OPT028 NEW OVERPAYMENT AMOUNT INCLUDES PRIOR OVERPAYMENT (M05)

(Requested)

Caption: Your Benefits

However, the total overpayment is  (1)  , which includes a prior overpayment of  (2)  .

OPT107 OVERPAYMENT RECOVERED FROM ONE MONTH'S BENEFIT (A57)

(Requested/Systems Generated in E31 and E34)

Caption: Your Benefits

We will withhold 10 percent from  (1)   (2)  payment to start recovering the money we  (3)   (4)  . This is the payment you would normally receive on or about  (5)  . The minimum we will withhold is $10. If the total benefit is less than $10, we will withhold the entire benefit.

OPT122 BENEFICIARY OVERPAID DUE TO SUSPENSION/TERMINATION (M13)

(Requested)

Caption: Your Benefits

Since we did not stop  (1)  payments until  (2)  ,  (3)  paid  (4)  too much in benefits.

OPT127 UNDERPAYMENT USED TO REDUCE/RECOVER AN OVERPAYMENT (M03)

(Requested)

Caption: Your Benefits

We used  (1)  of  (2)  benefits to recover  (3)  of an overpayment on this record.

OPT132 DIRECT DEPOSIT — JOINT ACCOUNT — RECOVERY OF PAYMENTS MADE AFTER DEATH (A16)

(Requested)

Caption: Your Benefits

We paid  (1)  more in benefits than we should have. We deposited (2)  benefits for  (3)  into a bank account which  (4)  also owned. We can't pay benefits for the month of death,  (5)  , or later. Because  (6)  a joint owner of the bank account,  (7)  overpaid  (8)  .

OPT148 CROSS PROGRAM RECOVERY - T16 UNDERPAYMENT USED TO RECOVER T2 OVERPAYMENT (B88)

(System Generated)

Caption: Your Benefits

We used (1)  of  (2)  SSI benefits to recover some or all of an overpayment on this record.

OPT149 CROSS PROGRAM RECOVERY - T16 UNDERPAYMENT NOT USED TO REDUCED/RECOVER A T2 OVERPAYMENT (B89)

(System Generated)

Caption: What We Will Pay

We did not use any of  (1)  SSI benefits to recover an overpayment on this record.

OPT151 OVERPAYMENT LIABILITY INFORMATION TO A REPRESENTATIVE PAYEE FOR OVERPAID BENEFICIARY (A27)

(Requested)

Caption: Your Benefits

As representative payee, you are personally liable for repayment unless you used the overpaid funds for the benefit of  (1)  , and the overpayment was made through no fault of your own.

OPT152 REPAY BENEFITS WITHHELD - PROTEST OF OVERPAYMENT RECEIVED TIMELY (LAF D to C ) (A44)

(Requested)

Caption: Your Benefits

We are paying  (1)  again beginning  (2)  because  (3)  asked us to review our overpayment decision. If we later find that our decision was correct, or that we cannot waive the overpayment,  (4)  will have to pay back the  (5)  which  (6)  . Someone from the local Social Security office will contact  (7)  to discuss the overpayment.

OPT153 OVERPAYMENT WITHHELD FROM BENEFITS IS REPAID — PROTEST RECEIVED TIMELY (A46)

(Requested)

Caption: Your Benefits

 (1)  asked us to review our overpayment decision. While we review  (2)  case, we are sending  (3)  the money we withheld from  (4)  checks.

If we later find that our decision was correct, or that we cannot waive the overpayment,  (5)  will have to pay back the  (6)  which  (7)  . Someone from the local Social Security office will contact  (8)  to discuss the overpayment.

OPT154 OVERPAYMENT PROTESTED - BENEFITS RESUMED AND WITHHELD BENEFITS REPAID - FOREIGN CLAIMS (A47)

(Requested)

Caption: Your Benefits

We are paying  (1)  again beginning  (2)  because  (3)  asked us to review our overpayment decision. If we later find that our decision was correct, or that we cannot waive the overpayment,  (4)  will have to pay back the  (5)  which  (6)  .

