OPTC01 – CAPTION
Overpayment Information
OPTC36 - CAPTION
If You Disagree With This Determination
OPT029 – NEW OVERPAYMENT – OVERPAYMENT NOT DUE TO TERMINATION
We paid you (1) for (2). Since we should have paid you (3) for (4), we paid you (5)
more than you were due.
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Fill-in values:
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Fill-in (1)
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Sum of the Monthly Benefit Credited (MBCs) on the Pre-MBR starting with the internal
Business Start Date and ending with Current Operating Month (COM) minus 1 month in
the format $$$$$.¢¢
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Fill-in (2)
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Choice 1
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Internal Business Start Date in format Month CCYY
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Choice 2
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Internal Business Start Date plus “and” plus Current Operating Month (COM) minus 1
month in the format Month CCYY
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Choice 3
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Internal Business Start Date plus “through” plus Current Operating Month (COM) minus
1 month in the format Month CCYY
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Fill-in (3)
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Sum of the Monthly Benefit Credited (MBCs) on the Pre-MBR starting with the internal
Business Start Date and ending with Current Operating Month (COM) minus 1 month in
the format $$$$$.¢¢
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| Fill-in (4) |
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Choice 1
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Internal Business Start Date in format Month CCYY
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Choice 2
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Internal Business Start Date plus “and” plus Current Operating Month (COM) minus 1
month in the format Month CCYY
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Choice 3
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Internal Business Start Date plus “through” plus Current Operating Month (COM) minus
1 month in the format Month CCYY
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Fill-in (5)
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Difference between Trigger Record New Overpayment Amount (TR-NEW-OPA-AMOUNT) and total
Trigger Record Other Beneficiary Overpayment Amount (TR-OTH-BENE-OPA) in the format
$$$$$.¢¢
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OPT064 – EXPLAINS TO A WORKING BENEFICIARY THERE IS AN OVERPAYMENT ON HIS OR HER RECORD
FOR ONE YEAR BECAUSE THE EARNINGS THEY REPORTED IS DIFFERENT FROM WHAT SSA RECORDS
SHOW
We recently found that the earnings reported for you (1) and the earnings information
we have do not match. You told us you earned (2) in (3) but our records show that
you earned (4). If our records are correct, we paid you (5) too much.
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Fill-in values
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Fill-in (1)
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Year in the format CCYY
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Fill-in (2)
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Amount of reported earnings (AORE)
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Fill-in (3)
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Year of Earnings Report (YOER) in the format CCYY
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Fill-in (4)
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Amount of reported earnings (AORE)
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Fill-in (5)
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Overpayment amount
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OPT065 – EXPLAINS TO A WORKING BENEFICIARY THAT BECAUSE THE EARNINGS PREVIOUSLY POSTED
FOR MULTIPLE YEARS ARE LESS THAN THE EARNINGS ON THE MASTER EARNINGS RECORD, THERE
ARE OVERPAYMENTS
FOR MULTIPLE YEARS
We recently found that the earnings reported for you for the years shown below and
the earnings on our records do not match. If our records are correct, we paid you
(1) too much.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT084 – EXPLAINS TO A WORKING BENEFICIARY THAT BECAUSE THE EARNINGS PREVIOUSLY POSTED
FOR A SINGLE YEAR ARE LESS THAN THE EARNINGS ON THE MASTER EARNINGS RECORD AND NO
BENEFITS WERE
WITHHELD FOR THIS YEAR, THERE IS AN OVERPAYMENT FOR JUST ONE YEAR
Our records show that you had earnings in (1) of (2) that we did not consider when
we paid you. If our records are correct, we paid you (3) too much.
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Fill-in values:
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Fill-in (1)
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Year of Earnings Report (YOER) in the format CCYY
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Fill-in (2)
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Amount of reported earnings (AORE)
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Fill-in (3)
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Overpayment amount
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OPT085 – TELLS THE BENEFICIARY THE OVERPAYMENT AMOUNT
(1), you oweus (3).
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Fill-in values:
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Fill-in (1)
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Choice 1
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After all the changes (use when earnings caused more than 1 adjustment)
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Choice 2
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As a result (use when earnings caused a single adjustment)
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Fill-in (2)
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Total overpayment amount due in $$$$$.¢¢ format
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OPT086 – EARNINGS PREVIOUSLY POSTED FOR MULTIPLE YEARS ARE LESS THAN THE EARNINGS
ON THE
MASTER RECORD AND NO BENEFITS WERE WITHHELD, THEREFORE, THERE ARE OVERPAYMENTS FOR
EACH
YEAR
Our records show that you had earnings for the years shown below that we did not consider
when we paid you. If our records are correct, we paid you (1) too much.
