Z0ON STZBDSszZE0o 97600 Ud NVAL NWS 6£1 LAV £28 AAV 000T ‘VaUALNOW OININOGNOO VNITOW I VNYAW a ‘savsn siNowioa snowatse S10 saNvRNVE GaSIA 0 ‘ssaNteng MoLsO avr BIOS ‘SHIVIS CLIN x $$$UNITED STATES OFFICE OF MYRNA I MOLINA CONDOMINIO MONTE REAL 1000 CARR 877 APT 139 SAN JUAN PR 00926 Dear Appl n, After review of cation for disability retirement, Social Security Administration Awards An application for Social Security Disability benefits must be submitted and confirmation must be provided to the Office of Personnel Management (OPM) before annuity payments can begin. Individual who have not already done so should apply as soon as possible. Individuals who have applied and sent = copy of the receipt do not need to take further action, If an individual is awarded a monthly benefit from Social Security Administration, they are required to notify the Office of Personnel Management immediately regarding the amount and effective date of the benefit. This can be done by sending a photocopy of the award notice or statem showing the monthly benefit amount with the effective date eligibility began. Periodic verification Social Security Administration records will be conducted to determine unreported awards. Plea: the receipt and notification of approval for Social Security benefits to US Office of Personnel Management Retirement Operation Section Attn: Retirement Development Section _ P.O: Box 45° _Boyers, PA16017 Interim Payments The Office of Personne] Management will notify the corresponding agency regarding disability retirement application. The employing agency will then separate the employee from servic. not already separated. Records regarding the individual’s service time and last day of pay must be forwarded to OPM before interim payments can be authorized. The agency is responsible for forwarding final records to OPM. Interim payments are approximately 80 percent of the amount of the actual m annuity payments, Annuitants will continue to receive interim payments on the first business day of ‘month uncil final processing is completed forthe application for a disability retirement 1 approval of 2 OPM, Retirement Services, PO Box 45, Boyers PA 16017 + Retiredéopm gov + wns ServicesO\Will receive FERS disability benefits for the first 12 months vee ya average salary minus 10 percent of Sosa Secu eis fr any month in which they are entitled to Social Security disability benefits. After the frst Yr, disability annuity will be equal to 40 percent ofthe high-three year average salary minus 60 percent of Social Security benefits for any month in which they are entitled to Social Secuty disability benefits. FERS disability benefits usually begin before the claim for Social Security benefits is fully processed. Because the FERS disability benefit must be reduced by 100 pereent of any Social Security benefit payable for 12 months, Social Security checks should not be negotiated until the FERS benefit has been reduced. Checks received from Social Security wil be needed to pay OPM for the reduction ‘hich will be made in FERS annuity After age 62, annuity payments will be recomputed using an amount which represents the annuity which ‘would have been received had the individual continued working until the day before tuning 62 and retiring FERS cost-of-living increases paid during the time a disability annuity was received. ‘The FERS basic ‘annuity formula (I percent ofthe high-3 average salary multiplied by the total years and months of service ‘multiplied by any part time proration factor) is then applied, using the adjusted time base and average salary. If actual service time combined with time receiving disability annuitant equals 20 or more years, 1.1 percent would be used rather than | percent. The recompited monthly annuity rate an annuitant receives ‘tage 62 may be lower than the monthly annuity rate received prior to age 62. US, Dept. of Labor's Office of Workers’ Compensation Program (OWCP) Benefits Individuals may not receive annuity payments from both OPM and OWCP for the same period of time. However, an annuitant who is eligible o receive a civil service annuity and an OWCP Non-Scheduled ‘Total or Partial Award for the sume period of time, may elect which benefit they want to receive. Payments from both OPM and OWCP for the same period of time are authorized only if, (1) OWCP payments are reeeived for a Scheduled (loss of limb or function) Award, (2) OWCP payments are received ‘due to the death of another person and the annuitant is eligible for receiving an annuity on the basis of their own Federal service, or (3) in place of receiving an