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Posted on Friday, 14th October 2022 by

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Please forward this alert to others that may need to review
their beneficiary designations.

A site visitor contacted us about her husband’s untimely death. He died the day before he was scheduled to retire from federal service. His wife was notified by a HR specialist that she might not receive any of her husband’s retirement benefits based on his beneficiary designation form that was submitted back in 1988. They married in 1991.

In 1988 his brother, sister, and mother were assigned as beneficiaries. Her husband completed a new designation of beneficiary form SF-2823 for his Federal Employees Life Insurance (FEGLI) in 1991 that included his new wife. Several months later he competed another designation of beneficiary form that she thought was for his retirement.

She believes her husband made a mistake; instead of changing the beneficiaries for his Federal Employees Retirement System SF-3102, he filled out the same FEGLI form twice.

This can happen with any retirement plan in the civil service or private sectors; issues like this may require hiring an attorney to address the problem.

Retirement Application’s Survivor Annuity Election

More than likely, her husband elected a survivor’s annuity benefit for his wife when he completed his SF-3107 retirement application. HR should provide a copy to his wife that would show the intent of the deceased.




The SF-3107 Application for Immediate Retirement requires the spouses’ consent for a reduced survivor’s annuity. If you are married and don’t elect a reduced annuity to provide a maximum survivor annuity for your current spouse, a spouse must complete Part 2 in the presence of a Notary Public or other person authorized to administer oaths.

OPM Guidance

According to OPM, “If you die while you are an employee and are married, have 18 months of civilian service, and die while you are an active employee, your surviving spouse receives: A lump sum payment plus the higher of 1/2 of your annual pay rate at death or 1/2 of your high-three average pay.”

“The lump sum payment, which increases by cost-of-living adjustments each year. If you had 10 years of service, your spouse also receives an annuity equaling 50% of your accrued basic retirement benefit. These benefits are paid in addition to any Social Security, group life insurance, or savings plan survivor benefits. To be eligible for benefits, you and your spouse must have been married for at least 9 months, or there must be a child born of the marriage, or your death must be accidental.”

Possible Error

In this case, it appears that the employee’s SF-3102 was never updated and the lump sum payment was designated for his family members. However, this form also states under the first paragraph of the instructions, “This designation of beneficiary Form is used to designate who is to receive the lump sum payment which may become payable under the FERS system. It does not affect the right of any person who is eligible for a survivor annuity benefit.” This form is used for Lump Sum payments that may be due at the time of death.

Updating Your Beneficary Elections

If you marry, divorce, or wish to change beneficiaries or if any of your beneficiaries have died or moved since you originally completed the designation of beneficiary forms, send in an update. This is also important for the TSP, CSRS, and FERS Civil Service Retirement System designated beneficiaries, and for bank, brokerage, private insurance, and other accounts.

I retired 17 years ago and retained copies of my designated beneficiary forms in my Survivor’s Instructions and Guide binder. This binder has 8  sections: Estate Planning Summary, LLC Operating Agreement, Beneficiary Designations, Caretaker / Survivor Information, Financial Reports, Account Access Instructions, Final Arramngements, Reporting a Death to OPM, Contact Information & Passwords. I updated our  estate plans regularly.

The SF 2808 and SF-3102 forms are needed if balances remain from your retirement when an annuitant dies before all of their contributions were paid out. When I retired, all funds were paid out within the first two years.

These forms are used to identify who is to receive a lump-sum payment which may become payable after an annuitant’s death. They do not affect the right of any person who is eligible for survivor annuity benefits.

Visit our retirement forms page to obtain copies of the following list of Designation of Beneficiary Forms with detailed instructions:

  • SF-2808 (CSRS lump sum payment that may become payable after death)
  • SF-2823 (FEGLI Designation of Beneficiary)
  • SF-3102 (FERS lump sum payment that may become payable after death)
  • TSP (Click on Beneficiaries on the main page after signing in online at www.TSP.gov to add or make changes)

Order of Precedence

You do not need to make a benificary designation if you are satisfied with the order of precedence the law provides and you do not have a certified designation on file. That order of precedence follows:

  • To the widow or widower.
  • If your widow(er) is deceased, to your child or children, with the share of any deceased child distributed equally among the descendants of that child.
  • If none of the above, to your parents in equal shares or the entire amount to the surviving parent.
  • If none of the above, to the executor or administrator of your estate.
  • If none of the above, to the next of kin under the laws of the State in which you live at the time of your death.