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Fill-in values:
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Fill-in (1)
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Total overpayment amount
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OPT087 – CHART HEADING UTI THAT PROVIDES THE WORKING BENEFICIARY THE EARNINGS POSTED
WITH NO BENEFITS PREVIOUSLY WITHHELD FOR THAT YEAR EARNINGS
Earnings On
Year Our Records
OPT088 – EXPLAINS TO A WORKING BENEFICIARY IN A CHART THE EARNINGS POSTED WHEN NO
BENEFITS WERE PREVIOUSLY WITHHELD FOR THESE EARNINGS
(1) (2)
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Fill-in values:
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Fill-in (1)
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Year of Earnings Report (YOER) in format CCYY
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Fill-in (2)
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Amount of reported earnings (AORE)
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OPT096 – PRIOR OVERPAYMENT WITH A PROTEST AND PROTEST DECISION STILL
PENDING
We already told you that we paid you (1) too much for a past period. We will send
you another letter to let you know what we will do about the recovery of that money.
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Fill-in values
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Fill-in (1)
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Choice 1
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Due process overpayment amount in the format $$$$$.¢¢
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Choice 2
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Null
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OPT097 – RECOVERY OF AN INCORRECT PAYMENT
Once we get back the money you were not due for this year, we will start to withhold
your benefits to get back the other money (3).
OPT107 – FULL OR PARTIAL WITHHOLDING FOR ONE MONTH
We will withhold up to 50 percent from your (1) payment to recover the money we (2)
you. This is the payment you will receive on or about (3).
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Fill-in values:
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Fill-in (1)
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Date of overpayment recovery in the format Month CCYY
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Fill-in (2)
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Choice 1
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overpaid
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Choice 2
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incorrectly paid
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Fill-in (3)
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Date the overpayment will be deducted in the format Month DD, CCYY
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OPT122 – NEW OVERPAYMENT DUE TO RETROACTIVE TERMINATION
Since we did not stop your payments until (1), you were paid (2) too much in benefits.
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Fill-in values:
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Fill-in (1)
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Current Operating Month (COM) in format Month CCYY
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Fill-in (2)
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New overpayment amount in $$$$$.¢¢
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OPT123 – TOTAL OVERPAYMENT INCLUDES PRIOR OVERPAYMENT
Your total overpayment of (1) includes your prior overpayment.
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Fill-in values:
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Fill-in (1)
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Due Process Overpayment (DPO) on the Post-MBR in format $$$$$.¢¢
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OPT125 – BENEFICIARY'S OVERPAYMENT BEING RECOVERED FROM ANOTHER AUXILIARY
We paid other person(s) on this record (1) more in benefits than we should have. Under
Social Security law, you are responsible for this overpayment.
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Fill-in values:
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Fill-in (1)
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Other beneficiary's overpayment amount in format $$$$$.¢¢
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OPT127 – ADVISES OF OVERPAYMENT RECOVERY AMOUNT (OPRA) ON POST-MBR
We used (1) of your benefits to recover (2) of an overpayment on this record.
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Fill-in values:
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Fill-in (1)
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Overpayment Recovery Amount (OPRA) on Post-MBR in format $$$$$$.¢¢
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Fill-in (2)
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Choice 1
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all
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Choice 2
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part
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OPT128 – BENEFICIARY’S NEW OVERPAYMENT, BENEFICIARY’S PRIOR OVERPAYMENT AND ANOTHER
BENEFICIARY’S OVERPAYMENT
Your total overpayment of (1) includes your prior overpayment and another beneficiary's
overpayment that you are liable for under Social Security law.
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Fill-in values:
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Fill-in (1)
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Due Process Overpayment (DPO) amount on the Post-MBR in format $$$$$.¢¢
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OPT131 – REMAINING BALANCE ON PRIOR OVERPAYMENT
You have an outstanding balance remaining on a prior overpayment. That remaining balance
is (1).
