FEDERAL EMPLOYEE HEALTH BENEFITS (FEHB)
2011 FEDERAL BENEFITS OPEN SEASON ANNOUNCEMENT
2011 GUIDE TO FEDERAL BENEFITS
HEALTH BENEFITS ELECTION FORMS (SF2809)
Attention Technicians & New Employees: Please click on the following link to find Federal Employee Health Benefits (FEHB) Premiums. For specific information on individual plans, please contact the Plan's Member Services Department.
http://www.opm.gov/insure/health/planinfo/2010/states/ga.asp
To enroll, change, or cancel your FEHB Plan, you must have a Qualifying Life Event (QLE). See the OPM Website, above, to determine if you have a QLE (marriage, birth of child, returned from military duty, etc).
NOTE: You must input your selections through EBIS/ABC-C NLT 60 days of QLE or you will not be able to enroll, change, or cancel until the annual open season (mid November thru December). The SF 2809 can also be obtained from http://www.opm.gov.
ATTENTION: NEW EMPLOYEES & TECHNICIANS
FEHB coverage will be determined by HRO-ERS (generally coverage is effective the first day of the pay period AFTER it's received at HRO-ERS).
The following are several things employees can do after the SF 2809 is submitted through EBIS:
1. Check your LES under deductions to verify that premiums are being paid.
2. Check MyBiz (see MyBiz link under ERS webpage) to ensure it matches your LES deduction.
3. Employees should receive Plan cards NLT 8 weeks from your Effective Date of Coverage; if you do not, please contact HRO-ERS at 678-569-5705/5706.
4. Use the SF 2809 to go to the doctor until cards are received; however it is recommended that employees wait until they receive their cards.
FLEXIBLE SPENDING ACCOUNTS (FSA)
Click here to go to the FSAFEDS Website: Federal Flexible Spending Account Program (FSAFEDS)
Flexible Spending Account Program Information
FSA Booklet (Quick Reference Guide to Covered and Non-Covered Expenses)
EBIS / IVERS / ABC - C
Employee Benefits Information System (EBIS)
As of 1 October 2010, ALL Army and Air National Guard Federal Employees will begin making employee benefit enrollments/changes (including Retirement) using the Employee Benefits Information System (EBIS) / Interactive Voice Response System (IVRS) serviced by the Army Benefits Center–Civilian (ABC-C) located at Fort Riley, KS.
Air and Army Federal Employees will need to establish an Army Knowledge Online (AKO) account before accessing EBIS. You can access EBIS at https://www.abc.army.mil/. It is an automated, secure, self-service Web application that will allow Technicians to make health and life insurance selections, Thrift Savings Plan contribution elections, military deposits, review general and personal benefits information, and calculate retirement estimates using a computer. IVRS Counselors will be available 12 hours a day Mon-Fri 0700-1900 Eastern (0600-1800 Central Time) and automated Internet/phone systems available 24/7. EBIS & IVRS can both be accessed from Overseas locations (visit: https://www.abc.army.mil/ABCCMenu.htm for those numbers).
EBIS Briefing: 
Click Here
Accessing EBIS Instructions: Click Here
Air and Army Federal Employees will need to establish an AKO (Army Knowledge Online) account to be able to access EBIS. Please click here for instructions on how to register for AKO.
For more detailed information on EBIS click here.
Army Benefits Center - Civilian Brochure - July 2010
THRIFT SAVINGS PLAN (TSP)
www.tsp.gov - TSP Website
TSP Forms & Publication - TSP Website
TSP Election Form, Fillable PDF, Form TSP-1, added 09 APR 08. This form is used to change TSP Election percentages.
TSP Interim Regulations 27 Dec 07
TSP BULLETIN 07-U-04
TSP BULLETIN 07-4
THRIFT SAVINGS PLAN OPEN SEASON BULLETIN 05-3
TSP BULLETIN 05-9
TSP FACT SHEET FOR EMPLOYEES RETURNING FROM MILITARY SERVICE
IMPORTANT TAX INFORMATION ABOUT PAYMENTS FROM YOUR TSP ACCOUNT
TSP ACCOUNT NUMBER INFO - As of August 2007
TSP ACCOUNT NUMBERS - how TSP secures your account (NEW)
Beefing Up Account Security on the Web:
The TSP has taken a major step to help keep your account transactions and information on this Web site more secure. We now require you to log into the Account Access section of this Web site with a longer, more complex Web password -- a unique combination of letters and numbers that you can choose yourself or have the TSP's computer generate for you.
