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Law Enforcement Officers (LEO), Air Traffic Controllers, and Fire Fighters covered under the Special Groups Retirement System with less than 20 years of service credit under the Special Groups Retirement will revert back to a regular employee retirement under FERS, if they become disabled and qualify for disability retirement under FERS.

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Forms and Information

Click the links below to find and download the document or form you need. Adobe Acrobat Reader is required to view and print these documents. Some of these documents are quite large and may require longer download times.


Medical Expense Insurance

 Get Companion Life's Medical Expense Insurance Claim Form

 

Short Term Disability Insurance - enrolled 1/1/2014 or later

 The forms on below are for you if you enrolled January 1, 2014 and later, OR if you converted your Option 30, Option 60, or Option 90 plan to one of the new plans that became available January 1, 2014.

Booklet-Certificates

  • FedAdvantage  - Provides program details – STD coverage

  • Judiciary - Provides program details – STD coverage
Claim Forms
  • FedAdvantage – File for Short-Term Disability Benefits

  • Judiciary - File for Short-Term Disability Benefits

Long-term Disability Program - Coverage effective after 1/1/2014 ONLY

Booklet-Certificates
  • FedAdvantage - Provides program details – LTD coverage

  • Judiciary - Provides program details – LTD coverage
Claim Forms
  • FedAdvantage – File for Long-Term Disability Benefits

  • Judiciary - File for Long-Term Disability Benefits

 

Disability Insurance - enrolled before 2014

The forms on this page are for you if you enrolled prior to January 1, 2014 and you are currently covered under Option 30, Option 60, or Option 90.

Booklet-Certificates
 Change Form & Cost Calculation Form

Long-Term Disability Claim Forms

  • FedAdvantage – File or long-term disability benefits

  • Judiciary – File for long-term disability benefits
 

Accident Insurance

Here you'll find forms if you enrolled in the Lincoln Financial Group Accident insurance program.

General Information


Booklet-Certificates
  • Certificate for States: IN, CO, CT, NH, KS, NE

  • Certificate for States: AL, AK, AR, AZ, CA, DC, DE, FL, GA, HI, IA, ID, IL, KY, LA, MA, MD, ME, MI, MO, MS, MT, NC, ND, NJ, NM, NV, OH, OK, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WI, WV, WY

Claim Forms
  • Claim Form -  All States file for all accident benefits

 

Term Life Insurance

We are in the process of updating our life insurance forms. We apologize for any inconvenience this may cause. Please check back soon to retrieve your desired form. For questions please contact Customer Service at (866) 973-6605.