TN 50 (02-06)
NL 00703.159 Advance Notice For SSA/Railroad Retirement Board (RRB) Match - Benefits To Be Terminated - Current Pay Status
Document Identifier for Word Processor: E3159
A. Exhibit Letter
We are writing to tell you that we plan to stop (1) Social Security benefits. Based on information we have, we should have stopped the Social Security benefit beginning (2) .
Why Benefits Will Stop
We recently matched computer records with the Railroad Retirement Board and learned that (3) enough railroad earnings (120 railroad service months or 60 railroad service months after 1995) to qualify for railroad benefits. Because of this, we can no longer use the railroad earnings to figure Social Security benefits. Without these earnings, (4) not insured for Social Security benefits. (5)
What You Can Do
Please let us know right away if any of this information is wrong. We cannot use this information to change Social Security benefits until we give you time to check it. You will also need to give us any proof you have that shows that our information is wrong.
If We Do Not Hear From You
If we do not hear from you within 30 days from the date of this letter, we will assume the information in this letter is correct and use it to stop (6) benefits.
We will send another letter at that time. It will explain the change in benefits, the amount of any overpayment, and how to appeal our decision.
If You Have Any Questions
3901C - Domestic
3901D - Foreign
B. Requesting Instructions
The PC will send this notice to a beneficiary in current pay status whose benefits will be terminated because the number holder (NH) attains 120 RR service months and as a result loses insured status.
Refer to NL 00703.005E. for 3901C and 3901D text and fill-ins.
your/beneficiary full name, (possessive)/the children's
month and year of termination
you have/(railroad worker's name) has
you are/(railroad worker's name) is
If sending the notice to an auxiliary, add the following sentence:
Since (he/she) is not insured, we cannot pay any benefits on (his/ her) record.
your/beneficiary's title and surname, possessive/child's first name, possessive (if one child beneficiary)/the children's
C. Typing Instructions
Use Form SSA-L2000-C2 (Universal Notice) and follow the notice standards. Information for this notice will be shown on Form SSA-573.