Social Security (2024)

How is the Gender in My SSA (Social Security Administration) Record Used?

Your Social Security card only lists your name and Social Security number – not your gender. However, SSA maintains information in its computer records on everyone who has a Social Security number, including name, date of birth, and gender. Aggregated data about gender and other demographic factors from SSA records is used for statistical and research purposes. In addition, as discussed below, SSA gender data is still used for identity verification by some third-party organizations.

Will Changing My Gender With SSA Affect My Social Security Benefits?

No. Social Security benefits do not depend on your gender.

Will Changing My Gender With SSA Affect My Health Benefits?

Changing your gender marker with Social Security will typically not affect private health insurance. While some insurance plans may automatically refuse coverage of services that appear inconsistent with a gender marker in the plan’s records, private plans generally do not base their gender data on, or match it with, Social Security records.

However, if a person is enrolled in Medicare, or the Medicaid and Supplemental Security Income (SSI) programs, their insurance record will be based on Social Security data. In that case, they may experience automatic refusals for coverage of services that appear inconsistent with a gender marker in Social Security records. This type of denial can usually be resolved by having your provider’s office either add a specific billing code, contact the plan, or help you request a formal coverage determination.

What About “No-Match Letters”? Will My SSA Record Out Me on the Job or Elsewhere?

This could happen in some circ*mstances. The SSA administers several programs used by employers and public benefit providers to verify a person’s identity. Through these programs, the SSA compares personal data submitted by a business or government agency with its own records and reports whether the data matches.

The largest system used by private employers, the Social Security Number Verification System (SSNVS), eliminated gender in 2011. However, some systems used by state government agencies will still match gender against SSA records.If a person’s recorded gender with the submitting agency does not match SSA records, the SSA may report this back to the submitting agency. In cases where gender data is submitted to the SSA and does not match, the submitting agency is under no obligation to respond in any way. So long as the other personal data matches with SSA records, the organization can simply ignore the gender mismatch.

How Do I Change the Gender in My SSA Record?

Social Security will accept any of the following forms of evidence for a gender marker change:

  • A full-validity 10-year U.S. passport showing the correct gender,
  • A state-issued birth certificate showing the correct gender,
  • A court order recognizing the correct gender, or
  • A signed letter from a provider confirming you have had appropriate clinical treatment for gender transition

If you use a physician letter, it must come from a licensed physician with whom you have a patient relationship and who is familiar with your transition-related treatment. (This may be any physician who is familiar with your treatment, including a primary care physician or a specialist.) All certifications must be on the physician’s office letterhead and include all information seen in the sample letter below, including the physician’s license or certificate number.

The following is an example of a letter that meets all the Social Security requirements:

PHYSICIAN LETTERHEAD

I,Physician’s Full Name,Physician’s medical license or certificate number,Issuing U.S. State/Foreign Country of medical license/certificate,am the physician ofName of Patient, Date of Birth of Patient, with whom I have a doctor/patient relationship and whom I have treated, or with whom I have a doctor/patient relationship and whose medical history I have reviewed and evaluated.

Name of Patienthas had appropriate clinical treatment for transition to (specify male or female).

I declare under penalty of perjury under the laws of the United States that the foregoing is true and correct.

Signature of Physician
Typed Name
​Address
Telephone Number
Date

You can download asample physician letter here.

What is “appropriate clinical treatment for gender transition”?

People’s gender transition needs vary, and treatment options are decided between individuals and health care professionals on a case-by-case basis. The phrase “appropriate clinical treatment for gender transition” is meant to capture a range of treatments that may be appropriate, in each individual case, to facilitate gender transition. Clinical treatment methods are outlined in the World Professional Association for Transgender Health Standards of Care, andtreatment can includepsychotherapy,changes in gender expression and role, hormone therapy, orsurgery, or any combination thereof.No specific treatment is required, and details of your treatment need not be provided. In fact, NCTE encourages you and your provider to only state in the letter that you have had appropriate clinical treatment for gender transition. Details about surgery, hormone treatment, or other treatments are unnecessary and not helpful.

How Do I Change My Name in My Social Security Record?

You can change the name on your Social Security card and record by applying through the mail or in person at a local Social Security office. This can be done separately from, or together with, applying for a gender change. You will need to submit an Application for a Social Security Card, proof of your identity and citizenship or immigration status, as well as acceptable proof of the name change.

In general, SSA will accept any of the following as proof of a name change:

  • Name change court order (original or certified copy);
  • Marriage, civil union, or domestic partnership certificate (original or certified copy);
  • Divorce decree (original or certified copy); or,
  • Certificate of citizenship or naturalization (original only).

The new card will be sent to you in the mail, as will any original documents submitted with your application.

Note: Marriage, civil union, or domestic partnership certificates showing a name change can be used so long as they are recognized by the issuing state. Locally-issued domestic partnership certificates not recognized by a state cannot be used for this purpose.