Payment of a lump sum will be made to the first person or persons listed above who are alive on the day you die.

Review your beneficiary elections with your annual estate plan review to keep things up-to-date.

Helpful Retirement Planning Tools

Disclaimer: The information provided may not cover all aspect of unique or special circumstances, federal regulations, medical procedures, and benefit information are subject to change. To ensure the accuracy of this information, contact relevant parties for assistance including OPM’s retirement center. Over time, various dynamic economic factors relied upon as a basis for this article may change. The advice and strategies contained herein may not be suitable for your situation and this service is not affiliated with OPM or any federal entity. You should consult with a financial, medical or human resource professional where appropriate. Neither the publisher or author shall be liable for any loss or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

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Posted in ANNUITIES / ELIGIBILITY, BENEFITS / INSURANCE, ESTATE PLANNING, RETIREMENT CONCERNS, SURVIVOR INFORMATION

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Posted on Thursday, 13th October 2022 by

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I reported in mid-September that the 2023 COLA was projected to be as high as 8.8%. The Social Security Administration announced an 8.7% COLA increase on October 13th. CSRS annuitants will receive the full 8.7% next year while FERS annuitants will receive 7.7%, a hefty increase from last year’s 5.9%. View the table of all COLAs from 1999 to the present to see how it has changed over the years.

For the Federal Employees’ Retirement System (FERS) or FERS Special benefits, if the increase in the CPI is 2 percent or less, the Cost-of-Living Adjustment is equal to the CPI increase. If the CPI increase is more than 2 percent but no more than 3 percent, the Cost-of-Living Adjustment is 2 percent. If the CPI increase is more than 3 percent, the adjustment is 1 percent less than the CPI increase. The new amount is rounded down to the next whole dollar.

This will be another driving force for inflation as we go forward. The Consumer Price Index (CPI) for last month increased 8.2%! The intro to Fast and Furious – Where there is Smoke There is Fire noted that Uncle Sam borrowed 56.5 cents of every dollar they spent last year, it isn’t going to get better in 2022 when all is said and done.

At first glance this seems like a windfall for retirees until you look under the hood and realize that the cost of everything has increased dramatically and continues to do so. Are we really better off? I would say yes, many private sector annuities aren’t adjusted annually for inflation.

Each year, I calculate how much my base annuity has increased since I retired on December 31, 2004. My annuity has increased 55% over the past 17 years! I’m grateful that our retirement is adjusted each year, even though there were three years, 2010, 2011 and 2016, where no increase was provided.

Please forward this email to other interested parties.




Helpful Retirement Planning Tools

Disclaimer: The information provided may not cover all aspect of unique or special circumstances, federal regulations, medical procedures, and benefit information are subject to change. To ensure the accuracy of this information, contact relevant parties for assistance including OPM’s retirement center. Over time, various dynamic economic factors relied upon as a basis for this article may change. The advice and strategies contained herein may not be suitable for your situation and this service is not affiliated with OPM or any federal entity. You should consult with a financial, medical or human resource professional where appropriate. Neither the publisher or author shall be liable for any loss or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

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Posted on Friday, 7th October 2022 by

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Medicare sent out their Medicare and You 2023 handbook last month to current recipients. The initial enrollment period remains the same. Those approaching 65 can sign up for Part A and/or Part B during the 7-month period that begins 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65.

If you sign up for Part A and/or Part B during the first 3 months of your Initial Enrollment Period, in most cases, your coverage begins the first day of your birthday month. However, if your birthday is on the first day of the month, your coverage starts the first day of the prior month.

According to Medicare, “If you sign up and are paying for Part A and/or Part B the month you turn 65 or during the last 3 months of your Initial Enrollment Period, the start date for your Part B coverage will be delayed in 2022.”




New Start Dates

Beginning January 1, 2023, if you sign up the month you turn 65 or during the last 3 months of your Initial Enrollment Period, your coverage starts the first day of the month after you sign up.

