TN 26 (08-17)

NL 00730.104 “B” Paragraphs and Captions

List of “B” Paragraphs and Captions

A. “BEN” Universal Text Identifiers – Benefit Information

BENC05 – CAPTION

You May Choose Not To Receive Benefits Right Now

BENC06 – CAPTIONS

Social Security Benefits Can Affect SSI Payments

BENH01 – REFER TO WORKSHEET HEADER NL 00730.149C

BEN008 – EXPLAINS VOLUNTARY DELAYED RETIREMENT CREDITS (DRC) TO THE BENEFICIARY

(1) may choose to delay benefits on (2) own Social Security number beginning (3). Social Security benefits increase by a certain percentage if (4) retirement. We call this a delayed retirement credit. (5) can earn a credit for each full month after age (6) that (7) not receive a monthly benefit. (8) can earn credits for any months before age 70.

While we cannot give financial advice, we can point out some things to consider. For example, (9) may want to consider:

  • How (10) monthly benefit amount in the future would compare with (11) monthly benefit amount today;

  • How long it will take for future higher benefits to make up for benefits (12) not to receive now; and

  • The effect that Social Security benefits may have on (13) income taxes or private pension(s).

Please go to our Internet website at www.socialsecurity.gov for more information about delayed retirement credits. At this website, you can find out how much (14) benefit may increase.

Please contact us right away if (15) would like to earn these delayed retirement credits instead of receiving benefits. Please use the telephone number or address shown below.

If (16) to earn these credits and later (17) mind, just contact us and we will start (18) monthly retirement benefits.

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN)

Choice 2

You

Fill-in (2)

 

Choice 1

his

Choice 2

her

Choice 3

your

Fill-in (3)

Full Retirement Age (FRA) attainment month and year in the format Month CCYY

Fill-in (4)

 

Choice 1

he delays

Choice 2

she delays

Choice 3

you delay

Fill-in (5)

 

Choice 1

He

Choice 2

She

Choice 3

You

Fill-in (6)

 

Choice 1

65

Choice 2

65 and 2 months

Choice 3

65 and 4 months

Choice 4

65 and 6 months

Choice 5

65 and 8 months

Choice 6

65 and 10 months

Choice 7

66

Choice 8

66 and 2 months

Choice 9

66 and 4 months

Choice 10

66 and 6 months

Choice 11

66 and 8 months

Choice 12

66 and 10 months

Choice 13

67

Fill-in (7)

 

Choice 1

he does

Choice 2

she does

Choice 3

you do

Fill-in (8)

 

Choice 1

He

Choice 2

She

Choice 3

You

Fill-in (9)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN)

Choice 2

you

Fill-in (10)

 

Choice 1

his

Choice 2

her

Choice 3

your

Fill-in (11)

 

Choice 1

his

Choice 2

her

Choice 3

your

Fill-in (12)

 

Choice 1

he chooses

Choice 2

she chooses

Choice 3

you choose

Fill-in (13)

 

Choice 1

his

Choice 2

her

Choice 3

your

Fill-in (14)

 

Choice 1

his

Choice 2

her

Choice 3

your

Fill-in (15)

 

Choice 1

he

Choice 2

she

Choice 3

you

Fill-in (16)

 

Choice 1

he chooses

Choice 2

she chooses

Choice 3

you choose

Fill-in (17)

 

Choice 1

changes his

Choice 2

changes her

Choice 3

change your

Fill-in (18)

 

Choice 1

his

Choice 2

her

Choice 3

your

BEN010 – EXPLAINS TO THE WORKING BENEFICIARY THAT BENEFITS FOR A PRIOR YEAR ARE CHANGING

We changed (1) benefits for (2). Our records show that (3) earned (4) in (5).

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) possessive

Fill-in (2)

Year of Earnings Report (YOER) in format CCYY

Fill-in (3)

 

Choice 1

you

Choice 2

he

Choice 3

she

Fill-in (4)

Amount of Reported Earnings (AORE) in the format $$$$$¢¢

Fill-in (5)

Year of Earnings Report (YOER) in format CCYY

BEN011 – EXPLAINS TO THE WORKING BENEFICIARY THAT HE OR SHE HAS BEEN INCORRECTLY PAID FOR THE CURRENT YEAR

We changed (1) benefits for (2). Our records show that (3) to earn (4) (5).

