WCP001 NUMBERHOLDER EXPRESSED INTENT TO FILE FOR WORKERS' COMPENSATION, ANOTHER DISABILITY PAYMENT OR BOTH (J59)

(Requested)

Caption: Information About Other Disability Benefits

We learned that  (1)  to file a claim for workers' compensation and/or public disability benefit. If  (2)  these payments, we may have to reduce  (3)  Social Security benefits.

At that time,  (4)  may have to pay back any Social Security benefits that  (5)  not due. If  (6)  a claim, please tell us the decision made on the claim right away.

WCP003 DEFINITION OF WORKERS' COMPENSATION OFFSET (J48)

(Requested)

Caption: Information About Other Disability Benefits

We have to consider workers' compensation and/or public disability payments when we figure a Social Security benefit. The following will explain how these payments affect Social Security benefits. For more information, please read the enclosed pamphlet, "How Workers' Compensation and Other Disability Payments May Affect Your Social Security Benefit."

WCP004 NUMBERHOLDER RECEIVING WORKERS' COMPENSATION OR OTHER DISABILITY PAYMENTS - NO OFFSET (J44)

(Requested)

Caption: Your Benefits

 (1)  present  (2)  payments of  (3)  do not affect  (4)  Social Security benefits.

WCP005 WORKERS' COMPENSATION/PUBLIC DISABILITY BENEFIT - OFFSET DETERMINED BY AVERAGE CURRENT EARNINGS (ACE) (J37)

(Requested)

Caption: Your Benefits

The pamphlet explains how we reduce  (1)  Social Security disability benefits. We add the money  (2)  would receive from us and from  (3)  . When this total adds up to more than 80 percent of  (4)  average currently monthly earnings, we reduce  (5)  Social Security disability benefits. We found that 80 percent of  (6)  average currently monthly earnings is  (7)  .

WCP008 WORKERS' COMPENSATION OR OTHER DISABILITY CLAIM PENDING AUXILIARY ONLY (J30)

(Requested)

Caption: Information About Other Disability Benefits

If  (1)  receives workers' compensation and/or public disability payments, we may have to reduce  (2)  Social Security benefits. At that time, we may also have to recover any money that should not have been paid.

WCP009 NUMBERHOLDER APPEALING WORKERS' COMPENSATION DECISION - NUMBERHOLDER ONLY (J38)

(Requested)

Caption: Your Responsibilities

We will not reduce  (1)  benefit because of  (2)  payments until  (3)  a decision on  (4)  appeal of the claim. Please let us know the decision on the appeal right away. At that time,  (5)  may have to pay back any Social Security benefits that  (6)  not due.

WCP010 TOTAL OR PARTIAL WORKERS' COMPENSATION OFFSET NUMBERHOLDER ONLY (J21)

(Requested)

Caption: Your Benefits

We have to take into account  (1)   (2)  of  (3)   (4)   (5)  when we figure  (6)  Social Security benefits. Due to this payment, we are  (7)   (8)  benefits.

NOTE: ENB coding for Fill-in 5, choice 2: MM/YYYY-THROUGH-MM/YYYY. For example, 09/2014-THROUGH-11/2014.

WCP012 OFFSET IMPOSED FIRST MONTH NUMBERHOLDER RECEIVES DISABILITY INSURANCE BENEFITS AND WORKERS' COMPENSATION, OTHER DISABILITY PAYMENT OR BOTH (J19)

(Requested)

Caption: Your Benefits

We are  (1)   (2)  monthly payment beginning  (3)  . This is the first month when  (4)  entitled to Social Security disability benefits and  (5)  payments.

WCP013 CHANGE IN REDUCTION OF WORKERS' COMPENSATION BENEFITS (BECAUSE OF CHANGE IN STATE LAW) (J85)

(Requested

Caption: Your Benefits

Beginning  (1)  , we are paying  (2)  a Social Security benefit that is not reduced due to  (3)  payments. This is because of a change caused by the State law which provides for the reduction of these payments to persons who receive Social Security disability benefits.