If you are approaching age 65 review their 2023 handbook to familiarize yourself with all that Medicare offers.

General Enrollment Period

If you have to pay for Part A but don’t sign up for it and/or don’t sign up for Part B (for which you must pay premiums) during your Initial Enrollment Period, and you don’t qualify for a Special Enrollment Period, you can sign up during the General Enrollment Period from January 1–March 31 each year. You may have to pay a higher Part A and/or Part B premium for late enrollment.

Medicare Premiums 2023

The standard monthly premium for Medicare Part B enrollees will be $164.90 for 2023, a decrease of $5.20 from $170.10 in 2022. The annual deductible for all Medicare Part B beneficiaries is $226 in 2023, a decrease of $7 from the annual deductible of $233 in 2022. Here are links to the income adjusted Medicare rates for 2023, they range from as low as $164.90 to a high of $560.50 per month!

Medicare Resources

REQUESTING A RMD ON THE TSP WEBSITE

When you reach the age of 72 (or 70½ if you turned 70½ prior to January 1, 2020), you’re required by law to receive a Required Minimum Distribution (RMD) every year. The amount of the RMD is determined by your age and the amount of your savings. Your TSP RMD is listed on the withdrawals and rollover page.

I decided to request my 2022 RMD last week using the updated TSP website online withdrawal process and signed up for electronic funds transfer (EFT). I didn’t realize there is a 7-days waiting period before you can use it and will go back in next week to do the final processing.

Your minimum distribution will be sent in December of each year automatically, unless you withdraw at least this amount yourself. This process protects TSP participants from having to pay a 50% penalty for not taking out an RMD when eligible.

Processing Your RMD

It was a little confusing getting to the withdrawal page. The TSP site was recently updated again. Click on “Quick Links” at the top of the home page or click on the “Withdrawal” icon towards the bottom of the home page. This takes you to a menu where you can select Withdrawals and Rollovers Out. This page lists the amount of your required minimum distribution.

You are presented with three options:

  • Annuity Purchase
  • Partial Distribution
  • Total Distribution

Click on “Get Started” next to the partial distribution heading. Follow the step-by-step guidance and include all information requested. I wanted to set up EFT instead of receiving a check in the mail plus I will use the funds to invest in higher earning Treasury Bills that are yielding considerably more than the G-Fund at this time.

Helpful Retirement Planning Tools

Disclaimer: The information provided may not cover all aspect of unique or special circumstances, federal regulations, medical procedures, and benefit information are subject to change. To ensure the accuracy of this information, contact relevant parties for assistance including OPM’s retirement center. Over time, various dynamic economic factors relied upon as a basis for this article may change. The advice and strategies contained herein may not be suitable for your situation and this service is not affiliated with OPM or any federal entity. You should consult with a financial, medical or human resource professional where appropriate. Neither the publisher or author shall be liable for any loss or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

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Posted in ANNUITIES / ELIGIBILITY, BENEFITS / INSURANCE, ESTATE PLANNING, FINANCE / TIP, RETIREMENT CONCERNS, SURVIVOR INFORMATION

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Posted on Wednesday, 5th October 2022 by

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The annual Federal Benefits Open Season 2022 starts on November 14 and is open through December 12, 2022. Employees and annuitants can assess the various plans to ensure they are cost-efficient and best address the care and services needed.

FEHB Open Season

The average FEHB premium increase is 7.2 percent for plan year 2023. The new rates were announced this week and a complete list of premiums is available. The overall FEDVIP average premium for dental plans is increasing by 0.21 percent, and the overall average premium for vision plans will decrease by 0.41 percent.

Inflation continues to impact us in all areas, from the grocery store and gas station to health care and everything in between. There is no escaping its impact; today’s higher costs wiped out this year’s COLA months ago.

I checked the premiums for the self-plus-one Blue Cross Blue Shield (BCBS) basic (113) and GEHA standard (316) plans. BCBS monthly premium increased $47.17 to $472.12 while GEHA’s premium increased $28.47 to $320.39. The annual increases are $566 for BCBS Basic and $341 for GEHA Standard!




Now is a good time to compare your current plan to the 271 health plans available for 2023. OPM reports that only 2.5% of enrollees changed their health coverage during the last open season.

