Your payment would be about
$2,042 a month
at full retirement age
WANDA WORKER
456 ANYWHERE AVENUE
MAINTOWN, USA 11111-1111
January 2, 2021
Your Social Security Statement
This Social Security Statement tells you about
how much you or your family would receive
in disability, survivor, or retirement benets. It
also includes our record of your lifetime earnings.
Check out your earnings history, and let us know
right away if you nd an error. This is important
because we base your benets on our record of
your lifetime earnings.
Social Security benets are not intended to be
your only source of income when you retire.
On average, Social Security will replace about
40 percent of your annual pre-retirement earnings.
You will need other savings, investments, pensions,
or retirement accounts to make sure you have
enough money to live comfortably when you retire.
To view your Statement online anytime,
create a my Social Security account
at myaccount.socialsecurity.gov.
Social Security Administration
To view your Social Security
Statement online anytime create a
my Social Security account today!
my Social Security
myaccount. socialse curity.gov
Follow the Social Security Administration at these social media sites.
Your Estimated Benets
*Retirement You have earned enough credits to qualify for benets. At your current earnings rate, if you
continue working until…
your full retirement age (67 years), your payment would be about ........................................................$ 2,042 a month
age 70, your payment would be about ....................................................................................................$ 2,546 a month
age 62, your payment would be about ....................................................................................................$ 1,406 a month
*Disability You have earned enough credits to qualify for benets. If you became disabled right now,
your payment would be about .................................................................................................................$ 1,841 a month
*Family If you get retirement or disability benets, your spouse and children also may qualify for benets.
*Survivors You have earned enough credits for your family to receive survivors benets. If you die this
year, certain members of your family may qualify for the following benets:
You r ch i ld ................................................................................................................................................$ 1,421 a month
Your spouse who is caring for your child ...............................................................................................$ 1,421 a month
Your spouse, if benets start at full retirement age................................................................................$ 1,895 a month
Total family benets cannot be more than .............................................................................................$ 3,522 a month
Your spouse or minor child may be eligible for a special one-time death benet of $255.
Medicare You have enough credits to qualify for Medicare at age 65. Even if you do not retire at age 65, be
sure to contact Social Security three months before your 65th birthday to enroll in Medicare.
* Your estimated benets are based on current law. Congress has made changes to the law in the
past and can do so at any time. The law governing benet amounts may change because, by 2035,
the payroll taxes collected will be enough to pay only about 80 percent of scheduled benets.
We based your benet estimates on these facts:
Your date of birth (please verify your name on page 1 and this date of birth) ...................................... April 5, 1981
Your estimated taxable earnings per year after 2018 ............................................................................. $55,492
Your Social Security number (only the last four digits are shown to help prevent identity theft) ......... XXX-XX-1234
How Your Benets Are Estimated
To qualify for benets, you earn “credits” through your work —
up to four each year. This year, for example, you earn one credit
for each $1,470 of wages or self-employment income. When
you’ve earned $5,880, you’ve earned your four credits for the year.
Most people need 40 credits, earned over their working lifetime,
to receive retirement benets. For disability and survivors benets,
young people need fewer credits to be eligible.
We checked your records to see whether you have earned
enough credits to qualify for benets. If you haven’t earned
enough yet to qualify for any type of benet, we can’t give you
a benet estimate now. If you continue to work, we’ll give you
an estimate when you do qualify.
What we assumed — If you have enough work credits, we
estimated your benet amounts using your average earnings
over your working lifetime. For 2021 and later (up to retirement
age), we assumed you’ll continue to work and make about the
same as you did in 2019 or 2020. We also included credits we
assumed you earned last year and this year.
Generally, the older you are and the closer you are to
retirement, the more accurate the retirement estimates will be
because they are based on a longer work history with fewer
uncertainties such as earnings uctuations and future law
changes. We encourage you to use our online Retirement
Estimator at www.socialsecurity.gov/estimator to obtain
immediate and personalized benet estimates.
We can’t provide your actual benet amount until you apply
for benets. And that amount may dier from the estimates
stated above because:
(1) Your earnings may increase or decrease in the future.
(2) After you start receiving benets, they will be adjusted
for cost-of-living increases.
(3) Your estimated benets are based on current law. The law
governing benet amounts may change.
(4) Your benet amount may be aected by military service,
railroad employment or pensions earned through
work on which you did not pay Social Security tax.
Visit www.socialsecurity.gov to learn more.