WCP015 INCREASE IN BENEFITS DUE TO A REDETERMINATION (J31)

(Requested)

Caption: Your Benefits

Based on  (1)   (2)  , every 3 years we check to see if an increase in the national earnings level affects the amount of  (3)  monthly Social Security benefit. When we checked  (4)  monthly benefit amount, we found that  (5)  g due more money.

NOTE : IF W/C is Offset Postponed (O/S), do not request WCP015. This will generate a systems bad.

WCP017 INCREASE IN BENEFITS AFTER WORKERS' COMPENSATION - OFFSET FIRST IMPOSED (J32)

(Requested)

Caption: Your Benefits

 (1)  benefits were increased beginning  (2)   (3)   (4)   (5)  not reduced because of  (6)  payments.

WCP018 REMOVAL OF OFFSET WORKERS' COMPENSATION OR OTHER DISABILITY PAYMENTS TERMINATED (J27)

(Requested)

Caption: Your Benefits

We do not reduce benefits once  (1)  payments have stopped. Therefore, we are paying benefits at the full rate beginning  (2)  . Please let us know right away if  (3)  workers' compensation and/or other public disability payments again.

WCP019 REMOVAL OF OFFSET NUMBERHOLDER AGE 62 OR 65 (J28) – (BORN 12/19/1950 OR EARLIER)

(Requested)

Caption: Your Benefits

Beginning  (1)  , we are not reducing  (2)  benefit because of  (3)  payments. We do not reduce benefits for months when the disabled worker is age  (4)  or over.

WCP021 POSSIBLE EXCLUDABLE EXPENSES WORKERS' COMPENSATION (J33)

(Requested)

Caption: Information About Other Disability Benefits

If  (1)  had expenses related to  (2)  claim for  (3)  payments, please give us proof that  (4)  paid these expenses. These expenses may include medical, legal, or other related expenses. We may be able to deduct some of these expenses when we figure  (5)  Social Security benefits.

WCP026 BENEFICIARY NO LONGER ENTITLED TO BENEFITS (J80)

(Requested)

Caption: Your Benefits

We changed  (1)  monthly benefit to  (2)  beginning  (3)  because benefits to another entitled person stopped. When we figured  (4)  benefit, we had to take into account  (5)   (6)  payments.

WCP028 BENEFITS OFFSET NUMBERHOLDER MAY FILE FOR REDUCED RIB (J20) – (BORN 12/19/1950 OR EARLIER)

WCP028

(Requested)

Caption: Things To Remember

We may continue to reduce or withhold  (1)  disability benefits until  (2)  age 65. We must take this action because of  (3)   (4)  payments.  (5)  payments do not affect retirement benefits.  (6)  may be eligible for retirement benefits at age 62. To apply, please get in touch with us three months before  (7)  age 62.

WCP029 WORKERS' COMPENSATION OR OTHER DISABILITY CLAIM PENDING - NUMBERHOLDER ONLY (J29)

(Requested)

Caption: Your Responsibilities

If  (1)  workers' compensation and/or public disability benefit payments, we may have to reduce  (2)  Social Security benefits.

At that time,  (3)  may also have to pay back any Social Security benefits that (4) not due. Please let us know the decision on the claim right way.

WCP032 ALL LETTERS INVOLVING RECEIPT OF WORKERS' COMPENSATION OR OTHER DISABILITY PAYMENTS NUMBERHOLDER (J43)

(Systems Generated)

Caption: Your Responsibilities

Please let us know right away about any:

• •

  Changes in  (1)  workers' compensation or public disability benefit payments

• •

  Lump-sum award(s)  (2) 

• •

  Other payments  (3)  that increase or decrease  (4)  workers' compensation or public disability benefit payments

WCP048 TOTAL OR PARTIAL OFFSET - AUXILIARY ONLY (J22)

(Requested)

Caption: Your Benefits

We have to take into account  (1)   (2)  payments when we figure  (3)  Social Security benefits. Because of these payments, we are  (4)  the benefits  (5)  due  (6)   (7)  .