Helpful Retirement Planning Tools

Disclaimer: The information provided may not cover all aspect of unique or special circumstances, federal regulations, medical procedures, and benefit information are subject to change. To ensure the accuracy of this information, contact relevant parties for assistance including OPM’s retirement center. Over time, various dynamic economic factors relied upon as a basis for this article may change. The advice and strategies contained herein may not be suitable for your situation and this service is not affiliated with OPM or any federal entity. You should consult with a financial, medical or human resource professional where appropriate. Neither the publisher or author shall be liable for any loss or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

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Posted in BENEFITS / INSURANCE, FINANCE / TIP, RETIREMENT CONCERNS, SURVIVOR INFORMATION

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Posted on Friday, 23rd September 2022 by

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According to estimates by the Administration, this country’s debt to Gross Domestic Product (GDP) soared to 137.2% in 2021, the highest in history! Skyrocketing Inflation is the end result of reckless spending and will disrupt the world economies for years to come.  All administrations have contributed to this travesty.

 

 

Retirees are first to feel the brunt of inflation, they have few ways to recover the higher costs they incur daily. Subsequent generations pay the ultimate price for their predecessors reckless spending through higher taxes, reduced services, and a lower standard of living.

FAST AND FURIOUS!!!

This isn’t an action-packed movie-drama, it’s our lives and the facts speak for themselves. Both parties spend money that we don’t have, often times on grandiose plans that fail miserably, with no thought to fiscal restraint.

The IRS collected $4.1 trillion in 2021 and refunded $1.37 trillion for a net collection of $2.973 trillion dollars after refunds. The federal government spent $6.82 trillion dollars in 2021 by borrowed 56.5 cents of every dollar it spent! The federal reserve simply made a book entry for this deficit spending and then purchased that amount of our Treasury bonds to fund the government and flood the country with cash; driving inflation through the roof.

Their excessive spending hasn’t Improved since I wrote “Unreasonable Expectations – The Debt Crisis”  January 2021 when the COVID crisis was the excuse for the shortfall.

When the average family or business requires a major expenditure, other activities are curtailed or eliminated entirely. Retirees on a fixed income must be creative to make ends meet. They dip into their savings, withdraw from their retirement accounts, consider a reverse mortgage if they are fortunate enough to own a home, and buy and do less overall.

That’s life, we can’t have it all and when we spend heavily in one area, it’s essential to cut back in others. The Federal government refuses to balance the budget by offsetting new expenditures with cuts elsewhere.




FIGHTING ANOTHER WAR – AGAIN!

Over $60 billion has been sent overseas to support Ukraine’s war with Russia. I understand the need for humanitarian aid and to help them negotiate a cease fire and peace treaty. However, the military equipment, ammunition, and hardware shipments that we continue to send could easily provoke another long-term war that we can’t afford or win. Some expect a protracted war that could last for years.

The senate is putting together another bipartisan multi-billion-dollar aid package! What we give them requires an equal or greater amount spent to replenish our stockpiles. Their European neighbors only contributed a small fraction of what we gave them to date.

Currently, there are over 30 conflicts worldwide. Wars rage in Ethiopia, Yemen, Syria, the South Sudan, and Ukraine. Instability in Argentina, Venezuela, other African nations, and elsewhere is rampant throughout the world. We can’t resolve everyone’s problems.

BORDER CRISIS CONTINUES UNABATED

In this case, we are protecting Ukraine’s Sovereignty and borders while abandoning ours! Millions of illegal aliens including hundreds-of-thousands of got aways are flooding into our country. The President insists the border is closed and secure while the drug cartels ensure it is wide open for their drug smuggling and human trafficking enterprises. Some support the administration’s contention, however common sense prevails, and the numbers don’t lie.

Last year over 100,000 Americans died from the Fentanyl smuggled across our southern border! The U.S. Customs and Border Protection Services reported that 3,686,466 illegal immigrants crossed our border since the beginning of the 2021 fiscal year. The vast majority were single adults. Unfortunately, major media outlets refuse to cover this crisis; Americans know little about the severity of the situation.

To put this into perspective, the number that entered our country during this time period is more than the combined populations of South and North Dakota, Alaska, Vermont, and Wyoming!