Windfall Elimination Provision (WEP) — In the future,
if you receive a pension from employment in which you do
not pay Social Security taxes, such as some federal, state
or local government work, some nonprot organizations or
foreign employment, and you also qualify for your own Social
Security retirement or disability benet, your Social Security
benet may be reduced, but not eliminated, by WEP. The
amount of the reduction, if any, depends on your earnings and
number of years in jobs in which you paid Social Security
taxes, and the year you are age 62 or become disabled. For
more information, please see Windfall Elimination Provision
(Publication No. 05-10045) at www.socialsecurity.gov/WEP.
Government Pension Oset (GPO) — If you receive a
pension based on federal, state or local government work in
which you did not pay Social Security taxes and you qualify,
now or in the future, for Social Security benets as a current or
former spouse, widow or widower, you are likely to be aected
by GPO. If GPO applies, your Social Security benet will be
reduced by an amount equal to two-thirds of your government
pension, and could be reduced to zero. Even if your benet
is reduced to zero, you will be eligible for Medicare at
age 65 on your spouse’s record. To learn more, please see
Government Pension Oset (Publication No. 05-10007) at
www.socialsecurity.gov/GPO.
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[C]
Your Earnings Record
Years You
Worked
Your Taxed
Social Security
Earnings
Your Taxed
Medicare
Earnings
1997 635 635
1998 1,672 1,672
1999 3,205 3,205
2000 5,801 5,801
2001 8,033 8,033
2002 9,824 9,824
2003 12,235 12,235
2004 16,099 16,099
2005 19,810 19,810
2006 23,325 23,325
2007 26,803 26,803
2008 29,704 29,704
2009 31,275 31,275
2010 33,819 33,819
2011 36,498 36,498
2012 39,110 39,110
2013 40,897 40,897
2014 43,514 43,514
2015 46,091 46,091
2016 47,611 47,611
2017 50,129 50,129
2018 52,765 52,765
2019 55,492 55,492
2020 Not yet recorded
You and your family may be eligible for valuable benets:
When you die, your family may be eligible to receive
survivors benets.
Social Security may help you if you become disabled—
even at a young age.
A young person who has worked and paid Social
Security taxes in as few as two years can be eligible for
disability benets.
Social Security credits you earn move with you from job
to job throughout your career.
Total Social Security and Medicare taxes paid over your working career through the last year reported on the chart above:
Estimated taxes paid for Social Security:
You paid: $37,817
Your employers paid: $39,329
Estimated taxes paid for Medicare:
You paid: $9,198
Your employers paid: $9,198
Note: Currently, you and your employer each pay a 6.2 percent Social Security tax on up to $142,800 of your earnings and a 1.45*
percent Medicare tax on all your earnings. If you are self-employed, you pay the combined employee and employer amount, which is a
12.4 percent Social Security tax on up to $142,800 of your net earnings and a 2.9* percent Medicare tax on your entire net earnings.
*If you have earned income of more than $200,000 ($250,000 for married couples filing jointly), you must pay 0.9 percent more in Medicare taxes.
Help Us Keep Your Earnings Record Accurate
You, your employer and Social Security share responsibility
for the accuracy of your earnings record. Since you began
working, we recorded your reported earnings under your name
and Social Security number. We have updated your record each
time your employer (or you, if you’re self-employed) reported
your earnings.
Remember, it’s your earnings, not the amount of taxes you
paid or the number of credits you’ve earned, that determine your
benet amount. When we gure that amount, we base it on your
average earnings over your lifetime. If our records are wrong,
you may not receive all the benets to which you’re entitled.
Review this chart carefully using your own records to make
sure our information is correct and that we’ve recorded each
year you worked. You’re the only person who can look at the
earnings chart and know whether it is complete and correct.
Some or all of your earnings from last year may not be
shown on your Statement. It could be that we still were
processing last year’s earnings reports when your Statement
was prepared. Your complete earnings for last year will be
shown on next year’s Statement. Note: If you worked for more
than one employer during any year, or if you had both earnings
and self-employment income, we combined your earnings for
the year.
There’s a limit on the amount of earnings on which you pay
Social Security taxes each year. The limit increases yearly.
Earnings above the limit will not appear on your earnings
chart as Social Security earnings. (For Medicare taxes, the
maximum earnings amount began rising in 1991. Since 1994,
all of your earnings are taxed for Medicare.)
Call us right away at 1-800-772-1213 (7 a.m.–7 p.m. your
local time) if any earnings for years before last year are shown
incorrectly. Please have your W-2 or tax return for those years
available. (If you live outside the U.S., follow the directions at
the bottom of page 4.)
