1/8/2016 Description of the U.S.-Norwegian Social Security Agreement

For more information To file a claim for U.S. or Norwegian benefits under the agreement, follow
the instructions in "Claims for benefits" section.

To find out more about U.S. Social Security benefits or for information about a
claim for benefits, contact any U.S. Social Security office. If you live outside
the United States, write to:

Social Security Administration
OlO—Totalization

P.O. Box 17769

Baltimore, Maryland 21235-7769
USA

For more information about Norway's Social Security programs, visit any
Social Security office in Norway. If you don’t live in Norway, write to:

National Insurance Administration
International Affairs Division
N-0241 Olso

NORWAY

If you do not wish to file a claim for benefits, but would like more
information about the agreement, write to:

Social Security Administration
Office of International Programs
P.O. Box 17741

Baltimore, Maryland 21235-7741
USA

For additional information visit our website:
www.socialsecurity.gov/international.

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Certificate of
coverage

Description of the U.S.-Norwegian Social Security Agreement

A certificate of coverage issued by one country serves as proof of exemption
from Social Security taxes on the same earnings in the other country.

Certificates for employees

To establish an exemption from compulsory coverage and taxes under the
Norwegian system, your employer must request a certificate of coverage
(form USA/N 101) from the U.S. at this address:

Social Security Administration
Office of International Programs
P.O. Box 17741

Baltimore, MD 21235-7741
USA

The request may be sent by FAX, if preferred, to (410) 966-1861. Please note
this FAX number should only be used for requesting certificates of coverage.

No special form is required to request a certificate, but, the request must be in
writing and provide the following information:

e Full name of worker;

Date and place of birth;

Citizenship;

Country of worker's permanent residence;

Worker's address in Norway (if known);

U.S. and/or Norwegian Social Security number;

Name, relationship and date of birth of family members accompanying
the worker;

Date of hire;

Country of hire;

Name and address of the employer in the U.S. and Norway; and
Date of transfer and anticipated date of return.

eee eee

In addition, your employer must indicate if you remain an employee of the
U.S. company while working in Norway or if you become an employee of the
U.S. company’s affiliate in Norway. If you become an employee of an affiliate,
your employer must indicate if the U.S. company has an agreement with the
Internal Revenue Service under section 3121(I) of the Internal Revenue Code
to pay U.S. Social Security taxes for U.S. citizens and residents employed by
the affiliate and, if yes, the effective date of the agreement.

Your employer can also request a certificate of U.S. coverage for you over the
Internet using a special online request form available at

www. socialsecurity.gov/coc. Only an employer can use the online form to
request a certificate of coverage. A self-employed person must submit a
request by mail or fax.

To establish your exemption from coverage under the U.S. Social Security
system, your employer in Norway must request a certificate of coverage (form
N/USA 2) from Norway at this address:

National Insurance Administration
International Affairs Division
N-0241 Olso

NORWAY

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1/8/2016 Description of the U.S.-Norwegian Social Security Agreement

entitled to
supplementary
pension or the
deceased or the
widow or widower
resided in Norway for
20 years.

Divorced widow or
widower-Same as
widow or widower if
marriage lasted at
least 10 years.

Divorced widow-
Under age 67 and not
remarried and death
occurred within five
years of the divorce.
Marriage lasted at
least 25 years or 15
years if there were
children of the
marriage.

Benefit not payable
outside Norway unless.
also entitled to
supplementary
pension or the
deceased or the
divorced widow or
widower resided in
Norway for 20 years.

Children-Same as for

children of retired or
disabled worker.

Children-Under age
18 (or age 20 ifa
student or both
parents deceased).

Lump-sum death
benefit-A one-time
payment not to exceed

Lump-sum death
benefit-Funeral grant
payable.

$255 payable on the
death of an insured
worker.

How benefits can be paid

If you have Social Security credits in both the United States and Norway, you
may be eligible for benefits from one or both countries. If you meet all the
basic requirements under one country’s system, you will get a regular benefit
from that country. If you do not meet the basic requirements, the agreement
may help you qualify for a benefit as explained below.