According to The Washington Times, “The U.S. has added more than 2 million immigrants to its population since President Biden took office in 2021, the vast majority of them here illegally.” The immigrant population growth occurred even though about half of those crossing the southern border illegally are allegedly returned to their country of origin!

How long can we sustain this influx of humanity without this country’s support systems collapsing? There is little vetting of those entering our country and none for the got aways. This is a national security, local community, and law enforcement nightmare.

The mayors of New York City, Chicago, and DC are complaining about several thousand immigrants arriving by bus over the past year from the southern border. Imagine what the local communities on the border are going through as tens of thousands enter their towns weekly.

U.S. Customs and Border Patrol Chart

WARS ON STEROIDS

The Vietnam war escalated during the Kennedy Administration soon after military advisors were deployed in country. It didn’t take long before troops, in the tens of thousands, were enroute to this foreign land. My draft notice arrived 5 months after high school graduation when the war was raging, thousands of our youth were dying, and tens of thousands, like myself and many of my class mates, were called to fight this war. The Vietnam War claimed the lives of 58,000 U.S. troops!

Ukraine sounds much like the beginning of the Vietnam war, except in this case we are poking a bear with nuclear weapons and hypersonic missiles that our defense systems can’t shoot down!

Recently a bipartisan congressional delegation suggested placing American military advisors in country. Imagine what could happen with that! Albert Einstein defined insanity as doing the same thing over and over again and expecting different results.

We were attacked on 9/11/2001 and the Afghanistan war began with an international military coalition led by the United States that toppled the Taliban-ruled Islamic Emirate and establishing the Islamic Republic three years later. Instead of leaving, we stayed for 20 years to nation build and support the new Islamic state that was destined to fail. The chaotic withdrawal of American troops last year, accentuated the problem with nation building and the ineffectiveness of our intelligence apparatus.

Forbes reported, “In the 20 years since September 11, 2001, the United States has spent more than $2 trillion on the war in Afghanistan. That’s $300 million dollars per day, every day, for two decades.” Another example of out-of-control spending that was spearheaded by both parties.

We also tried this in Vietnam and Iraq. Many valiant American heroes honorably served during these wars and tens of thousands lost their lives, many others returned home maimed for life. Where does it end? We lost too many lives and treasure to end up right back where it began.

CONCLUSION

With over 500,000 homeless in America, rampant crime and lawlessness, high gas prices, open borders and drug crisis, the country in the midst of a recession, the highest inflation in over 40 years with many families living paycheck to paycheck, and a compromised power grid, our government is abdicating its responsibilities to the American people.

When fires arrive at your doorstep, most rational people would put everything else aside, and douse the inferno! Unfortunately, government appears to be fanning the flames and heading in the opposite direction.

Helpful Retirement Planning Tools

Disclaimer: The information provided may not cover all aspect of unique or special circumstances, federal regulations, medical procedures, and benefit information are subject to change. To ensure the accuracy of this information, contact relevant parties for assistance including OPM’s retirement center. Over time, various dynamic economic factors relied upon as a basis for this article may change. The advice and strategies contained herein may not be suitable for your situation and this service is not affiliated with OPM or any federal entity. You should consult with a financial, medical or human resource professional where appropriate. Neither the publisher or author shall be liable for any loss or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

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Posted in ESTATE PLANNING, FINANCE / TIP, LIFESTYLE / TRAVEL, RETIREMENT CONCERNS

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Posted on Friday, 16th September 2022 by

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We provided our first 2023 COLA projection update last July. Costs continue to rise and mortgage rates are now up to 6%, almost double from where they were at the beginning of the year. Our COLA will be considerably higher than last year’s 5.9% for CSRS and 4.9% for FERS.

 

2023 COLA PROJECTIONS

According to Wilbert J Morell III, a retired Navy Engineering Project manager, “If the Inflation trend continues through September, inflation for the last 12 months ending on 30 September will be 8.1%. If the CPI-W remains constant for the month of September, the 2023 Social Security and CSRS COLAs effective on 1 December 2022 will be 8.6%, and the FERS COLA for 2023 will be 7.6%.

