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 www.ssa.gov 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
Fill-ins:
(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