Retirement And Insurance Forms
The purpose of soliciting the required information is to determine the representative payee’s relationship with the annuitant. It also features the extent of the representative’s ability to take care the annuitant’s financial affairs. The representative is advised to answer all of the questions.
In order for the Retirement Services Publications Team of the Office of Personnel Management to determine your entitlement to continuation of disability annuity payments, there is a need for you to ask your physician or treating medical facility to provide relevant information as enumerated in the form itself.
For you to complete this form, you need to read the Alternative Annuity Election Information for Employees. The complete alternative annuity election package from the Office of the Personnel Management is necessary for you to make an alternative annuity election. Provide your certification which states that you have no former spouse who is entitled to receive a portion of your annuity or your annuity. For the rollover election, choose one option as indicated in the form itself.
Please read carefully all the information provided in this form which pertains making voluntary contributions election, before completing it. There are line instructions for you to be guided in answering all questions accurately.
This form can be completed and filed by Civil Service Retirement System and Federal Employee Retirement System annuitants, survivor annuitants, and former spouse annuitants. The applicants can decide to cancel or suspend enrollment in the Federal Employee Health Benefits Program. They are advised to read the front and back of the form.
This application is to be completed by a former Federal employee who was covered by the Federal Employee Retirement System. The applicant is advised to read carefully the instructions pertaining to retirement annuity.
The employee fills out information as indicated. The employee has received sufficient information to make an informed decision or final and irrevocable election. The election is based on the Federal Employee Retirement Coverage Corrections Act. Likewise, the decision is made pursuant to the FERCCA Election Summary material.
Whatever pertinent answers you will provide on this Disabled Dependent Questionnaire, the same will be used to collect sufficient confirmation. The medical condition and evidence capacity would be the bases of the Office of Personnel Management to check whether a disabled adult child is eligible for continued benefits: health benefits coverage and survivor annuity payments. These 2 reasons are under the Civil Service Retirement System or the Federal Employees Retirement System.