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Wednesday, July 2
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Wednesday, July 2

We provide ret

You will find r

information at

www.opm

You may also 

retire@op

This pamphlet 

available as of 

the monthly pr

change.

For more infor

visit

www.opm
H:\CorelVentura\R

Wednesday, July 2

General Inform

Requireme

If You We

Time Lim

How to Ch

If Ann

If Ann

Who Receives 

Option A - Sta

How Your 

Who Receives 

How to Fi

Employees’ G

Insurance 

Insurance 

Individua

The Cost o

Basic Life 

Option A - 

Option B - 

Option C - 

Coverage 

Terminatio

Reemploy

Reem

Reem

After 

Additional In

How to De

Life Insu

How Bene

Option C - Fa

Family Ins

Living Benefits 

Irrevocable Ass

Information for 
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Wednesday, July 2

your own life i

general. Our R

with Customer 

information an

situations. You 

need by teleph

address change

To reach the R

1-888-767-673

and weekends

p.m. Eastern ti

with hearing im

should call 1-8

Make Use Of 

www.serviceso

secure, passwo

convenience to 

payment or to 

deposit addres

income tax wit

your annuity p

To authorize c

you will need 

instructions so 

life insurance 

intentions docu

Whether you c

to give us your 

number (CSA 

all correspond

us your full na

Security numb
H:\CorelVentura\R

Wednesday, July 2

your life insur

your coverage

to cancel or de

designate a ben

under the Fede

Program. 

If you become 

your power of 

convert your li

can make a ch

this area is des

life insurance b

regain compet

of another pers

rights that may 

guardians or o

insurance, thes

person who ow

Address your c

U.S. Offic

Retiremen

P.O. Box 

Boyers, P

Note to emplo

This pamphlet 

U.S. Office of 

access to empl

to contact their 

assistance and 
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Wednesday, July 2

The Federal Em

provides insur

intended to pro

You cannot bo

benefit. 

Requireme

Insurance C

Your Basic Lif

Additional, an

(depending on 

continued into 

1.	 you retire

began wit

2.	 you were 

immediat

or for the 

coverages 

3.	 you electe

4.	 you did n

individua

Note that unde

System, an im

an annuity if y

age and have 1

requirements a

insurance cove

postpone recei

postpone recei

until the date y

continue the co

will resume wh

you convert yo

upon your sep
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Wednesday, July 2

temporary exte

of your life ins

death and dism

If you were no

life insurance 

opportunity to 

Generally, to h

you had to app

first premium 

31-day tempor

Time Limit 

Policy 

To convert to a

holding your p

following the i

Notice of Conv

after receiving 

after the date y

whichever is e

after you retire

calendar days 

You Cannot Co

Form RI 76-6, 

Insurance, from 

Management. 

coverage perio

insurance prot

For conversion 

Office of 

Life 

P.O. Box 

Long Isla
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Wednesday, July 2

5th Floor 

27-01 Qu

Queens, N

If you do not r

specified time 

are considered 

However, if yo

policy within t

your control or 

make a belated 

You must mail 

after you first 

individual poli

of the cause be

from making a 

Employees’ Gr

are eligible to 

Regardless of 

begins on the 3

terminated, an

premiums from 

The Cost o

You can determ

the discussion

payments, we 

from your ann

premiums dire

cover the cost 

your monthly 

life insurance 

opportunity to 

make direct pa

payments as lo

enrollment in t

increases to th
H:\CorelVentura\R

Wednesday, July 2

are subject to c

premiums coll

payments. Due 

monthly rates 

adjusted as nee

Basic Life I

The amount of 

known as “Reg

(1) your annua

separated for r

pay in effect at 

status, if this o

Generally, the 

thousand) is ro

$2,000 to arriv

value, of your 

basic pay at se

insurance amo

you die before 

insurance is in

on your age. T

face value of y

Note: Acciden

stops at retirem

Items 1, 2, and 

cost of Basic l

which your co

1.	 If you sep

December 

begin to r

beginning 

are 65 or 

whicheve

your Basi

value. Th
H:\CorelVentura\R

Wednesday, July 2

1999, whe

face value

2.	 If you sep

December 

you electe

schedules 

� 75% 

sched

to red

begin

you a

retire

conti

reach

abov

This 

� 50% 

sched

to red

begin

you a

retire

conti

reach

prem

retire

begin

The m

$1,00

insur

prem

insur

or ret

� No R

sched

insur

65. W

cover

retire

mont

$1,00

insur
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Wednesday, July 2

retiremen

each $1,0

retiremen

premium 

Reduction 

below. We 

premium 

to withho

you electe

month aft

Example

retiremen

1.	 have 

of $2

2. elect 

your mon

insurance 

and the m

Reduction 

withhold 

your Basi

the end of 

However, 

based on t

Reduction 

your annu

your elect

If you elected 

election at any 

insurance. If y

insurance will 

of your insuran

elected 75% R

cannot change 

Reduction. If y

entitled to a re

from your ann

end of the mon

example, if we 
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Wednesday, July 2

