NL 00705.530 Prisoner Model Letter U—Incarceration Related Impairment—DIB Freeze Established
Prepare on SSA-L-951 C2/U2.
Social Security Notice
Date:
Claim Number:
You are not entitled to disability benefits but we have established a period of disability
for you beginning .
Our records show that your disability is based on an impairment connected with your
confinement in a jail, prison, or other penal institution or correctional facility
due to conviction of a felony.
The records also show that you committed the felony after October 19, 1980. In this
situation, the Social Security law allows impairment connected with confinement to
be considered in establishing a period of disability, but not for payment of benefits
for any month you are confined. This includes an impairment that arose during the
confinement. It also includes the aggravation of an impairment if the aggravation
occurred during confinement. Where the jurisdiction does not classify any crime as
a felony, we apply these provisions to confinement for a crime which can be punished
by death or by imprisonment for more than one year.
The period of disability established for you is important. It protects your right
to benefits when you are released if you are still disabled at that time. It also
protects future benefit rights of your dependents and survivors. If you were furnishing
one-half support to a parent when your period of disability began, proof of this support
should be submitted without delay. Failure to do so may cause your parent to be ineligible
for benefits at a later date.
If you believe that this determination is incorrect, you may request that your case
be reexamined. If you want this reconsideration, you must request it not later than
60 days from the date you receive this notice. You may make your request through any
Social Security office. If additional evidence is available, you should submit it
with your request. Please read the enclosed leaflet for a full explanation of your
right to question the determination on your claim.
If you do not request reconsideration of your case within the prescribed time period,
you still have the right to file another application at any time.
If you have questions about your claim, you may get in touch with any Social Security
office. Most questions can be handled by telephone or mail.
Enclosure:
SSA Publication No. 70-10058