Effective Dates: 4/13/2023 - Present

Identification Number:
NL 00703 TN 95
Intended Audience:See Transmittal Sheet
Originating Office:ORDP ODP
Title:Exhibit and Dictated Letters
Type:POMS Full Transmittals
Program:All Programs
Link To Reference:
 

PROGRAM OPERATIONS MANUAL SYSTEM

Part NL – Notices, Letters and Paragraphs

Chapter 007 – Letters and Paragraphs for Title II, Title XVI, and Title XVIII

Subchapter 03 – Exhibit and Dictated Letters

Transmittal No. 95, 04/13/2023

Audience

PSC: BA, CA, CCRE, CS, DS, ICDS, IES, ILPDS, IPDS, ISRA, NPR, PETE, RECONR, SCPS, TSA, TST;
OCO-OEIO: BET, BIES, BTE, CC, CDT, CR, CTE, EIE, ERE, FDE, PETL, RECONR, RECOVR;
OCO-ODO: BET, BTE, CCE, CR, CST, CT, CTE, CTE TE, DE, DEC, DS, DSE, PAS, PETE, PETL, RCOVTA, RECONE, RECOVR;
FO/TSC: CS, CS TII, CS TXVI, CSR, DRT, FR, OA, OS, RR, TA, TSC-CSR;

Originating Component

ODP

Effective Date

Upon Receipt

Background

To ensure that claimants are notified when the field office does not find good cause for late filing for election of statutory benefit continuation (SBC), the Office of Disability Policy (ODP) has created a notice for the field office to send to beneficiaries. Field offices will use the “Good Cause Denial for SBC” notice in cases when good cause is not found after a late filing for SBC, after a medical cessation event.

Summary of Changes

NL 00703.480 Good Cause Denial Notice for Statutory Benefit Continuation Request

NL 00703.480A

Exhibits Good Cause Denial Notice for Statutory Benefit Continuation Request without fill-ins which is in the Document Processing System (DPS) within the Continuing Disability Review (CDR) Folder.

NL 00703.480B

Provides requesting instructions and fill-ins for Good Cause Denial Notice for Statutory Benefit Continuation Request.

NL 00703.480 Good Cause Denial Notice for Statutory Benefit Continuation Request

Document Processing System (DPS) Identifier: (Continuing Disability Review (CDR) Folder)

A. EXHIBIT LETTER

We are writing about your request to continue (1) payments during (2) appeal. We have to deny the request, because we did not receive it on time and you did not have a good reason for the delay.

You Asked For Review Too Late

We sent you a letter on (3) to tell you about our decision. The letter explained that you had up to 10 days from the date you received the letter to ask for (4) payments to continue. You asked for a review on (5), which was after the 10-day time limit.

(6)

What Are We Doing

We have (7) request for appeal filed on (8). Even though we cannot pay (9) benefits during (10) appeal, we will still consider (11) appeal. We will write to you again when we make a decision on (12) appeal.

Suspect Social Security Fraud?

Please visit http://oig.ssa.gov/r or call the Inspector General's Fraud Hotline at 1-800-269-0271 (TTY 1-866-501-2101).

Need more help?

1. Visit www.ssa.gov for fast and simple online service.

2. Call us at 1-800-772-1213, weekdays from 8:00 am to 7:00 pm. If you are deaf or hard of hearing , call TTY 1-800-325-0778. Please mention this letter when you call.

3. You may also call your local office at *(13).

(14 )

(15 )

How are we doing? Go to www.ssa.gov/feedback to tell us.

B. REQUESTING INSTRUCTIONS

Send this notice when good cause is not found after a late filing for statutory benefit continuation (SBC) after a medical cessation .

Fill-ins:

(1) your, Claimant Name possessive

(2) your, his, her

(3) Date of original decision MM/DD/YYYY

(4) your, Claimant Name possessive

(5) Date claimant requested good cause review MM/DD/YYYY

(6) Dictated text explaining why SSA cannot approve benefit continuation

(7) your, his, her

(8) Date claimant filed medical appeal MM/DD/YYYY

(9) you, him, her

(10) your, his. her

(11) your, his, her

(12) your, his, her

(13) Field Office General Inquiry Line phone number

(14) Servicing field office name

(15) Servicing field office address

NL 00703 TN 95 - Exhibit and Dictated Letters - 4/13/2023