OPT155 OVERPAYMENT PROTESTED - BENEFITS RESUMED - MONEY WITHHELD NOT REPAID - FOREIGN CLAIMS (A48)

(Requested)

Caption: Your Benefits

We are paying  (1)  again beginning  (2)  because  (3)  asked us to review our overpayment decision. For now, we are still withholding the money which we already subtracted from  (4)  checks.

If we later find that our decision was correct, or that we cannot waive the overpayment,  (5)  will have to pay back the  (6)  which  (7)  .

OPT156 OVERPAYMENT PROTESTED AFTER RECOVERY COMPLETED/STOPPED - REPAY BENEFITS WITHHELD - FOREIGN CLAIMS (A49)

(Requested)

Caption: Your Benefits

 (1)  asked us to review our overpayment decision. While we review  (2)  case, we are sending  (3)  the money we withheld from  (4)  checks. If we later find that our decision was correct, or that we cannot waive the overpayment,  (5)  will have to pay back the  (6)  which  (7)  .

OPT158 INTRODUCTORY STATEMENT FOR CAT A-A22 NOTICE WHEN OVERPAYMENT ESTABLISHED AND ALIEN TAXATION INVOLVED (ADMINISTRATIVE ADJUSTMENT) (F70)

(Requested)

Caption: None

We are writing to give  (1)  new information about the  (2)  benefits which  (3)  on this Social Security record. In the rest of this letter, we will tell  (4)  :

• •

  How we paid  (5)   (6)  too much in benefits; and

• •

  What to do if  (7)  we are wrong about the overpayment.

OPT159 A21 NOTICE OVERPAYMENT RECOVERY (G51)

(System Generated)

Caption: Your Benefits

As we told  (1)  in our previous letter, we are withholding 10 percent of  (2)  benefits to recover the overpayment of  (3)  .

OPT161 INTRODUCTORY PARAGRAPH E31 AND E32 NOTICES (G70)

(System Generated)

Caption: None

We are writing to give  (1)  new information about the  (2)  benefits which  (3)  on this Social Security record. In the rest of this letter, we will tell  (4)  :

• •

  How we paid  (5)   (6)  too much in benefits; and

• •

  What to do if  (7)  we are wrong about the overpayment.

OPT162 E31 AND E34 NOTICES MBP GREATER THAN 10% OF THE OVERPAYMENT OR $10 (G71)

(System Generated)

Caption: Your Benefits

We plan to collect the overpayment from the check which  (1)  will receive around  (2)  . We will reduce  (3)  check to  (4)  . The amount we will withhold is 10 percent of the total monthly benefits or $10 (whichever is more). If the total benefit is less than $10, we will withhold the entire benefit. We will send  (5)   (6)  regular monthly benefit amount again beginning  (7)  .

OPT163 E34 NOTICE INTRODUCTORY PARAGRAPH (G72)

(System Generated)

Caption: None

We are writing to give  (1)  new information about Social Security benefits on this record. We paid  (2)   (3)  too much in Social Security benefits. In the rest of this letter, we will tell you:

• •

  How we paid too much in benefits, and

• •

  What to do if you think we are wrong about the overpayment.

OPT164 OVERPAYMENT RECOVERY PROPOSED AGAINST OTHER BENEFICIARY E34 NOTICE (G73)

(System Generated)

Caption: None

We cannot recover the overpayment from the person who was overpaid. For this reason, we will withhold 10 percent of the total monthly benefits of each the money from the checks of other persons who are paid on the same Social Security record. The minimum we will withhold from each person is $10, but if a person's total benefit is less than $10, we will withhold the entire benefit.

OPT165 CHECK PARAGRAPH FUTURE WITHHOLDING OF OVERPAYMENT (G91)

(System Generated)

Caption: Your Benefits

We will pay  (1)  a monthly check of  (2)  until we start to collect the overpayment.

OPT166 PREVIOUS CHECK WAS INCORRECT AMOUNT (M02)

(Requested)

Caption: Your Benefits

The check  (1)  received for  (2)  in  (3)  should have been for  (4)  . Therefore we paid  (5)   (6)  more in benefits than  (7)  due.

