How do I fill out the Options page (Annex B) in my overpayment letter? These FAQs outline how to respond to an overpayment letter and provide guidance on next steps.Make sure to fill out Annex B in your overpayment letter within the deadline provided even if you file a grievance. It includes instructions on how to fill out the form, the purpose of recovery, important contact details, and terms and conditions. PIPSC has filed policy grievances due to the employer's approach to recovering overpayments. The policy grievances challenge the coercive manner. This document serves as a template for writing an amends letter to facilitate healing and reconciliation. Medicare requires cost sharing in the form of deductibles and coinsurance. Get a Free Quote in Minutes! Downtown Phoenix with art installation of arches in the common area.