ADJ015 AERO UNDERPAYMENT IN EXCESS OF $30,000.00 (A03)

(Requested)

Caption: What We Will Pay

 (1)  may owe Federal income tax on this back payment. To find out, contact the Internal Revenue Service. They can answer  (2)  Federal income tax questions and provide  (3)  with additional information about computing such tax. If  (4)  any questions about the amount of back payment, or if  (5)  a yearly breakdown of this payment, contact us. Our telephone number and address are shown below.

ADJ016 AUXILIARY'S BENEFIT CHANGED BY ONE RECOMPUTATION (A13)

(Requested)

Caption: Your Benefits

We changed  (1)  monthly benefit beginning  (2)  because we raised  (3)   (4)  benefit.

ADJ017 PARTIAL ADJUSTMENT APPROVED COMPLETELY (A30)

(Requested)

Caption: Your Benefits

As  (1)  asked, we will withhold money from  (2)  checks to collect the  (3)  of  (4)  . We will withhold  (5)  each month for  (6)  months beginning  (7)   (8)  . After we collect the money, we will raise  (9)  benefits back to  (10)  regular monthly payment amount.

ADJ018 PARTIAL ADJUSTMENT APPROVED AT A RATE MORE THAN REQUESTED (A31)

(Requested)

Caption: Your Benefits

 (1)  asked us to use a lower rate when we withhold the money from  (2)  checks to collect  (3)   (4)  . We decided to withhold more than  (5)  requested, so that we can recover the overpayment in a shorter time.

We will withhold  (6)  per month for  (7)  months beginning  (8)   (9)  . After we have recovered  (10)  , we will raise  (11)  benefits back to  (12)  regular monthly amount.

ADJ019 FINAL ADJUSTMENT - FRACTION OF A MONTH (A32)

(Requested)

Caption: Your Benefits

We are withholding  (1)  from  (2)  benefits. This is the last money  (3)  owed because of  (4)  overpayment.

ADJ020 DUAL ENTITLEMENT AWARD - PRIMARY AND AUXILIARY/SURVIVOR BENEFITS AWARDED SIMULTANEOUSLY - CHECKS COMBINED (A39)

(Requested)

Caption: What We Will Pay

 (1)  benefit is  (2)  on  (3)  earnings record and  (4)  as a  (5)  .

ADJ021 DUAL ENTITLEMENT - AUXILIARY/SURVIVOR AWARD AFTER PRIMARY - SEPARATE PAYMENTS (A43)

(Requested)

Caption: What We Will Pay

This is in addition to the benefit on  (1)  own earnings record.

ADJ022 BENEFITS RESUMED EFFECTIVE WITH DATE OF RECONSIDERATION OR WAIVER REQUEST - PROTEST DATED PRIOR TO EXPIRATION OF RECONSIDERATION (60 DAYS) (LAF D to LAF C ) (A45)

(Requested)

Caption: Your Benefits

We are paying  (1)  again beginning  (2)  because  (3)  asked us to review our overpayment decision. For now, we are still withholding the money which we already subtracted from  (4)  checks.

If we later find that our decision was correct, or that we cannot waive the overpayment,  (5)  will have to pay back the  (6)  which  (7)  . Someone from the local Social Security office will contact  (8)  to talk about the overpayment.

ADJ023 ENTITLEMENT CONVERSION — DIB TO RSI (A01)

(Requested)

Caption: Your Benefits

Because  (1)  reached  (2)   (3)  , we are changing  (4)  disability benefits to  (5)  benefits beginning  (6)  .

ADJ024 CHECK PARAGRAPH ADJUSTMENT NOTICE (GA2)(G16)

(System Generated)

Caption: What We Will Pay

• •

  The next check  (1)  will be for  (2)  , which is the money  (3)  due through  (4)  .

• •

   (5)  next scheduled payment of  (6)  , which is for  (7)  , will be received on or about the  (8)  of  (9)  .

• •

  After that,  (10)  will receive  (11)  on or about the  (12)  of each month.

ADJ025 CHECK PARAGRAPH ADJUSTMENT NOTICE (GA1)(G16)

(System Generated)

Caption: What We Will Pay

• •

  The next check  (1)  will be for  (2)  , which is the money  (3)  due through  (4)  .

• •

  After that,  (5)  will receive  (6)  , on or about the  (7)  of each month.

