TN 2 (09-11)

NL 00720.355 TER Terminations

TER001 CHILD TERMINATED AGE 18 OR 19(T01)

(System Generated)

Caption: Your Benefits

 (1)   (2)  no longer entitled to Social Security benefits beginning  (3)  .  (4)  benefits are stopping because in that month  (5)  .  (6)  years old, and not disabled, and not a full-time elementary or secondary level school student.

Fill-in values:

Fill-in (1)

Choice 1: Beneficiary's full Name

Choice 2: You

Fill-in (2)

Choice 1: is

Choice 2: are

Fill-in (3)

Month of termination

Fill-in (4)

Choice 1: His

Choice 2: Her

Choice 3: Your

Fill-in (5)

Choice 1: he is

Choice 2: she is

Choice 3: you are

Fill-in (6)

Choice 1: 18

Choice 2: 19

TER002 CHILD TERMINATED NOT IN FULL-TIME ATTENDANCE (T02)

(System Generated)

Caption: Your Benefits

 (1)   (2)  no longer entitled to Social Security benefits beginning  (3)  .  (4)  benefits are stopping in that month because:  (5)  not a full-time elementary or secondary level school  student, and  (6)  not disabled.

Fill-in values:

Fill-in (1)

Choice 1: Beneficiary's Name

Choice 2: You

Fill-in (2)

Choice 1: is

Choice 2: are

Fill-in (3)

Month/Year

Fill-in (4)

Choice 1: His

Choice 2: Her

Choice 3: Your

Fill-in (5)

Choice 1: he is

Choice 2: she is

Choice 3: you are

Fill-in (6)

Choice 1: he is

Choice 2: she is

Choice 3: you are

TER003 CHILD TERMINATED AFTER AGE 19(T04)

(Requested/Generated)

Caption: Your Benefits

 (1)   (2)  no longer entitled to student benefits beginning  (3)  . Student benefits normally end with the payment before the month the student turns 19. But,  (4)  met an exception which allowed benefits to continue past that month. The exception allows benefits to continue

  • for two months after the student turns 19, or

  • until the end of the school term, whichever comes first.

However, if the school requires a student to reenroll each quarter or semester, benefits may continue until that quarter or semester ends.  (5)  no longer  (6)  the exception beginning  (7)  , so  (8)  student benefits end that month.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: Beneficiary's name

Choice 2: You

Fill-in (2) - Systems Generated

Choice 1: is

Choice 2: are

Fill-in (3) - Requested As A Date In Format Shown Below

MM/CCYY (Month of termination)

Fill-in (4) - Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Choice 4: they

Fill-in (5) - Systems Generated

Choice 1: You

Choice 2: He

Choice 3: She

Choice 4: They

Fill-in (6) - Systems Generated

Choice 1: meet

Choice 2: meets

Fill-in (7) - Requested As A Date In Format Shown Below

MM/CCYY (Month of termination)

Fill-in (8) - Systems Generated

Choice 1: your

Choice 2: his

Choice 3: her

Choice 4: their

TER010 SPOUSE OR SURVIVING DIVORCED MOTHER/FATHER TERMINATED CHILD AGE 16/18 NOT DISABLED (T03) (T36)

(Requested)

Caption: Your Benefits

 (1)  no longer entitled to Social Security benefits beginning  (2)  . To be entitled,  (3)  must be taking care of a child who is entitled to benefits. That child must be under age 16 or disabled. In  (4)  ,  (5)  child  (6)   (7)  .

Fill-in values:

Fill-in (1) – Systems Generated

Choice 1: Beneficiary's Name is

Choice 2: You are

Fill-in (2) – Systems Generated

TERM date in the format MMCCYY

Fill-in (3) – Systems Generated

Choice 1: he

Choice 2: she

Choice 3: you

Fill-in (4) – Systems Generated

TERM date in the format MMCCYY

Fill-in (5) – Systems Generated

Choice 1: his

Choice 2: her

Choice 3: your

Fill-in (6) - Requested As A One Position Alpha Character

Choice 1: (A) became age 16

Choice 2: (B) is no longer disabled

Choice 3: (C) longer qualifies for Social Security disability benefits

Fill-in (7) – Systems Generated

Null

TER016 STEPCHILD'S BENEFITS TERMINATED - NATURAL PARENT AND STEPPARENT DIVORCED (T05)

(Requested)

Caption: Your Benefits

We can no longer pay  (1)  because  (2)  and  (3)  were divorced in  (4)  .

