TN 1 (09-09)

DI 27540.015 Title XVI-Only Reopening Notices

A. Policy

Statutory Benefit Continuation (SBC) applies to a revision from:

  • an allowance to a denial;

  • an allowance to a closed period of disability;

  • a continuance to a cessation; and

  • a cessation to an earlier cessation date.

B. Procedure for selecting notices

Prepare the notice on blank SSA-L8052-U2 letterhead using the model language indicated. Do not include the italicized language from the model notices in the actual notice that is being released because it is informational to the Disability Determination (DDS) personnel and not meant for the beneficiary.

Use the notice indicated for the following situations:

1. Reopening and revision is fully favorable

No DDS notice is required.

2. Reopening and revision is less than fully favorable

  • Allowance to Closed Period – Title XVI – Reopening Notice 5 (NL 00705.221)

  • Denial to Partially Favorable Onset (Not AOD) – Title XVI – Reopening Notice 7 (NL 00705.231)

  • Denial to Closed Period – Title XVI – Reopening Notice 9 (NL 00705.241)

  • Fully or Partially Favorable Onset to a Later Onset – Title XVI – Reopening Notice 11 (NL 00705.251)

3. Reopening and revision is unfavorable

Allowance to Denial – Title XVI – Reopening Notice 2 (NL 00705.206)

4. Basis change only

Blind to Disabled – Title XVI – Reopening Notice 14 (NL 00705.266)

5. No change in basis or end result – claimant aware

  • No Change in Basis or End Result – Claimant Aware – Reopening Notice 12; or

  • Denial of Request to Reopen and Revise – Reopening Notice 12 (NL 00705.256)

6. No change in basis or end result – claimant unaware or denial of request to reopen and revise

No DDS notice is required.


To Link to this section - Use this URL:
http://policy.ssa.gov/poms.nsf/lnx/0427540015
DI 27540.015 - Title XVI-Only Reopening Notices - 09/22/2009
Batch run: 04/14/2014
Rev:09/22/2009