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Fill-in (2)

Year of Earnings Report (YOER) in format CCYY

Fill-in (3)

 

Choice 1

you expect

Choice 2

he expects

Choice 3

she expects

Fill-in (4)

Amount of Reported Earnings (AORE) in the format $$$$$¢¢

Fill-in (5)

this year

BEN012 – EXPLAINS TO THE WORKING BENEFICIARY THAT HIS OR HER BENEFITS FOR MULTIPLE YEARS ARE CHANGING

We changed (1) benefits for the following years:

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

BEN013 – A CHART HEADING UTI ALONG WITH BEN014, PROVIDES THE WORKING BENEFICIARY THE EARNINGS PREVIOUSLY ON THE RECORD AND THE EARNINGS NOW REPORTED

Year Earnings You Reported Earnings On Our Records

BEN014 – PROVIDES THE WORKING BENEFICIARY INFORMATION ABOUT EARNINGS PREVIOUSLY ON THE RECORD AND THE EARNINGS BEING NEWLY REPORTED IN A CHART - FOLLOWS BEN013

(1) (2) (3)

Fill-in values:

 

Fill-in (1)

Year of Earnings Report (YOER) in format CCYY

Fill-in (2)

Amount of Reported Earnings (AORE) in the format $$$$$¢¢

Fill-in (3)

Pre-MBR Amount of Reported Earnings (AORE) in the format $$$$$¢¢

BEN015 – TELLS THE BENEFICIARY THAT MONTHLY BENEFITS CAN BE PAID WHEN THE ANNUAL REPORT DATA IS CHANGING

We can (1) pay (2) monthly benefits.

Fill-in values

 

Fill-in (1)

 

Choice 1

continue to

Choice 2

now

Fill-in (2)

 

Choice 1

him

Choice 2

her

Choice 3

you

BEN016 – LEDGER ACCOUNT FILE (LAF) S TO LAF S, NO CHANGE IN HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) BUT MONTHLY BENEFIT AMOUNT (MBA) CHANGE

We cannot pay (1) monthly benefits at this time.

Fill-in values:

 

Fill-in (1)

 

Choice 1

him

Choice 2

her

Choice 3

you

BEN017 – EXPLAINS THE MONTH OR MONTHS BENEFITS WILL BE WITHHELD TO RECOVER AN OVERPAYMENT

We must withhold your benefits for (1).

Fill-in values:

 

Fill-in (1)

 

Choice 1

Current Operating Month (COM) in the format Month CCYY

Choice 2

Current Operating Month (COM) plus ”and” plus the Deferred Payment Date -1 month in the format Month CCYY

Choice 3

Current Operating Month (COM) plus ”through” plus the Deferred Payment Date -1 month in the format Month CCYY

BEN019 – THIS PARAGRAPH SHOULD BE ON ALL NOTICES WHERE SUPPLEMENTAL SECURITY INCOME (SSI) WINDFALL OFFSET IS INVOLVED

The Social Security benefits you receive count as income and resources and can lower the amount of SSI payments you can receive. When a person receives SSI money for a month and later becomes entitled to Social Security for the same month, we have to refigure the SSI payment. We hold back some of the Social Security benefits while we do this, so the person doesn't owe us if we've paid too much SSI.

BEN021 – SUPPLEMENTAL SECURITY INCOME (SSI) WINDFALL OFFSET IS DETERMINED AND THE HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) OF WINDFALL OFFSET (WINFAL) IS REMOVED

In an earlier letter, we told you that (1) entitled to Social Security but that we were holding back benefits for (2). We withheld (3) in Social Security benefits.

We did this because our records showed (4) could have been getting Supplemental Security Income (SSI) when we started paying (5) Social Security benefits. And Social Security benefits can lower the amount of SSI payments (6) can receive.

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) plus ”was”

Choice 2

you were

Choice 3

you

Fill-in (2)

 

Choice 1

History Start date of the first month where Reason for Suspension = WINFAL in the format Month CCYY

Choice 2

Start date that corresponds to the Reason for Suspension = WINFAL plus ”and” plus the Stop date of the last WINFAL Suspension month in the format Month CCYY

Choice 3

History Start date of the first month where Reason for Suspension = WINFAL plus “through” plus the Stop date of the last WINFAL Suspension month in the format Month CCYY

Fill-in (3)

Windfall Total Amount (WTA) in the format $$$$$.¢¢

Fill-in (4)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN)

Choice 2

you

Fill-in (5)

 

Choice 1

him

Choice 2

her

Choice 3

you

Fill-in (6)

 

Choice 1

he

Choice 2

she

Choice 3

you

BEN022 – EXPLAINS TO THE BENEFICIARY STARTING FULL RETIREMENT AGE (FRA) THAT BENEFITS ARE NO LONGER WITHHELD

Since (1) (2) full retirement age in (3), we will not withhold (4) benefits because of earnings in that month or later.