NOTE: If the Technician input a date for Fill-in 7 the word “through” will be generated. If the technician selects “A” for null then the notice will end after Fill-in 6.

WCP049 AMOUNT OF BENEFIT RECEIVED AFTER OFFSET (J23)

(Requested)

Caption: Your Benefits

Benefit Amount Beginning Date Reason

 (1)   (2)   (3)  g

NOTE : This Universal Text Identifier is flexible, to allow multiple repetitions of the three fill-ins. This allows it to be used once, and provide as many benefit amount, dates and reasons as are needed to explain the action, or twice with the benefit amount, date and reason. When there is more than one row of data to display under the headers in the chart, WCP059 is automatically generated. An example of how to input this in the ENB screen is:

C*WCP049,500.00,09/2010,A,530.00,01/2011,C. (This method invokes WCP059, beginning with the second entry.) OR

WCP049,500.00,05/2013,I*WCP049,530.00,06/2013,A.

WCP050 SUBSEQUENT ADJUSTMENT TO PRORATION PERIOD BASED ON NEW EVIDENCE (J75)

(Requested)

Caption: Your Benefits

We told  (1)  earlier that we would pay  (2)  full Social Security benefits beginning  (3)  . Because of new facts we have received, we will now pay  (4)  full benefits beginning  (5)  .

WCP051 CHANGE IN AMOUNT OF THE AVERAGE CURRENT EARNINGS (ACE) (J76)

(Requested)

Caption: Your Benefits

We told  (1)  earlier that we might change the amount of  (2)  benefits when we got more facts about the money  (3)  earned while  (4)  working. Using the new facts about  (5)  earnings, we found that 80 percent of  (6)  average current earnings was  (7)  . For this reason, we are increasing  (8)  Social Security benefits beginning  (9)  .

WCP052 RESUMPTION OF OFFSET - NUMBERHOLDER ONLY (J77

(Requested)

Caption: Your Benefits

Beginning  (1)  , we paid  (2)  full Social Security checks because  (3)   (4)  payments stopped. Now that  (5)  these payments of  (6)  each week, we reduced  (7)  Social Security benefits beginning  (8)  .  (9)  new benefit is shown above.

WCP053 RESUMPTION OF OFFSET - AUXILIARIES ONLY (J78)

(Requested)

Caption: Your Benefits

Beginning  (1)  , we paid  (2)  full Social Security checks because  (3)   (4)  payments stopped. Now that these payments have started again, we reduced  (5)  Social Security benefits beginning  (6)  .  (7)  new benefit rate is shown above.

WCP054 VERIFIED RATE OF WORKERS' COMPENSATION, OTHER DISABILITY PAYMENT OR BOTH (J83)

(Requested)

Caption: Your Benefits

We have learned that  (1)  weekly  (2)  payment is  (3)  rather than  (4)  , as we had previously been told. Therefore, we have changed  (5)  Social Security benefits beginning  (6)  g .

WCP055 THIRD PARTY INVOLVEMENT (J84)

(Requested)

Caption: Your Benefits

We learned that  (1)  received a third-party settlement. Since this was not a workers' compensation payment, we will not have to reduce  (2)  benefit. We also learned that the workers' compensation  (3)  had already received was to be repaid because of the settlement. Since we do not have to reduce  (4)  benefits because of the workers' compensation, we will pay  (5)  the money we have withheld.

WCP057 REMOVAL OF OFFSET - LUMP-SUM PRORATION ENDED (J91)

(Requested)

Caption: Your Benefits

Beginning  (1)  , we can pay  (2)  benefits at the full rate. This is because we are no longer considering the  (3)  lump-sum award when we figure the benefit amount.

Please let us know right away if  (4)  workers' compensation and/or other public disability payments.

