TN 30 (03-96)

NL 00703.609 New Health Insurance Card As A Result of Requested Changes

Document Identifier for Word Process: E3609

A. EXHIBIT LETTER

Thank you for advising us of the change required on the health insurance card you received. We have taken the necessary steps to correct the information.

You will receive a new card shortly to replace the one which is incorrect.

B. REQUESTING INSTRUCTIONS

This notice is used to notify a beneficiary that a new HI card will be sent to him/her with the changes requested.

C. TYPING INSTRUCTIONS

Information for this letter will be shown on Form SSA-573. The name and address, if not given, can be taken from the latest Form SSA-3926-C2 in file.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703609
NL 00703.609 - New Health Insurance Card As A Result of Requested Changes - 03/04/1996
Batch run: 01/27/2009
Rev:03/04/1996