In (1) , you told us that you saved some Social Security money for (2) . The Department of Veterans Affairs (VA) asked us about this money and we told them how much you saved. This letter will tell you how this money may affect (3) checks from the VA.

 

How Savings Affect VA Benefits

A person's VA benefits may stop when both of the following are true.

• •

  The government is paying for the person's care

  AND

• •

  The person has $1,500.00 or more in savings.

VA benefits should start again when the savings are $500.00 or less.

 

What You Can Do

We suggest that you contact (4) as soon as possible. You should find out what (5) needs will be if the VA benefits stop. The people there will help you decide how to use the money you have saved to meet these needs. If you would like to talk with us before you talk with the VA, please contact us.

 

If You Have Any Questions

3901C - Domestic

3901D - Foreign

Send this letter to the representative payee when you notify the VA that the representative payee has $1500 or more in conserved funds.

 

Fill-ins:

1. (1) 

   month and year in which the payee last reported conserved funds, in the format of June 1992.

2. (2) 

   Full name of beneficiary

3. (3) 

   first name of beneficiary, possessive, if child; if adult, “Mr.” or “Ms.” last name, possessive

4. (4) 

   hospital/name of institution

5. (5) 

   first name of beneficiary, possessive, if child; if adult, “Mr.” or “Ms.” last name, possessive

See NL 00703.005E. for 3901C and D text and fill-in.

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