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Some Facts About Social Security
About Social Security and Medicare…
Social Security pays retirement, disability, family and survivors
benefits. Medicare, a separate program run by the Centers
for Medicare & Medicaid Services, helps pay for inpatient
hospital care, nursing care, doctors’ fees, drugs, and other
medical services and supplies to people age 65 and older, as
well as to people who have been receiving Social Security
disability benefits for two years or more. Medicare does not
pay for long-term care, so you may want to consider options
for private insurance. Your Social Security covered earnings
qualify you for both programs. For more information about
Medicare, visit www.medicare.gov or call 1-800-633-4227
(TTY 1-877-486-2048 if you are deaf or hard of hearing).
Retirement — If you were born before 1938, your full
retirement age is 65. Because of a 1983 change in the law, the
full retirement age will increase gradually to 67 for people born
in 1960 and later.
Some people retire before their full retirement age. You
can retire as early as 62 and take benefits at a reduced rate.
If you work after your full retirement age, you can receive
higher benefits because of additional earnings and credits for
delayed retirement.
Disability — If you become disabled before full retirement age,
you can receive disability benefits after six months if
you have:
— enough credits from earnings (depending on your age, you
must have earned six to 20 of your credits in the three to 10
years before you became disabled); and
— a physical or mental impairment that’s expected to prevent
you from doing “substantial” work for a year or more or
result in death.
If you are filing for disability benefits, please let us know
if you are on active military duty or are a recently discharged
veteran, so that we can handle your claim more quickly.
Family — If you’re eligible for disability or retirement benefits,
your current or divorced spouse, minor children or adult
children disabled before age 22 also may receive benefits. Each
may qualify for up to about 50 percent of your benefit amount.
Survivors — When you die, certain members of your family
may be eligible for benefits:
— your spouse age 60 or older (50 or older if disabled, or any
age if caring for your children younger than age 16); and
— your children if unmarried and younger than age 18, still
in school and younger than 19 years old, or adult children
disabled before age 22.
If you are divorced, your ex-spouse could be eligible for a
widow’s or widower’s benefit on your record when you die.
Extra Help with Medicare — If you know someone who
is on Medicare and has limited resources and income, Extra
Help is available for prescription drug costs. The Extra Help
can help pay the monthly premiums, annual deductibles
and prescription co-payments. To learn more or to apply,
visit www.socialsecurity.gov or call 1-800-772-1213
(TTY 1-800-325-0778).
Receive benefits and still work...
You can work and still get retirement or survivors benefits. If
you’re younger than your full retirement age, there are limits on
how much you can earn without affecting your benefit amount.
When you apply for benefits, we’ll tell you what the limits
are and whether work would affect your monthly benefits.
When you reach full retirement age, the earnings limits no
longer apply.
Before you decide to retire...
Carefully consider the advantages and disadvantages of early
retirement. If you choose to receive benefits before you reach
full retirement age, your monthly benefits will be reduced.
To help you decide the best time to retire, we offer a free
publication, When To Start Receiving Retirement Benefits
(Publication No. 05-10147), that identifies the many factors you
should consider before applying. Most people can receive an
estimate of their benefit based on their actual Social Security
earnings record by going to www.socialsecurity.gov/estimator.
You also can calculate future retirement benefits by using the
Social Security Benefit Calculators at www.socialsecurity.gov.
Other helpful free publications include:
— Retirement Benefits (No. 05-10035)
— Understanding The Benefits (No. 05-10024)
— Your Retirement Benefit: How It Is Figured (No. 05-10070)
— Windfall Elimination Provision (No. 05-10045)
— Government Pension Offset (No. 05-10007)
— Identity Theft And Your Social Security Number (No. 05-10064)
We also have other leaflets and fact sheets with information
about specific topics such as military service, self-employment
or foreign employment. You can request Social Security
publications at our website, www.socialsecurity.gov, or
by calling us at 1-800-772-1213. Our website has a list of
frequently asked questions that may answer questions you have.
We have easy-to-use online applications for benefits that can
save you a telephone call or a trip to a field office.
You also may qualify for government benefits outside of
Social Security. For more information on these benefits,
visit www.benefits.gov.
If you need more information — Visit www.socialsecurity.gov on the Internet, contact any Social Security office, call
1-800-772-1213 or write to Social Security Administration, Office of Earnings Operations, P.O. Box 33026, Baltimore, MD
21290-3026. If you’re deaf or hard of hearing, call TTY 1-800-325-0778. If you have questions about your personal information,
you must provide your complete Social Security number. If your address is incorrect on this Statement, ask the IRS to send you a
Form 8822. We don’t keep your address if you’re not receiving Social Security benefits.
Form SSA-7005-SM-SI (01/21)
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