NL: Notices, Letters and Paragraphs
TN 4 (02-95)
A. Procedure
Use the following chart to find the captions and paragraphs appropriate for the recipient's situation when a COLA is scheduled to take effect. Instructions in NL 00802.001B apply for using this chart. Instructions in NL 00803.020 apply to COLA notices. We labeled the captions with capital letters in alphabetic order as a place-keeping device.
B. Information about your payments
(Mandatory caption)
| NL Reference | Paragraph | Use |
|---|---|---|
| NL 00804.220 | 2801 | Tells new amount due and effective date. (Mandatory for all notices when recipient is due payment.) |
| 2803 | N01 - Recipient is ineligible due to excess income. (Use on SSA-L8155-U2 only.) | |
| 2804 | Recipient receives title II - SSI payment will decrease or stop. (Mandatory on all SSA-L8155-U2's.) | |
| 2805 | SSI payment will increase or be reinstated. (Mandatory on all SSA-L8151-U2's.) | |
| COLM05 | Appeal pending - Record is in protected payment status. COLA results in increase or decrease in the protected payment level. The following overpayment paragraphs are only used in COLA notices. Consider these paragraphs when an overpayment collection is in process: 2816, 2817, 2818, 2819 and 2820. |
|
| NL 00804.210 | Consider the following standard overpayment paragraphs when you plan to initiate overpayment collection or overpayment collection is in process: 1015, 1018, 1016, 2042, 1017, and 2456. |
C. Your payment is based on these facts
(Use when the recipient has income or deemed income).
| NL Reference | Paragraph | Use |
|---|---|---|
| NL 00804.220 | 2836 | Lead-in paragraph for any income on the record. |
| 2807 | Use this income lead-in only on the SSA-L8151-U2 when there is an increase or reinstatement of SSI and other income on the record changes. | |
| 2814 | Use when title II income will increase. | |
| 2815 | Use when title II income of spouse will increase. | |
| NL 00804.175 | 1232 | Describes type, period and amount of countable income. (Follows paragraph 2836 and 2807 above.) |
| 1260 | Tells value of ISM. | |
| 1258 | Tells value of VTR. | |
| 1248 | Spouse or parent(s) has income deemed to recipient. | |
| 1234 | Sponsor has income deemed to recipient. |
D. Information about medicaid
(Use only if one of the paragraphs below applies.)
| NL Reference | Paragraph | Use |
|---|---|---|
| NL 00804.110 | 1150 | Mandatory for SSA-L8151-U2 if recipient is being reinstated and lives in a State where SSA makes Medicaid eligibility determinations or has moved to a State where SSA makes Medicaid eligibility determinations. |
| 1152 or 1170 (for Texas) |
Mandatory on SSA-L8155-U2's if recipient lives in a State where SSA makes Medicaid determinations and recipient will be N01. |
E. Things to remember
(Use only if one of the paragraphs below applies.)
| NL Reference | Paragraph | Use |
|---|---|---|
| NL 00804.220 | 2834 | Recipient is subject to VTR. |
| 2811 | Recipient has excess income (N01). | |
| 2831 | Close-out paragraph. Retention of SSI eligibility in nonpayment cases. | |
| NL 00804.185 | 2489 | Representative payee will receive a copy of notice. |