OWCP Non-Scheduled Total or Partial Award, ‘an individual is receiving a Third Party Seitlement from the party directly responsible for their injury. An individual who is receiving OWCP payments but not for one of the three reasons stated above and are also receiving payments from OPM, should contact OPM at 1(888) 767-6738, or by writing to US Office of Personnel Management Retirement Operation Section Attn: Retirement Development Section P.O. Box 45 Boyers, PA 16017 Recovery Situations For annuitants under the age of 60, a periodic review of current medical documentation may be required to verify the status of the claimed condition. Recovery is determined if the medical evidence shows the condition has improved and the essential duties ofthe position of record can be performed, With such a finding, annuity payments will stop on the first day of the month beginning one year after the date ofthe ‘medical examination showing recovery. Furthermore, the Office of Personnel Management will honot & written and signed statement of medical recovery voluntarily submitted by an annuitant (provided the ‘medical documentation on file does not demonstrate mental incompetency). Disability annuity payments USS. OPM, Retirement Services, PO Box 45, Boyers PA 16017 * Retire@onm,gov * www ServigesOnline opm, gow * 1-888-767-€‘the event that an annuitant js re-employed into a permanent position with the Federal Government at time before age 60 at the same or higher grade/ SS /pay level and tenure as the position from which the ee eres, Cony wil os Sul recovered. Disability annuity payments will stop on the first day of ‘month following the month of the recovery finding Inthe event that an annuitant is found recovered from an} it : amitant is found re 1 ofthese situations, the former employing agency er do rehire the invidual into the former position or any other position. {fanny payments ‘an annuitant is found medically recovered, the individual may be eligible for deferred annuity at age 62 or at an earlier date if the service rtra for a discontinued service retirement Restoration of Earning Capacity ‘Annuitants under the age of 60 who are working in a non-federal position are limited on the amount they can eam from wages and self-employment wil still be entiled to annuity payments. Eaming capacity {is restored if the earnings in any calendar year equal at last $0 percent ofthe current salary ofthe position of record from which the annuitant retired. Disability annuity payments will stop six months from the ‘end of the calendar year in which the earning capacity i restored. Medicare ‘An annuitant who believes they may qualify for Medicare should contact the Social Security ‘Administration promptly at 1-800-772-1213 to make arrangements for filing an application. A delay in filing could result in a delay in the date in which Medicare entitlement begins. Reporting Responsibilities It is important to notify the Office of Personnel Management of any changes to status such as becoming re-employed with the Federal Government, changes to marital status, or changes to address. This information can be reported and questions can be answered at the contact information below. Please include your Civil Service Annuity (CSA) claim number on any correspondence and keep this letter for future reference. Retirement Information Office: 1(888) 767-6738 ‘or please write to: US Office of Personnel Management Retirement Operation Section ‘Attn; Retirement Development Section P.O.Box45 tp2//wwrw.opm gov For more information about disability retirement, please Sincerely, E> Heidi Medical Specialist : Boyers Disability Section / w+ www ServieGOnline-opm gov i da, nodose ervow, PO Box 45, Boycs PA 16017~ Ration? Ss a é joes is »ta statue 18 2008 } aiueee al | sas vosao | 22990 |= ‘$970 vere eoaieg aay aay Now Status ames FET Renee - ee cron ka mae ioe a eee, TREN OPUBUS EMEA Ean To micuee A THE AMOUNT OF FEDERAL INCOME TAX WTHHELD FROM YOUR TRRGRIP NS GARBER NOM EFFECTIVE JANUARY 4.2003 YOUR MONTHLY HEALTH EEREETIS pREMIOM Fa PLAN Boa LL Be $237 8 STH BENEF TS PREMIUM SHOWN IN THIe MESSAGE Te ET EEMSE areCTING YOUR FEBRUARY, | PAYMENT. ELITE OM RECEIVE a SEPARATE NOTICE OF ANNUITY Bis ren ‘YOUR PREMIUMS HAVE DECREASED FOR. FEDERAL DENTAL NQURARED' UMS UPGUEE HONS ro BbNereoS Ar Sir-seb-2o3? roan eu whee number, a 1-86-767.6738,Heoreg moa MYRNA MOLINA ‘CONDOMINIO MONTE REAL $000 CARR 877 APT 139 SAN JUAN PR 00828 jas sno 937 U9 ido 0% d-M wo Syl mau @ yew 10 yUNoDOB aUILO seoNL vou “Uae 0 “21091 vel ‘si0h0g ‘gy x08 Od “wow we) jesepey sn0K ejepdn Oy “aysqam Sx OUI Ye Puno, oq WED