NL 00720.145:
ENT Entitlement
Effective Dates: 12/12/2012 - Present- Effective Dates: 06/28/2018 - Present
TN 4 (08-12)- TN 9 (06-18)
- NL 00720.145 ENT Entitlement
- ENT001 STUDENT ENFORCEMENT (B22)
- (System Generated)
- Caption: Your Responsibility
- We are writing to let you know that (1) (2) for child's payments as a student. Based on the information we have, (3) benefits will continue through (4) . We will send another letter when we stop (5) benefits.
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: you
- Choice 2: Beneficiary's Name possessive
- Fill-in (2) - Systems Generated
- Choice 1: qualify
- Choice 2: qualifies
- Fill-in (3) - Systems Generated
- Choice 1: your
- Choice 2: her
- Choice 3: his
- Fill-in (4) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY
- Fill-in (5) - Systems Generated
- Choice 1: your
- Choice 2: her
- Choice 3: his
- ENT015 RIB ALLOWANCE SUBSEQUENT DIB DENIAL (J17)
- (Requested)
- Caption: Other Social Security Benefits
- Although (1) cannot receive disability benefits, (2) still entitled to retirement benefits.
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: Beneficiary's Last Name
- Choice 2: you
- Fill-in (2) - Systems Generated
- Choice 1: she is
- Choice 2: he is
- Choice 3: you are
- ENT027 DUAL ENTITLEMENT AWARD — PRIMARY AND AUXILIARY/SURVIVOR BENEFITS AWARDED SIMULTANEOUSLY — ONE NOTICE SENT (A38)
- (Requested)
- Caption: None
(1) entitled to monthly (2) benefits beginning (3) . (4) also entitled to (5) benefits on claim number (6) beginning (7) .- (1) entitled to monthly (2) benefits beginning (3) . (4) also entitled to (5) benefits on the record of (6) beginning (7) .
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: You are
- Choice 2: He is
- Choice 3: She is
- Fill-in (2) - Systems Generated
- Choice 1: disability
- Choice 2: retirement
- Fill-in (3) - Systems Generated
Choice 1: Date- Choice 1: MM/CCYY
- Fill-in (4) - Systems Generated
- Choice 1: You are
- Choice 2: He is
- Choice 3: She is
Fill-in (5) - Systems Generated- Fill-in (5) - Requested As A One Position Alpha Character
Choice 1: disability- Choice 1: (A) wife's
Choice 2: retirement- Choice 2: (B) husband's
Fill-in (6) - Requested As A Language- Choice 3: (C) widow's
- Choice 4: (D) widower's
- Choice 5: (E) mother's
- Choice 6: (F) father's
- Choice 7: (G) disabled widow's
- Choice 8: (H) disabled widower's
- Choice 9: (I) disabled divorced widow's
- Choice 10: (J) disabled divorced widower's
- Choice 11: (K) Child's
Choice 1: Dual entitlement other account SSN- Fill-in (6) - Requested
- Choice 1: Number holder's name on the other record
- Fill-in (7) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY
- ENT028 DUAL ENTITLEMENT - PRIMARY AWARD - SIMULTANEOUS ENTITLEMENT TO AUXILIARY/SURVIVOR BENEFITS - SEPARATE PAYMENTS (A40)
- (Requested)
- Caption: Your Benefits
(1) also entitled to (2) benefits on claim number (3) beginning (4) . We are sending (5) another letter about these benefits.- (1) also entitled to (2) benefits on the record of (3) beginning (4) . We are sending (5) another letter about these benefits.
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: You are
- Choice 2: He is
- Choice 3: She is
Fill-in (2) - Systems Generated- Fill-in (2) - Requested As A One Position Alpha Character
Choice 1: disability- Choice 1: (A) wife's
Choice 2: retirement- Choice 2: (B) husband's
- Choice 3: (C) widow's
- Choice 4: (D) widower's
- Choice 5: (E) mother's
- Choice 6: (F) father's
- Choice 7: (G) disabled widow's
- Choice 8: (H) disabled widower's
- Choice 9: (I) disabled divorce widow's
- Choice 10: (J) disabled divorced widower's
- Choice 11: (K) Child's
Fill-in (3) - Requested As A Language- Fill-in (3) - Requested
Choice 1: Dual entitlement other account SSN- Choice 1: Number holder on the other record
- Fill-in (4) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY
- Fill-in (5) - Systems Generated
- Choice 1: you
- Choice 2: her
- Choice 3: him
- ENT029 DUAL ENTITLEMENT AUXILIARY/SURVIVOR AWARD - SIMULTANEOUS ENTITLEMENT ON PRIMARY RECORD - SEPARATE PAYMENTS (A41)
- (Requested)
- Caption: Your Benefits
- (1) also entitled to benefits on (2) own earnings record beginning (3) . We are sending (4) another letter about these benefits.