The following 

insurance and 

who retired aft

Election 

75% 

Reduction

50% 

Reduction

No 

Reduction

These rates ar

tion, see the F

Option A - S

The amount of 

(formerly know

retirement. If y

Option A insur

If you have thi

per month ($2

are 65 or the s

is later, until it 

We will withho

from your ann

which you are 

coverage. You 

assigned it. Th

your age. The 

group until you 
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Wednesday, July 2

Age 50 throug

Age 55 throug

Age 60 throug

Age 65 and O

These rates ar

tion, see the F

When you go f

premiums will 

after your birth

reflected in the 

60 in May, you

insurance wou

June 1. This in

your payment 

and insurance 

We will stop w

your annuity th

For example, i

Option A insur

in your payme

insurance prem

Option B - A

Option B - Ad

active Federal 

was not availa

1981. The amo

multiplying yo

the next higher 

multiples that 

immediately b

of service duri

to you, if less t

your annual ra

nearest $1,000

multiples. 
H:\CorelVentura\R

Wednesday, July 2

If you separate

1999, and wer

in retirement, y

of your Option 

and whether — 

B multiples wi

gradually redu

If you elected 

month after yo

second month 

Option B full-r

the face value 

this coverage w

this coverage f

which you rea

If you elected 

multiples with 

at retirement, w

withholding fo

number of mu

reduction. Any 

described abov

You can cance

time, unless yo

of Option B in

of insurance in 

reduction you 
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Wednesday, July 2

Age 45 throug

Age 50 throug

Age 55 throug

Age 60 throug

Age 65 throug

Age 70 throug

Age 75 throug

Age 80 and ov

* For multip

No cost fo

These rates ar

tion see the FE

When you go f

premiums will 

after your birth

reflected in the 

60 in May and 

insurance was 

premium for th

(84 x $.607) to 

This increased 

payment dated 

insurance prem

If you elected 

reduce, we wil

premium for th

first of the mo

if you reach ag

Additional ins

June 1. This w

1, covering yo

the month of J
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Wednesday, July 2

1999, and have 

insurance is $5

$2,500 upon th

The life insura

through June 3

for most emplo

Option C insur

$5,000 covera

eligible depend

event,” such a

occurred on or 

increase the am

opportunities w

The amount of 

number of Opt

for the five yea

retirement, or 

this coverage w

years. 

To figure the a

multiply $5,00

you continued 

eligible childre

$2,500. 

Eligible childr

1.	 your unm

than a stil

children, 

2.	 your unm

foster chil

parent-ch
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Wednesday, July 2

over, incapable 

physical disab

became 22 yea

22 or over was 

claim for bene

whether a fost

our Retiremen

If you separate

were eligible t

retirement, you 

age 65 — som

continue at the

zero. If you ele

you separated 

effective the fi

reach age 65 o

you retire, whi

full-reduction 

value per mon

coverage will 

coverage from 

you reach age 

If you elected 

multiples with 

withholding fo

the number of 

reduction. Any 

described abov

of multiples at 
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Wednesday, July 2

Under age 35 

Age 35 throug

Age 40 throug

Age 45 throug

Age 50 throug

Age 55 throug

Age 60 throug

Age 65 throug

Age 70 throug

Age 75 throug

Age 80 and ov

* For multiples t

No cost for the 

These rates ar

tion see the FE

When you go f

premiums will 

after your birth

reflected in the 

are 60 in May, 

insurance wou

effective June 

reflected in yo

your annuity a

June. 

