Basic (10-80)

RM 03253.002 SSA-L99-C1, Notice of Potential Private Pension Benefits

  1. A. 

    The Social Security Administration is required to furnish individuals (and dependents or survivors) deferred vested benefit information upon request and automatically upon application of a claim for social security benfits

    SSA provides individuals the exact information that was submitted by the plan administrator. This pension information is furnished on Form SSA-L99-C1, Notice of Potential Private Pension Benefits. See Exhibit 2.

  2. B. 

    The following information from SSA's files is furnished on the SSA-L99-C1:

    1. 1. 

      Plan name

    2. 2. 

      Plan number (Twelve digit number)

      NOTE: For identification and retrieval purposes SSA combines the three digit plan number and nine digit EIN, respectively, furnished on the Schedule SSA to form this twelve digit plan number.

    3. 3. 

      Plan Administrator's name and address

      NOTE: IRS maintains current name and address files of all plan administrators for specific pension plans and furnishes weekly updates for our magnetic tape file of plan administrators.

    4. 4. 

      Plan Administrator's identification number (Nine digit EIN).

    5. 5. 

      Deferred vested benefit information:

      1. a. 

        Year Reported (Plan year, calendar or fiscal, for which the information was submitted.

      2. b. 

        Amount (This is periodic payment to be paid monthly, annually, etc.).

      3. c. 

        Type of Annuity code (See back of SSA-L99-C1).

      4. d. 

        Payment Frequency code (See back of SSA-L99-C1).

      5. e. 

        Units or Share (Total number of units or share held at the time of separation).

      6. f. 

        Value of Account (Total value of units or shares held at the time of separation).


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0103253002
RM 03253.002 - SSA-L99-C1, Notice of Potential Private Pension Benefits - 12/20/1989
Batch run: 12/20/1989
Rev:12/20/1989