WCP058 CHANGE IN WORKERS' COMPENSATION RATE, OTHER DISABILITY PAYMENT OR BOTH AND OFFSET ADJUSTED NUMBERHOLDER ONLY (J81)

(Requested)

Caption: Your Benefits

We have learned that  (1)  weekly  (2)  payment was changed to  (3)  . For this reason, we have changed  (4)  Social Security benefits beginning  (5)  .

WCP059 AMOUNT OF BENEFIT RECEIVED AFTER OFFSET (J23 DETAIL LINE)

(Systems generated)

Caption: Your Benefits

 (1)   (2)   (3)  g

NOTE : This Universal Text Identifier is automatically generated whenever WCP049 is requested and there is more than one row of data to display under the headers in the chart.

WCP060 WORKERS' COMPENSATION/PUBLIC DISABILITY BENEFIT - REMOVAL OF OFFSET – NUMBERHOLDER ATTAINS FULL RETIREMENT AGE (FRA) (BORN 12/20/1950 OR LATER)

(Requested)

Caption: Your Benefits

Starting  (1)  , we will stop reducing  (2)  Social Security disability benefits because of  (3)   (4)  payments. We stop reducing disability benefits when  (5)  full retirement age.

WCP061 WORKERS' COMPENSATION/PUBLIC DISABILITY BENEFIT - OFFSET TO FRA - NUMBERHOLDER MAY FILE FOR REDUCED RETIREMENT INSURANCE BENEFIT (BORN 12/20/1950 OR LATER)

(Requested)

Caption: Things To Remember

We will continue to reduce or withhold  (1)  disability benefits until  (2)  full retirement age in  (3)  . We must take this action because of  (4)   (5)  payments.

 (6)   (7)  payments do not affect retirement benefits.  (8)  may be eligible for reduced retirement benefits at age 62. If  (9)  to apply for retirement benefits, please contact us three months before  (10)  age 62.

WCPR02 NUMBERHOLDER APPEALING WORKERS' COMPENSATION DECISION - AUXILIARY ONLY (J39)

(Requested)

Caption: Information About Other Disability Benefits

We will not reduce  (1)  because of  (2)   (3)  payments until a decision is made on the appeal of the claim. At that time, we may collect any money that should not have been paid.

WCPR06 AMOUNT OF OFFSET BASED ON ESTIMATE FOR ONE OR MORE YEARS - HIGH 1 (J49)

(Requested)

Caption: Information About Other Disability Benefits

When we figured how much to reduce  (1)  benefits, we used an estimate for part of  (2)  earnings before  (3)  became disabled. According to our records, the year in which  (4)  earned the most money between  (5)  and  (6)  was  (7)  . We estimated  (8)  earnings for that year to be  (9)  . If  (10)   (11)  that this amount is wrong, please let us know.  (12)  will also need to give us any facts  (13)  to show that the amount is wrong.

WCPR07 AMOUNT OF OFFSET BASED ON ESTIMATE FOR ONE OR MORE YEARS - HIGH 5 (J25)

(Requested)

Caption: Information About Other Disability Benefits

When we figured how much to reduce  (1)  benefits, we used an estimate for part of  (2)  earnings before  (3)  became disabled. According to our records, the 5 years in which  (4)  earned the most money were  (5)  to  (6)  . We estimated that  (7)  earned  (8)  during this period. If  (9)  that this amount is wrong, please let us know.  (10)  will also need to give us any facts  (11)  g to show that the amount is wrong.

WCPR09 INTERIM NOTICE PENDING AVERAGE CURRENT EARNINGS DETERMINATION (J57)

(Requested)

Caption: Information About Other Disability Benefits

We may have to change the amount of  (1)  benefits when we receive proof of the amount of  (2)  average current earnings. We use these earnings to figure how much to deduct from  (3)  benefits.

WCPR13 OFFSET IMPOSED AFTER DATE OF NOTICE (J26)

(Requested)

Caption: Your Benefits

We are reducing  (1)  benefits beginning  (2)  g because of workers' compensation payments. We must reduce benefits beginning with the month after the month in which we were told about these payments.