¢ Benefits from the U.S.—lIf you do not have enough work credits under
the U.S. system to qualify for regular benefits, you may be able to
qualify for a partial benefit from the United States based on both U.S.

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Authority to collect information for a certificate of coverage
Privacy Act

The Privacy Act requires us to notify you that we are authorized to
collect this information by section 233 of the Social Security Act. While
it is not mandatory for you to furnish the information to the Social
Security Administration (SSA), a certificate of coverage cannot be
issued unless a request has been received. The information is needed
to enable SSA to determine if work should be covered only under the
U.S. Social Security system in accordance with an international
agreement. Without the certificate, work may be subject to taxation
under both the U.S. and the foreign Social Security systems.

Paperwork Reduction Act Notice

This information collection meets the clearance requirements of 44
U.S.C. section 3507, as amended by section 2 of the Paperwork
Reduction Act of 1995. You are not required to answer these questions
unless we display a valid Office of Management and Budget (OMB)
control number. We estimate that it will take you about 30 minutes to
read the instructions, gather the necessary facts, and write down the
information to request a certificate of coverage.

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Monthly benefits The following table shows the various types of Social Security benefits

payable under the U.S. and Norwegian Social Security systems and briefly
describes the eligibility requirements that normally apply for each type of
benefit. If you do not meet the normal requirements for these benefits, the
agreement may help you to qualify (see "How benefits can be paid" section
below).

We should point out that Norway pays benefits through a two-tier program:
the first tier pays a basic pension based on residence; and the second tier
pays an earnings-related supplementary pension. If you have not lived or
worked in Norway long enough to qualify for benefits under one or both of
these programs, U.S. Social Security credits may help you become entitled.

This table is only a general guide. You can get more specific information
about U.S. benefits here on our web site or at any U.S. Social Security office
or by calling our toll-free number at 1-800-772-1213. You can get more
detailed information about the Norwegian system by writing to the Norwegian
address in "Certificates for employees" section or by visiting the Norwegian
Social Security system web site at www.ffu.trygdeetaten.no/.

Under U.S. Social Security, you may earn up to four credits each year
depending on the amount of your covered earnings. The amount needed to
earn a work credit goes up slightly each year. For more information, see How
You Earn Credits (SSA Publication No. 05-10072).

Under the Norwegian system, credits are measured in years known as
“pension point years." To simplify the information in the table, U.S.

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Description of the U.S.-Norwegian Social Security Agreement

The same information required for a certificate of coverage from the United
States is needed to get a certificate from Norway except that you must show
your Norwegian social insurance number rather than your U.S. Social
Security number.

Certificates for self-employed people

If you are self-employed and would normally have to pay Social Security
taxes to both the U.S. and Norwegian systems, you can establish your
exemption from one of the taxes by writing to:

« If you reside in the United States, the U.S. Social Security
Administration at the address in "Certificates for employees" section; or

¢ If you reside in Norway, the National Insurance Administration at the
address in "Certificates for employees" section.

Be sure to provide the following information in your letter:

Full name;

Date and place of birth;

Citizenship;

Country of permanent residence;

U.S. and/or Norwegian Social Security number;

Name, relationship and date of birth of family members accompanying
you;

Address in Norway, if known;

Nature of self-employment activity;

Dates the activity was or will be performed; and

Name and address of your trade or business in both countries.

Effective date of coverage exemption

The certificate of coverage you receive from one country will show the
effective date of your exemption from paying Social Security taxes in the
other country. Generally, this will be the date you began working in the other
country.

Certificates of coverage issued by Norway should be retained by the
employer in the United States in case of an audit by the IRS. No copies
should be sent to IRS unless specifically requested by IRS. However, a self-
employed person must attach a photocopy of the certificate to his or her tax
return each year as proof of the U.S. exemption.