ADJ027 A20 EXPLANATION (old G50/AB5)/(old A02/AA1)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit amount beginning  (2)   (3)  .

ADJ028 CHANGE IN BENEFIT RATE – RECOMP (A02) (AA6)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit beginning  (2)  because we could pay  (3)  for more months after  (4)  reached  (5)   (6)  than we previously used when we figured  (7)  benefit.

ADJ029 CHANGE IN BENEFIT RATE DUE TO SPOUSE'S DEATH (A02) (AA7)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit beginning  (2)  because of the death of  (3)  .

ADJ032 CHANGE IN BENEFIT RATE TO CREDIT MONTHS DECEASED SPOUSE NOT PAID (A02) (AA3)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit beginning  (2)  to give  (3)  credit for months when we did not pay full benefits to  (4)  .

ADJ035 CHANGE IN BENEFIT RATE – RECEIPT OF OTHER PENSION (A02)(AA9)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit beginning  (2)  because the pension  (3)  from  (4)  no longer  (5)   (6)  Social Security benefits.

ADJ037 CHANGE IN BENEFIT RATE – FRA (A02) (AB2)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit beginning  (2)  because we could pay  (3)  at the full rate for more months before  (4)   (5)  than we previously used when we figured  (6)  benefit.

ADJ038 NAME: EXPLANATION – CHILD IN CARE RECEIVING BENEFITS (G50) (AB6)

(Requested)

Caption: Your Benefits

We raised the monthly benefit amount beginning  (1)  to give  (2)  credit for months before  (3)  reached  (4)  when  (5)  caring for a child who was receiving benefits.

ADJ039 EXPLANATION – RAISED SURVIVOR BENEFITS DUE TO WORK AND EARNINGS (G50) (AB7)

(Requested)

Caption: Your Benefits

We raised the monthly benefit amount beginning  (1)  to give  (2)  credit for months when  (3)  was entitled to full benefits but did not receive them because of work and earnings.

ADJ041 NAME: EXPLANATION – EARNED LESS THAN ESTIMATE (G50) (AB9)

(Requested)

Caption: Your Benefits

We raised the monthly benefit amount beginning  (1)  because  (2)  earned less money after  (3)  reached  (4)  than  (5)  originally estimated.

ADJ043 EXPLANATION – CREDIT FOR DECEASED SPOUSE'S EARNINGS (old G50/AC1)/ (old A02/AA5)

(Requested)

Caption: Your Benefits

We raised the monthly benefit amount beginning  (1)  to give  (2)  credit for months when  (3)  reached  (4)   (5)  but did not receive benefits because of work and earnings.

ADJ044 EXPLANATION – CREDIT FOR NOT RECEIVING BENEFITS (olsG50/AC2)/(old A02/AA8)

(Requested)

Caption: Your Benefits

We raised the monthly benefit amount beginning  (1)  to give  (2)  credit for months when  (3)  reached  (4)   (5)  and did not receive a retirement benefit.

ADJ045 EXPLANATION – ARF ADJUSTMENT (G50) (AC3)

(Requested)

Caption: Your Benefits

We raised the monthly benefit amount beginning  (1)  to give  (2)  credit for benefits, which we did not pay at the full rate before  (3)  reached  (4)   (5)  . This was because of  (6)  work and earnings.

ADJ046 AWARD CHECK PARAGRAPH DIRECT DEPOSIT (G92) (G03)

(System Generated)

Caption: What We Will Pay

• •

   (1)  first check is for  (2)  .

• •

  This is the money  (3)  due through  (4)  .

• •

  After that,  (5)  will receive  (6)  on or about the  (7)  of each month (8)  monthly payments will go to the financial institution  (9)  selected.

ADJ047 AWARD CHECK PARAGRAPH DIRECT DEPOSIT (G93) (G03)

(System Generated)

Caption: What We Will Pay

• •

   (1)  first payment is for  (2)  .

• •

  This is the money  (3)  due through  (4)  .

• •

   (5)  next scheduled payment of  (6)  , which is for  (7)  , will be received on or about the  (8)  of  (9)  .

• •

  After the first payment,  (10)  will receive  (11)  on or about the  (12)  of each month.

• •

   (13)  monthly payments will go to the financial institution  (14)  selected.

