Information and Instructions on Your Reconsideration Rights
RI 38-47
Revised July 2016 Previous editions are not usable
Form Approved:
OMB No. 3206-0237
United States
Office of Personnel Management
Retirement Operations
I. Information
Reconsideration is OPM's review of its initial decision in order
to verify that all applicable laws and regulations were properly
applied.
This notice gives specific instructions on how you may request
reconsideration of an initial decision made by OPM's
Retirement Services in any case where the decision:
Affects your rights or interests under the Civil Service
Retirement System or under the Federal Employees'
Retirement System, except in matters pertaining to
disability retirement and annuity overpayments.
Different instructions apply to these exceptions; see
below for more information. (5 CFR, Part 831 and 841)
Denies you basic or optional life insurance coverage
under the Federal Employees' Group Life Insurance
Program or denies you the right to change your post-
retirement basic life insurance coverage after retirement.
(5 CFR, Parts 870,871,872 and 873)
Denies your request to enroll or change enrollment in the
Federal or Retired Federal Employees Health Benefits
Program. (5 CFR, Parts 890 and 891).
Denies your request to permit coverage of someone as a
family member under the Federal or Retired Federal
Employees Health Benefits Program.
(5 CFR, Parts 890 and 891)
These instructions do not apply to:
Decisions concerning a disability retirement eligibility.
Initial decisions under 5 U.S.C. 8336(c) regarding law
enforcement or firefighter eligibility.
Decisions to collect an annuity overpayment.
Where applicable, OPM will give you separate specific
instructions and information in the above instances.
Requests for reconsideration of claims denied by your
health insurance carrier should be sent to the address
shown in the brochure of your plan.
If you want general information about benefits or a written
decision on another matter, you should write to:
Office of Personnel Management
Retirement Operations Center
P.O. Box 45
Boyers, PA 16017-0045
II. Procedures
The procedures for requesting reconsideration - as established
by Federal regulation - are as follows:
A.
Make your request in writing and state that you are
requesting reconsideration; if possible, include a copy
of the initial decision on which your request is based.
Include your name, address, date of birth, claim number
(if applicable), name of the health insurance plan
(if applicable), and your reason(s) for the request.
B.
Your written request for reconsideration must be received
by OPM within 30 calendar days from the date of OPM’s
initial decision. [OPM can extend the time limit if
you can show that you (1) were not notified of the time limit
and were not otherwise aware of it or (2) were prevented
from responding by a cause beyond your control.]
C. Send your request for reconsideration to:
Office of Personnel Management
Legal Reconsideration Branch, Room 3349
1900 E Street NW
Washington, DC 20415-0001
If you plan to submit additional evidence to support your claim
and that evidence is not immediately available, you must:
Submit a written request for reconsideration within the
30-day time limit; and
Include in your request for reconsideration a statement
that you will be submitting additional evidence, a brief
description of the evidence you will submit, your
estimate of the date the evidence will be available, and a
brief explanation for the delay.
We will acknowledge receipt of your statement and let you
know the date after which additional submissions will not be
accepted.
III. Final Decision
After reviewing our initial decision and any new evidence that
has been submitted, OPM will send you a final decision in
writing. We will send copies of that decision to any competing
claimants or to your employing office, if applicable.
Public Burden Statement
We estimate this form takes an average 45 minutes per response to
complete, including the time for reviewing instructions, gathering
the required data, and writing the request for reconsideration. Send
comments regarding our estimate or any other aspect of this form,
including suggestions for reducing completion time, to the Office of
Personnel Management (OPM), Retirement Services Publications
Team (3206-0237), Washington, DC 20415-0001. The OMB
Number 3206-0237 is currently valid. OPM may not collect this
information, and you are not required to respond, unless this number
is displayed.
