Civil Service 

Retirement 

System 

Federal Employees’ 

Group Life 

Insurance Program 

Federal Employees 

Health Benefits 

Program 

Federal Employees 

Retirement 

System 

Long Term 

Care Insurance 

Program 

Table 4 

FERCCA Corrections to SF 50’s for BAL 03-104 dated 4/15/03

I. Erroneous CSRS Coverage, Employee belongs in CSRS Offset 

Nature of Action First Action: 002/Correction to the original appointment 

or conversion and use same effective date as shown on the 

original action. Show code for CSRS Offset in Block 30. 

Second Action: If any other actions during the 

appointment show incorrect retirement coverage prepare 

002/Correction to the most recent SF-50. 

Block 45 Remarks First Action: Remark C11: “Corrects item 30 from (___)” 

and also remark C18: “Corrects item (number) to read” 

and then remark M68: “Correction is the result of 

correction made under Pub. Law 106-265 (FERCCA)”. 

 

Second Action: 002/correction to most recent SF-50, 

Remark C11: “Corrects item 30 from (____)” and C12: 

“Also corrects same item on all previous action from 

(date) to (date)” 
II. Erroneous Coverage was CSRS Offset, Employee belongs in CSRS 

Nature of Action First Action: 002/Correction to the 

original appointment or conversion and use 

same effective date as shown on the 

original action. Show code for CSRS in 

block 30. 

Second Action: If any other actions during 

the appointment show incorrect retirement 

coverage prepare 002/Correction to the 

most recent SF-50. 

Block 45 Remarks First Action: Remark C11: “Corrects item 

30 from (___)” and also remark C18: 

“Corrects item (number) to read” and then 

Remark M68: “Correction is the result of 

correction made under Pub. Law 106-265 

(FERCCA)”. 

Second Action: 002/Correction to most 

recent SF-50, Remark C11: “Corrects item 

30 from (___)” and remark C12: “Also 

corrects same item on all previous actions 

from (date) to (date)” 

2
III. Erroneous Social Security-Only Coverage, Employee belongs in CSRS 

Nature of Action First Action: 002/Correction to the 

original appointment or conversion and use 

the same effective date as shown on the 

original action. Show code for CSRS in 

block 30. 

Second Action: If any other actions during 

the appointment show incorrect retirement 

coverage prepare 002/Correction to the 

most recent SF-50. 

Block 45 Remarks First Action: Remark C11: “Corrects item 

30 from (___)” and also remark C18: 

“Corrects item (number) to read” and then 

Remark M68: “Correction is the result of 

correction made under Pub. Law 106-265 

(FERCCA)”. 

Second Action: 002/Correction to most 

recent SF-50, Remark C11: “Corrects item 

30 from (___)” and remark C12: “Also 

corrects same item on all previous actions 

from (date) to (date)” 

3
IV. Erroneous Social Security-Only Coverage, Employee belongs in CSRS Offset 

Nature of Action First Action: Prepare 002/Correction to 

the original appointment or conversion and 

use the same effective date as shown on the 

original action. Show code for CSRS 

Offset in block 30. 

Second Action: If any other actions 

during the appointment show incorrect 

retirement coverage prepare 002/Correction 

to the most recent SF-50. 

Block 45 Remarks First Action: Remark C11: “Corrects item 

30 from (___)”, and also remark C18: 

“Corrects item (number) to read” and then 

Remark M68: “Correction is the result of 

correction made under Pub. Law 106-265 

(FERCCA)”. 

Second Action: Remark C11: “Corrects 

item (number) from (___)” and as 

appropriate remark C12: “Also corrects 

same item on all previous actions from 

(date) to (date)”

4
V. Erroneous Social Security-Only Coverage, Employee belongs in FERS 

Nature of Action First Action: Prepare 002/Correction to 

the original appointment or conversion and 

use the same effective date as shown on the 

original action. Show code for FERS in 

block 30. 

Second Action: If any other actions 

during the appointment show incorrect 

retirement coverage prepare 002/Correction 

to the most recent SF-50. 

Block 45 Remarks First Action: Remark C11: “Corrects item 

30 from (___)”, and also remark C18: 

“Corrects item (number) to read” and then 

Remark M68: “Correction is the result of 

correction made under Pub. Law 106-265 

(FERCCA)”. 

Second Action: Remark C11: “Corrects 

item (number) from (___)” and as 

appropriate remark C12: “Also corrects 

same item on all previous actions from 

(date) to (date)”

5