When an annuitant’s spouse dies, the annuitant should act as soon as possible to SAMPLE LETTER TO OPM: (Include only those paragraphs that apply.) send OPM a copy of the death certificate, along with other applicable requests and statements (discussed in the sample letter). If difficulty is encountered, the annuitant should outline the problem and ask for assistance in a letter addressed to the Retirement Benefits Service Department. Restoration of Full Annuity Where an annuitant has elected a reduction in annuity to provide a spousal survivor benefit and the annuitant’s spouse later dies, the annuitant is entitled by law to have the reduction eliminated and to receive the full annuity rate retroactive to the first of the month after the spouse’s death. The annuitant should, without delay, write directly to: Office of Personnel Management Retirement Operations Center Boyers, PA 16017 t men e g a an r is nel M s Cente n er o s b n r e o m i P t a f nu securi ce o nt Oper i m f i f a ial l O eme 017 y c and soc r 6 i M 1 t e , A R __ ee. rs, P retir ______ te Boye l a _ tifica der _____ r e e f c a th en: ath am e of bir ___. e de tlem h n t e , ) f t G _ e o a a nam ____, d ______ copy vide l A l o _ r . _ u _ p f e _ us to nu I ( _____ ______ y spo uity e my an _ n _ m s A n i f S a r r C ho ed sto mbe deat educ lease re r e h ty nu a t p ort om cted th, ed fr I ele se’s dea o rep t g , t n s i a n u e ch eme spo This losed. retir of my nt b ren.] c e y n m e l m ] is ily use te. of hild nrol ime ity. Beca d life ra - fam .] its e isabled c t f e e C n h e m be lai rd tion [At t vor annu unreduc ealth minor o e op ent of C c h i l l n v P r a u su ef sur ees HB tem ave o th ploy d ife in EP, Sta y FE o not h l m m e ity t p n t l u D gro dera ment fu F t tha only. I d E 6e s s f F e e e r u y S e m o q r r f [I re y to self mplo GLI fo ary my reti SRS or i e c l i f a l in ,C der ene e FE fami of b balance SF-2808 ed fe send m i r n r o a i d nat so c and ease nde [I al ance. Pl desig unexpe FEGLI y r ge m any 23, insu chan nce and SF-28 o t orm ish ura [I w life ins e send f p s grou nt. Plea u ] o S c R ac , FE 3102 The letter should contain the annuitant’s full name, date of birth, Social Security number, civil service retirement (CSA) claim number, and a copy of the death certificate. rely, e Sinc e Nam ss ddre A l l u &F IMPORTANT Federal Income Tax Withholding Several other items should be covered in If federal income tax is withheld from the the letter, if applicable to the annuitant’s annuity and the annuitant wishes to change individual situation. These require request- the amount withheld, the annuitant with ing forms which will be sent by OPM as touchtone telephone should call OPM at 1- soon as possible. Each form comes with 800-409-6528, otherwise write: Office of instructions. Personnel Management, Allotment Branch, Death P.O. Box 961, Washington, DC 20044. Federal Employees Health Benefits Program (FEHBP) If there are no minor or disabled children or others needing coverage, the annui- Upon receipt of the request from the annuitant, OPM will change the withholding as the annuitant indicates. No forms are required. tant should request a change in enrollment from family to self only. Designation of Beneficiary Review of Will and Other Documents of an The annuitant’s legal advisor should be If the annuitant wishes to designate a consulted to review annuitant’s will and all new beneficiary for federal employees group important financial and estate-related docu- life insurance (FEGLI) and any unexpended ments. Substantial changes may be needed balance in the retirement fund, the letters right away. should request standard forms SF 2823, Annuitant’s (FEGLI) and SF 2808, (CSRS) or SF 3102 (FERS). Spouse Family Life Insurance If the deceased spouse was covered by option C-family life insurance, the annuitant should also request FEGLI form FE6DEP, Statement of Claim. 6 0 6 N o r t h Wa s h i n g t o n S t r e e t Alexandr ia, Virginia 22314-1914 (703) 838-7760 • FAX (703) 838-7782 h t t p : / / w w w. n a r fe . o rg F-25A (06/00)
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