NASAPeople

Seriously Ill

This checklist is provided as a concise summary of the many actions, forms, contacts, and decisions that you may need to be aware of--as you transition through this "life event". This list has been developed through our many years of assisting employees in similar circumstances. Most of the actions are optional-but worth considering. If you have any questions about special circumstances, suggestions for improvement, or lessons-learned please let us know.

If you are seriously ill...

Your Action...	By when?	With what?	With who?	Other Information
Consider disability retirement--if eligible		Request computations for scenarios	Benefits Counselor	See Benefits Handbook on NEBS Website
Elect FEGLI Life Insurance payment (living benefits) if life expectancy is 9 months or less		Use form: FE-8 Election of Living Benefits	Office of FEGLI 1-800-OFE-GLIA	See FEGLI on NEBS Website
Request a retirement computation		NEBS Website	Benefits Counselor	NEBS Website
Consider retirement versus employment		Make an appointment for counseling with your Benefits Counselor	Benefits Counselor	See Benefits Handbook on NEBS Website
Consider FEGLI Life Insurance conversion if separating	before separating	Use form: SF2819 Notice of Conversion Privilege (PDF)	Benefits Counselor	See FEGLI on NEBS Website
Consider NEBA life insurance conversion if separating	Before separating	NEBA life insurance Representative	Carl Arnold (713) 644-5575	See NEBA on NEBS Website
Review beneficiaries		Personnel file	Benefits Counselor	Chapter 16 in Benefits Handbook on NEBS Website
Consider assignment of benefits for FEGLI Life Insurance--irrevocable		Use form: RI 76-10 Assignment of Federal Employees' Group Life Insurance	Benefits Counselor	See FEGLI on NEBS Website
Review your NASA Employee Benefits Statement Sections J & K		Make an appointment for counseling with your Benefits Counselor	Benefits Counselor
Review NASA Benefits Handbook		Review Chapters 14 - 17 in the Employee Benefits Handbook	Benefits Counselor	See Benefits Handbook on NEBS Website
Meet with supervisor--to discuss accommodations for your condition			Organization
Review health benefits plans for best coverage	Next open season	Use form: If a change is desired complete a SF 2809, Health Benefits Registration	Benefits Counselor	See Health Benefits
Familiarize yourself with leave donor program		Bring a letter from your doctor outlining your disability and the amount of time you will need to be away from work	Human Resources Office	See leave donor program
Request handicap parking (OPTIONAL)			Clinic
Familiarize yourself with the Employee Assistance Program (EAP)		Call to set up an appointment to discuss your needs		See Employee Assistance Program
Consider setting up a medical power of attorney.			Your Attorney
Review State and Federal programs for the disabled
Notify Human Resources Representative to request assistance	If desired		Human Resource Representative
Contact Social Security to find out if you qualify		Complete the disability worksheet before making your appointment	Social Security	See Social Security website on NEBS Website