OPT167 OVERPAYMENT RECOVERED (M06)

(Requested)

Caption: Your Benefits

We have recovered all of the money  (1)  owed because of an overpayment.

OPT168 OVERPAYMENT BALANCE (M08)

(Requested)

Caption: Your Benefits

The total amount of the overpayment is  (1)  .

OPT169 INCORRECT BENEFIT CAUSED INCORRECT PAYMENT, OVERPAYMENT OR UNDERPAYMENT (M10)

(Requested)

Caption: Your Benefits

Since we paid  (1)   (2)  for  (3)  , we paid  (4)   (5)   (6)  than  (7)  due.

OPT170 BENEFITS DEFERRED TO RECOVER AN INCORRECT PAYMENT/OVERPAYMENT (M11)

(Requested)

Caption: Your Benefits

We are withholding 10 percent of  (1)  benefits for  (2)  and  (3)  of  (4)  benefits for  (5)  to recover the  (6)  that was not due

OPT171 OTHER BENEFICIARY OVERPAID DUE TO WORK (M12)

(Requested)

Caption: Your Benefits

We paid  (1)   (2)  too much in benefits because of work and earnings in  (3)  .

OPT179 PAID VS. PAYABLE (M01)

(Requested)

Caption: Your Benefits

We paid  (1)   (2)  for  (3)  . Since we should have paid  (4)   (5)  for  (6)  , we paid  (7)   (8)   (9)  than  (10)  due.

OPT180 FOREIGN REFUND REQUEST ADJUSTMENT PROPOSED OVERPAYMENT EXCEEDS MBP (F24)

(System Generated)

Caption: How To Pay Us Back

You should refund this overpayment within 30 days. Please make your check or money order payable to the “Social Security Administration” and send it to us in the enclosed envelope.

Always include  (1)  Social Security claim number on the check or money order.

Please send your check or money order in United States currency or in local currency equal to the United States dollars. When you pay us in local currency, we use the exchange rate in effect at the time we receive your payment. If this causes a difference between the amount you pay us and the amount you owe us, we will let you know. If you cannot mail your payment directly to us, please contact your Federal Benefits Unit for help in making the refund. Visit  (2)  for a list of Federal Benefits Units.

If we do not receive your refund within 30 days, we plan to recover the overpayment by withholding 10 percent of  (3)  total benefit or $10 (whichever is more) each month beginning with the benefit  (4)  will receive on or about  (5)  . We will continue to withhold from  (6)  benefit until the overpayment is fully recovered.

OPT181 (M07) DUPLICATE CHECK OVERPAYMENT

(Requested)

Caption: Your Benefits

We sent  (1)  two checks for  (2)  , both in the amount of  (3)  and both checks were cashed. Since  (4)  due only one check, we paid  (5)   (6)  too much in benefits.

OPT182 PRIOR OVERPAYMENT — WORK MONTHS PREVENTED RECOVERY (A29)

(Requested)

Caption: Your Benefits

Our records show that we paid  (1)   (2)  too much in  (3)  . In our previous letter, we told  (4)  that we would withhold benefits in  (5)  to recover  (6)  amount. But  (7)  recent report shows that  (8)  worked during  (9)  . Because of that work, no benefits were payable for that period. Since we could not use benefits for those months to recover the amount  (10)  owed,  (11)  us  (12)  .

OPT262 OVERPAYMENT ESTABLISHED DUE TO INCORRECT COMPUTATION, A LEGALLY DEFINED OVERPAYMENT OR TO RECOVER A SKELETON DUE PROCESS OVERPAYMENT

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because the payment amount was incorrect. We corrected  (3)  record, which caused (4)  benefit amount to decrease.

OPT263 OVERPAYMENT ESTABLISHED DUE TO SUBVERSIVE ACTIVITY

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  convicted of a crime against the United States.

OPT264 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY DID NOT HAVE A CHILD IN THEIR CARE

(Requested)

Caption: Your Benefits

 (1)  received (2)  too much in benefits because  (3)  a child in  (4)  care who receives benefits from us.