Inflation has moderated a bit and this projection is .4% lower than the last update. Review how COLAs are calculated and annual COLA allocations back to 1999. With supply chain issues continuing and the potential strikes within the transportation sector, the 2023 COLA could end up higher.

Wilbert tracks these statistics monthly and is highly knowledgeable about our federal retirement benefits.




TREASURY BILL YIELDS CONTINUE TO RISE

In my article titled “Ditch your Bank’s Low Savings Rates” I described the advantages of Treasury bills (T Bills) and in a subsequent article I outlined how to ladder them to take advantage of the rising rates. What continues to astounds me is that my local bank and credit union has kept their savings rate at a mere .04% all this time!

When I started purchasing 4 and 8-Week bills last February they were yielding slightly more than my local bank and credit union savings rate. The 4-week bill rate has increased to 2.540% as of September 13, 2022, just 9 months later. The 8-week bill now yields 2.816%; the 52-week bill is 3.603% and higher than the 10-year note rate! The rate chart below lists Treasury Bill performance for September of this year.

Late September the Federal Reserve is expected to raise the rate by at least .75% to as high as 1%. T Bill rates will rise accordingly. It is estimated that the fed rate will be in the mid 4% range or higher by years end.

Banks take advantage of their depositors knowing they are generally reluctant to move funds from their savings to higher earning options. A person with $50,000 in his or her bank savings account earning .04% interest receives $20 a year for keeping those funds in the bank. Moving that same amount to a 52-week T Bill currently earning 3.603% would earn the depositor $1,801, or $1,761 more than their bank would pay them!

I’ve kept my 4 and 8-week ladders reinvesting for the near term until the rates plateau; then I plan to convert them to either 52-week bills or longer-term notes depending on how high the rates move. Interest rates reached 16.63% in 1981 and many locked in longer term notes, bills and bonds at very high rates, in the low to mid-teens!

TREASURY NOTE RATE CHART

PURCHASING TREASURY BILLS

As I stated in the past articles on this subject you can purchase Treasuries direct from the government at www.treasurydirect.gov or thorough your stock broker. Generally, I purchase short term bills direct from the government. Longer term notes, bonds, and TIPs are best suited for your brokerage account.

If you are holding long term notes, bonds and TIPs you can only sell them on the secondary market before maturity. Treasury Direct canceled their sell direct program some time ago. Owners must transfer Treasuries they want to sell before maturity to their private brokerage account to sell them on the secondary market; it can take months for the government to complete the transfer.

I elect the new issue auction option when purchasing Treasuries through my brokerage account. If you buy previously issued Treasuries you could end up paying a high premium if the newer issued notes and bonds are paying a higher coupon rate.

EARNINGS RETURNED TO YOUR SAVINGS

When you purchase Treasury Bills you buy them at discount. In other words, if you buy a $10,000 (26-Week T Bill) earning 3.576%, the Treasury withdraws $9,821.20 from your account. At maturity, 26 weeks later they deposit $10,000 back to your account. If you choose to reinvest, the Treasury deposits the earnings back to your account until the final maturity date when the full amount is returned.

This is confusing to some, in the above example the $10,000 would earn 3.576% or $357.60 if held for one year. When you buy a T-Bill for less than a year the earnings are prorated. In this case you would receive half a year’s interest, $178.80.  If you purchased a 52-week T-Bill you would buy it for $9,642.40; at maturity $10,000 would be returned to your account.

Helpful Retirement Planning Tools

Disclaimer: The information provided may not cover all aspect of unique or special circumstances, federal regulations, medical procedures, and benefit information are subject to change. To ensure the accuracy of this information, contact relevant parties for assistance including OPM’s retirement center. Over time, various dynamic economic factors relied upon as a basis for this article may change. The advice and strategies contained herein may not be suitable for your situation and this service is not affiliated with OPM or any federal entity. You should consult with a financial, medical or human resource professional where appropriate. Neither the publisher or author shall be liable for any loss or any other commercial damages, including but not limited to special, incidental, consequential, or other damages.

