Thank you for advising us of the change required on the health insurance card you received. We have taken the necessary steps to correct the information.

You will receive a new card shortly to replace the one which is incorrect.

This notice is used to notify a beneficiary that a new HI card will be sent to him/her with the changes requested.

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-3926-C2 in file.