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: You are
- Choice 2: He is
- Choice 3: She is
- Fill-in (2) - Systems Generated
- Choice 1: your
- Choice 2: her
- Choice 3: his
- Fill-in (3) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY
- Fill-in (4) - Systems Generated
- Choice 1: you
- Choice 2: her
- Choice 3: him
- ENT038 BENEFITS REDUCED TO ZERO UNDER DIB FAMILY MAXIMUM PROVISIONS (J74)
- (Requested/Generated)
- Caption: Your Benefits
- We have approved (1) application for (2) benefits. (3) entitlement date is (4) . However, we cannot pay (5) any benefits because all of the money we can pay on this record is already being paid to (6) .
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: Your
- Choice 2: Full name possessive
- Fill-in (2) - Requested As A One Position Alpha Character
- Choice 1: (A) spouse's
- Choice 2: (B) child's
- Choice 3: (C) parent's
- Fill-in (3) - Systems Generated
- Choice 1: His
- Choice 2: Her
- Choice 3: Your
- Fill-in (4) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY (DOEC)
- Fill-in (5) - Systems Generated
- Choice 1: you
- Choice 2: her
- Choice 3: him
- Fill-in (6) - Requested As A Language
- Choice 1: Number holders full name
- ENT048 ACCRUED BENEFITS TEMPORARILY WITHHELD PENDING FINAL RECOMMENDATION (B23)
- (Requested)
- Caption: Your Benefits
- We are withholding payment for (1) until we decide the best way
- to make payments.
- Fill-in values:
- Fill-in (1) - Requested As A Date In Format Shown Below
- Choice 1: MM/YYYY
- Choice 2: MM/YYYY and MM/YYYY
- Choice 3: MM/YYYY through MM/YYYY
- ENT051 HI DATE OF ENTITLEMENT (H10)
- (Requested/Generated)
- Caption: Information About Medicare
- You are entitled to hospital insurance under Medicare beginning (1) .
- Fill-in values:
- Fill-in (1) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY
- ENT052 SMI DATE OF ENTITLEMENT (H12)
- (Requested/Generated))
- Caption: Information About Medicare
- You are entitled to medical insurance under Medicare beginning (1) .
- Fill-in values:
- Fill-in (1) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY
- ENT056 NO PAYMENT AWARD ENTITLED TO AN EQUAL OR LARGER BENEFIT ON ANOTHER RECORD (B41)
- (Requested)
- Caption: Your Benefits
- We approved (1) claim for (2) benefits. However, we cannot pay (3) on (4) record because (5) entitled to an equal or larger benefit on another Social Security record.
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: his
- Choice 2: her
- Choice 3: your
- Fill-in (2) - Requested As A One Position Alpha Character
- Choice 1: (A) wife's
- Choice 2: (B) husband's
- Choice 3: (C) widow's
- Choice 4: (D) widower's
- Choice 5: (E) mother's
- Choice 6: (F) father's
- Choice 7: (G) disabled widow's
- Choice 8: (H) disabled widower's
- Choice 9: (I) disabled divorced widow's
- Choice 10: (J) disabled divorced widower's
- Choice 11: (K) child's
- Fill-in (3) - Systems Generated
- Choice 1: him
- Choice 2: you
- Choice 3: her
- Fill-in (4) - Requested As A Language
- Choice 1: Number holder name
- Fill-in (5) - Systems Generated
- Choice 1: you are
- Choice 2: he is
- Choice 3: she is
- ENT062 MONTH OF ENTITLEMENT CONFIRMED (A52)
- (Requested)
- Caption: Your Benefits
- We reviewed (1) record. When (2) applied, (3) asked us to start (4) benefits in (5) . We found that (6) is still the month when benefits should start.
