Some claimants who file an application for Medicare based on the worker's Federal
employment may have also filed an application with OPM (formerly the Civil Service
Commission) for a civil service annuity based on disability. When the claimant has
filed with OPM, the FO alerts the DDS of this by an entry in the remarks section of
the SSA-3367.
The FO includes the civil service annuity claim number. Existing civil service records
may benefit the DDS with relevant information, such as physician’s letters, medical
examination certificates containing clinical and laboratory findings, and reports
from the employing agency describing the claimant’s duties and his or her ability
to perform those duties.
DDSs should send the request with a signed SSA-827 to:
Office of Personnel Management
Retirement Operations Center
Post Office Box 45
Boyers, PA 16017
Include the following claimant information:
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civil service annuity claim number (or last government employer, location, dates of
employment, and date of retirement).
If a response is not received within 45 calendar days from the date of the initial
request, send a follow-up request.
See Also:
DI 81020.100 – Electronic Assistance Requests (AR)