I-1-7-95.Exhibit - Sample Notice to Claimant - Subsequent (Current) Claim and Class Member Claim Have No Issues in Common

Sample Notice to Claimant — Subsequent (Current) Claim and Class Member Claim Have No Issues in Common

On ____________, you filed a claim for benefits under ((Title II) (Title XVI) or (Titles II and XVI)) of the Social Security Act. That claim was forwarded to the ____________ Disability Determination Service for adjudication. On ____________, we notified you that you are also a class member under the ____________ class action, and indicated that we would readjudicate your claim filed on ____________. That claim has been assigned to me for a hearing.

To process your claims more expeditiously, the (name of state, e.g., Tennessee) Disability Determination Service forwarded your (insert date of subsequent (current) claim) claim to this office to consider combining it with your claim of ____________. I have reviewed (both or all) claims and have determined that the claims do not have issues in common which would permit them to be combined. Therefore, I am returning your (insert date of subsequent (current) claim) claim to the Disability Determination Service.

The Disability Determination Service will complete its adjudication of your (insert date of subsequent (current) claim) claim and notify you of the results. I will separately review your claim of ____________ and notify you of the results. (Modify the following sentence as necessary.) My office will communicate with you at a later date concerning the scheduling of a hearing.

If you have any questions concerning your new claim, please contact your Social Security Office.