Eligibility Window Example 3
 
Susan was adopted during her adoptive parents' eligibility window.
 
Use the Benefit Cap Grid: Determining the BC Child (FAA-1302A) form or the FAA1583A Electronic benefit Cap Determination unity form to determine whether Susan is exempt from the Family Benefit Cap Period (FBCP).
 
Mom's FBCP:
11/06 - 10/11
CA stopped:
09/30/08 (Enter 10/2008 on the FAA1583A Electronic benefit Cap Determination unity form)
 
Write CL in 10/08 on the FAA-1302A Count 22 months beginning with 10/08 (22 months from 10/08 is 07/10). Write BEG in the 22nd month, 07/10.
CA resumed:
12/20/09 (Enter 12/2009 on the FAA1583A Electronic benefit Cap Determination unity form)
 
Write RE in 12/09. Count ten months beginning 12/09 (Ten months is from 12/09 to 09/10). Write END in the tenth month, 09/10. Highlight the months from BEG to END. This is the eligibility window.
Eligibility window:
07/10 - 09/10
Date of adoption:
08/10/10
 
Write DOA (date of adoption) in the month the child was adopted
 
Susan is exempt from the Family Benefit Cap Period because both following apply:
 
CA was stopped for 12 months or more
Susan was adopted within the eligibility window