WCPR15 CHANGE IN WORKERS' COMPENSATION RATE, OTHER DISABILITY PAYMENT OR BOTH AND OFFSET ADJUSTED - AUXILIARY ONLY (J82)

(Requested)

Caption: Your Benefits

We are  (1)   (2)  benefits beginning  (3)  , when  (4)   (5)  payments changed from  (6)  to  (7)  .

WCPR20 OFFSET BASED ON LUMP SUM ENDING DATE OF PRORATION (J36)

(Requested)

Caption: Your Benefits

We changed  (1)  monthly benefit because  (2)  received a  (3)  lump-sum award. We treat a lump-sum award as if it were paid on a weekly basis. We  (4)  a full Social Security benefit to  (5)  beginning  (6)  .

WCPR22 WORKERS' COMPENSATION EXCLUDABLE AMOUNTS DEDUCTED (J42)

(Requested)

Caption: Information About Other Disability Benefits

When we figure how much to reduce  (1)  benefits, we do not count certain medical, legal, or other expenses which were paid out of  (2)   (3)  payments. We excluded  (4)  when we figured  (5)  benefits.

WCPR23 OFFSET BASED ON LUMP SUM PRORATION METHOD A (J45)

(Requested)

Caption: Your Benefits

 (1)   (2)  received a lump-sum award of  (3)  to settle  (4)   (5)  claim. A lump-sum award affects Social Security benefits in the same way that periodic payments do. We treat a lump-sum award as if it were paid on a weekly basis.

When we figured how much to reduce  (6)  benefits, we treated the lump sum as if  (7)  had been paid  (8)  each week. We excluded  (9)  for legal expenses, and  (10)  for medical expenses. Based on these facts, we can pay  (11)  full benefits for  (12)  through  (13)  . We will reduce  (14)  benefits beginning  (15)  . We will again pay full benefits beginning  (16)  .

WCPR24 OFFSET BASED ON LUMP SUM PRORATION METHOD B (J46)

(Requested)

Caption: Your Benefits

 (1)   (2)  received a lump-sum award of  (3)  to settle  (4)   (5)  claim. A lump-sum award affects Social Security benefits in the same way that periodic payments do. We treat a lump-sum award as if it were paid on a weekly basis.

When we figured how much to reduce  (6)  benefits, we treated the lump sum as if  (7)  had been paid  (8)  each week. We excluded  (9)  for legal expenses, medical and other expenses. For this reason, we lowered the weekly rate from  (10)  to  (11)  . This means that we will send  (12)   (13)  benefits beginning  (14)  .  (15)   (16) 

WCPR25 OFFSET BASED ON LUMP SUM PRORATION METHOD C (J47)

(Requested)

Caption: Your Benefits

 (1)   (2)  received a lump-sum award of  (3)  to settle  (4)   (5)  claim. A lump-sum award affects Social Security benefits in the same way that periodic payments do. We treat a lump-sum award as if it were paid on a weekly basis.

When we figured how much to reduce  (6)  benefits, we excluded  (7)  for legal, medical and other expenses. We treated the rest of the lump sum,  (8)  , as if  (9)  had been paid  (10)  per week. We will pay full benefits beginning  (11)  .

WCPR27 OFFSET BASED ON UNVERIFIED ALLEGATION (J41)

(Requested)

Caption: Information About Other Disability Benefits

We may have to change the amount of  (1)  benefits when we receive proof of the amount of  (2)   (3)  payments.

WCPR31 NUMBERHOLDER APPEALING WORKERS' COMPENSATION DECISION - NUMBERHOLDER AND AUXILIARY (J40)

(Requested)

Caption: Your Responsibilities

We will not reduce  (1)  benefit, or the benefits of  (2)  family, because of  (3)  payments until a decision is made on the appeal of  (4)  claim. Please let us know when a final decision is made. At that time, we may collect any money that should not have been paid.