A direct report from a beneficiary informing the FO that he or she works or is no
longer disabled does not serve as a basis for immediate cessation and termination
of benefits without the issuance of a proper pre-determination notice.
Prepare a pre-determination notice, unless the beneficiary signed a statement requesting
that we stop benefits at the time he or she made the report of no longer being disabled.
If the beneficiary signed such a statement, process these cases in accordance with
DI 28080.005C.1. and DI 28080.005C.2. in this section.
1. Beneficiary receives title II only
Obtain a signed statement or an SSA-795 from the beneficiary reporting that he or
she is no longer disabled and request that we stop his or her benefits.
File this statement in the official claims folder. For instructions on faxing documents
into the certified electronic folder, see DI 81010.090C.
Process the cessation without sending a pre-determination notice; and
Send a final cessation notice explaining the determination and appeal rights for these
NOTE: The beneficiary's signed request to stop benefits, in addition to his or her report
of improvement or work activity must be in the official claims folder, in order for
this due process exception to apply.
2. Beneficiary receives title XVI only or concurrent title II/title XVI
Prepare a final cessation notice (rather than a pre-determination notice) before terminating
title XVI only or concurrent title II/title XVI disability benefits or payments, except
where there has been confirmation of the beneficiary's death.