GN 03960: Administrative Review of Determinations Under the Fee Agreement Process
TN 3 (03-95)
A. POLICY
The following subsection provides models of the interim letters described in GN 03960.035B.5. and GN 03960.055C.8. Dictated letters should be prepared using these model letters as guides.
B. EXHIBITS
Letter AR-7
Interim Letter - Good Cause Development - To Nonrequester
Letter AR-8
Interim Letter - Good Cause Found - To Requester
Letter AR-9
Interim Letter - Good Cause Found - To Nonrequester
Letter AR-10
Interim Letter - Requesting Information on Services and Time Spent - To Representative
Letter AR-11
Interim Letter - Requesting Information on Services and Time Spent - To Other Party
AR-7 Interim Letter - Good Cause Development - To Nonrequester
Marvin Levy
Attorney at Law
Street Address
City/State/Zip Code
We are writing to you about Bruce Smith's request to review the fee amount we said you can charge for your work on his claim. In our letter dated August 3, 1995, we said that we sent Mr. Smith a letter asking why he did not ask for review on time.
What You Can Do
Address of Originating Component
-
We are sending you a copy of Mr. Smith's letter giving us his reasons. If you have comments about the letter, or want to give us more information, write us within 15 days. We will consider what you tell us. You can write us at this address:
If You Have Any Questions
See Referral Paragraphs in Model Acknowledgment Letter AR-2
AR-8 Interim Letter - Good Cause Found - To Requester
Bruce Smith
Street Address
City/State/ZIP Code
On June 25, 1995, you asked us to lower the fee amount we said your lawyer can charge for his work on your claim. You said that you had a good reason for not asking us to review our decision within 15 days of the date of our letter. You said that you were in the hospital until June 20, 1995.
Our Decision About The Late Request
We decided that you had a good reason for not asking for a review on time. So, we will review our decision.
What Will Happen
-
Someone who did not decide the fee amount will review the decision and make a new one. Based on that review, we will raise, lower, or not change the fee amount your lawyer can charge.
Because Marvin Levy, Susy Smith, Joey Smith, and James Kelly (claims representative) can comment on your request for administrative review, we are sending them a copy of your letter. They also can provide more information to the person reviewing your request.
If we need more information, we will contact you. We will send you and the other people listed above a letter telling what we decide.
If You Have Any Questions
See Referral Paragraphs in Model Acknowledgment Letter AR-1
AR-9 Interim Letter - Good Cause Found - To Nonrequester
Susy Smith
Street Address
City/State/Zip Code
We told you before that we sent Bruce Smith a letter asking why he did not ask for review of his lawyer's fee within 15 days. He gave us his reasons for not filing on time.
What Will Happen
Someone who did not decide the fee amount will review the decision and make a new one. Based on that review we will raise, lower, or not change the fee amount the lawyer can charge.
What You Can Do
Address of Originating Component
-
You can comment on Mr. Smith's request for review of the fee amount. You can also provide more information to the person reviewing the request. If you have comments about the request for review, or want to give us more information, write us within 15 days. We will consider what you tell us. You can write us at this address:
If You Have Any Questions
See Referral Paragraphs in Model Acknowledgment Letter AR-2
AR-10 Interim Letter - Requesting Information on Services and Time Spent - To Representative
Jane Doe
Attorney at Law
Street Address
City/State/ZIP Code
We are writing about your request to review our decision on the fee agreement between you and Sally Brown.
If we cannot decide the fee amount based on the fee agreement alone, we will use the value of the services you gave Sally Brown to decide on a fee amount. To help us decide the value of your services, we need an explanation of the services you provided and the time you spent on Ms. Brown's Social Security claim.
Within 15 days, send a copy of the information to Ms. Brown and the original to:
Address of Originating Component
If You Have Any Questions
See Referral Paragraphs in Model Acknowledgment Letter AR-2
AR-11 Interim Letter - Requesting Information on Services and Time Spent - To Other Party
Sally Brown
Street Address
City/State/ZIP Code
Jane Doe has asked us to raise the fee amount we said she can charge under your fee agreement. She wants us to raise the fee amount from $250 to $750.
If we cannot decide the fee amount based on the fee agreement alone, we will use the value of her services to decide on a fee amount. To help us decide the value of Ms. Doe's services, we asked her to explain the services she provided and the time she spent on your Social Security claim.
We told her to send a copy of the information to you. If you have comments or want to give us more information, write us within 15 days of receiving the information. You can write us at:
Address of Originating Component
If You Have Any Questions
See Referral Paragraphs in Model Acknowledgment Letter AR-2