Effective Dates: 03/04/1996 - Present Previous | Next

TN 30 (03-96)

NL 00703.610 Address Change — Returning HI Card

Document Identifier for Word Processor: E3610

A. EXHIBIT LETTER

We have changed your address as you requested and are returning your health insurance card.

You may use this card no matter how many times you change your address. Please do not return the card when you notify us of another change in your address.

 

Enclosure:

Health Insurance Card

B. REQUESTING INSTRUCTIONS

This notice is used to inform the beneficiary that we have changed the address as requested and we are returning his/her health insurance card.

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-3296-EP in file. No fill-ins are required.

To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0900703610
NL 00703.610 - Address Change — Returning HI Card - 03/04/1996
Batch run: 03/04/1996
Rev:03/04/1996