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Fill-in values:
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Fill-in (1)
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Show the remaining overpayment amount or the old overpayment amount in format $$$$$$.¢¢
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OPT132 – PIC A (H) DIES OR PIC B DIES AND HAVE JOINT BANK DATA ON MBR AND THERE IS
AN
OVERPAYMENT
We paid (1) more in benefits than we should have. We deposited (2) benefits for (3)
into a bank account which you also owned. We can't pay benefits for the month of death,
(4), or later. Because you are a joint owner of the bank account, you are overpaid
(5).
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Fill-in values:
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Fill-in (1)
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Choice 1
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New overpayment amount
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Fill-in (2)
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Choice 1
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NH-FULL name (possessive) when PIC A died and PIC B is responsible for the overpayment
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Choice 2
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Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive) when
PIC B died and PIC A is responsible for the overpayment
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Fill-in (3)
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Choice 1
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Beneficiary's date of death when Beneficiary Date of Death (BDOD) = Current Operating
Month (COM) minus 1 month
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Choice 2
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Beneficiary's date of death plus “and” plus the Current Operating Month (COM) minus
1 month when the Beneficiary Date of Death (BDOD) = Current Operating Month (COM)
minus 2 months
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Choice 3
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Beneficiary's date of death plus “through” plus Current Operating Month (COM) minus
1 month when the Beneficiary Date of Death (BDOD) > Current Operating Month (COM)
minus 2 months
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Fill-in (4)
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Choice 1
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Beneficiary Date of Death (BDOD) for PIC A in the format Month CCYY
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Choice 2
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Beneficiary Date of Death (BDOD) for PIC B in the format Month CCYY
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Fill-in (5)
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Choice 1
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Trigger Record New Overpayment Amount (WS-TR-NEW-OPA) in the format $$$$$.¢¢
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Choice 2
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Trigger Record Other Beneficiary Overpayment Amount (WS-TR-OTH-BENE-OPA) for WS-TR-OTH-OPA-BIC
= A or WS-TR-OTH-BENE-OPA-BIC = B in the format $$$$$.¢¢
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OPT133 – BENEFICIARY(S) DIE AND OVERPAYMENT RECOVERED FROM ANOTHER ENTITLED
BENEFICIARY
We paid you (1) more in benefits than we should have. The overpayment occurred because
we did not stop (2) benefits for (3). We can't pay benefits for the month of death,
(4), or later.
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Fill-in values:
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Fill-in (1)
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Choice 1
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New overpayment amount
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Choice 2
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If more than one dead beneficiary is overpaid and overpayments are being recovered
from another entitled beneficiary, then show the total amount of all overpaid beneficiaries
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Fill-in (2)
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Choice 1
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Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive) for
one overpaid beneficiary
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Choice 2
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Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive) plus
“and” for two overpaid beneficiaries followed by the Beneficiary’s Given Name (BGN)
plus Beneficiary’s Last Name (BLN) (possessive) for the second overpaid beneficiary
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Choice 3
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Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive) followed
by a comma followed by Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name
(BLN) (possessive) for the second overpaid beneficiary plus “and” followed by Beneficiary’s
Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive) for the third overpaid
beneficiary
NOTE: If more than three dead beneficiaries with the same BDOD and overpaid, then an Incomplete
notice will be generate (see Incomplete Notices under the Completion Code section
for the CODE and more information)
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Fill-in (3)
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Choice 1
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Beneficiary's date of death when Beneficiary Date of Death (BDOD) = Current Operating
Month (COM) minus 1 month
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Choice 2
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Beneficiary's date of death plus “and” plus the Current Operating Month (COM) minus
1 month when the BDOD = COM minus 2 months
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Choice 3
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Beneficiary's date of death plus “through” plus COM minus 1 month when the Beneficiary
Date of Death (BDOD) > Current Operating Month (COM) minus 2 months
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Fill-in (4)
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Beneficiary Date of Death (BDOD)
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OPT147 – DUE PROCESS TITLE II OVERPAYMENT RECOVERY LESS THAN FULL MONTHLY BENEFIT
AMOUNT
We will start recovering this overpayment by withholding up to 50 percent of the payment
you will receive on or about (1).
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Fill-in values:
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Fill-in (1)
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Overpayment recovery date in Month DD, CCYY format
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OPT148 – TITLE XVI (SSI) UNDERPAYMENT USED TO REDUCE OR RECOVERY A TITLE II OVERPAYMENT
(CROSS PROGRAM RECOVERY PHASE 3)
We used (1) of your SSI benefits to recover some or all of an overpayment on this
record.