Copies of certificates of coverage issued by the United States will be provided
for both the employee and the employer. It will be their responsibility to
present the certificate to the Norwegian authorities when requested to do so.
To avoid any difficulties, your employer (or you, if you are self-employed)
should request a certificate as early as possible, preferably before your work
in the other country begins.

If you or your employer request a certificate of coverage, you should read the
Privacy Act and Paperwork Reduction Act Statements below.

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Spouse-Full benefit at
full retirement age or
at any age if caring for
the worker's entitled
child under age 16 (or
disabled before age
22). Reduced benefit
as early as age 62 if
not caring for a child.

Description of the U.S.-Norwegian Social Security Agreement

Spouse-Supplement
paid to worker if
supporting a spouse
who does not receive
own pension.

Divorced spouse-Full
benefit at full
retirement

age. Reduced benefit
as early as age 62.
Must be unmarried
and have been
married to worker for
at least 10 years.

Divorced spouse-
Payable under certain
conditions.

Children-lf unmarried,
up to age 18 (age 19 if
in an elementary or
secondary school full
time) or any age if
disabled before age
22.

Children-Supplement
paid to worker if child
is under age 18.

United States

Norway

Widow or widower-
Full benefit at full
retirement age or at
any age if caring for
the deceased's
entitled child under
age 16 (or disabled
before age

22). Reduced benefit
as early as age 60 (or
age 50 if disabled) if
not caring for child.
Benefits may be
continued if
remarriage occurs
after age 60 (or age 50
if disabled).

Widow or widower-

Under age 67 and
marriage lasted at
least five years or a
child was born of the
marriage or surviving
spouse is caring for
deceased's children.

Deceased worker or
surviving spouse must
have had at least three
years of coverage and
the ability to work for
at least three years
immediately prior to
death or been
receiving a pension for
at least three years
prior to death.

Benefit not payable
outside Norway unless.
the deceased was also

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1/8/2016 Description of the U.S.-Norwegian Social Security Agreement

Social SecurityOnline  _International Programs

International ProgramsHome ><. Totalization Agreement with Norway

sill SSA Publication No. 05-10195, January 2004, ICN 480205 [OMB Approval Number: 0960-
0554 Expires 10/31/2013]

Contents

Introduction
Coverage and Social Security taxes
Certificate of coverage

Monthly benefits
A Norwegian "supplementary" pension may affect your U.S. benefit

What you need to know about Medicare

Claims for benefits

For more information

Introduction . .
An agreement effective July 1, 1984, between the United States and Norway

improves Social Security protection for people who work or have worked in
both countries. It helps many people who, without the agreement, would not
be eligible for monthly retirement, disability or survivors benefits under the
Social Security system of one or both countries. It also helps people who
would otherwise have to pay Social Security taxes to both countries on the
same earnings.

The agreement covers Social Security taxes (including the U.S. Medicare
portion) and Social Security retirement, disability and survivors insurance
benefits. It does not cover benefits under the U.S. Medicare program or the
Supplemental Security Income program.

This document covers highlights of the agreement and explains how it may
help you while you work and when you apply for benefits.

The agreement may help you, your family and your employer

e While you work—If your work is covered by both the U.S. and
Norwegian Social Security systems, you (and your employer, if you are
employed) would normally have to pay Social Security taxes to both
countries for the same work. However, the agreement eliminates this
double coverage so you pay taxes to only one system (see the section
on "Coverage and Social Security taxes").

e« When you apply for benefits—You may have some Social Security
credits in both the U.S. and Norway but not have enough to be eligible
for benefits in one country or the other. The agreement makes it easier
to qualify for benefits by letting you add together your Social Security
credits in both countries. For more details, see the section on "Monthly
benefits".