If you are already a TSP participant, the first time you log into Account Access after the implementation of Web passwords, you will be prompted to either create your own Web password or request a computer-generated password. If you are just joining the TSP, the TSP will send you an initial password right after the TSP receives your first contribution. After you have used that Web password once to log into Account Access, you will be able to change it to a password of your choice.
You will no longer be able to log into Account Access with your TSP Personal Identification Number (PIN). But keep your TSP PIN! You will still need it to access your account by telephone via the ThriftLine. (You will not be able to use your Web password on the ThriftLine.)
Another important factor in keeping your account secure is YOU. It's up to you to keep your ThriftLine PIN and Web password confidential. Never give out your ThriftLine PIN or Web password to anyone, and never leave your PIN or password where anyone can see it. Also, make sure that your new password is only entered on a secure computer terminal.
More information about Web passwords will be available through FAQs, here: http://www.tsp.gov/faq/faq9.html and TSP Civilian and Uniformed Services Features.
FINANCIAL LITERACY INFORMATION
Please check back later for more information.
DEFENSE CIVILIAN PERSONNEL DATABASE SYSTEM (DCPDS) PORTAL / MYBIZ
The information contained in this tab is also located on the MyBiz / MyWorplace / PAA page: here. All other information regarding the Performance Appraisal Application is located on the page connected via this link.
DCPDS Instructions 03Jun09 - How to log onto MyBiz using your CAC
DCPDS Self-Service Information Slides 04Dec09 - Shows the features of MyBiz/MyWorkplace
MyBiz DISCLAIMER:
MyBiz and associated web pages are web-based tools created by the Department of Defense (DoD) as part of the Defense Civilian Personnel Data System (DCPDS) to allow DoD personnel access to and management of their individual personnel records. The DoD MyBiz and associated tools can be accessed only by authorized DoD personnel within a .mil network. The DoD MyBiz tool has no association with any private or other enterprise using "MyBiz" in whole or in part as a title or logo.
VERIFICATION OF EMPLOYMENT
Below are instructions on how to provide your employment and income verification to those companies/agencies that need to verify it, through your MyBiz account or via The Work Number® / TALX for Employment Verification.
How To Use Your MyBiz Account:
Employment Verification Slides
Log into your DCPDS account: DCPDS Portal, https://compo.dcpds.cpms.osd.mil
**Note: You must be logged on to a .mil network computer to access this site, via your CAC
Follow the Employment Verification Instructions: 
Employment Verification Instructions
Added 04 October 2011 to this tab:
The Work Number® / TALX for Employment Verification, which was terminated 10 Feb 2011, has been reinstated effective 6 Sep 2011. National Guard Technicians can resume using this process for employment verification. Keep in mind that the data in TALX will NOT include the employment periods from 10 Feb 2011 to 6 Sep 2011. However, all employment periods are in the Defense Civilian Personnel Data System (DCPDS) through MyBiz. You may choose either TALX or DCPDS for employment verification. TALX can be reached at 1-800-367-5690 or visit www.TheWorkNumber.com to verify employment.
Below are instructions on how to provide your employment and income verification to those companies/agencies that need to verify it:
How To Use The Work Number® :
Employees provide information to the verifier based on one of two options, if employment verification only is needed, or if salary information is required.
For Proof of Employment -
Give the person needing proof of your employment (the verifier) the following information:
- Your Social Security Number
- DFAS Code 10365
The Work Number® access options for Verifiers:
For Proof of Employment plus Income -
Step 1: Obtain a 6 digit Salary Key using the following steps:
The Work Number® access options for Employees:
- Option A: visit www.TheWorkNumber.com
- Option B: Call 1-800-367-2884
- DFAS Code 10365
- Your Social Security Number
- Enter your 4 digit PIN (month and day of your birthday in the following format: MMDD)
Note: You may obtain 3 Salary Keys at one time. Once you give a Salary Key to a verifier, it may not be used again.
Step 2: Give the person needing proof of your employment plus income (the verifier) the following information:
- Your Social Security Number
- DFAS Code 10365
- Your Salary Key (from Step 1 above)
PLEASE GIVE THIS INFO WIDEST DISSEMINATION!!
