Form RI 38-47 RI 38-47 Information and Instructions on Your Reconsideration Rig

Form Approved
OMB No. 3206-0237

United States
Office of Personnel Management
Retirement Operations

Information and Instructions on Your Reconsideration Rights
I. Information

II. Procedures

Reconsideration is OPM's review of its initial decision in order to verify
that all applicable laws and regulations were properly applied.

The procedures for requesting reconsideration -- as established by
Federal regulation -- are as follows:

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:

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:

• 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)

Office of Personnel Management
Legal Reconsideration Branch, Room 3349
1900 E Street, NW
Washington, DC 20415-0001

• Denies your request to enroll or change enrollment in the

Federal or Retired Federal Employees Health Benefits Program.
(5 CFR, Parts 890 and 891).

If you plan to submit additional evidence to support your claim and
that evidence is not immediately available, you must:

These instructions do not apply to:

• Decisions concerning a disability retirement eligibility.

• Include in your request for reconsideration a statement

• Decisions to collect an annuity overpayment.

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.

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

• Submit a written request for reconsideration within the
30-day time limit; and

Initial decisions under 5 U.S.C. 8336(c) regarding law
enforcement or firefighter eligibility.

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, getting the needed data, and writing the
request for reconsideration. Send comments regarding our estimate or any other aspect of this form, including suggestions for reducing response 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.

Previous editions are not usable

RI 38-47
Revised July 2016