TN 56 (10-26)

NL 00730.130 "O" Paragraphs and Captions

A. "ONS" Paragraphs and Captions

ONS005 – EXPLANATION TO THE DISABLED ADULT CHILD WHEN HE OR SHE BECAME ENTITLED TO DISABILITY BENEFITS

We found that you became disabled under our rules on (1).

Fill-in values:

 

Fill-in (1)

Date of entitlement

B. "OPT" Paragraphs and Captions

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.

Fill-in values:

 

Fill-in (1)

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 $$$$$.¢¢

Fill-in (2)

 

Choice 1

Internal Business Start Date in format Month CCYY

Choice 2

Internal Business Start Date plus “and” plus Current Operating Month (COM) minus 1 month in the format Month CCYY

Choice 3

Internal Business Start Date plus “through” plus Current Operating Month (COM) minus 1 month in the format Month CCYY

Fill-in (3)

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 $$$$$.¢¢

Fill-in (4)

 

Choice 1

Internal Business Start Date in format Month CCYY

Choice 2

Internal Business Start Date plus “and” plus Current Operating Month (COM) minus 1 month in the format Month CCYY

Choice 3

Internal Business Start Date plus “through” plus Current Operating Month (COM) minus 1 month in the format Month CCYY

Fill-in (5)

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 $$$$$.¢¢

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.

Fill-in values

 

Fill-in (1)

Year in the format CCYY

Fill-in (2)

Amount of reported earnings (AORE)

Fill-in (3)

Year of Earnings Report (YOER) in the format CCYY

Fill-in (4)

Amount of reported earnings (AORE)

Fill-in (5)

Overpayment amount

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Year of Earnings Report (YOER) in the format CCYY

Fill-in (2)

Amount of reported earnings (AORE)

Fill-in (3)

Overpayment amount

OPT085 – TELLS THE BENEFICIARY THE OVERPAYMENT AMOUNT

(1), you oweus (3).

Fill-in values:

 

Fill-in (1)

 

Choice 1

After all the changes (use when earnings caused more than 1 adjustment)

Choice 2

As a result (use when earnings caused a single adjustment)

Fill-in (2)

Total overpayment amount due in $$$$$.¢¢ format

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.

Fill-in values:

 

Fill-in (1)

Total overpayment amount

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)

Fill-in values:

 

Fill-in (1)

Year of Earnings Report (YOER) in format CCYY

Fill-in (2)

Amount of reported earnings (AORE)

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.

Fill-in values

 

Fill-in (1)

 

Choice 1

Due process overpayment amount in the format $$$$$.¢¢

Choice 2

Null

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).

Fill-in values:

 

Fill-in (1)

Date of overpayment recovery in the format Month CCYY

Fill-in (2)

 

Choice 1

overpaid

Choice 2

incorrectly paid

Fill-in (3)

Date the overpayment will be deducted in the format Month DD, CCYY

OPT122 – NEW OVERPAYMENT DUE TO RETROACTIVE TERMINATION

Since we did not stop your payments until (1), you were paid (2) too much in benefits.

Fill-in values:

 

Fill-in (1)

Current Operating Month (COM) in format Month CCYY

Fill-in (2)

New overpayment amount in $$$$$.¢¢

OPT123 – TOTAL OVERPAYMENT INCLUDES PRIOR OVERPAYMENT

Your total overpayment of (1) includes your prior overpayment.

Fill-in values:

 

Fill-in (1)

Due Process Overpayment (DPO) on the Post-MBR in format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Other beneficiary's overpayment amount in format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment Recovery Amount (OPRA) on Post-MBR in format $$$$$$.¢¢

Fill-in (2)

 

Choice 1

all

Choice 2

part

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.

Fill-in values:

 

Fill-in (1)

Due Process Overpayment (DPO) amount on the Post-MBR in format $$$$$.¢¢

OPT131 – REMAINING BALANCE ON PRIOR OVERPAYMENT

You have an outstanding balance remaining on a prior overpayment. That remaining balance is (1).

Fill-in values:

 

Fill-in (1)

Show the remaining overpayment amount or the old overpayment amount in format $$$$$$.¢¢

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).

Fill-in values:

 

Fill-in (1)

 

Choice 1

New overpayment amount

Fill-in (2)

 

Choice 1

NH-FULL name (possessive) when PIC A died and PIC B is responsible for the overpayment

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive) when PIC B died and PIC A is responsible for the overpayment

Fill-in (3)

 

Choice 1

Beneficiary's date of death when Beneficiary Date of Death (BDOD) = Current Operating Month (COM) minus 1 month

Choice 2

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

Choice 3

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

Fill-in (4)

 

Choice 1

Beneficiary Date of Death (BDOD) for PIC A in the format Month CCYY

Choice 2

Beneficiary Date of Death (BDOD) for PIC B in the format Month CCYY

Fill-in (5)

 

Choice 1

Trigger Record New Overpayment Amount (WS-TR-NEW-OPA) in the format $$$$$.¢¢

Choice 2

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 $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

 

Choice 1

New overpayment amount

Choice 2

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

Fill-in (2)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive) for one overpaid beneficiary

Choice 2

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

Choice 3

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)

Fill-in (3)

 

Choice 1

Beneficiary's date of death when Beneficiary Date of Death (BDOD) = Current Operating Month (COM) minus 1 month

Choice 2

Beneficiary's date of death plus “and” plus the Current Operating Month (COM) minus 1 month when the BDOD = COM minus 2 months

Choice 3

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

Fill-in (4)

Beneficiary Date of Death (BDOD)

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).

Fill-in values:

 

Fill-in (1)

Overpayment recovery date in Month DD, CCYY format

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.

Fill-in values:

 

Fill-in (1)

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 $$$$$$.¢¢

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.

Fill-in values:

​

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

​
Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

​

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

​

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

Fill-in (2)

​

Choice 1

from

Choice 2

in

Fill-in (3)

​

Choice 1

Month CCYY through Month CCYY

Choice 2

Month CCYY

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.

Fill-in values:

​

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

 

Choice 1

another person's

Choice 2

NH's Name (possessive)

Fill-in (2)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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:

  • •

    for 2 months after a student turns 19, or;

  • •

    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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.

Fill-in values:

 

Fill-in (1)

Overpayment amount in the format $$$$$.¢¢

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.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900730130
NL 00730.130 - "O" Paragraphs and Captions - 10/14/2026
Batch run: 10/14/2026
Rev:10/14/2026