INCENTIVE AWARDS
Most recent copy of GA HRR 451 (added Oct 09)
PAA "Legacy" (Paper) System Close-Out Schedule (for all appraisals prior to the 2010 inaugural cycle of the Performance Appraisal Application in DCPDS)
Clarification / Change to GA HRR 451:
INCENTIVE AWARD NOMINATIONS FOR SEPARATING TECHNICIANS MUST BE RECEIVED IN HRO SIXTY (60) OR MORE DAYS PRIOR TO THE EFFECTIVE DATE OF SEPARATION OR THEY WILL NOT BE FAVORABLY CONSIDERED.
With the fielding of the Modern Defense Civilian Personnel Data System (DCPDS), processing awards for technicians who are no longer in the personnel data system is nearly impossible and payment cannot be guaranteed. When a technician separates from the technician program because of resignation, retirement, or AGR tours, any technician incentive awards considered for that individual must have sufficient time to process prior to the effective date of separation. The recent instances of this phenomenon resulted in countless HRO/ERS hours of creating manual personnel actions, submitting them to DFAS for imaging, creating remedy tickets (requests for assistance) and hoping that the individual finally receives the award with no guarantee of payment!
The vast majority of separations are known well in advance of this 60-day window which will give the award sufficient time to process and have its receipt verified by the individual.
IT IS INCUMBENT UPON THE SUPERVISOR AND INDIVIDUAL RECEIVING THE AWARD TO VERIFY PAYMENT WITHIN ONE TO TWO PAY PERIODS OF THE EFFECTIVE DATE OF THE PERSONNEL ACTION (Award SF-50) AND TO NOTIFY THEIR SUPERVISOR AND/OR HRO/ERS IMMEDIATELY IF THE AWARD IS NOT RECEIVED.
Again, if an award is not received in a timely manner, HRO/ERS must have sufficient time to "fix" the problem prior to a technician's separation...
Thank you for assisting the HRO to ensure a smooth and responsive incentive awards process.
Note to HRO Remote Designees: Please forward to your respective units.
LEAVE INFORMATION
OPM 71 - REQUEST FOR LEAVE OR APPROVED ABSENCE **NEW SAVABLE PDF FORM, DTD SEP 2009**
OPM 630 - APPLICATION TO BECOME A LEAVE RECIPIENT UNDER THE VOLUNTARY LEAVE PROGRAM
OPM 630a - WITHIN AGENCY REQUEST TO DONATE ANNUAL LEAVE
OPM 630b - OUTSIDE AGENCY REQUEST TO DONATE ANNUAL LEAVE
GA HRR 630 - STATE OF GEORGIA HUMAN RESOURCES REGULATION 630, ABSENCE AND LEAVE, 1 July 2001
A NOTE ABOUT TECHNICIANS APPLYING FOR ADOS TOURS:
In order to minimize personnel turnover in the Full-Time Manning (Technician and AGR) workforce, Technicians will not be placed on an ADOS order of less than four (4) months, preferably for a length of one (1) year. Tehcnicians must request in writing, on a separate memorandum, to go "Absent - US" (formerly known as "LWOP-MIL") or "Separation - US" ("SEP-US") and out-process with HRO-ERBS, Oglethorpe Armory, Suite 203. If an employee elects "Absent-US", those employees will remain on the Technician Rolls. "Separation-US" employees will not remain on the rolls, which allows for better tracking of Full-Time Manning. It will also prevent overpayments and debts regarding Technician Pay. Permanent Tenure "1" or "2" Employees (Block 24 on the SF-50) will have restoration rights if "Absent-US" or "Separation-US" as long as they meet the restoration criteria. Supervisors of Technicians applying for ADOS positions MUST submit a SF-52 to place the employee on "Absent-US" or "Separation-US" per the Technician's request to the Chief of Staff's Office. Technicans are entitled to their 120 hours of Military Leave when they are restored to Technician Service. Supervisors CANNOT for ce a Technician to resign, "Absent-US", or "Separation-US". A copy of the orders must be submitted with the SF-52 and the Technician Memo. For further questions regarding this policy, please contact one of the numbers above or send an email. Thank you.
