TN 30 (03-96)
NL 00703.364 Termination of Section 217(b) Benefits Because of VA Pension
Document Identifier for Word Processor: E3364
A. EXHIBIT LETTER
We are writing to tell you that (1) no longer entitled to Social Security benefits beginning (2) because (3) entitled to a pension from the Department of Veterans Affairs (VA) in that month. We will stop the checks beginning with the check you would normally receive around (4) .
|3364A||Since we could not stop the checks until (1) , you will have to pay back the money you received for (2) . This overpayment totals $ (3) . |
Why We Are Stopping Your Checks
(5) entitled to Social Security checks because of (6) (7) military service in World War II. We cannot use this service to pay benefits if the VA uses it to pay a pension. Beginning (8) , the VA is using this military service to pay a pension, so we must stop the Social Security checks starting with that month.
If You Disagree With The Decision
3180A - Domestic
3180B - Foreign
If You Want Help With Your Appeal1
If You Have Any Questions
3901C - Domestic
3901D - Foreign
1 If the person lives outside the U.S. or has an attorney, omit this paragraph.
B. REQUESTING INSTRUCTIONS
This letter is sent when a widow(er)'s and child's/children's benefits are being terminated because VA payments have been awarded and insured status is no longer met.
beneficiary(ies) full name(s) is/are; you are
first month for which payment is not due, e.g. “June 1992”
you were, he was, she was
month/day/year of first check which will not be received
Name(s) of beneficiary(ies) was/were; you were
his, her, their, your
husband's, wife's, father's, mother's
month/year of termination
Optional paragraph 3364A:
COM when the action was taken, e.g. “June 1992”
month of termination through month before COM in which action taken, in format “March through June,” unless period spans 2 calendar years, in which case format is “May 1991 through June 1992”
total amount of overpayment
Refer to NL 00703.005E. for 3901C and 3901D text and fill-ins. Refer to NL 00703.180 for 3180A and 3180B text. Refer to NL 00703.100 for 3100E text.
Use optional paragraph 3364A when an overpayment is caused by untimely processing of the termination. If this paragraph is selected, the standard overpayment paragraphs and appeals information must also be used in the notice.
C. TYPING INSTRUCTIONS
Use Form SSA-L2000-C2 (Universal Notice) and follow notice standards. Information for this letter will be shown on Form SSA-573.