BASIC (05-05)

HI 03094.101 WBDOC Exception Processing

A. Purpose/Use

WBDOC Exception Processing Letter is used by WBDOC to obtain answers to unanswered questions on the subsidy application. It is generated in MAPS from the Exception screen and is sent to the local printer.

B. Sample Notice for WBDOC Exception Processing

Social Security Administration

Medicare Prescription Drug Assistance

Application Development

Telephone: 410-222-7777

   Date: 11/05/05

Social Security Number: 123-00-6789

JOHN Q. PUBLIC

123 MAIN ST

SPRINGFIELD OH 45501

This is a very important letter and could affect whether you get extra help to pay for your prescription drugs. Please read carefully. If there is anything you do not understand, please get in touch with us right away.

What You Need To Do

Please furnish the information requested below and return this letter. (Only the checked box applies to you.)

[ ] Answer the following question (s).

(Drop Down Box)

Have you or your spouse (if married and living together) set aside any money for burial expenses?

You: _____Yes_____No

Your spouse (if living together): _____Yes______No

[ ] Clarify the responses to the following question(s) ________________________________

If We Do Not Hear From You

We may deny your Application for Help with Medicare Prescription Drug Plan Costs if you do not respond to this request or contact us by November 20, 2005.

If You Have Any Questions

If you have any questions or need help, please call us at the telephone number shown at the top of this letter and ask for Mr. James Robinson.

Carolyn Simmons

Associate Commissioner

Enclosure (s)

Envelope


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0603094101
HI 03094.101 - WBDOC Exception Processing - 07/07/2006
Batch run: 01/27/2009
Rev:07/07/2006