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: Beneficiary Name possessive
- Choice 2: your
- Fill-in (2) - Systems Generated
- Choice 1: he
- Choice 2: she
- Choice 3: you
- 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
- Fill-in (5) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY
- Fill-in (6) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY
- ENT063 BENEFICIARY ENTITLED ON TWO ACCOUNTS A BENEFITS (PREVIOUSLY AWARDED) TO BE COMBINED WITH WIDOW(ER)'S BENEFITS AND PAYMENT OF LUMP-SUM (B07)
- (Requested)
- Caption: What We Will Pay
- The check, which includes the money (1) due through (2) , will also include a lump-sum payment of (3) . This is a one-time payment we make because of a worker's death.
- After that, we will send (4) benefits in one check each month. The check will include (5) which (6) due on (7) own Social Security record and (8) which (9) due on the other record.
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: you are
- Choice 2: Beneficiary Name is
- Fill-in (2) - Requested As A Date In Format Shown Below
- Choice 1: MM/CCYY
- Fill-in (3) - Requested As A Money Amount In Format $$$$$.¢¢
- Choice 1: Amount of lump-sum
- Fill-in (4) - Systems Generated
- Choice 1: you
- Choice 2: him
- Choice 3: her
- Fill-in (5) - Requested As A Money Amount In Format $$$$$.¢¢
- Choice 1: Amount MBP
- Fill-in (6) - Systems Generated
- Choice 1: you are
- Choice 2: he is
- Choice 3: she is
- Fill-in (7) - Systems Generated
- Choice 1: your
- Choice 2: his
- Choice 3: her
- Fill-in (8) - Requested As A Money Amount In Format $$$$$.¢¢
- Choice 1: Amount MBP
- Fill-in (9) - Systems Generated
- Choice 1: you are
- Choice 2: he is
- Choice 3: she is
- ENT064 UNDERPAYMENT PAID TO OTHER BENEFICIARY (B08)
- (Requested)
- Caption: What We Will Pay
- Your (1) check includes (2) which we owed (3) .
- Fill-in values:
- Fill-in (1) - Requested As A One Position Alpha Character
- Choice 1: (A) next
- Choice 2: (B) first
- Fill-in (2) - Requested As A Money Amount In Format $$$$$.¢¢
- Choice 1: Amount of underpayment
- Fill-in (3) - Requested As A One Position Alpha Character or language
- Choice 1: (A) your wife
- Choice 2: (B) your husband
- Choice 3: (C) your father
- Choice 4: (D) your mother
- Choice 5: name of beneficiary
- ENT065 SIMULTANEOUS A AND AB AWARDS (B17)
- (Requested)
- Caption: Other Social Security Benefits
- We are still working on (1) (2) claim for spouse's benefits. When we decide whether or not (3) is entitled to benefits, we will send (4) a letter.
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: your
- Choice 2: Beneficiary name possessive
- Fill-in (2) - Requested As A One Position Alpha Character
- Choice 1: (A) wife's
- Choice 2: (B) husband's
- Fill-in (3) - Systems Generated
- Choice 1: he
- Choice 2: she
- Fill-in (4) - Systems Generated
- Choice 1: him
- Choice 2: her
- ENT066 AUXILIARY CLAIM PENDING (C07)
- (Requested)
- Caption: Things To Remember
- We are still working on (1) claim. When we decide whether or not (2) entitled to benefits, we will send another letter to give our decision.
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: Beneficiary's Name possessive
- Choice 2: your
- Fill-in (2) - Systems Generated
- Choice 1: he is
- Choice 2: she is
- Choice 3: you are
- ENT067 UNDERPAYMENT DUE TO DEATH OF BENEFICIARY SHARED WITH INDIVIDUAL(S) OF EQUAL ENTITLEMENT (C09)
- (Requested)
- Caption: What We Will Pay
- This check includes (1) , which is part of the money which was due (2) . Each person who is eligible for part of this money will get an equal share. The amount shown above is (3) share.
