We are writing to tell you that in 30 days we plan to further reduce the amount of Social Security benefits 1 as a spouse, because 2 Government pension has increased.

We received the following information from the Office of Personnel Management.

 

Government Pension Information

 

Included with this letter, you will find a fact sheet, “Government Pension Offset.” This fact sheet will give you information about how (5) benefits may change.

 

What You Can Do

If any of the information we have about your Government Pension is wrong, please let us know right away.

 

What Happens Next

If we do not hear from you within 30 days from the date of this letter, we will reduce (6) Social Security benefits. We will send you another letter at that time. It will explain the change in (7) benefits, the amount of any overpayment, and (8) right to appeal our decision.

 

If You Have Any Questions

3901C - Domestic

3901D - Foreign

 

Enclosure:

SSA Publication No. 05-10007

• •

  Send this advance notice to beneficiaries whose Social Security benefits will be affected by an increase in government pension. This information is based on a comparison of Office of Personnel Management data with information in the claims folder.

   

Fill-ins:

1. (1) 

   you receive, or (name of beneficiary) receives

2. (2) 

   your, his, her

3. (3) 

   effective month(s) and year(s)

4. (4) 

   new monthly pension amount

5. (5) 

   your, his, her

6. (6) 

   your, his, her

7. (7) 

   your, his, her

8. (8) 

   your, his, her

Use Form SSA-2000-C2 (Universal Notice) and follow new notice standards. Information for this notice will be shown on Form SSA-573.