| EJ | Surviving divorced father (3rd claimant) |
| EK | Surviving divorced father (4th claimant) |
| EM | Surviving divorced father (5th claimant) |
| F1 | Father |
| F2 | Mother |
| F3 | Stepfather |
| F4 | Stepmother |
| F5 | Adopting father |
| F6 | Adopting mother |
| F7 | Second alleged father |
| F8 | Second alleged mother |
| G1 – G9 | Claimants of lump-sum death payments |
| J1 | Primary PROUTY entitled to HIB (less than 3 Q.C.) (General Fund) ** |
| J2 | Primary PROUTY entitled to HIB (over 2 Q.C.) (RSI Trust Fund) |
| J3 | Primary PROUTY not entitled to HIB (less than 3 Q.C.) (General Fund) |
| J4 | Primary PROUTY not entitled to HIB (over 2 Q.C.) (RSI Trust Fund) |
| K1 | PROUTY wife entitled to HIB (less than 3 Q.C.) (General Fund) |
| K2 | PROUTY wife entitled to HIB (over 2 Q.C.) (RSI Trust Fund) |
| K3 | PROUTY wife not entitled to HIB (less than 3 Q.C.) (General Fund) |
| K4 | PROUTY wife not entitled to HIB (over 2 Q.C.) (RSI Trust Fund) |
| K5 | PROUTY wife entitled to HIB (less than 3 Q.C.) (2nd claimant) (General Fund) |
| K6 | PROUTY wife entitled to HIB (over 2 Q.C.) (2nd claimant) (RSI Trust Fund) |
| K7 | PROUTY wife not entitled to HIB (less than 3 Q.C.) (2nd claimant) (General Fund) |
| K8 | PROUTY wife not entitled to HIB (over 2 Q.C.) (2nd claimant) (RSI Trust Fund) |
| K9 | PROUTY wife entitled to HIB (less than 3 Q.C.) (3rd claimant) (General Fund) |
| KA | PROUTY wife entitled to HIB (over 2 Q.C.) (3rd claimant) (RSI Trust Fund) |
| KB | PROUTY wife not entitled to HIB (less than 3 Q.C.) (3rd claimant) (General Fund) |
| KC | PROUTY wife not entitled to HIB (over 2 Q.C.) (3rd claimant) (RSI Trust Fund) |
| KD | PROUTY wife entitled to HIB (less than 3 Q.C.) (4th claimant) (General Fund) |
| KE | PROUTY wife entitled to HIB (over 2 Q.C.) (4th claimant) (RSI Trust Fund) |
| KF | PROUTY wife not entitled to HIB (less than 3 Q.C.) (4th claimant) (General Fund) |
| KG | PROUTY wife not entitled to HIB (over 2 Q.C.) (4th claimant) (RSI Trust Fund) |
| KH | PROUTY wife entitled to HIB (less than 3 Q.C.) (5th claimant) (General Fund) |
| KJ | PROUTY wife entitled to HIB (over 2 Q.C.) (5th claimant) (RSI Trust Fund) |
| KL | PROUTY wife not entitled to HIB (less than 3 Q.C.) (5th claimant) (General Fund |
| KM | PROUTY wife not entitled to HIB (over 2 Q.C.) (5th claimant) (RSI Trust Fund) |
| LM | Black lung miner (1st claimant) |
| LW | Black lung miner's widow (1st claimant) |
| M | Beneficiary not entitled to Title II or monthly benefits (Not qualified for automatic free Part A – HIB) |
| M1 | Similar to M, but qualified for automatic free Part A – HIB, but elects to file for Part B – SMIB only |
| T |
|
| T2-T9 | Multiple eligible children (Medicare Qualified Government Employment (MQGE)) childhood disability benefits) |
| TA | MQGE primary beneficiary |
| TB | MQGE aged spouse (1st claimant) spouse |
| TC | MQGE childhood disability benefits (1st claimant) |
| TD | MQGE aged widow or widower (1st claimant) |
| TF | MQGE father |
| TG, TH, TJ, TK | Multiple eligible MQGE aged spouses |
| TL, TM, TN, TP | Multiple eligible MQGE aged widow(er)s |
| TQ | MQGE mother |
| TE, TR, TS, TT, TU | Multiple eligible MQGE young widow(ers) |
| TV, TW, TX, TY, TZ | Multiple eligible MQGE disabled widow(er)s |
| W | Disabled widow, 50 or over (1st claimant) |
| W1 | Disabled widower, 50 or over (1st claimant) |
| W2 | Disabled widow, 50 or over (2nd claimant) |
| W3 | Disabled widower, 50 or over (2nd claimant) |
| W4 | Disabled widow, 50 or over (3rd claimant) |
| W5 | Disabled widower, 50 or over (3rd claimant) |
| W6 | Disabled surviving divorced wife (1st claimant) |
| W7 | Disabled surviving divorced wife (2nd claimant) |
| W8 | Disabled surviving divorced wife (3rd claimant) |
| W9 | Disabled widow, 50 or over (4th claimant) |
| WB | Disabled widower, 50 or over (4th claimant) |
| WC | Disabled surviving divorced wife (4th claimant) |
| WF | Disabled widow, 50 or over (5th claimant) |
| WG | Disabled widower, 50 or over (5th claimant) |
| WJ | Disabled surviving divorced wife (5th claimant) |
| WR | Disabled surviving divorced husband (1st claimant) |
| WT | Disabled surviving divorced husband (2nd claimant) |
| * Youngest child is assigned suffix "1." When there are more than nine children in an Eligibility Determination Group (EDG), the 10th child is coded with an A rather than 10, the 11th child is coded with a B, etc. ** Quarters of covered employment. |