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This document provides a checklist of benefits available to survivors of federal employees, including life insurance, retirement benefits, unpaid compensation, and health benefits, along with instructions
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How to fill out summary of benefits checklist

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How to fill out Summary of Benefits Checklist Upon the Death of a Federal Employee

01
Obtain the Summary of Benefits Checklist form from the appropriate federal agency website or office.
02
Fill in the personal information, including the deceased federal employee's name, social security number, and date of death.
03
Indicate the type of benefits the deceased employee was entitled to, such as retirement, health insurance, or life insurance.
04
Gather necessary documents such as the death certificate, marriage certificate (if applicable), and proof of relationship for beneficiaries.
05
Review all provided information for accuracy and completeness before submission.
06
Submit the completed checklist along with required documents to the designated federal office or agency.
07
Keep a copy of all submitted documents for personal records.

Who needs Summary of Benefits Checklist Upon the Death of a Federal Employee?

01
Immediate family members of a deceased federal employee, such as spouses, children, or other beneficiaries.
02
Executors or representatives designated to manage the estate of the deceased federal employee.
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The beneficiary designated by the deceased in writing which is signed and witnessed and received at the former employee's employing agency prior to death. The spouse of the deceased. Children of the deceased former employee (or descendants of deceased children) Parents of the deceased former employee.
To qualify for the death benefit, the deceased must have made contributions to the Canada Pension Plan ( CPP ) for at least: one-third of the calendar years in their contributory period for the base CPP, but no less than 3 calendar years, or. 10 calendar years.
The Basic Death Benefit is the return of member's contributions and interest through the date of death. In some instances, there may be an additional one-time payment based on the member's earnings.
FOR FERS EMPLOYEES A lump sum payment plus 50% of your annual pay or average pay (whichever is higher) is given as a basic employee death benefit (BEDB). If you had at least 10 years of service, your spouse may also receive a survivor benefit equal to 50% of your earned annuity.
Surviving Spouse The spouse may be eligible for the Basic Employee Death Benefit, which is equal to 50% of the employee's final salary (average salary, if higher), plus $15,000 (increased by Civil Service Retirement System cost-of-living adjustments beginning 12/1/87).
If a former employee dies and no survivor annuity is payable, the retirement contributions remaining to the deceased person's credit in the Civil Service Retirement and Disability Fund, plus applicable interest, are payable. This lump sum is payable under the order of precedence.
A surviving spouse who has eligible children is entitled to compensation at the rate of 45% of the deceased employee's salary. If an eligible spouse has children, an additional 15% is payable for each child, to a maximum of 75% of the salary. The children's portion is paid on a share- and-share-alike basis.

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The Summary of Benefits Checklist is a document that outlines the benefits and entitlements due to the beneficiaries of a federal employee who has passed away. It provides a comprehensive overview of various benefits, including life insurance, retirement benefits, and health insurance coverage.
The responsibility to file the Summary of Benefits Checklist typically falls on the designated beneficiary or the estate representative of the deceased federal employee.
To fill out the Summary of Benefits Checklist, the beneficiary must gather necessary information such as the deceased employee's personal details, employment information, and documentation regarding any benefits claimed or received. Each section of the checklist should be completed accurately and submitted to the appropriate agency.
The purpose of the Summary of Benefits Checklist is to ensure that all entitled benefits and services are accurately reported and processed for the beneficiaries of a deceased federal employee, facilitating the claims process and ensuring that beneficiaries receive what they are entitled to.
The information that must be reported on the Summary of Benefits Checklist includes the deceased employee's name, social security number, details of their employment, a list of benefits to which the beneficiaries may be entitled, and any other pertinent information regarding the claims process.
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