Fill-in values:

Fill-in (1) – Systems Generated

Choice 1: you

Choice 2: Beneficiary's Name

Fill-in (2) – Systems Generated

Choice 1: your father

Choice 2: her father

Choice 3: his father

Choice 4: your mother

Choice 5: her mother

Choice 6: his mother

Fill-in (3) – Systems Generated

NH First + NH Last Name

Fill-in (4) – Systems Generated

Date

TER039 TERMINATION NOTICE - LEAD-IN (G54)

(System Generated)

Caption: None

We are writing to tell  (1)  that  (2)  for  (3)  benefits beginning  (4)  .

Fill-in values:

Fill-in (1)

you

Fill-in (2)

Choice 1: you no longer qualify

Choice 2: Beneficiary's name + no longer qualifies

Fill-in (3)

Choice 1: disability

Choice 2: retirement

Choice 3: wife’s

Choice 4: husband’s

Choice 5: child’s

Choice 6: widow’s

Choice 7: widower’s

Choice 8: mother’s

Choice 9: father’s

Choice 10: disabled widow’s

Choice 11: disabled widower’s

Choice 12: disabled divorced widow’s

Choice 13: disabled divorced widower’s

Choice 14: NULL

Fill-in (4)

MM/CCYY

TER040 CATEGORY D NOTICE LEAD-IN (G55)

(System Generated)

Caption: None

We are writing to tell  (1)  that beginning  (2)  we are stopping the  (3)  benefits which  (4)  received.

Fill-in values:

Fill-in (1)

Choice 1: you

Fill-in (2)

MM/CCYY

Fill-in (3)

Choice 1: disability

Choice 2: retirement

Choice 3: survivor

Fill-in (4)

Choice 1: you

Choice 2: Beneficiary's name

TER041 MARRIAGE OF BENEFICIARY (T11)

(System Generated)

Caption: Your Benefits

We can no longer pay  (1)  because  (2)  married in that month.

Fill-in values:

Fill-in (1)

Choice 1: you

Choice 2: Beneficiary's name

Fill-in (2)

Choice 1: you

Choice 2: he

Choice 3: she

Choice 4: Beneficiary's name

TER042 DIVORCE OF BENEFICIARY (T12)

(Requested)

Caption: Your Benefits

We can no longer pay  (1)  because  (2)  and  (3)  were divorced in that month.

Fill-in values:

Fill-in (1) – Systems Generated

Choice 1: you

Choice 2: Beneficiary's name non-possessive

Fill-in (2) – Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (3) – Systems Generated

NH's full name

TER043 DATE OF TERMINATION FOR AWARD LETTERS (T14)

(Requested)

Caption: Your Benefits

 (1)  no longer  (2)  for benefits beginning  (3)  .

Fill-in values:

Fill-in (1) – Systems Generated

Choice 1: You

Choice 2: Beneficiary's name

Fill-in (2) – Systems Generated

Choice 1: qualify

Choice 2: qualifies

Fill-in (3) Requested As A Date in Format Shown Below

MM/CCYY

TER044 WIDOW/WIDOWER CLAIMANT TERMINATED CHILD AGE 16 AND NOT DISABLED (T15)

(Requested)

Caption: Your Benefits

To be entitled to benefits as  (1)   (2)  ,  (3)  must be taking care of  (4)  child. And, that child must be under age 16 or disabled, and entitled to child's benefits from Social Security.

Fill-in values:

Fill-in (1) – Systems Generated

NH's name (possessive)

Fill-in (2) Requested As A One Position Alpha Character

Choice 1: (A) widow

Choice 2: (B) widower

Fill-in (3) – Systems Generated

Choice 1: you

Choice 2: he

Choice 3: she

Fill-in (4) – Systems Generated

Choice 1: his

Choice 2: her

TER045 DIB/CDB CESSATION WORK ACTIVITY NO TRIAL WORK PERIOD (T21)

(Requested)

Caption: Your Benefits

After reviewing all the information carefully, we have decided that  (1)  now able to work.  (2)  no longer disabled according to our rules as of  (3)  .

 (4)  entitled to checks for that month and the next two months. The last month for which  (5)  entitled to a check is  (6)  .

