TN 2 (08-08)

HI 01190.055 Sequencing for Income-Related Monthly Adjustment Amount (IRMAA) Reconsideration Dismissal Notices

A. Sequencing for IRMAA reconsideration dismissal notices for T2 beneficiaries

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

  • Introductory (no caption)

    MIR087                    R

    MIR066                    O

  • MIRC18You Asked For A Review Too Late

    MIR089                    O

  • REFC01 – If You Have Any Questions

    REF103                    O

    REF104                    O

    REF106                    O

    NOTE: MIRC18 will only generate if MIR089 is present.

B. Sequencing for IRMAA reconsideration dismissal notices for non-T2 beneficiaries

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

  • Introductory (no caption)

    MIR087                    R

    MIR066                    O

  • MIRC18You Asked For A Review Too Late

    MIR089                    O

  • REFCO1 – If You Have Any Questions

    REF093                    O

    REF103                    O

    REF104                    O

    REF106                    O

    NOTE: MIRC18 will only generate if MIR089 is present.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0601190055
HI 01190.055 - Sequencing for Income-Related Monthly Adjustment Amount (IRMAA) Reconsideration Dismissal Notices - 08/13/2008
Batch run: 01/27/2009
Rev:08/13/2008