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Fill-in values:
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Fill-in (1)
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Deductions Additions History Amount (DAH-AMOUNT) that corresponds to the Deductions
Additions History Type of Payment Code (DAH-TOP) = P and Deductions Additions History
Item Code (DAH-ITEM) = 382 in the format $$$$$$.¢¢
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OPT149 – TITLE XVI (SSI) UNDERPAYMENT NOT USED TO REDUCE OR RECOVERY A TITLE II
OVERPAYMENT (CROSS PROGRAM RECOVERY PHASE 3)
We did not use any of your SSI benefits to recover an overpayment on this record.
OPT216 – OVERPAYMENT CAUSED BY SUBSTANTIAL GAINFUL WORK ACTIVITY (SGA) DURING THE
EXTENDED PERIOD OF ELIGIBILITY (EPE) OR DISABILITY CESSATION DUE TO SGA
You received (1) too much in benefits because of your work activity. Please read the
rest of this letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT217 – OVERPAYMENT ESTABLISHED VIA CROSS PROGRAM RECOVERY (CPR) TO RECOVER A TITLE
VIII SPECIAL VETERANS BENEFITS (SVB) PAID IN EXCESS
You received (1) too much in Special Veterans Benefit (SVB) payments. Please read
the rest of this letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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| Fill-in (1) |
Overpayment amount in the format $$$$$.¢¢
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OPT218 – OVERPAYMENT CAUSED DUE TO INCORRECT PAYMENTS FOR MEDICARE SERVICES
You received (1) too much in benefits because of incorrect payments for Medicare services.
Please read the rest of this letter carefully. In it, we explain the changes we made
to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT219 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFCIARY WAS CONVICTED OF A CRIME OR
IMPRISONED FOR MORE THAN 30 DAYS DUE TO FELONIOUS HOMICIDE
You received (1) too much in benefits because of your criminal conviction and imprisonment
for more than 30 days. Please read the rest of this letter carefully. In it, we explain
the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT220 – OVERPAYMENT CAUSED BY WINDFALL OFFSET
You received (1) too much in benefits because you received Supplemental Security Income
(SSI) payments (2) (3). Please read the rest of this letter carefully. In it, we explain
the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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Fill-in (2)
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Choice 1
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from
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Choice 2
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in
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Fill-in (3)
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Choice 1
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Month CCYY through Month CCYY
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Choice 2
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Month CCYY
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OPT221 – OVERPAYMENT ESTABLISHED BECAUSE MORE THAN ONE PAYMENT WAS CASHED FOR THE
SAME
MONTH
You received (1) too much in benefits because we should not have paid two payments
for the same month(s). Please read the rest of this letter carefully. In it, we explain
the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT222 – OVERPAYMENT ESTABLISHED DUE TO INVALID FAMILY RELATIONSHIPS
You received (1) too much in benefits because you did not meet the relationship requirements
to receive benefits. Please read the rest of this letter carefully. In it, we explain
the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT223 – OVERPAYMENT ESTABLISHED BECAUSE OF INVALID ENTITLEMENT
You received (1) too much in benefits because you did not qualify for benefits. Please
read the rest of this letter carefully. In it, we explain the changes we made to your
benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT224 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY WAS DEPORTED
You received (1) too much in benefits because you were deported from the United States.
Please read the rest of this letter carefully. In it, we explain the changes we made
to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT225 – OVERPAYMENT ESTABLISHED DUE TO INCORRECT COMPUTATION, A LEGALLY DEFINED
OVERPAYMENT OR TO RECOVER A SKELETON DUE PROCESS OVERPAYMENT
You received (1) too much in benefits because the payment amount was incorrect. We
corrected your record, which caused your benefit amount to decrease. Please read the
rest of this letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT226 – OVERPAYMENT ESTABLISHED DUE TO SUBVERSIVE ACTIVITY
You received (1) too much in benefits because you were convicted of a crime against
the United States. Please read the rest of this letter carefully. In it, we explain
the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT227 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY DID NOT HAVE A CHILD IN THEIR
CARE
You received (1) too much in benefits because you no longer a child in your care who
receives benefits from us. Please read the rest of this letter carefully. In it, we
explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT229 – OVERPAYMENT ESTABLISHED BECAUSE A WARRANT FOR THE BENEFICIARY’S ARREST
EXISTS
You received (1) too much in benefits. We should not have paid you because of a warrant
for your arrest. Please read the rest of this letter carefully. In it, we explain
the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT230 – OVERPAYMENT ESTABLISHED BECAUSE OF STATE OR FEDERAL ASSISTANCE
You received (1) too much in benefits because you received State or Federal assistance.
