Last Update: 9/14/2005 (Transmittal I-1-56)
HA 01170.095 Exhibit - Sample
Notice to Claimant - Subsequent (Current) Claim and Class Member
Claim Have No Issues in Common
Renumbered from HALLEX section I-1-7-95
Sample Notice to Claimant — Subsequent
(Current) Claim and Class Member Claim Have No Issues in Common
On ____________, you filed a claim for benefits under ((Title II) (Title XVI) or (Titles II and XVI))
of the Social Security Act. That claim was forwarded to the ____________
Disability Determination Service for adjudication. On ____________,
we notified you that you are also a class member under the ____________
class action, and indicated that we would readjudicate your claim
filed on ____________. That claim has been assigned to me for a
hearing.
To process your claims more expeditiously, the (name of state, e.g., Tennessee)
Disability Determination Service forwarded your (insert date of subsequent (current) claim)
claim to this office to consider combining it with your claim of
____________. I have reviewed (both
or all) claims and have determined that the claims do
not have issues in common which would permit them to be combined.
Therefore, I am returning your (insert
date of subsequent (current) claim) claim to the Disability
Determination Service.
The Disability Determination Service will complete its adjudication
of your (insert date of subsequent
(current) claim) claim and notify you of the results.
I will separately review your claim of ____________ and notify you
of the results. (Modify the following
sentence as necessary.) My office will communicate with
you at a later date concerning the scheduling of a hearing.
If you have any questions concerning your new claim, please
contact your Social Security Office.