PM 01-07-04.
To continue benefits at the previous month's level after terminal cut-off for the effective month of the change, provide Mercury benefits by completing a blank Form 552 as follows:
| Item 1 - |
Complete. |
| Item 2 - |
Enter the month and year (for canceled cases, enter month and year of the cancellation). |
| Item 3 - |
Enter 56. |
| Item 4 - |
Enter 7. |
| Items 5, 6, 8 - |
Complete. |
| Items 9-10 - |
Complete if the unit's address has changed. |
| Item 23 - |
Complete. |
| Item 33 - |
For canceled cases, enter TAR 08. For active cases, enter TAR 11. |
| Item 38 - |
For canceled cases, enter the amount of the previous month's benefit. A different amount can be entered if a change occurred, a timely notice has been sent, and that change is not the issue under appeal.
For active cases, enter the difference between the previous month's benefit and the reduced payment. |