[Back to top

Coverage and Social
9 Before the agreement, employees, employers and self-employed people

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A Norwegian
“supplementary”
pension may affect
your U.S. benefit

What you need to
know about Medicare

Claims for benefits

Description of the U.S.-Norwegian Social Security Agreement

Norwegian Social Security credits, an initial benefit is determined based on
your U.S. earnings as if your entire career had been completed under the
U.S. system. This initial benefit is then reduced to reflect the fact that
Norwegian credits helped to make the benefit payable. The amount of the
reduction will depend on the number of U.S. credits: the more U.S. credits,
the smaller the reduction; and the fewer U.S. credits, the larger the reduction.

[Back to top

If you qualify for Social Security benefits from the United States based only on
U.S. credits and a “supplementary” pension from Norway, the amount of your
U.S. benefit may be reduced. This is a result of a provision in U.S. law which
can affect the way your benefit is figured if you also receive a pension based
on work that was not covered by U.S. Social Security. Receipt of a Norwegian
“basic” pension, which is based on residence in Norway, will not affect the
way your U.S. benefit is figured. For more information, call our toll-free
number, 1-800-772-1213, and get the publication, Windfall Elimination
Provision (Publication No. 05-10045). If you are outside the United States,
you may write to us at the address in "For more information" section.

[Back to top

Medicare is the U.S. national health insurance system for people age 65 or
older or who are disabled. Medicare has two parts: hospital insurance (also
called "Part A" Medicare) and medical insurance (called "Part B" Medicare).
You are eligible for free hospital insurance at age 65 if you have worked long
enough under U.S. Social Security to qualify for a retirement benefit. People
born in 1929 or later need 40 credits (about 10 years of covered work) to
qualify for retirement benefits.

Although the agreement between the United States and Norway allows the
Social Security Administration to count your Norwegian credits to help you
qualify for U.S. retirement, disability or survivor benefits, the agreement does
not cover Medicare benefits. As a result, we cannot count your credits in
Norway to establish entitlement to free Medicare hospital insurance.

For more information about Medicare, call our toll-free number, 1-800-772-
1213, and ask for the publication, Medicare (Publication No. 05-10043) or visit
Medicare's website at www.medicare.gov.

[Back to top]

If you live in the United States and wish to apply for U.S. or Norwegian
benefits:

e Visit or write any U.S. Social Security office; or

« Phone our toll-free number, 1-800-772-1213, 7 a.m. to 7 p.m. any
business day. People who are deaf or hard of hearing may call our toll-
free TTY number, 1-800-325-0778.

You can apply for Norwegian benefits at any U.S. Social Security office by
completing an application form SSA-2490.

If you live in Norway and wish to apply for U.S. or Norwegian benefits,
contact:

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Description of the U.S.-Norwegian Social Security Agreement

and Norwegian credits. However, to be eligible to have your Norwegian
credits counted, you must have earned at least six credits (generally
one and one-half years of work) under the U.S. system. If you already
have enough credits under the U.S. system to qualify for a benefit, the
United States cannot count your Norwegian credits.

¢ Benefits from Norway—Norway provides retirement, disability and
survivors benefits through two separate programs.

1. A "basic" pension program pays flat-rate benefits to Norwegian
residents in proportion to the number of years they have resided in
Norway. The benefit amount is unrelated to past earnings. In
determining eligibility for a basic pension, any year with earnings
credited under the supplementary system is automatically credited
as a year of residence, even if a person did not actually reside in
Norway.

If you have resided in Norway for at least one year, but not long
enough to meet the applicable coverage requirement for a basic
pension, your U.S. and Norwegian coverage can be combined to
meet the three-year minimum coverage requirement for retirement
benefits, or to meet the recent-coverage requirements that apply
to disability and survivors benefits. In addition, Norway will pay
basic disability and survivors benefits, which were formerly
payable only to residents of Norway, if you reside in the United
States.

2. A“supplementary" pension program for workers pays benefits
based on how long you worked in Norway and the amount you
earned.

If you have at least one year of coverage under Norway’s
supplementary pension system, but not enough to meet the three-
year minimum requirement for a retirement, survivors or disability
pension, your U.S. credits can be added to your supplementary
credits to meet this requirement. In addition, U.S. credits can be
used to meet the recent-coverage requirement for the surviving
spouse’s pension.

