SOCIAL SECURITY ADMINISTRATION
SUPPLEMENTAL SECURITY INCOME
IMPORTANT INFORMATION
FO Street Address
City/State/Zip Code
Telephone:
Claim Number:
Date:
Name
Address
City/State/Zip Code
We are changing your supplemental security income (SSI) payment because of a decision
in the White court case. This case was about how we figure SSI payments for a spouse or child
of an individual receiving Department of Veterans Affairs (VA) benefits.
Sometimes the VA pays more money to a person who has a spouse, or child than to someone
who has no dependent family members. The U.S. Court of Appeals for the Second Circuit
has said that we can count as your income the part of the VA benefit of ____(1)____
that was paid for you. While the court was making its decision, we were not counting
the money ___(1)___ received from the VA because you ___(2)___ ___(3)___ dependent.
Since we must now begin to count that money as yours, your SSI will change.
You will receive another letter shortly telling you:
-
•
the amount of your new SSI payment and the month your SSI will change,
-
•
the amount of the VA benefit which we used to figure your SSI, and
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•
what to do if you disagree with our decision.
SSA-L8165
If You Have Any Questions
If you have any questions, you may call, write, or visit any Social Security Office.
If you call or visit our office, please have this letter with you and ask for ___(4)___.
The telephone number is shown at the top of this letter.
Manager's Name
Title
Fill-ins:
1 - name of veteran/surviving spouse)
2 - are/were
3 - individual
4 - contact person
The above-cited individual was overpaid for the period ___MM/YY___ through ___MM/YY___
due to the original decision in the White v. Sullivan court case and its subsequent implementation in the State of Vermont. Recovery of
this overpayment will not be pursued because the individual is deemed without fault
and recovery is deemed to be against equity and good conscience per GN 02250.325.