TN 21 (04-24)

DI 28075.315 Language for Notice of Title XVI Vacated Medical Cessation Determination - Exhibit.

We are writing to tell you that (1) continue(s) to be eligible for Supplemental Security Income.

A Review Was Not Necessary At This Time

Recently we reviewed (2) disability case to be sure that (3)(4) still disabled. We asked you to fill out some forms for us. We notified you that (5) no longer disabled and we stopped (6) benefits. However, (7) benefits should not have stopped because we should not have reviewed your case at that time. We apologize for this error. If you have not already received a notice about (8) benefits, you will receive one soon.


We Will Review Your Case Again

We will review (9) case from time to time to see if (10) still eligible for benefits based on disability or blindness. We will contact (11) before we begin the review.


Things to Remember

We base our decisions on (12) case on the information you give us. If this information changes, it could affect (13) benefits. For this reason, it is important that you report changes to us right away.

We have enclosed a booklet, "What You Need To Know When You Get Supplemental Security Income Benefits." It tells you what changes you must report and how to report them.

If You Have Any Questions

Please call, write, or visit any Social Security office if you have any questions. You may also go to our website at for general information. Please have this letter with you when you contact us. Having this letter with you will help us answer your questions. If you plan to visit an office, you may call ahead to make an appointment. Making an appointment will help us serve you faster when you arrive at the office.

Enclosure: SSA Pub. No. 05-10153



(1) you/individual's name

(2) your/individual's name

(3) you/individual's name

(4) were/was

(5) you/they were

(6) your/their

(7) your/their

(8) your/their

(9) your/individual's name

(10) you/they are

(11) you/individual's name

(12) your/their

(13) your/their

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DI 28075.315 - Language for Notice of Title XVI Vacated Medical Cessation Determination - Exhibit. - 04/18/2024
Batch run: 04/18/2024