How credits get counted

You do not have to do anything to have your credits in one country counted
by the other country. If we need to count your credits under the Norwegian
system to help you qualify for a U.S. benefit, we will get a copy of your
Norwegian record directly from Norway when you apply for benefits. If
Norway needs to count your U.S. credits to help you qualify for a Norwegian
benefit, they will get a copy of your U.S. record directly from the Social
Security Administration when you apply for the Norwegian benefit.

Although each country may count your credits in the other country, your
credits are not actually transferred from one country to the other. They remain

on your record in the country where you earned them and also can be used to
qualify for benefits there.

Computation of U.S. benefit under the agreement

When a U.S. benefit becomes payable as a result of counting both U.S. and

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1/8/2016 Description of the U.S.-Norwegian Social Security Agreement
requirements are also shown in years of credits.

Monthly benefits and eligi

lity requirements

United States Norway
Worker-Full benefit at
full retirement age, or || Worker-

reduced benefit as
early as age 62.
Required work credits
range from one and
one-half to 10 years
(10 years if 62 in 1991
or later).

Basic: Age 67 with at
least three years of
residence in Norway.

Supplementary: Age
67 with at least three
years of coverage
after 1966.

Disability

benefits

United States

Norway

Worker-Under full
retirement age can get
benefit if unable to do
any substantial gainful
work for at least a
year. One and one-
half to 10 years credit
needed, depending on
age at date of

onset. Some recent
work credits also
needed unless worker
is blind.

Worker-

Basic: Age 18 to 67
with three years of
credits (i.e., residence)
immediately preceding
onset of disability.
Must have at least 50
percent loss of work
capacity. Benefit not
payable outside
Norway unless also
entitled to
supplementary
pension or residence
in Norway for 20 years
after age 18.

Supplementary:
Same as basic except
three years of
earnings above a base
amount after 1966 is
needed and the
benefit is payable
outside of Norway.

United States

Norway

|

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1/8/2016 Description of the U.S.-Norwegian Social Security Agreement
For the Norwegian government and you are a:

¢ Norwegian national || Norway

US.
« US. citizen

You are self-employed and you:

« Reside in the U.S. U.S.

e Reside in Norway Norway

If this table does not seem to describe your
situation and you are:

e Working in the U.S. || Write to the U.S.
address in
"Certificates for
employees"
section below for
further
information.

e Working in Norway _ || Write to the
Norway address in
“For more
information"
section below for
further
information.

NOTE: As the table indicates, a U.S. worker employed in Norway can be
covered by U.S. Social Security only if he or she works for a U.S. employer. A
U.S. employer includes a corporation organized under the laws of the United
States or any state, a partnership if at least two-thirds of the partners are U.S.
residents, an individual who is a resident of the U.S. or a trust if all the
trustees are U.S. residents. The term also includes a foreign affiliate of a U.S.
employer if the U.S. employer has entered into an agreement with the Internal
Revenue Service under section 3121(I) of the Internal Revenue Code to pay
Social Security taxes for U.S. citizens and residents employed by the affiliate.

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1/8/2016 Description of the U.S.-Norwegian Social Security Agreement

Norway for five
years or less

e Sent you to work in || Norway
Norway for more
than five years

e Hired you in Norway
Norway

For a non-U.S. employer || Norway

For the U.S. government and you are a:

e U.S. national U.S. (either Social
Security or federal
retirement
program

Norway
¢ Norwegian national

You are working in the U.S.:

For an employer in Norway who:

e Sent you to work in || Norway
the U.S. for five
years or less

¢ Sent you to work in || U.S.
the U.S. for more
than five years

e Hired you in the US.
US.

For a non-Norwegian US.
employer

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Security taxes

Description of the U.S.-Norwegian Social Security Agreement

could, under certain circumstances, be required to pay Social Security taxes
to both the United States and Norway for the same work.

