We are writing to tell you that we plan to stop (1) Social Security benefits. Based on information we received from the Railroad Retirement Board (RRB) we should not have awarded benefits on the record of (2) because (3) was insured under the Railroad Retirement Act.

Why Benefits Will Stop

If a person is insured under the Railroad Act at the time of death, the RRB is responsible for handling survivor claims. The amount of benefits the RRB pays is based on the combined Social Security and Railroad earnings. If a survivor annuity or a lump-sum death payment can be paid under the Railroad Retirement Act, no lump-sum death payment or monthly benefit can be paid to the survivor under the Social Security Act based on the same earnings. This is true even though that person was also insured under Social Security. Because of this rule, (4) (5) only entitled to the Railroad Retirement annuity.

What You Can Do

Please let us know right away if any of this information is wrong. We cannot use this information to change Social Security benefits until we give you time to check it. You will also need to give us any proof you have that shows that our information is wrong.

If We Do Not Hear From You

If we do not hear from you within 30 days from the date of this letter, we will assume the information in this letter is correct and use it to stop (6) benefits.

We will send another letter at that time. It will explain the change in benefits, the amount of any overpayment, and how to appeal our decision.

• •

  You will have 60 days to ask for an appeal.

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  The 60 days will start the day after you receive the next letter.

If You Have Any Questions

3901C - Domestic

3901D - Foreign

The PC will send this notice to a beneficiary in current pay status whose benefits will be terminated because both SSA and the Railroad Retirement Board (RRB) are paying a survivor benefit.

Refer to NL 00703.005E for 3901C and 3901D text and fill-ins.

Fill-ins:

1. (1) 

   your/beneficiary full name, (possessive)/the children’s

2. (2) 

   insured person’s name

3. (3) 

   he/she

4. (4) 

   you/beneficiaries name/the children

5. (5) 

   are/is

6. (6) 

   your/beneficiary’s title and surname, (possessive)/child’s first name, (possessive, if only one)/the children’s

Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Information for this notice will be shown on Form SSA-573.