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This change was made on Jan 31, 2018. See latest version.
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HI 01001.381: Exhibit — Teletype Message to RRB Regarding PDA Status

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  • Effective Dates: 03/15/1999 - Present
  • Effective Dates: 01/31/2018 - Present
  • HI 01001.381 Exhibit — Teletype Message to RRB Regarding PDA Status
  •  
  • To:
  • Railroad Retirement Board
  •  
  • Health Benefits
  •  
  • 844 Rush Street
  •  
  • Chicago, Illinois 60611
  • From:
  • SSA PSC NE MAT SE GL MAM WN DBP DIO
  • RE:
  • RR No. (RRB Annuity No.)
  •  
  • SSA CAN (Claim No./BIC)
  • SSA CAN (SSN/BIC)
  •  
  • Name                     
  • SMI jurisdiction transfer processed (mo/da/yr). The correct premium due amount as of SOM (mo/yr) was ($$$¢¢) (overage, arrearage). SSA collected premiums through coverage month (mo/yr).
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