Under the agreement, if you work as an employee in the United States, you
normally will be covered by the United States, and you and your employer will
pay Social Security taxes only to the United States. If you work as an
employee in Norway, you normally will be covered by Norway, and you and
your employer pay Social Security taxes only to Norway.

On the other hand, if your employer sends you from one country to work for
that employer or an affiliate in the other country for five years or less, you will
continue to be covered by your home country and you will be exempt from
coverage in the other country. For example, if a U.S. company sends an
employee to work for that employer or an affiliate in Norway for no more than
five years, the employer and the employee will continue to pay only U.S.
Social Security taxes and will not have to pay in Norway.

If you are self-employed and reside in the United States or Norway, you
generally will be covered and taxed only by the country where you reside.

Special coverage rules apply to persons working on the Norwegian
Continental Shelf (oil exploration activities, for example). Write to either
address in "Certificates for employees" section and for specific information.

NOTE: In addition to retirement, survivors and disability benefits, Norwegian
Social Security taxes cover several other programs including unemployment
and work accident insurance and certain benefits for unwed mothers. As a
result, workers exempted from Norwegian Social Security coverage by the
agreement pay no Social Security taxes for these programs and generally
cannot receive benefits from them. If the agreement exempts you from
Norwegian coverage, you and your employer may wish to arrange for
alternative benefit protection.

Summary of agreement rules

The following table shows whether your work is covered under the U.S. or
Norwegian Social Security system. If you are covered under U.S. Social
Security, you and your employer (if you are an employee) must pay U.S.
Social Security taxes. If you are covered under the Norwegian system, you
and your employer (if you are an employee) must pay Norwegian Social
Security taxes. "Certificate of coverage" section explains how to get a form
from the country where you are covered that will prove you are exempt in the
other country.

You are working in Norway:

For a U.S. employer who:

e Sent you to work in || U.S.

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1/8/2016 Description of the U.S.-Norwegian Social Security Agreement

« The Federal Benefits Unit at the U.S. Embassy in Oslo (phone 2-2448-
550) to file for U.S. benefits; or
e Any Norwegian Social Security office to file for Norwegian benefits.

You can apply with one country and ask to have your application considered
as a claim for benefits from the other country. Information from your
application will then be sent to the other country. Each country will process
the claim under its own laws—counting credits from the other country when
appropriate—and notify you of its decision.

If you have not applied for benefits before, you may need to provide certain
information and documents when you apply. These include the worker’s U.S.
and Norwegian Social Security numbers, proof of age for all claimants,
evidence of the worker's U.S. earnings in the past 24 months and information
about the worker’s coverage under the Norwegian system. You may wish to
call the Social Security office before you go there to see if any other
information is needed.

Payment of benefits

Each country pays its own benefit. U.S. payments are made by the U.S.
Department of Treasury each month and cover benefits for the preceding
month. Payments under the Norwegian system are made monthly, in
advance, through the Norwegian Postal System.

Absence from U.S. territory

Normally, persons who are not U.S. citizens may receive U.S. Social Security
benefits while outside the U.S. only if they meet certain requirements. Under
the agreement, however, you may receive benefits as long as you reside in
Norway regardless of your nationality. If you are not a U.S. or Norwegian
citizen and live in another country, you may not be able to receive benefits.
The restrictions on U.S. benefits are explained in the publication, Social
Security—Your Payments While You Are Outside The United States
(Publication No. 05-10137).

Appeals

If you disagree with the decision made on your claim for benefits under the
agreement, contact any U.S. or Norwegian Social Security office. The people
there can tell you what you need to do to appeal the decision.

The Norwegian Social Security authorities will review your appeal if it affects
your rights under the Norwegian system, while U.S. Social Security
authorities will review your appeal if it affects your rights under the U.S.
system. Since each country’s decisions are made independently of the other,
a decision by one country on a particular issue may not always conform with
the decision made by the other country on the same issue.

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