MOBILIZATION
*Effective 28-MAR-2010, the Office of Personnel Management (OPM) and NGB have re-named the "Leave WithOut Pay-Uniformed Service (LWOP-US)" personnel action to "Absent-Uniformed Service (Absent-US)." There are no other changes which impact the requester, employee, or Supervisor levels.When requesting this type of action in the future, via SF 52 (Request for Personnel Action), please try to use this new term.*
TECHNICIAN DEPLOYMENT OUT / IN PROCESSING
What documents should you bring when you visit HRO?
Technicians needing to in/out process for deployment should have the following documents PRIOR to coming to in/out process at HRO-ERS, 5019 Highway 42, Room 203, Ellenwood, GA 30294. No appointment is necessary; please come Monday – Friday, 8am-4pm.
Other HRO offices are located at MATES, GGTC/Fort Stewart, 165th Airlift Wing, Savannah, and 116th Air Control Wing, Warner Robins.
DOCUMENTS TO BRING:
1. SF52 signed by technician’s supervisor.
- SF 52 can be located at www.opm.gov click on site index, then forms
- Information for 52 should be on employees’ last SF 50 or My Biz {See DCPDS / MyBiz tab for more info}
- We will determine effective date of SF 52 when they get to HRO.
- All SF 52’s need to be sent to the Chief of Staff (COS) office prior to HRO.
2. Last Technician LES
- We need the employee’s last technician LES to determine if they have NGAUS, VULCAN, check FEHB, Leave, and TSP Loan info. We do not always have this information in the personnel file.
3. Individual Orders/DD 214
- We can't out-process with MOB unit orders. Please bring a copy of individual orders or DD 214.
- We need the DD 214 to start the military service deposit (military buyback) process. It is helpful to bring your amended order when returning from military active duty.
4. Completed leave slips (OPM 71) if possible.
All forms and additional information are on our website at www.gahro.com or call 678-569-5705 / 5706 / 5707 / 5708 / 5709 / 5737 / 5702 OR YOUR LOCAL HRO REPRESENTATIVE AT 116TH, 165TH, OR MATES
NO APPOINTMENT NECESSARY!
SF 52 How to Correctly Fill out a SF 52
http://uspfo.intranet.ga.ng.ds.army.mil/pfohome.htm (GA NATIONAL GUARD ORDERS WEBSITE)
"Absent - Uniformed Services" Checklist - Updated Oct 2011
"Return to Duty" Checklist - Updated Oct 2011
OPM 71 Technician Leave Form
REQUEST FOR MILITARY EARNINGS, RI 20-97
BUTTERBAUGH LEAVE INFORMATION
BUTTERBAUGH NOTIFICATION AND LEAVE CLAIM
*** TO ALL TECHNICIANS AND AGRs *** EXTREMELY IMPORTANT *** REMINDER ***
CONTACT HRO/HRO REMOTE DESIGNEE IMMEDIATELY IF MOBILIZED ON EITHER INDIVIDUAL OR GROUP ORDERS!!!
During this time of uncertainty and rapid deployments, it is extremely important to remind all technicians and AGRs to contact HRO-ERS, HRO-AGR or the HRO remote designees at MATES for ARNG or 116 ACW / 165th AW for ANG, if mobilized to ensure the proper scheduling of leave / LWOP-MIL date and to understand, select, and confirm benefit elections and orders status throughout the term of deployment. Failure to contact HRO/HRO designee to properly out-process for a period of LWOP-MIL or AGR mobilization can have a significant impact on individual and family benefits such as life and health insurance, orders status (AGR), etc.
If a large group is mobilized for deployment, HRO may coordinate a visit to your location for out-processing. For individuals deploying, HRO will meet with you at the HRO/ERS or AGR office or at the HRO remote designee locations, or consider alternative arrangements for special situations on a case-by-case basis.
DO NOT SKIP THIS IMPORTANT STEP PRIOR TO YOUR MOBILIZATION DATE!!!
A NOTE ABOUT TECHNICIANS APPLYING FOR ADOS TOURS:
In order to minimize personnel turnover in the Full-Time Manning (Technician and AGR) workforce, Technicians will not be placed on an ADOS order of less than four (4) months, preferably for a length of one (1) year.
Technicians MUST request in writing, on a separate memorandum, to go "Absent - US" (formerly known as "LWOP-MIL") or "Separation - US" ("SEP-US") and out-process with HRO-ERBS, Oglethorpe Armory, Suite 203.