Please read the rest of this letter carefully. In it, we explain the changes we made
to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT231 – OVERPAYMENT CAUSED BY REPRESENTATIVE PAYEE MISUSE OF BENEFITS
You received (1) too much in benefits because you misused funds while acting as a
representative payee. Please read the rest of this letter carefully. In it, we explain
the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT232 – OVERPAYMENT CAUSED BY DISABILITY CESSATION
You received (1) too much in benefits because we cannot pay benefits after your disability
ends. Please read the rest of this letter carefully. In it, we explain the changes
we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT234 – OVERPAYMENT ESTABLISHED DUE TO RECEIPT OF PROVISIONAL BENEFITS ON A CLAIM
THAT
WAS LATER DENIED
You received (1) too much in benefits because you received temporary benefits while
we were making a decision on your claim that we later denied. Please read the rest
of this letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT235 – OVERPAYMENT ESTABLISHED DUE TO CROSS-BENEFIT ADJUSTMENT
We moved (1) overpayment of (2) to you for collection. Please read the rest of this
letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Choice 1
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another person's
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Choice 2
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NH's Name (possessive)
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Fill-in
(2)
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Overpayment amount in the format $$$$$.¢¢
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OPT236 – OVERPAYMENT ESTABLISHED DUE TO CHANGE IN THE AMOUNT OR COMMENCEMENT OF THE
GOVERNMENT PENSION OFFSET
You received (1) too much in benefits because we must offset your benefit payments
due to your receipt of a government pension. Please read the rest of this letter carefully.
In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT237 – OVERPAYMENT ESTABLISHED DUE TO RECEIPT OF A PENSION BASED ON WORK NOT COVERED
BY SOCIAL SECURITY TAXES
You received (1) too much in benefits because you received a pension based on work
not covered by Social Security taxes. Please read the rest of this letter carefully.
In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT238 – OVERPAYMENT ESTABLISHED DUE TO RECEIPT OF PAYMENTS AFTER CONFINEMENT TO A
MENTAL INSTITUTION BECAUSE OF A COURT ORDER
You received (1) too much in benefits because you received payments after being confined
to an institution because of a court order. Please read the rest of this letter carefully.
In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT239 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY WAS AN ALIEN LIVING OUTSIDE
THE
UNITED STATES WHILE RECEIVING BENEFITS
You received (1) too much in benefits because you are not a United States citizen
and you were outside the country for six months in a row. Please read the rest of
this letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT240 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY WORKED OUTSIDE THE US IN
A JOB
NOT COVERED UNDER SOCIAL SECURITY TAXES
You received (1) too much in benefits because you worked outside the United States
in a job not covered by United States Social Security taxes. Please read the rest
of this letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT241 – OVERPAYMENT ESTABLISHED DUE TO PRISONER SUSPENSION
You received (1) too much in benefits because of your criminal conviction and confinement
in a correctional institution for more than 30 days. Please read the rest of this
letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT242 – OVERPAYMENT ESTABLISHED DUE TO DEATH RECLAMATION, REPRESENTATIVE PAYEE
ELECTRONIC FUNDS TRANSFER (EFT) AFTER DEATH OR REPRESENTATIVE PAYEE DEATH
You received (1) too much in benefits because we cannot pay benefits for the month
of death or later. Please read the rest of this letter carefully. In it, we explain
the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT243 – OVERPAYMENT ESTABLISHED DUE TO PERMANENT DEDUCTIONS RESULTING FROM THE ANNUAL
EARNINGS TEST
You received (1) too much in benefits because of your work and earnings. Please read
the rest of this letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT244 – OVERPAYMENT ESTABLISHED DUE TO DEATH SUPER-ENDORSEMENT
You received (1) too much in benefits because you signed and cashed a check for the
month of death or later . Please read the rest of this letter carefully. In it, we
explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT245 – OVERPAYMENT ESTABLISHED DUE TO A CHANGE IN MARITAL STATUS
You received (1) too much in benefits because of a change in your marital status.