- Fill-in values:
- Fill-in (1) - Requested As A Money Amount In Format $$$$$.¢¢
- Choice 1: Amount
- Fill-in (2) - Requested As A Language
- Choice 1: Name of deceased individual
- Fill-in (3) - Systems Generated
- Choice 1: your
- Choice 2: Beneficiary name possessive
- ENT068 RIGHTS AND RESPONSIBILITIES DOMESTIC CONVERSION FROM DIB (G14)
- (System Generated)
- Caption: Your Responsibilities
- It is important that you report changes that could affect (1) benefits to us right away. To explain these changes, we have enclosed a pamphlet, When You Get Social Security Retirement or Survivor Benefits. What You Need To Know. It will tell you what must be reported and how to report. Please be sure to read the part of the pamphlet which explains how earnings from work could change (2) payments.
- Fill-in values:
- Fill-in (1)
- Choice 1: your
- Choice 2: Beneficiary name possessive
- Fill-in (2)
- Choice 1: your
- Choice 2: Beneficiary name possessive
- ENT069 RIGHTS AND RESPONSIBILITIES FOREIGN CONVERSION FROM DIB (G15)
- (System Generated)
- Caption: Your Responsibilities
- It is important that you report changes that could affect (1) benefits to us right away. To explain these changes, we have enclosed a pamphlet, Your Social Security Checks While You Are Outside the United States. It will tell you what must be reported and how to report. The pamphlet explains that we may not pay (2) if (3) more than 45 hours in a month.
- Fill-in values:
- Fill-in (1)
- Choice 1: your
- Choice 2: Beneficiary name possessive
- Fill-in (2)
- Choice 1: you
- Choice 2: Beneficiary's name
- Fill-in (3)
- Choice 1: you work
- Choice 2: he works
- Choice 3: she works
- ENT070 DATE OF BIRTH ESTABLISHED DIFFERENT FROM THAT ALLEGED OR DATE ESTABLISHED BEFORE ATTAINMENT OF RETIREMENT AGE (C08)
- (Requested/Generated)
- Caption: The Basis For Our Decision
- Based on the information given to us, (1) born on (2) .
- Fill-in values:
- Fill-in (1) - Systems Generated
- Choice 1: Beneficiary's name + was
- Choice 2: you were
- Fill-in (2) - Requested As A Date In Format Shown Below
- MM/DD/CCYY
- ENT071 DIB TO RIB CONVERSION (GA3)
- (System Generated)
- Caption: Your Benefits
- We are changing the type of benefit (1) from Social Security. Beginning (2) , (3) entitled to retirement benefits. (4) no longer entitled to disability benefits because (5) reached full retirement age.
- Fill-in values:
- Fill-in (1)
- Choice 1: Name + receives
- Choice 2: you receive
- Fill-in (2)
- Choice 1: MM/CCYY
- Fill-in (3)
- Choice 1: he is
- Choice 2: she is
- Choice 3: you are
- Fill-in (4)
- Choice 1: He is
- Choice 2: She is
- Choice 3: You are
- Fill-in (5)
- Choice 1: he has
- Choice 2: she has
- Choice 3: you have
- ENT075 NEW BENEFICIARY ENTITLED TO BENEFITS (J79)
- (Requested)
- Caption: Your Benefits
- Since (1) now entitled to benefits, we changed the amount we can pay (2) beginning (3) . We will continue to pay this new monthly amount as long as (4) (5) payments.
- Fill-in values:
- Fill-in (1) - Requested As A One Position Alpha Character
- Choice 1: (A) name of terminated beneficiary is
- Choice 2: (B) names of terminated beneficiaries are
- Choice 3: (C) you are
- Fill-in (2) - Systems Generated
- Name (or names) of previously entitled beneficiary (or beneficiaries)
- Fill-in (3) - Requested As A Date In Format Shown Below
- MM/CCYY (date of adjustment)
- Fill-in (4) - Systems Generated
- Choice 1: Beneficiary's Name + receives
- Choice 2: you receive
- Fill-in (5) - Requested As A One Position Alpha Character
- Choice 1: (A) workers' compensation
- Choice 2: (B) public disability
- Choice 3: (C) workers' compensation and public disability
x
← This means that the line
was removed and
was added – in other words, the "Effective Dates" line at the top of the document has been updated to reflect that the new version is effective as of the date the change was made.