NL: Notices, Letters and Paragraphs
Effective Dates: 06/10/2013 - Present
A. DIB denials
Situation/Usage |
Form Notice |
POMS Section |
Disability Denial DIB Miscellaneous Fill-In Letter |
SSA-L237 |
NL 00701.066 |
Death Before End of 5 Month Waiting Period |
SSA-L237B |
NL 00701.069 |
B. CDB denials
Situation/Heading |
Form Notice |
POMS Section |
Not Disabled Before Age 22 |
SSA-L236 |
NL 00701.060 |
CDB Not Disabled through Point of Decision—Not Yet Age 22 |
SSA-L236A |
NL 00701.063 |
C. Disability continuance
Situation/Usage |
From Notices |
POMS Section |
DIB Continuance—Title II |
SSA-L1013 |
NL 00701.425 |
DIB Continuance—Title XVI |
SSA-L1014 |
NL 00701.430 |
D. Chart for selecting disability cessation notices
Cessation Paragraphs |
Usage/Situation |
Applicable Form Notice |
Section |
T20 &T28 |
No DIB overpayment or underpayment No HI/SMI involvement. |
SSA-L1021 |
NL 00701.460 |
|
Same as SSA-L1021 except auxiliaries in W/E's household. |
SSA-L1026 |
NL 00701.485 |
|
No DIB overpayment or underpayment HI/SMI involved with a premium arrearage. |
SSA-L1022 |
NL 00701.465 |
|
Same as SSA-L1022 except auxiliaries in W/E's household. |
SSA-L1027 |
NL 00701.490 |
|
No DIB overpayment or underpayment HI/SMI involved. SMI premium to be refunded. |
SSA-L1023 |
NL 00701.470 |
|
Same as SSA-L1023 except auxiliaries in W/E's household. |
SSA-L1028 |
NL 00701.495 |
|
DIB underpayment and HI/SMI involvement with a SMI premium arrearage. |
SSA-L1024 |
NL 00701.475 |
|
No DIB overpayment or underpayment HI/SMI involvement with no premium coverage or arrearage. |
SSA-L1025 |
NL 00701.480 |
|
Same as SSA-L1025 except auxiliaries in W/E's household. |
SSA-L1030 |
NL 00701.505 |
|
DIB cessation—DIB U/P SMI Premium Arrearage Auxiliaries in NH's Household. |
SSA-L1029 |
NL 00701.500 |
T21 |
No DIB overpayment or underpayment No HI/SMI involvement. |
SSA-L1016 |
NL 00701.435 |
|
No DIB overpayment or underpayment HI/SMI involved with a premium arrearage. |
SSA-L1017 |
NL 00701.440 |
|
No DIB overpayment or underpayment HI/SMI involved. SMI premium to be refunded. |
SSA-L1018 |
NL 00701.445 |
|
DIB underpayment and HI/SMI involved with a SMI premium arrearage. |
SSA-L1019 |
NL 00701.450 |
|
No DIB overpayment or underpayment HI/SMI involvement with no premium coverage or arrearage. |
SSA-L1020 |
NL 00701.455 |
T22 |
Same as SSA-L1031 except auxiliaries in W/E's household. |
SSA-L1036 |
NL 00701.535 |
|
No DIB overpayment or underpayment HI/SMI involved with a premium arrearage. |
SSA-L1032 |
NL 00701.515 |
|
Same as SSA-L1032 except auxiliaries in W/E's household. |
SSA-L1037 |
NL 00701.540 |
|
No DIB overpayment or underpayment HI/SMI involved. SMI premiums to be refunded. |
SSA-L1033 |
NL 00701.520 |
|
Same as SSA-L1033 except auxiliaries in W/E's household. |
SSA-L1038 |
NL 00701.545 |
|
DIB underpayment and HI/SMI involvement with a SMI premium arrearage. |
SSA-L1034 |
NL 00701.525 |
|
Same as SSA-L1034 except auxiliaries in W/E's household. |
SSA-L1039 |
NL 00701.550 |
|
No DIB overpayment or underpayment HI/SMI involved with no premium coverage or arrearage. |
SSA-L1035 |
NL 00701.530 |
|
Same as SSA-L1035 except auxiliaries in W/E's household. |
SSA-L1040 |
NL 00701.555 |
E. Miscellaneous disability form notices
Situation/Usage |
Form Notice |
POMS Section |
Disability Suspension Notice (Miscellaneous) |
SSA-L467 |
NL 00701.126 |