If you elect to 

reduce, we wil

for these multi

65. For examp

for Option C in

first be reflecte

covers your an

month of May
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Wednesday, July 2

Coverage a

Unless you hav

cancel it at any 

insurance, you 

insurance as w

If you elected 

insurance, you 

any time. If yo

you may cance

cancel) the am

Option C - Fam

for change in y

writing and mu

must state that 

change and tha

cancelled cove

If you have as

a living benefi

want to make i

benefits are sit

making change

Write to:

U.S. Offic

Retiremen

P.O. Box 

Boyers, P

Be sure to give 

number (CSA 

want taken. Ge

effective at the 

your written re

any premiums 

which we rece

cancelling Opt

cancellation is 

which you no 
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Wednesday, July 2

Termination 

Your Federal l

entitlement to 

are a disability 

recovered or re

annuity and lif

have the 31-da

convert the life 

If you are a dis

as described ab

coverage if yo

immediate disc

receive comple

do so if your d

are under age 6

due to loss of e

disability for w

opportunity to 

reinstated. Onl

amount you ha

annuity was te

entitled only to 

annuity termin

coverage as a r

individual poli

and life insura

reemployed in 

following disc

Reemploym

You must tell t

reemployment 

reemployed, y

U.S. Offic

Retiremen

P.O. Box 

Boyers, P
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Wednesday, July 2

Annuitants, an

If Annuity Te

If you are reem

your annuity, y

also ends with

policy. You ca

coverage as an 

in a position w

If Annuity Co

If your annuity 

and you are re

excluded from 

any Basic and 

have as a retire

Basic Life, Op

If you are reem

coverage, your 

and Option C c

transferred to y

19 for informa

for this life ins

employing age

applicable prem

your Basic life

premium withh

Important No

annuitant, if yo

your employin

insurance as a 

Check with yo

website at www

information be
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Wednesday, July 2

Option B ­

If you are reem

coverage, you 

insurance, unle

Basic life insu

you have this i

continue unles

insurance on S

Election, with 

after you are re

agency will wi

acquired Optio

(Please note th

employing age

reconfirm all t

Option B. Oth

cancelled.) In 

a retiree (inclu

annuity) will b

after we receiv

employing age

After Your Re

You may retain 

insurance (exc

benefits) if: 

1.	 you comp

full-time 

equivalen

qualify fo

a new reti

2.	 you were 

immediat

reemploym

during wh

if less tha
H:\CorelVentura\R

Wednesday, July 2

of your suspen

Option B ­

� If you dec

insurance 

no effect 

� If you file

Insurance 

electing O

suppleme

listed abo

life insura

Option B 

reemploy

your annu

from your 

If your annuity 

but you are no

ment-acquired 

life insurance 

The reinstated 

have had if the 

your coverage 

older. We will 

your annuity, i

from your form
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Wednesday, July 2

When you die, 

Federal Emplo

pay life insura

1. If you ass

OFEGLI 

� First, 

your 

� Seco

assig

2.	 If you did 

court orde

accordanc

3.	 If you did 

valid cour

� To th

� If yo

bene

and t

desig

or wi

� If no

child

distri

that c

� If no

share

paren

� If no

execu

*	 A valid court o

property settle

of divorce, ann

or the U.S. Off

after July 22, 

valid if you file 

you retire. Suc

Federal Emplo
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Wednesday, July 2

life insurance 

should designa

satisfied with t

do not need to 

If there is a va

change or subm

person(s) nam

unless the cour

You cannot de

your insurance

beneficiaries. 

If item 3 appli

one beneficiar

before you die 

surviving bene

If none of the b

to the other pe

If item 3 appli

of beneficiary 

Group Life Ins

benefits, OFEG

next most rece

If there is no d

follow the ord

Standard Form 

gives detailed 

form and what 

and regulation

* See footnote on p
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Wednesday, July 2

submit another 

information. If 

you do, his or 

benefits end. 

Remember tha

designation, th

spouse — will 

death. 

If your life ins

Termination of 

designation of 

void 31 days a

reacquire insur

new form with 

your new insur

beneficiary. 

If any person o

make a claim w

payment to suc

statute or regu

shown in item 

died before yo

claim has been 

as explained ab

claimant who 

Personnel Man

insurance. If su

claim the paym

Claims should 

Office of 

P.O. Box 

Utica, NY 
H:\CorelVentura\R

Wednesday, July 2

y

starting on pag

beneficiary. D

of attorney are 

designation of 

You may obtai

of Beneficiary, 

cancel a previo

number, from 

our Pennsylva

download this 

www.opm.gov/

After you com

this same addr

in writing, sign

received by th

your death. An 

does not const

Witnesses to th

beneficiaries. 

Be sure to 

beneficiar

make pay

beneficiar

If you name m

specify their re

benefits, other

percentages or 

amounts. 

Do not send yo

If you send yo

mistake and w

not a valid des
H:\CorelVentura\R

Wednesday, July 2

The beneficiar

full name and 

number (CSA 

(2) date of birt

The Office of 

time will furni

Death Benefits

The claim form 

Federal Emplo

OPM; the addr

responsibility 

payable to file 

and any other 

time. 