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Posted in ANNUITIES / ELIGIBILITY, BENEFITS / INSURANCE, FINANCE / TIP, RETIREMENT CONCERNS, SOCIAL SECURITY / MEDICARE, SURVIVOR INFORMATION

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Posted on Friday, 9th September 2022 by

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The past eight days were certainly different than expected. By all reports, COVID for those vaccinated would have been mild to moderate. We received our first two shots early on and a booster about 8 months later. During a recent visit to our PCP, we were advised to hold off on another booster.

I lost my nephew to this disease early on and we didn’t take COVID lightly, wore masks, used hand sanitizer, social distanced up until the past few months and avoided large gatherings. Most of our shopping was relegated to the early hours, shortly after the stores opened and we continue this practice.

THE ONSET

My wife and I are high risk due to our age and medical conditions that warrant caution. I have asthma and paroxysmal A Fib. Our daughter and granddaughter visited Saturday and both tested positive for COVID late Sunday. By Monday Mary and I had sore throats and a cough. Soon after cold chills, headache and pretty much the laundry list of symptoms arrived shortly thereafter.

By Tuesday we both tested positive and had full blown COVID: high fevers, chills, deep coughs, you name it we had it. We didn’t sleep at all Monday or Tuesday nights.

EARLY INTERVENTION

Fortunately, my wife read about two new antivirals recently, Paxlovid and Lagerrio. Both were approved for emergency use for high risk COVID patients. Our PCP prescribed them and we started treatments Wednesday night.

The side effects of the antivirals were significant. I was taking asthma meds including my emergency inhaler up to three times a day and coincident with the Paxlovid at times. A mistake, I won’t repeat if I ever have to take this treatment again. Taking these together pushed me into frequent A Fib attacks. The drug also produces a strong metallic taste that lasts throughout the day. The only way to moderate it was by chewing Extra Long lasting Polar Ice gum.

I called our PCP two days into the antiviral treatment about the adverse side effects and he advised us to stay the course, if at all possible, but stop if the side effects became unbearable. Fortunately, we listened to him and stayed the course.

If you end up using Paxlovid or one of the other antivirals down the road, carefully check for drug interactions. I had two prescriptions drugs I couldn’t take with the antiviral.

RECOVERY

Without the antivirals, things could have gotten much worse. We took the medication twice a day for 5 days, 3 pills in the morning and three again in the evening. By the end of the treatment most symptoms subsided. Several days later we felt much improved. Anytime I have a respiratory infection my asthma symptoms are elevated for several weeks. I’ve had flu several times over the years and COVID was far more severe and draining.

Now that we actually had COVID, natural immunity should kick in and protect us for the next six months to a year or more. A recent study published last January in the New England Journal of Medicine shared findings that supported natural immunity providing greater protection from COVID infection than multiple vaccinations. This wouldn’t preclude us from getting another shot for new variants.




PROJECTED ANNUITY CALCULATOR ALERNATIVE USES

I recently featured our updated Projected Annuity Calculator and received a number of suggestions on how it could be used to determine projected growth in other areas.  One reader is using it to estimate her Social Security earnings over the next few decades.

It’s easy to do, pull up the spreadsheet and  enter the year, your current Social Security annual benefit, what you consider to be an average COLA growth over time, and your age. The readout under the column “Projected Annuity with Survivor’s Benefit” will show the potential growth over the next 40 years. Those in the private sector can also use the estimator if they have a COLA adjusted annuity from their employer, although that is fairly rare these days.

Helpful Retirement Planning Tools

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Posted in ANNUITIES / ELIGIBILITY, BENEFITS / INSURANCE, LIFESTYLE / TRAVEL, RETIREMENT CONCERNS, SURVIVOR INFORMATION

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Posted on Friday, 2nd September 2022 by

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I discussed the Medicare Advantage Plans associated with our Federal Employees Health Benefits (FEHB) last year during open season. These are relatively new and low-cost options that retirees can change to if they have a FEHB plan and Medicare A and B.

Many are attracted to them because they are lower cost and offer partial Medicare Part B reimbursement. The issues around these plans deal with coverage and provider availability. You have to use preferred providers in their plans and because the plan becomes your primary provider, you often require preapproval or authorizations for many procedures.

VICKI’S ISSUE

Her husband retired from the postal service 7 years ago.  They carried BCBS basic for their insurance plan as well as Medicare part A & B. Last year they switched to the Aetna Medicare Advantage Z26 plan.  It seemed like a significant savings for us and also offered Silver Sneakers as a perk, so we switched.  Now I am wondering if we did the right thing.

