Common use of Verification Procedure and Opportunity to Contest Clause in Contracts

Verification Procedure and Opportunity to Contest. Before making an unfavorable decision on an Extra Help application or redetermination based on the information received from OPM, SSA will provide a written Pre-Decisional Notice (for initial Extra Help applications) to each applicant or Notice of Planned Action (for redeterminations) to each beneficiary when SSA decides such adverse action is necessary. The notice will inform the individual of the match findings and provide the following information: 1. SSA received information from OPM pertaining to receipt of civil service benefit and payment data, which indicates that an adverse action affecting the individual’s eligibility for subsidy assistance is necessary. 2. The individual has a specified number of days (at least 10 days) from the date of the notice to contact SSA to contest the Pre-Decisional Notice or the Notice of Planned Action and submit evidence, if required, to support a decision that SSA should award a full or partial subsidy. 3. Unless the individual notifies SSA within the specified timeframe, SSA will conclude that the data OPM provides is correct and will make the necessary adjustment to the individual’s Extra Help application. SSA will consider failure to respond to the notice sufficient justification for taking the adverse action. SSA will permit further appeals of adverse action as described in applicable instructions and regulations.

Verification Procedure and Opportunity to Contest. Before making an unfavorable decision on an Extra Help application or redetermination based on the information received from OPM, SSA will provide a written Pre-Decisional Notice (for initial Extra Help applications) to each applicant or Notice of Planned Action (for redeterminations) to each beneficiary when SSA decides such adverse action is necessary. The notice will inform the individual of the match findings and provide the following information: 1. SSA received information from OPM pertaining to receipt of civil service benefit benefits and payment data, which indicates that an adverse action affecting the individual’s eligibility for subsidy assistance is necessary. 2. The individual has a specified number of days (at least 10 30 days) from the date of the notice to contact SSA to contest the Pre-Decisional Notice or the Notice of Planned Action and submit evidence, if required, to support a decision that SSA should award a full or partial subsidy. 3. Unless the individual notifies SSA within the specified timeframe, SSA will conclude that the data OPM provides is correct and will make the necessary adjustment to the individual’s Extra Help application. SSA will consider failure to respond to the notice sufficient justification for taking the adverse action. SSA will permit further appeals of adverse action as described in applicable instructions and regulationsregulations if the appeal is requested within 60 days after the date of the notice of adverse action.

Verification Procedure and Opportunity to Contest. Before making an unfavorable decision on an Extra Help application or redetermination based on the information received from OPMVA, SSA will provide a written Pre-Decisional Notice (for initial Extra Help applications) to each applicant or Notice of Planned Action (for redeterminations) to each beneficiary when SSA decides such adverse action is necessary. The notice will inform the individual of the match findings and provide the following information: 1. A. SSA has received information from OPM VA pertaining to receipt of civil service benefit and payment dataa compensation or pension payment, which indicates that an adverse action affecting the individual’s eligibility for subsidy assistance is necessary. 2. B. The individual has a specified number of days (at least 10 days) from the date of the notice to contact SSA to contest the Pre-Decisional Notice or the Notice of Planned Action and submit evidence, if required, to support a decision that SSA should award a full or partial subsidy. 3. C. Unless the individual notifies SSA otherwise within the specified timeframe, SSA will conclude that the data OPM VA provides is correct and will make the necessary adjustment to the individual’s Extra Help initial application or redetermination application. SSA will consider failure to respond to the notice sufficient justification for taking the adverse action. SSA will permit further appeals of adverse action as described in applicable instructions and regulations.

Verification Procedure and Opportunity to Contest. Before making an unfavorable decision on an Extra Help application or redetermination based on the information received from OPMVA, SSA will provide a written Pre-Decisional Notice (for initial Extra Help applications) to each applicant or Notice of Planned Action (for redeterminations) to each beneficiary when SSA decides such adverse action is necessary. The notice will inform the individual of the match findings and provide the following information: 1. A. SSA has received information from OPM VA pertaining to receipt of civil service benefit and payment dataa compensation or pension payment, which indicates that an adverse action affecting the individual’s eligibility for subsidy assistance is necessary. 2. B. The individual has a specified number of 60 days (at least 10 days) from the date of the notice to contact SSA to contest the Pre-Decisional Notice or the Notice of Planned Action and submit evidence, if required, to support a decision that SSA should award a full or partial subsidy. 3. C. Unless the individual notifies SSA otherwise within the specified timeframe, SSA will conclude that the data OPM VA provides is correct and will make the necessary adjustment to the individual’s Extra Help initial application or redetermination application. SSA will consider failure to respond to the notice sufficient justification for taking the adverse action. SSA will permit further appeals of adverse action as described in applicable instructions and regulations.

Verification Procedure and Opportunity to Contest. Before making an unfavorable decision on an Extra Help application or redetermination based on the information received from OPMVA, SSA will provide a written Pre-Decisional Notice (for initial Extra Help applications) to each applicant or Notice of Planned Action (for redeterminations) to each beneficiary when SSA decides such adverse action is necessary. The notice will inform the individual of the match findings and provide the following information: 1. A. SSA has received information from OPM VA pertaining to receipt of civil service benefit and payment dataa compensation or pension payment, which indicates that an adverse action affecting the individual’s eligibility for subsidy assistance is necessary. 2. B. The individual has a specified number of days (at least 10 days) from the date of the notice to contact SSA to contest the Pre-Decisional Notice or the Notice of Planned Action and submit evidence, if required, to support a decision that SSA should award a full or partial subsidy. 3. C. Unless the individual notifies SSA otherwise within the specified timeframe, SSA will conclude that the data OPM VA provides is correct and will make the necessary adjustment to the individual’s Extra Help application. SSA will consider failure to respond to the notice sufficient justification for taking the adverse action. SSA will permit further appeals of adverse action as described in applicable instructions and regulations.