Letter Advising Annuitants of COLA increase

RAILROAD RmREMENT BOARD
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POSTAL BAR CODE
UND129938304*9996030299990517M
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Format 01 T-55

Issued: December 18, 2006
We adjusted your railroad retirement benefits effective with your January 2,2007 payment because of a rise
in the cost-of-living. Here's how we figured your new monthly rate:
Tier 1
Tier 2
Vested Dual Benefit
Supplemental Annuity
Gross RRB Benefit

$xxxx.xx
$xxxx.xx
$xxxx.xx
$ xx.xx
$xxxx.xx

(less Federal income taxes withheld)

(less other deductions)

$xxxx.xx
$xxxx.xx

RRB Benefit (before Medicare)

SS Benefit Paid by RRB (before Medicare)

(less Medicare premium)

$xxxx.xx
$xxxx.xx
$ m.xx

Benefit Amount

$xxxx.xx

The cost-of-living increase for tier 1and Social Security benefits is x.x percent. The increase for tier 2 is x.x
percent. If you are receiving other government benefits such as Social Security, a public service pension or
another railroad retirement annuity, your tier 1 amount may not have increased because of a reduction
required by law. If you disagree with any of the amounts shown, you have the right to request
reconsideration within 60 days of the date of this letter.
For Additional Information

If you have any questions about this notice, write to us at the address shown above or telephone us at (999)

999-9999. General information about railroad retirement benefits is available on our website at www.rrb.gov.

I f you need a separate letter as proof of your monthly benefit amount or need a replacement Medicare card,

you can get them by calling the automated RRB Help-Line a t 1-800-808-0772, or by clicking on Benefit

Services on our
website.