TN 2 (08-08)

HI 01190.050 Sequencing for Income-Related Monthly Adjustment Amount (IRMAA) New Initial Determination Update Dismissal Notices

A. Sequencing for IRMAA new initial determination update dismissal notices for T2 beneficiaries

The following list contains the sequencing of captions and paragraphs for IRMAA New Initial Determination Update Dismissal Notices for T2 beneficiaries. An “R” indicates a required paragraph, while an “O” indicates an optional paragraph.

  • Introductory (no caption)

    MIR069                   R

  • MIRC10 – About Your Request For A New Decision

    MIR071                   O

    MIR073                   O

    MIR072                   O

  • MIRC03 – If You Have Other Information About Your Income

    MIR074                   O

    MIR052                   R

    MIR082                   R

  • REFC01 – If You Have Any Questions

    REF103                   O

    REF104                   O

    REF106                   O

B. Sequencing for IRMAA new initial determination update dismissal notices for non-T2 beneficiaries

The following list contains the sequencing of captions and paragraphs for IRMAA New Initial Determination Update Dismissal Notices for Non-T2 beneficiaries. An “R” indicates a required paragraph, while an “O” indicates an optional paragraph.

  • Introductory (no caption)

    MIR069                   R

  • MIRC10About Your Request For A New Decision

    MIR071                   O

    MIR073                   O

    MIR072                   O

  • MIRC03 – If You Have Other Information About Your Income

    MIR074                   O

    MIR052                   R

    MIR082                   R

  • REFCO1 – If You Have Any Questions

    REF093                   O

    REF103                   O

    REF104                   O

    REF106                   O


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0601190050
HI 01190.050 - Sequencing for Income-Related Monthly Adjustment Amount (IRMAA) New Initial Determination Update Dismissal Notices - 08/13/2008
Batch run: 01/27/2009
Rev:08/13/2008