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN)

Choice 2

you

Fill-in (2)

 

Choice 1

was

Choice 2

will be

Choice 3

were

Fill-in (3)

Full Retirement Age (FRA) attainment in the format Month CCYY

Fill-in (4)

 

Choice 1

his

Choice 2

her

Choice 3

your

BEN023 – INFORMS THE BENEFICIARY OF THE OPTION TO EARN VOLUNTARY DELAYED RETIREMENT CREDITS (DRC)

In this letter, we explain that (1) can choose to delay being paid benefits now. If (2) retirement benefits, (3) can earn special credit that may increase the amount of benefits (4) later.

Fill-in values:

 

Fill-in (1)

 

Choice 1

you

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN)

Fill-in (2)

 

Choice 1

you delay

Choice 2

he delays

Choice 3

she delays

Fill-in (3)

 

Choice 1

you

Choice 2

he

Choice 3

she

Fill-in (4)

 

Choice 1

you receive

Choice 2

he receives

Choice 3

she receives

Choice 4

Beneficiary’s Given Name (BGN) plus “receives”

BEN026 – TELLS THE BENEFICIARY THERE IS NO ADJUSTMENT OF BENEFITS AT THIS TIME

No change to (1) benefits is necessary at this time.

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

his

Choice 3

her

Choice 4

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

BEN028 – EARNINGS CHANGE TO ZERO IN A PRIOR YEAR OR YEARS AND BENEFITS ARE CHANGING

We changed (1) benefits for (2). Our records show that (3) did not have any earnings in (4).

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Fill-in (2)

 

Choice 1

Year benefits changed in the format CCYY

Choice 2

and

Choice 3

comma (,)

Fill-in (3)

 

Choice 1

you

Choice 2

he

Choice 3

she

Fill-in (4)

 

Choice 1

Year of no earnings in the format CCYY

Choice 2

and

Choice 3

comma (,)

BEN029 – EARNINGS CHANGE TO ZERO ONLY IN THE CURRENT YEAR AND BENEFITS ARE CHANGING - THIS UTI WILL ONLY APPEAR ON A WORKING BENEFICIARY NOTICE

We changed (1) benefits for (2). Our records show that (3) not plan to have any earnings (4).

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Fill-in (2)

Year benefits changed in the format CCYY

Fill-in (3)

 

Choice 1

you do

Choice 2

he does

Choice 3

she does

Fill-in (4)

this year

BEN045 – NON-SERVICE MONTHS CHANGE FOR A PAST PERIOD

(1) due full benefits for (2). This is because we used a special rule to count (3) earnings. We explain this rule in the enclosed fact sheet, "How Work Affects Your Social Security."

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) plus “was”

Choice 2

You were

Fill-in (2)

 

Choice 1

First non-service month greater than or equal to the Current Date of Entitlement (DOEC) in the format Month CCYY

Choice 2

and

Choice 3

through

Choice 4

comma (,)

Fill-in (3)

 

Choice 1

his

Choice 2

her

Choice 3

your

BEN050 – INFORMATIONAL - BENEFICIARY TERMINATES DUE TO MARRIAGE

We might still be able to pay (1) if (2) married a person who is receiving Social Security benefits. Please get in touch with us if this is true.

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN)

Choice 2

you

Fill-in (2)

 

Choice 1

he

Choice 2

she

Choice 3

you

BEN051 – DUALLY ENTITLED - COMBINE PAYMENTS

We will send (1) both benefits in one check each month under (2) own claim number.

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN)

Choice 2

you

Fill-in (2)

 

Choice 1

his

Choice 2

her

Choice 3

your

BEN052 – DUALLY ENTITLED - SPLIT PAYMENTS

We will send (1) separate checks each month under each claim number.

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN)

Choice 2

you

BEN057 – LEDGER ACCOUNT FILE (LAF) S TO LAF S MONTHLY BENEFIT AMOUNT (MBA) CHANGE - NO HISTORY REASON FOR SUSPENSION OR TERMINATION (HRFST) CHANGE

We cannot pay (1) monthly benefits for (2).

