Number: |
04-108 |
Date: December 22, 2004 |
Subject: |
Making Eligibility Determinations Under The Federal Erroneous Retirement Coverage Correction Act (FERCCA) |
|
The FERCCA on-line database has been closed since January 1, 2003. However, we continued to accept registrations of newly discovered FERCCA errors from the agency headquarters benefits officers and we continued to make eligibility determinations through December 31, 2003. As of January 1, 2004, OPM no longer accepts new registrations for the FERCCA database. Agency personnel and human resources offices are now required to process FERCCA eligibility determinations for their employees and former employees, who were not registered with OPM by December 31, 2003. This Benefits Administration Letter (BAL) provides instructions for making FERCCA eligibility determinations.
Attachment 1 - the FERCCA Eligibility Determination Worksheet explains the eligibility determination process and contains tables to assist you in making the determination. A sample case and completed worksheet is also included. As in making any retirement coverage determination, making coverage determinations under FERCCA can be complicated.
To determine if an employee is in the correct retirement plan, you must refer to the CSRS & FERS Handbook for Personnel and Payroll Offices ( www.opm.gov/asd/htm/HOD.htm) for information about making retirement coverage determinations. Chapter 10 contains the rules for determining whether an employee is covered by the Federal Employees Retirement System (FERS) or the Civil Service Retirement System (CSRS). Chapter 10 also contains rules to determine whether an employee with CSRS coverage has regular CSRS coverage or CSRS Offset coverage. Chapter 11 explains the circumstances under which employees may elect FERS coverage. Chapter 12 explains special coverage rules. Chapter 100 explains the treatment of reemployed annuitants and Chapter 101 details the special provisions for senior officials.
We have found that the misapplication of the Social Security Amendments of 1983 and the misapplication of the 5-Year Test are the most common causes of retirement coverage errors.
There are also numerous groups of employees who have special coverage rules which are detailed in the Handbook and may require you to seek assistance to properly handle. These employees are:
Chapter 12 covers numerous other groups of employees with special coverage rules.
When making coverage determinations involving special coverage situations or any time you are unsure of the decision, you should contact your headquarters-level Retirement Counselor for assistance. A listing of all benefits officers is available at www.opm.gov/asd/htm/rc.htm. If you are a headquarters level benefits officer and need assistance, contact your liaison in the Benefits Officers Training and Development Group.
If you find that the employee is not eligible for relief under FERCCA and you discovered the potential error or initiated the review, employee notification is not required and no further action is necessary. If the employee initiated the error claim, you must issue a written decision and provide the employee with appeal rights to the Merit Systems Protection Board (MSPB). If you find the employee is eligible for relief under FERCCA, you must issue a written decision and you must notify OPM within 30 days. Attachment 2 provides sample letters for notifying employees of FERCCA eligibility decisions and providing MSPB appeal rights.
The following information must be provided to OPM for employees found eligible under FERCCA:
In addition, a copy of the FERCCA Eligibility Determination Worksheet and a copy of the written decision of eligibility under FERCCA must be provided. The identification information, a copy of the determination worksheet and a copy of the decision letter must be mailed within 30 days of the date of the decision to:
U.S. Office of Personnel Management
Operations Support Group
Attn: Joanne Herold
Room 4316
Washington, DC 20415
You may also fax the information and letter to the attention of Joanne Herold 202-606-1163. She may also be reached at 202-606-8182 or Joanne.Herold@opm.gov.
The employee is in: |
And the employee belongs in: |
Employee's coverage must be corrected to: |
|---|---|---|
CSRS |
CSRS Offset |
CSRS Offset |
CSRS Offset |
CSRS |
CSRS |
Social Security Only |
CSRS |
CSRS |
Social Security Only |
CSRS Offset |
CSRS Offset |
Social Security Only |
FERS |
FERS |
If the employee has a FERCCA error that does not provide an election under FERCCA, you must process the correction actions following the guidance in BAL 03-104 within 30 days of notifying the employee of your decision. Agency payroll offices must complete corrective actions within 90 days of receipt of corrections from the personnel/human resources office.
The employee is in: |
And the employee belongs in: |
Employee can elect between: |
|---|---|---|
CSRS |
FERS |
CSRS Offset and FERS |
CSRS Offset |
FERS |
CSRS Offset and FERS |
CSRS |
Social Security Only |
CSRS Offset and Social Security Only |
CSRS Offset |
Social Security Only |
CSRS Offset and Social Security Only |
FERS |
CSRS |
CSRS and FERS |
FERS |
CSRS Offset |
CSRS Offset and FERS |
FERS |
Social Security Only |
FERS and Social Security Only |
The handling of these errors depends on when the eligibility determination is made.
Employees who receive their eligibility determinations prior to August 1, 2004
Once you make an eligibility determination and issue a decision to the employee, you must notify OPM within 30 days if you find that the person is eligible under FERCCA whether they have an election opportunity or not, i.e., a choice of coverage. OPM will send election packages and provide benefits counseling for these employees. Once an employee has made an election, OPM will notify the agency to make the corrections.
Employees who receive their eligibility determinations on or after August 1, 2004
The employing agency will be responsible for preparing and issuing election packages, counseling, and making the actual corrections. A future BAL will provide guidance on preparing election packages and providing counseling to employees.
The employing agency should still notify OPM within 30 days when it makes a determination that the employee is eligible under FERCCA even though OPM will not be responsible for providing the employee with the election package. Notification is required for adjudication of out-of-pocket (OOP) expense reimbursement claims and to maintain records on FERCCA error corrections.
OPM will continue to make eligibility decisions and process claims for OOP expenses. OOP claims should be sent to:
US Office of Personnel Management
OOP Claims, Room 4H28
1900 E Street NW
Washington DC 20415
You may also contact Ibsen Morales at 202-606-0644 or Ibsen.Morales@opm.gov for information on OOP claims.
If the FERCCA error does not provide an election opportunity or if it is a Deemed FERS error less than 3 years, you should make every attempt to correct the error before the employee retires so that the employee is separated under the correct retirement plan.
If the employee retires before the corrections are completed, you should complete the corrections before sending OPM the retirement records. You should alert the retiring employee that there may be delays in processing his or her retirement claim. You should not unduly delay sending us the retirement package while you correct the employee's retirement records.
If the FERCCA error provides an election opportunity and the employee retired before August 1, 2004, you must notify OPM of the error and separate the employee under the present retirement plan. You should also annotate the employee's retirement records and supporting documentation to note their entitlement to FERCCA and relief and attach a copy of the eligibility letter. After you notify OPM of the FERCCA error, OPM will provide the individual with an election package.
If the FERCCA error provides an election opportunity and the employee will be retiring after August 1, 2004, you are responsible for preparing the election package for the employee and you should attempt to complete the election package prior to the employee's separation for retirement. If you need assistance in preparing election packages, consult your agency's headquarters Benefits Officer; if necessary, the Benefits Officer will consult with their OPM liaison for additional help. If the employee separates prior to the completion of their election, separate the employee under their present retirement plan and flag the retirement application to notify OPM that correction actions are pending. OPM will maintain the retiree in interim pay until the election process is completed at your agency and OPM receives the corrected records. You will need to alert the employees that there may be delays in processing the retirement. You should not unduly delay sending the retirement package to OPM while you correct retirement records.