How Benef

If you die whil

survivors will 

Option B bene

Employees’ Gr

administrative 

Company (Me

Employees’ Gr

If OFEGLI is p

your beneficia

If OFEGLI is p

your beneficia

receive payme

� A check 

� A MetLif

interest be

beneficiar
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Wednesday, July 2

not a checking

Since the MetL

insured by the 

MetLife guara

including all in

further backed 

guaranty assoc

from state to s

beneficiary ch

between your b

federal govern

The MetLife T

effective intere

pay your bene

interest on the 

begins earning 

created. Intere

the last day of 

the MetLife TC

prevailing mar

offered by Me

profit. Your be

fees on a MetL

Your beneficia

the entire amo

beneficiary can 

MetLife TCA 

beneficiary rec

a checkbook). 

beneficiary can 

minimum of $

In addition, yo

activity statem

the account. If 

TCA settlemen

detailed inform
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Wednesday, July 2

If you have Op

beneficiary. N

If you should d

member but be

be made to the 

life insurance b

How to File 

Insurance B

If an insured fa

child as descri

page 13) dies, 

appropriate cla

the form at ww

complete instr

OPM. (You sh

becomes payab

member.) 

If we are withh

your annuity a

family membe

withholding pr

In the event of 

member can co

individual poli

she receives ou

60 calendar da
H:\CorelVentura\R

Wednesday, July 2

benefit if you a

medical progn

than nine mon

lump-sum pay

amount, plus a

under age 45, t

the date the Of

Insurance (OF

living benefits

lump sum will 

months after O

form. Annuitan

payment; this 

If you have as

neither you no

However, if yo

any remaining 

Your living be

nominal amou

Insurance Fun

benefits. 

If you receive 

Basic life insu

We will stop w

premiums from 

living benefits 

Basic life insu

premiums we w

the amount of 

retirement. 

Your election o

amount of any 

We will contin

optional insura
H:\CorelVentura\R

Wednesday, July 2

Irrevo

If you wish, yo

or more person

agree to give u

Option B life i

cancel the assi

beneficiary. If 

continue to pay 

withhold the p

your annuity is 

insurance, you 

premiums to u

cannot assign 

law, only you 

Only you can a

can do it on yo

to make an ass

insurance to co

for divorce, fo

purposes, or to 

a) To comply 

your life i

order for 

Federal re

insurance 

coverage 

the retiree 

benefits w

her design
H:\CorelVentura\R

Wednesday, July 2

portion of 

spouse. T

advantage 

insurance 

tax laws v

law can b

not subjec

the advice 

The Offic

no respon

the validit

an assignm

A determi

proceeds 

ultimately 

Service at 

c) To obtain 

can assign 

purchases 

are termin

value of y

d) To satisfy 

insurance 

a debt.

By assigning y

to designate be

insurance cove

can afford). 

If you assign y

person, you m

for each person

contingent ass

predeceases yo
H:\CorelVentura\R

Wednesday, July 2

g

contingent ben

designation of 

is responsible 

current addres

beneficiary, th

the benefits aft

An assignee m

insurance cove

The assignee a

insurance. If th

of them must a

coverage. 

The assignee h

rights as those 

booklet, as lon

before the righ

The assignee h

schedule electi

more than one 

change the ele

If you want to 

to us or downl

Assignment of 

Insurance, at w

will be effectiv

completed, sig

form. Instructi

form. 
H:\CorelVentura\R

Wednesday, July 2

the Departmen

Compensation 

you to continu

coverage is sub

However, if yo

employee term

(because of sep

non-pay status

not reduce wh

receipt of com

Department of 

If the Departm

capable of retu

(even if only p

loss-of-wage-e

even if you do 

FEGLI covera

reemployedme

reemployed an

about Option B

agency’s huma

caseworker at 

Programs (OW

coverage is aff

www.opm.gov/

for detailed inf

FEGLI coverag

If you are sepa

disability retire

are in receipt o

notified you ar

waive Workers

To do this, con

out how much 

decide whethe

We need a cop

Labor stating t

Compensation 
H:\CorelVentura\R

Wednesday, July 2

service, startin

Compensation

retirement. 

We hope this p

other question

you may call a

following addr

U.S. Offic

Retiremen

P.O. Box 

Boyers, P

If you do write

service retirem

of birth to allo

Our Internet ad

Address email 

For further inf

visit www.opm
H:\CorelVentura\R

Wednesday, July 2

Information fo

Service Retire

Information fo

on the Federal 

Retirement Sy

Information fo

Survivor Annu

Federal Emplo

Program 
H:\CorelVentura\R

Wednesday, July 2