Fill-in values:

 

Fill-in (1)

 

Choice 1

him

Choice 2

her

Choice 3

you

Fill-in (2)

 

Choice 1

this month

Choice 2

these months

BEN103 – MONTHLY BENEFIT REDUCED DUE TO RECEIPT OF A GOVERNMENT PENSION – BENEFICIARY IDENTIFICATION CODE (BIC) B, D, E OR W ONLY

We reduce Social Security benefits paid to (1) if they also receive a government pension based on their own work. We reduce benefits by two-thirds of the amount of the pension. For this reason, we are reducing (2) benefits beginning (3), by (4).

Fill-in values:

 

Fill-in (1)

 

Choice 1

husbands

Choice 2

wives

Choice 3

widows

Choice 4

widowers

Fill-in (2)

 

Choice 1

your

Choice 2

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Fill-in (3)

Government Pension Monthly Start Date (GPM-START-REL) in the format Month CCYY

Fill-in (4)

Government Pension Monthly Amount Withheld (GPM-WTHLD-AMT) in the format $$$$$.¢¢

BEN125- REFER TO “YOUR MONTHLY BENEFITS” FACT SHEET

Please see the enclosed Fact Sheet “Your Monthly Benefits” for more information on (1) (2).

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

his

Choice 3

her

Fill-in (2)

 

Choice 1

overpayment

Choice 2

underpayment

B. “BEV” Universal Text Identifiers – Benefit Verification

BEV018- SOCIAL SECURITY BENEFITS ARE PAID IN THE FOLLOWING MONTH

We pay Social Security benefits for a given month in the next month. For example, we pay Social Security benefits for March in April.

C. “BLS” Universal Text Identifiers – Payment Stub

BLSH07 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLSH11 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS034 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS060 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS066 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS067 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS068 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS069 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS100 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS102 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS103 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS105 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS106 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS107 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS108 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS109 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS110 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS112 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS113 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS114 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS115 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS117 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS119 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS120 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

BLS124 - REFER TO PAYMENT STUB UTIS FOR T2 OVERPAYMENT NL 00730.200

D. “BRR” Universal Text Identifiers – Beneficiary Reporting Responsibilities

BRR004 – INFORMATIONAL REPORTING RESPONSIBILITIES

(1) benefits are based on the information (2) gave us. If this information changes, it could affect (3) benefits. For this reason, it is important that you report changes to us right away.

We have enclosed a pamphlet, (4). It tells you what must be reported and how to report (5).

Fill-in values:

 

Fill-in (1)

 

Choice 1

Beneficiary’s Given Name (BGN) plus Beneficiary’s Last Name (BLN) (possessive)

Choice 2

Your

Fill-in (2)

 

Choice 1

he

Choice 2

she

Choice 3

you

Fill-in (3)

 

Choice 1

his

Choice 2

her

Choice 3

your

Fill-in (4)

 

Choice 1

“Your Payments While You Are Outside The United States”

Choice 2

“What You Need To Know When You Get Retirement Or Survivors’ Benefits”

Choice 3

“What You Need To Know When You Get Social Security Disability Benefits”

Fill-in (5)

Null

BRR005 – INFORM SOCIAL SECURITY ADMINISTRATION WHEN NO LONGER FULL-TIME STUDENT

Please let us know right away if (1) no longer a full-time student at an elementary or secondary level school.

Fill-in values:

 

Fill-in (1)

 

Choice 1

he is

Choice 2

she is

Choice 3

you are

BRR013 – REFER TO WORKSHEET HEADER NL 00730.149A

BRR021 – USED WITH DEVELOPMENTAL SUSPENSION

Please contact us within 30 days to give us the information we need. We cannot pay benefits unless you give us this information.

BRR059 – USED ON CHILDHOOD DISABILITY BENEFIT (CDB) AWARDS

We based our decision on information you gave us. If this information changes, it could affect (1) benefits. For this reason, it is important that you report changes to us right away.

We have enclosed a pamphlet, “What You Need To Know When You Get Social Security Disability Benefits.” It tells you what you must report and how to report. Please be sure to read the parts of the pamphlet that tell you what to do if (2) to work or (3) health improves.

Fill-in values:

 

Fill-in (1)

 

Choice 1

your

Choice 2

his

Choice 3

her

Fill-in (2)

 

Choice 1

you go

Choice 2

he goes

Choice 3

she goes

Fill-in (3)

 

Choice 1

your

Choice 2

his

Choice 3

her