ADJ048 A18 NOTICE - CHECK PARAGRAPH AC5 (G56)

(System Generated)

Caption: What We Will Pay

 (1)  will soon receive a check for payment of  (2)  because we owed money to  (3)  . This payment is in addition to any monthly payments  (4)  may receive.

ADJ049 A18 NOTICE–CHECK PARAGRAPH FOR MEDICARE REFUND AC6(G56)

(System Generated)

Caption: What We Will Pay

 (1)  will soon receive a check for  (2)  because  (3)  due a refund of  (4)  Medicare prescription drug plan costs.

ADJ050 EXPLANATION (G50)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit amount beginning  (2)  to give  (3)  credit for additional earnings.

ADJ051 EXPLANATION (G50)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit amount beginning  (2)  to give  (3)  credit for a period of disability.

ADJ052 EXPLANATION (G50)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit amount beginning  (2)  to give  (3)  credit for months when we did not pay at the full rate before  (4)  reached age 62. This was because of  (5)  work and earnings.

ADJ053 EXPLANATION (G50)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit amount beginning  (2)  to correct  (3)  benefit amount.

ADJ054 AWARD CHECK PARAGRAPH GENERAL G89 (G02)

(System Generated)

Caption: What We Will Pay

• •

   (1)  first check is for  (2)  .

• •

  This is the money  (3)  due through  (4)  .

• •

  After that,  (5)  will receive  (6)  on or about the  (7)  of each month.

ADJ055 AWARD CHECK PARAGRAPH GENERAL G90 (G02)

(System Generated)

Caption: What We Will Pay

• •

   (1)  first check is for  (2)  .

• •

  This is the money  (3)  due through  (4)  .

• •

   (5)  next scheduled payment of  (6)  which is for  (7)  , will be received on or about the  (8)  of  (9)  .

• •

  After that,  (10)  will receive  (11)  on or about the  (12)  of each month.

ADJ056 EXPLANATION (AA1)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit beginning  (2)  because we changed the month when  (3)  first due benefits.

ADJ057 EXPLANATION (AA1)

(Requested)

Caption: Your Benefits

We  (1)  the monthly benefit beginning  (2)  , because we could pay  (3)  at the full rate for more months before age 62 than we previously used when we figured  (4)  benefits

ADJ058 CHECK PARAGRAPH G56. A18 NOTICE (AC4)

(System Generated)

Caption: What We Will Pay

   (1)  will soon receive a check for  (2)  because  (3)  .

ADJ059 CHECK PARAGRAPH G56. A18 NOTICE (AC4)

(System Generated)

Caption: What We Will Pay

 (1)  will soon receive a check for  (2)  because we had withheld money from  (3)  benefits.

ADJ060 CHECK PARAGRAPH G56. A18 NOTICE (AC4)

(System Generated)

Caption: What We Will Pay

 (1)  will soon receive a check for  (2)  because  (3)  due money in addition to  (4)  regular monthly benefit check.

ADJ061 CHECK PARAGRAPH G56. A18 NOTICE (AC4)

(System Generated)

Caption: What We Will Pay

 (1)  will soon receive a check for  (2)  because we withheld money from  (3)  benefits due to  (4)  work or earnings.

ADJ062 CHECK PARAGRAPH G56. A18 NOTICE (AC4)

(System Generated)

Caption: What We Will Pay

 (1)  will soon receive a check for  (2)  because  (3)  eligible for provisional benefits.

ADJ063 CHECK PARAGRAPH G56. A18 NOTICE (AC4)

(System Generated)

Caption: What We Will Pay

 (1)  will soon receive a check for  (2)  because  (3)  sent us too much money when  (4)  refunded  (5)  overpayment.

ADJ064 CHECK PARAGRAPH G56. A18 NOTICE (AC4)

(System Generated)

Caption: What We Will Pay

 (1)  will soon receive a check for  (2)  because we are sending  (3)  money which we did not have to use to pay an attorney fee.

ADJ066 WINDFALL ELIMINATION PROVISION (WEP) AND GOVERNMENT PENSION OFFSET (GPO) NO LONGER APPLY FOR DUALLY ENTITLED BENEFICIARY

(Requested)

Caption: Your Benefits

We changed  (1)  benefit amount starting  (2)  because (3)  are impacted by the Social Security Fairness Act, which ended the Windfall Elimination Provision and Government Pension Offset starting January 2024.