OPT265 OVERPAYMENT ESTABLISHED BECAUSE A WARRANT FOR THE BENEFICIARY'S ARREST EXISTS

(Requested)

Caption: Your Benefits

 (1)  received (2)  too much in benefits. We should not have paid  (3)  because of a warrant for  (4)  arrest.

OPT266 OVERPAYMENT ESTABLISHED BECAUSE OF STATE OR FEDERAL ASSISTANCE

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because (3)  received State or Federal assistance.

OPT267 OVERPAYMENT CAUSED BY REPRESENTATIVE PAYEE MISUSE OF BENEFITS

(Requested)

Caption: Your Benefits

 (1)  received (2)  too much in benefits because  (3)  misused funds while acting as a representative payee.

OPT268 OVERPAYMENT CAUSED BY DISABILITY CESSATION

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because we cannot pay benefits after  (3)  disability ends.

OPT269 OVERPAYMENT ESTABLISHED DUE TO RECEIPT OF PROVISIONAL BENEFITS ON A CLAIM THAT WAS LATER DENIED

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  received temporary benefits while we were making a decision on  (4)  claim that we later denied.

OPT270 OVERPAYMENT ESTABLISHED DUE TO CROSS-BENEFIT ADJUSTMENT

(Requested)

Caption: Your Benefits

We moved  (1)  overpayment of  (2)  to  (3)  for collection.

OPT271 OVERPAYMENT ESTABLISHED DUE TO CHANGE IN THE AMOUNT OR COMMENCEMENT OF THE GOVERNMENT PENSION OFFSET

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because we must offset  (3)  benefit payments due to  (4)  receipt of a government pension.

OPT272 OVERPAYMENT ESTABLISHED DUE TO RECEIPT OF A PENSION BASED ON WORK NOT COVERED BY SOCIAL SECURITY TAXES

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because (3)  received a pension based on work not covered by Social Security taxes.

OPT273 OVERPAYMENT ESTABLISHED DUE TO RECEIPT OF PAYMENTS AFTER CONFINEMENT TO A MENTAL INSTITUTION BECAUSE OF A COURT ORDER

(Requested)

Caption: Your Benefits

 (1)  received (2)  too much in benefits because  (3)  received payments after being confined to an institution because of a court order.

OPT274 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY WAS AN ALIEN LIVING OUTSIDE THE UNITED STATES WHILE RECEIVING BENEFITS

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because (3)  not a United States citizen and  (4)  outside the country for six months in a row.

OPT275 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY WORKED OUTSIDE THE US IN A JOB NOT COVERED UNDER SOCIAL SECURITY TAXES

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  worked outside the United States in a job not covered by United States Social Security taxes.

OPT276 OVERPAYMENT ESTABLISHED DUE TO PRISONER SUSPENSION

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because of  (3)  criminal conviction and confinement in a correctional institution for more than 30 days.

OPT277 OVERPAYMENT ESTABLISHED DUE TO DEATH RECLAMATION, REPRESENTATIVE PAYEE ELECTRONIC FUNDS TRANSFER (EFT) AFTER DEATH OR REPRESENTATIVE PAYEE DEATH

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because we cannot pay benefits for the month of death or later.

OPT278 OVERPAYMENT ESTABLISHED DUE TO PERMANENT DEDUCTIONS RESULTING FROM THE ANNUAL EARNINGS TEST

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because of  (3)  work and earnings.

OPT279 OVERPAYMENT ESTABLISHED DUE TO DEATH SUPER-ENDORSEMENT

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  signed and cashed a check for the month of death or later.

OPT280 OVERPAYMENT ESTABLISHED DUE TO A CHANGE IN MARITAL STATUS

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because of a change in  (3)  marital status.

OPT281 OVERPAYMENT ESTABLISHED DUE TO ENTITLEMENT TO WORKERS' COMPENSATION, PUBLIC DISABILITY OR BOTH

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because of  (3)  receipt of workers’ compensation, public disability payments, or both of these payments.

OPT282 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY CONTINUED TO RECEIVE BENEFITS AFTER THE AGE OF 18

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because we do not pay benefits once a student reaches age 18, unless he or she is a full-time elementary or high school student.