Please read the rest of this letter carefully. In it, we explain the changes we made
to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT246 – OVERPAYMENT ESTABLISHED DUE TO ENTITLEMENT TO WORKERS’ COMPENSATION, PUBLIC
DISABILITY OR BOTH
You received (1) too much in benefits because of your receipt of workers’ compensation,
public disability payments or both of these payments. Please read the rest of this
letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT247 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY CONTINUED TO RECEIVE BENEFITS
AFTER THE AGE OF 18
you received (1) too much in benefits because we do not pay benefits once a student
reaches age 18, unless he or she is a full time student elementary or high school
student. Please read the rest of this letter carefully. In it, we explain the changes
we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT323 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY CONTINUED TO RECEIVE BENEFITS
AFTER AGE 19 OR 22
You received (1) too much in benefits because we do not pay benefits once a full-time
student reaches age 19, unless you are disabled or meet(s) an exception which allows
benefits to continue:
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for 2 months after a student turns 19, or;
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until the end of the school term, whichever comes first.
Please read the rest of this letter carefully. In it, we explain the changes we made
to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT249 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY IS NO LONGER IN FULL-TIME
SCHOOL ATTENDANCE
You received (1) too much in benefits because we do not pay benefits once a student
stops going to school full-time. Please read the rest of this letter carefully. In
it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT250 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY REFUSED TO ACCEPT VOCATIONAL
REHABILITATION
You received (1) too much in benefits because we should not have paid benefits when
you refused vocational rehabilitation services. Please read the rest of this letter
carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT252 – OVERPAYMENT ESTABLISHED DUE TO UNPAID ATTORNEY FEES
You received (1) too much in benefits because of unpaid attorney’s fees. Please read
the rest of this letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT253 – OVERPAYMENT ESTABLISHED RAILROAD RETIREMENT BOARD EARNINGS WERE INCORRECTLY
USED TO ESTABLISH THE BENEFICARY’S ENTITLEMENT
You received (1) too much in benefits because you received incorrect payments from
the Railroad Retirement Board. Please read the rest of this letter carefully. In it,
we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT254 – OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICARY WAS NOT A UNITED STATES (U.S.)
CITIZEN OR LAWFULLY PRESENT IN THE U.S.
You received (1) too much in benefits because you received payments even though you
were not a United States citizen or lawfully present in the U.S. Please read the rest
of this letter carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT255 – OVERPAYMENT ESTABLISHED BECAUSE THE MONTH OF ENTITLEMENT WAS
INCORRECT
You received (1) too much in benefits because of a change in the month your benefits
started. Please read the rest of this letter carefully. In it, we explain the changes
we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT257 – OVERPAYMENT ESTABLISHED DUE TO MULTIPLE ENTITLEMENTS
You received (1) too much in benefits because you received payments on two or more
records for the same month(s). Please read the rest of this letter carefully. In it,
we explain the changes we made to your benefits.
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Fill-in values:
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| Fill-in (1) |
Overpayment amount in the format $$$$$.¢¢
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OPT258 – OVERPAYMENT ESTABLISHED BECAUSE INSURED STATUS WAS NOT MET
You received (1) too much in benefits because you worked long enough under Social
Security to receive monthly benefits. Please read the rest of this letter carefully.
In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT259 – OVERPAYMENT ESTABLISHED BECAUSE THE BENFICIARY MISUSED FUNDS WHILE SERVING
AS A
REPRESENTATIVE PAYEE
You received (1) too much in benefits because you misused benefits that you received
as the representative payee for another person. Please read the rest of this letter
carefully. In it, we explain the changes we made to your benefits.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT302 – OVERPAYMENT TRANSFERRED FROM ANOTHER RECORD FOR A DUALLY ENTITLED
BENEFICIARY
We have determined that you are overpaid (1) on another record. We will recover this
overpayment on this record.
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Fill-in values:
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Fill-in (1)
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Overpayment amount in the format $$$$$.¢¢
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OPT333 - RIGHT TO HAVE THE OVERPAYMENT DECISION REVIEWED
If you think we made a mistake in determining that you were overpaid or in determining
the amount of the overpayment, you have the right to request a review of our determination
within 60 days of this letter. This is called a reconsideration. If you appeal, we
will not collect the overpayment until we notify you of our appeal determination.
Even if you agree that you were overpaid, you have the right to request that we do
not recover the overpayment. This is called a waiver. You have the right to request
either a reconsideration, waiver, or both. If you do not request a reconsideration
or waiver within 30 days of this letter, we will begin recovering the overpayment.
We provide more detailed information about a reconsideration and a waiver in the following
paragraphs.