How Does Social Security Treat Marriages Involving Transgender People?

Social Security recognizes as valid any marriage that was recognized under state law as being a valid marriage when it was entered into. Social Security looks to state law and government-issued documents (such as birth certificates and court orders) to determine marital status – it is not based on the gender marker in your Social Security record. For this reason, changing your gender marker with Social Security will not affect your or your spouse’s right to Social Security benefits. Any marriage that was valid when it was entered continues to be valid regardless of a spouse’s transition.

What if I Have a Problem?

Social Security employees are instructed to treat transgender customers with respect, including using appropriate pronouns, and to not ask unrelated personal questions. If you encounter difficulties with local or other SSA employees, contact NCTE, your SSA Regional Office, or your U.S. Senator’s Office.

If you believe you have been subject to discriminatory treatment by an SSA office or staff, you may file a formal complaint of discrimination with SSA. SSA accepts complaints of discrimination in services and programs based on race, color, national origin (including English language ability), religion, sex (including gender identity), sexual orientation, age, disability, or in retaliation for filing a complaint. The purpose of this process is not to provide compensation but to resolve unfair actions and prevent future incidents. The complaint form can be found at: http://www.ssa.gov/online/ssa-437.pdf.

Additional Resources

SSA Gender Change Policy:
https://secure.ssa.gov/poms.nsf/lnx/0110212200

SSA FAQ on How to Change Gender on Social Security Record:
https://faq.ssa.gov/en-us/Topic/article/KA-01453

Application for Social Security Card:
http://ssa.gov/ssnumber/ss5.htm

Social Security Office Locator:
https://secure.ssa.gov/ICON/main.jsp

Social Security phone numbers:
1-800-772-1213 or, for TTY, call 1-800-325-0778 SSA

Discrimination Complaint Form:
http://www.ssa.gov/online/ssa-437.pdf

SSA Policy on Determining Marital Status:
https://secure.ssa.gov/poms.nsf/lnx/0200305005

Social Security (2024)

FAQs

How can I get answers to Social Security questions? ›

For general Social Security inquiries, call us toll-free at 1-800-772-1213 or 1-800-325-0778 (TTY) between 7 a.m. and 7 p.m., Monday through Friday.

How do I know if I worked enough for Social Security? ›

To be eligible for most types of benefits (such as benefits based on blindness or retirement), you must have earned an average of one work credit for each calendar year between age 21 and the year in which you reach age 62 or be a person with a disability or blindness, up to a maximum of 40 credits.

What is the 10 year rule for Social Security? ›

The number of credits you need to receive retirement benefits depends on when you were born. If you were born in 1929 or later, you need 40 credits (10 years of work). If you stop working before you have enough credits to be eligible for benefits, the credits will remain on your Social Security record.

What is the Social Security bonus trick? ›

There's really no “bonus” that retirees can collect. The Social Security Administration (SSA) uses a specific formula based on your lifetime earnings to determine your benefit amount.

At what age is Social Security no longer taxed? ›

Social Security income can be taxable no matter how old you are. It all depends on whether your total combined income exceeds a certain level set for your filing status. You may have heard that Social Security income is not taxed after age 70; this is false.

What's the fastest you can get approved for disability? ›

While some people are approved in as little as 30 days, others can wait a year or longer before they receive a final decision.

How many years are 40 credits for Social Security? ›

Learn more about credits at www.ssa.gov/planners/credits.html. Although you need at least 10 years of work (40 credits) to qualify for Social Security retirement benefits, we base the amount of your benefit on your highest 35 years of earnings.

Can you get Social Security if you barely worked? ›

You must earn at least 40 Social Security credits to be eligible for Social Security benefits. You earn credits when you work and pay Social Security taxes. The number of credits does not affect the amount of benefits you receive.

How can I get Social Security to answer the phone? ›

CONTACTING SOCIAL SECURITY

You can call our National 800 Number at 1-800-772-1213 between 8:00 a.m. – 7:00 p.m., Monday through Friday. Wait times to speak to a representative are typically shorter early in the day (between 8 a.m. and 10 a.m. local time) or later in the afternoon (between 4 p.m. and 7 p.m. local time).

How to answer questions on Social Security function report? ›

When answering these questions, remember:
  1. Be careful not to contradict other answers you gave in this form or in your application.
  2. Describe your abilities on your worst or average days.
  3. Explain if you've modified activities to make them more achievable. ...
  4. Only mention limitations caused by your disability.
Oct 12, 2022

How to answer SSI interview questions? ›

Provide accurate and truthful information about your medical condition, symptoms, and limitations. Clearly communicate the severity of your disability and how it affects your ability to work. Explain your daily activities. Describe in detail how your disability impacts your everyday life and activities.

Where can I get the best Social Security advice? ›

Our website is the best way for most people to get help. our website, call our National 800 Number (1-800-772-1213) or your local Social Security office for help. We will schedule an appointment for you, if necessary, to serve you by phone or in person.

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