OPT283 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY CONTINUED TO RECEIVE BENEFITS AFTER AGE 19 OR 22

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because we do not pay benefits once a full-time student reaches age 19 , unless  (3)  blind or disabled, or meet(s) an exception which allows benefits to continue:

• •

  for 2 months after a student turns 19, or;

• •

  until the end of the school term, whichever comes first.

OPT284 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY IS NO LONGER IN FULL-TIME SCHOOL ATTENDANCE

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because we do not pay benefits once a student stops going to school full-time.

OPT285 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY REFUSED TO ACCEPT VOCATIONAL REHABILITATION

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because we should not have paid benefits when (3)  refused vocational rehabilitation services.

OPT286 OVERPAYMENT ESTABLISHED DUE TO UNPAID ATTORNEY FEES

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because of unpaid attorney's fees.

OPT287 OVERPAYMENT ESTABLISHED RAILROAD RETIREMENT BOARD EARNINGS WERE INCORRECTLY USED TO ESTABLISH THE BENEFICARY'S ENTITLEMENT

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  received incorrect payments from the Railroad Retirement Board.

OPT288 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICARY WAS NOT A UNITED STATES (U.S.) CITIZEN OR LAWFULLY PRESENT IN THE U.S.

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  received payments even though  (4)  not a United States citizen or lawfully present in the U.S.

OPT289 OVERPAYMENT ESTABLISHED BECAUSE THE MONTH OF ENTITLEMENT WAS INCORRECT

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because of a change in the month  (3)  benefits started.

OPT290 OVERPAYMENT ESTABLISHED DUE TO MULTIPLE ENTITLEMENTS

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  received payments on two or more records for the same month(s).

OPT291 OVERPAYMENT ESTABLISHED BECAUSE INSURED STATUS WAS NOT MET

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  worked long enough under Social Security to receive monthly benefits.

OPT292 OVERPAYMENT ESTABLISHED BECAUSE THE BENFICIARY MISUSED FUNDS WHILE SERVING AS A REPRESENTATIVE PAYEE

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  misused benefits that  (4)  received as the representative payee for another person.

OPT293 OVERPAYMENT CAUSED BY SUBSTANTIAL GAINFUL WORK ACTIVITY (SGA) DURING THE EXTENDED PERIOD OF ELIGIBILITY (EPE) OR DISABILITY CESSATION DUE TO SGA

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because of  (3)  work activity.

OPT294 OVERPAYMENT ESTABLISHED VIA CROSS PROGRAM RECOVERY (CPR) TO RECOVER A TITLE VIII SPECIAL VETERANS BENEFITS (SVB) PAID IN EXCESS

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in Special Veterans Benefit (SVB) payments.

OPT295 OVERPAYMENT CAUSED DUE TO INCORRECT PAYMENTS FOR MEDICARE SERVICES

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because of incorrect payments for Medicare services.

OPT296 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFCIARY WAS CONVICTED OF A CRIME OR IMPRISONED FOR MORE THAN 30 DAYS DUE TO FELONIOUS HOMICIDE

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because of (3)  criminal conviction and imprisonment for more than 30 days.

OPT297 OVERPAYMENT CAUSED BY WINDFALL OFFSET

(Requested)

Caption: Your Benefits

 (1)  received (2)  too much in benefits because  (3)  received Supplemental Security Income (SSI) payments  (4)   (5)  .

OPT298 OVERPAYMENT ESTABLISHED BECAUSE MORE THAN ONE PAYMENT WAS CASHED FOR THE SAME MONTH

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because we should not have paid two payments for the same month(s).

OPT299 OVERPAYMENT ESTABLISHED DUE TO INVALID FAMILY RELATIONSHIPS

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  did not meet the relationship requirements to receive benefits.

OPT300 OVERPAYMENT ESTABLISHED BECAUSE OF INVALID ENTITLEMENT

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  did not qualify for benefits.

OPT301 OVERPAYMENT ESTABLISHED BECAUSE THE BENEFICIARY WAS DEPORTED

(Requested)

Caption: Your Benefits

 (1)  received  (2)  too much in benefits because  (3)  deported from the United States.