BCBS/Medicare was always excellent in handling our medical needs. Anytime I needed a procedure, I got it done, no questions asked. If my doctor felt I needed the procedure, I had it done, no waiting.  We rarely spent anything out of pocket.

With this Aetna plan, it seems like we have to jump through hoops in order to get things done. I needed an MRI and Aetna insisted I complete 6 weeks of physical therapy or go through a complaint process. In the meantime, my problem got worse with physical therapy. I had to call my orthopedic doctor 3 times in order to ask him to call Aetna so they could approve this MRI. This process started mid-May and I finally got an MRI at the end of August!  Other issues required pre-approval before I could get the services I needed.  I didn’t have this problem with BCBS and Medicare A & B.

With money getting so tight, I hate to have to pay the higher BCBS premiums, but when your health is at stake……. what can you do.

My REPLY

Sorry to hear about your problems. I did not switch to a MA plan for a number of reasons. The article I wrote on the subject titled, “FEHB Medicare Advantage Plans (Proceed with Caution),” discusses some of the issues you are talking about.

Once you go to a Medicare Advantage (MA) plan, that insurance company becomes your primary provider and Medicare pays them to handle your health care needs. How the MA providers make money is to manage their program to cut costs. That’s why you have to go through the additional steps. In your case it is much cheaper for the plan to pay 6 weeks for physical therapy than pay for an MRI.

I remained with GEHA Standard and pay $291.92 for Self Plus One. Medicare remained my primary provider which is beneficial in most cases. For example, your provider insisted you take 6 weeks of PT before they would authorize an MRI. I had an MRI for my back problems last month and was taking PT as well. GEHA does not require pre-authorization since Medicare is our primary provider and I got it two days later. GEHA picks up what Medicare doesn’t.

Unfortunately, my wife has had many eye operations for glaucoma over the past 6 years and I had several operations as well and we paid zero for everything, I also have major back issues. We only pay prescription copayments. Here is a link to the article I wrote comparing BCBS Basic to GEHA Standard.

GEHA Standard to BCBS Basic Plan Comparison – 2022

GEHA Standard doesn’t provide any Medicare Part B reimbursement but is much cheaper than BCBS Basic that for us that wasn’t an issue. Our coverage is exceptional and it would take a lot for my wife and I to change.

Fortunately, you can always change back to a standard FEHB plan next open season.




SUMMARY

I received several other emails from newsletter subscribers discussing their problems with the new MA plans. Most were concerned with limited facility availability in their area. One indicated he had to travel over a 100-miles to get a procedure done at a plan’s preferred provider.  Others had similar problems to Vicki.

Before changing plans, check out their provider network as I discuss in the article I wrote on this subject. Many still think Medicare is their primary provider when they switch, they are not. With Medicare you can use any facility that accepts Medicare; you generally won’t need pre-authorization for many services.

Before changing to another plan investigate it thoroughly, cost is certainly a factor but nothing is more important than your health. As I and my wife age, our healthcare needs have unfortunately increased dramatically. I’m writing this article after my wife and I tested positive for COVID three days ago. We had all three shots, the last one only 6 months ago!

The new antiviral Paxlovid was prescribed by our PCP and it is starting to work, however the side effects are a lot to deal with. Mary’s fever was 103.6 last night!

These plans may be cost effective for those who understand their limitations and realize they must use the insurer’s provider network. If things don’t work out to your satisfaction, you can always change back to a traditional FEHB plan next open season.

Prepare for the 2022 FEHB Open Season now.

This past two years we were told many things about COVID that proved not to be true and that sounds much like disinformation today. Yet, the doctors and scientist that warned us about being overly optimistic, potential side effects, questioned the origin of the virus, and supported natural immunity were censored, their social media accounts closed, and many were fired!

In my humble opinion, disinformation is a false premise. COVID is the perfect example. There are many sides to a story and when we stifle other opinions, perspectives, and voices, we close our minds to what might ultimately be the best solution. True scientific inquiry requires listening to all possibilities or we would still be in the dark ages insisting the world is flat.

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