Fill-in values:

Fill-in (1) – Systems Generated

Choice 1: you are

Choice 2: Beneficiary's name is

Fill-in (2) – Systems Generated

Choice 1: You are

Choice 2: He is

Choice 3: She is

Fill-in (3) Requested As A Date In Format Shown Below

MM/CCYY

Fill-in (4) – Systems Generated

Choice 1: You are

Choice 2: He is

Choice 3: She is

Fill-in (5) – Systems Generated

Choice 1: you are

Choice 2: he is

Choice 3: she is

Fill-in (6) Requested As A Date In Format Shown Below

MM/CCYY

TER046 DIB OR CDB CESSATION WHEREABOUTS UNKNOWN OR FAILURE TO COOPERATE REQUESTED INFORMATION NOT SUBMITTED (T23)

(Requested)

Caption: Your Benefits

We asked  (1)  to help us get information we need to decide if  (2)  still disabled because of health problems.  (3)  not  (4)  which we requested. Therefore, we have found that  (5)  not disabled according to our rules as of  (6)  .

 (7)  entitled to checks for that month and the next two months. The last month for which  (8)  entitled to a check is  (9)  .

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: you

Choice 2: Beneficiary's name is

Fill-in (2) - Systems Generated

Choice 1: you are

Choice 2: he is

Choice 3: she is

Fill-in (3) - Systems Generated

Choice 1: you have

Choice 2: he has

Choice 3: she has

Fill-in (4) - Requested As A One Position Alpha Character

Choice 1: (A) given us the information

Choice 2: (B) taken the medical examination

Fill-in (5) - Systems Generated

Choice 1: you are

Choice 2: he is

Choice 3: she is

Fill-in (6) - Requested As A Date In Format MM/CCYY

Choice 1: MM/CCYY

Fill-in (7) - Systems Generated

Choice 1: You are

Choice 2: He is

Choice 3: She is

Fill-in (8) - Systems Generated

Choice 1: you are

Choice 2: he is

Choice 3: she is

Fill-in (9) - Requested As A Date In Format MM/CCYY

Choice 1: MM/CCYY

TER047 INDIVIDUAL UNDER AGE 62 (T27)

(System Generated)

Caption: Things To Remember

If  (1)   (2)  are again disabled according to our rules before  (3)   (4)   (5)  ,  (6)  should apply again for disability benefits.

Fill-in values:

Fill-in (1)

Choice 1: you think

Choice 2: Beneficiary's name thinks

Fill-in (2)

Choice 1: you are

Choice 2: he is

Choice 3: she is

Fill-in (3)

Choice 1: you reach

Choice 2: he reaches

Choice 3: she reaches

Fill-in (4)

Choice 1: age 65

Choice 2: full retirement age

Fill-in (5)

Choice 1: 66 and 2 months

Choice 2: null

Fill-in (6)

Choice 1: you

Choice 2: he

Choice 3: she

TER048 DIB CESSATION AUXILIARIES IN A SEPARATE HOUSEHOLD N/H NO LONGER DISABLED (T30)

(Requested)

Caption: Your Benefits

We recently reviewed  (1)  disability case. After reviewing all the information carefully, we decided  (2)  is no longer disabled according to our rules as of  (3)  .

You are entitled to checks for that month and the next two months. The last month for which you are entitled to a check is  (4)  .

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: N/H's name (possessive)

Fill-in (2) - Systems Generated

Choice 1: he

Choice 2: she

Fill-in (3) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

Fill-in (4) - Requested As A Date In Format Shown Below

Choice 1: MM/CCYY

TER049 CESSATION AUXILIARIES IN SAME HOUSEHOLD N/H NO LONGER DISABLED (T31)

(Requested)

Caption: Your Benefits

Your  (1)  last check will be for the same months.

Fill-in values:

Fill-in (1) - Requested As A One Position Alpha Character

Choice 1: (A) family's

Choice 2: (B) wife's

Choice 3: (C) husband's

Choice 4: (D) children's

Choice 5: (E) child's

TER050 CDB REENTITLEMENT (T32)

(Requested)

Caption: Things To Remember

If your health gets worse and you think you are disabled again within 7 years, you might qualify again for benefits on  (1)  Social Security record. The 7-year period begins with the month after your last disability check on this record wa