POMS Reference

NL: Notices, Letters and Paragraphs

BASIC (05-11)

CDR001 MEDICAL IMPROVEMENT POSSIBLE (J05)

(System Generated)

Caption: Things To Remember

Doctors and other trained staff decided that  (1)   (2)  disabled under our rules. But, this decision must be reviewed at least once every 3 years. We will send you a letter before we start the review. Based on that review,  (3)  benefits will continue if  (4)  still disabled, but will end if  (5)  no longer disabled.

Fill-in values:

Fill-in (1)

Choice 1: Fullname

Fill-in (2)

Choice 1: are

Choice 2: is

Fill-in (3)

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (4)

Choice 1: you are

Choice 2: she is

Choice 3: he is

Fill-in (5)

Choice 1: you are

Choice 2: she is

Choice 3: he is

CDR002 MEDICAL IMPROVEMENT NOT EXPECTED (J07)

(System Generated)

Caption: Things To Remember

Doctors and other trained staff decided that  (1)   (2)  disabled under our rules. However, we must review all disability cases. Therefore, we will review  (3)  case in 5 to 7 years. We will send you a letter before we start the review. Based on that review,  (4)  benefits will continue if  (5)  still disabled, but will end if  (6)  no longer disabled.

Fill-in values:

Fill-in (1)

Choice 1: Fullname

Fill-in (2)

Choice 1: are

Choice 2: is

Fill-in (3)

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (4)

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (5)

Choice 1: you are

Choice 2: she is

Choice 3: he is

Fill-in (6)

Choice 1: you are

Choice 2: she is

Choice 3: he is

CDR003 MEDICAL IMPROVEMENT EXPECTED (J08)

(System Generated)

Caption: Things To Remember

The doctors and other trained personnel who decided that  (1)  disabled expect  (2)  health to improve. Therefore, we will review  (3)  case in  (4) . We will send you a letter before we start the review. Based on that review,  (5)  benefits will continue if  (6)  still disabled, but will end if  (7)  no longer disabled.

Fill-in values:

Fill-in (1)

Choice 1: Fullname are

Choice 2: is

Fill-in (2)

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (3)

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (4)

Choice 1: Month and Year

Fill-in (5)

Choice 1: your

Choice 2: his

Choice 3: her

Fill-in (6)

Choice 1: you are

Choice 2: she is

Choice 3: he is

Fill-in (7)

Choice 1: you are

Choice 2: she is

Choice 3: he is

CDR063 HA/DWB/CDB – SUSPENDED – CDR FAILURE TO COOPERATE (S35)

(Requested)

Caption: Your Benefits

We cannot pay  (1)  benefits because our records show that  (2)  did not return information we asked for concerning  (3)  disability.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: Beneficiary's Name

Choice 2: he

Choice 3: she

Choice 4: you

Fill-in (2) - Systems Generated

Choice 1: he

Choice 2: she

Choice 3: you

Fill-in (3) - Systems Generated

Choice 1: his

Choice 2: her

Choice 3: your

CDR065 APPEAL RIGHTS - HA/DWB/CDB SUSPENDED CDR FAILURE TO COOPERATE (S36)

(Requested)

Caption: Things To Remember

If we stop  (1)  Social Security disability benefits and you do not give us the information we asked for before  (2) ,  (3)  will have to file a new application to get Social Security disability benefits again. If we do not hear from you by this date, we will send you another letter which will give you the information about  (4)  appeal rights.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: Beneficiary's Name possessive

Choice 2: his

Choice 3: her

Choice 4: your

Fill-in (2) - Requested As A Date In Format shown below

Choice 1: date in the format MM/CCYY

Fill-in (3) - Systems Generated

Choice 1: he

Choice 2: she

Choice 3: you

Fill-in (4) - Systems Generated

Choice 1: his

Choice 2: her

Choice 3: your

CDR066 HA/DWB/CDB – TERMINATED – CDR FAILURE TO COOPERATE (T34)

(Requested)

Caption: Your Benefits

 (1)  no longer  (2)  for Social Security disability benefits beginning  (3)  because our records show that  (4)  did not return information we asked for during  (5)  continuing disability review.

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: Beneficiary's Name

Choice 2: He

Choice 3: She

Choice 4: You

Fill-in (2) – Systems Generated

Choice 1: qualify

Choice 2: qualifies

Fill-in (3) - Systems Generated

Choice 1: date in the format MMCCYY

Fill-in (4) - Systems Generated

Choice 1: he

Choice 2: she

Choice 3: you

Fill-in (5) - Systems Generated

Choice 1: his

Choice 2: her

Choice 3: your

CDR067 AUXILIARY SUSPENDED BECAUSE HA/DWB/CDB TERMINATED FOR CDR FAILURE TO COOPERATE (T35)

(Requested)

Caption: Your Benefits

We can no longer pay  (1)  benefits because  (2)  no longer qualifies for Social Security disability benefits beginning  (3) .

Fill-in values:

Fill-in (1) - Systems Generated

Choice 1: Beneficiary's Name

Choice 2: you

Fill-in (2) - Systems Generated

Choice 1: NH-NAME

Fill-in (3) - Systems Generated

Choice 1: date in MMCCYY format