TN 25 (01-04) HI 01001.275 Sample Notice- State or Local Government Retirement System Will Pay the Premium Surcharge for Medicare Part B -- Beneficiary in Current Pay Status Northeastern Program Service Center 1 Jamaica Center Plaza Jamaica, New York Date: October 16, 1997 BNC#: 00A0000A00000-A John Doe 1212 Oak Street Alexandria, VA ZIP We must charge a premium surcharge on your Medicare medical insurance because you enrolled later than you could have. Your State or local government retirement system will pay your late enrollment premium surcharge beginning MM/YYYY. However, you must pay the basic Medicare medical insurance premium. What We Plan To Do We will deduct the basic Medicare Part B premium of $XX.XX from your monthly payment. After we deduct this amount, you will receive a monthly benefit payment of $XXX.XX around MM/DD/YYYY. Below we tell you what to do if you disagree with this change in the amount of your monthly payment. If You Disagree With The Decision If you disagree with the change we have made to your monthly payment, you have the right to appeal.
We will review your case again and consider any new facts you have. A person who did not make the first decision will decide your case. • You have 60 days to ask for an appeal. • The 60 days start the day after you receive this letter.
We assume you got this letter 5 days after the date on it unless you show us that you did not get it within the 5-day period. • You must have a good reason if you wait more than 60 days to ask for an appeal. Install Teamviewer Arch Linux. • You have to ask for an appeal in writing.
We will ask you to sign a Form SSA-561-U2, called [ ] Request for Reconsideration. [ ] Contact one of our offices if you want help. If You Have Any Questions If you have any questions about the State or local government retirement system, please contact that office. If you have any questions about Medicare, you may call us toll-free at 1-800-772-1213, or call your local Social Security office. Levinson Pragmatics Pdf Download here.
Northeastern Program New York Service Center. 155-10 Jamaica Ave, Jamaica, New York 11432. The Northeastern Program Service Center provides services like. Northeastern Program Service Center Jamaica Ny 11432 Usps Hold. Jamaica, Queens in New York City. Title: Queens Tribune. 16565 84th Ave Jamaica, NY 11432 (718). Northeastern Program Service Center Jamaica Ny 11432 Usps Hold. Jamaica, Queens in New York City. Title: Queens Tribune. 16565 84th Ave Jamaica, NY 11432 (718). World Casino new York City 110-00.Rockaway.Blvd. Jamaica.Hills.11432 which.a. 718-762-3198 Jamaica Service Program for. Home to the Social Security Administration's Northeastern Program Service Center.
The office that serves your area is located at: District Office Suite 220 6295 Edsall Road Alexandria, VA 22312 If you do call or visit an office, please have this letter with you. It will help us answer your questions.
Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly when you arrive at the office.
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Services Northeastern Program Service Center The Northeastern Program Service Center (NEPSC) is located in the Joseph P. Addabbo Federal Building in Jamaica, New York. The NEPSC serves approximately 8.6 million retirement, survivor, and disability insurance (RSDI) beneficiaries, whose Social Security numbers begin with 001 through 134, 729, and 805 through 808. The NEPSC also processes disability claims for beneficiaries age 54 and over for the same SSN series. Beneficiaries within the NEPSC's jurisdiction receive $11.5 billion in benefits monthly. In fiscal year 2016, the NEPSC processed approximately 1,582,946 actions for our clients. To contact the NEPSC, write to: Assistant Regional Commissioner, Processing Center Operations Addabbo Federal Building 155-10 Jamaica Ave Jamaica, NY 11432 Please send us any you have about our web site.