If an employee elects "Absent-US", those employees will remain on the Technician Rolls. "Separation-US" employees will not remain on the rolls, which allows for better tracking of Full-Time Manning. It will also prevent overpayments and debts regarding Technician Pay.
Permanent Tenure "1" or "2" Employees (Block 24 on the SF-50) will have restoration rights if "Absent-US" or "Separation-US" as long as they meet the restoration criteria.
Supervisors of Technicians applying for ADOS positions MUST submit a SF-52 to place the employee on "Absent-US" or "Separation-US" per the Technician's request to the Chief of Staff's Office. Technicans are entitled to their 120 hours of Military Leave when they are restored to Technician Service.
Supervisors CANNOT force a Technician to Resign, or go on a status of "Absent-US" or "Separation-US".
A copy of the orders must be submitted with the SF-52 and the Technician Memo. For further questions regarding this policy, please contact one of the numbers above or send an email. Thank you.
MILITARY BUY-BACK
GA-HRO-ERS PROCESSING PROCEDURES FOR MILITARY BUYBACK As of 5 Dec 06
What is military buyback?
Military buyback is slang for Military Service Deposit. A military service deposit is a process that allows military members to use Title 10 Military Service toward their technician retirement. Each period of service that is bought back will increase the number of years to be eligible for retirement AND in cases increase the technician retirement annuity. Employees must make deposits for their military time within 3 yrs from date of permanent hire OR return to duty date to avoid interest. (This is NOT ALL inclusive; please contact HRO-ERS 678-569-5705/5706 for a more detailed explanation.)
Procedures to Start the Military Buyback Process:
1. Employee OR HRO-ERS request military earnings on RI 20-97 (Request for Military Earnings)
RI 20-97 Request for Military Earnings - August 2011
Submit RI 20-97 to the appropriate branch of service for DD 214’s or time period. (Title 10 Orders) Military earnings should come back from branch of service within 3 weeks. (Make sure employee/HRO address is on the bottom of RI 20-97)
2. Once earnings are received, employee should provide a copy of earnings to HRO or HRO Representative to compute military deposit amount(s) owed. HRO will compute military buyback computation with 2-4 weeks depending on current backlog.
3. Once HRO completes computation, HRO will mail/fax computation to employee with cover letter for employee to decide if he/she wants to buyback the military time. This is the only notification that the employee will receive from HRO-ERS.
4. The employee has 2 options to buyback military time:
1) Pay Military Deposit by payroll deduction, minimum of $25 per pay period. Employee needs to determine the proper pay off time to avoid interest (26 Pay Periods a year.) To start payroll deduction, employee should fax/mail a "signed" MEMO with Name, SSN, Phone #, and dollar amount of payroll deduction per pay period. It will take approximately 4-8 weeks before employee will see the deduction in his/her Civilian LES.
2) Pay Military Deposit by Check. Make check payable to DFAS-CL-8522. In the FOR part of the check, please write, Military Buyback AND your SSN. Please bring or mail check to HRO-ERS, 5019 GA Hwy 42, Suite 203, Ellenwood, GA 30294. It will take approximately 4-8 weeks before the check clears and your LES reflects paid.
5. Please bring a completed & signed page 1 of an SF 3108 along with your MEMO or check.
SF 3108 Application to Make Service Credit Payment
6. Please provide HRO-ERS with proof of paid military deposits when repayment is finalized. (LES or OPM 1514)
A NOTE ABOUT TECHNICIANS APPLYING FOR ADOS TOURS:
In order to minimize personnel turnover in the Full-Time Manning (Technician and AGR) workforce, Technicians will not be placed on an ADOS order of less than four (4) months, preferably for a length of one (1) year.
Technicians MUST request in writing, on a separate memorandum, to go "Absent - US" (formerly known as "LWOP-MIL") or "Separation - US" ("SEP-US") and out-process with HRO-ERBS, Oglethorpe Armory, Suite 203.
If an employee elects "Absent-US", those employees will remain on the Technician Rolls. "Separation-US" employees will not remain on the rolls, which allows for better tracking of Full-Time Manning. It will also prevent overpayments and debts regarding Technician Pay.
Permanent Tenure "1" or "2" Employees (Block 24 on the SF-50) will have restoration rights if "Absent-US" or "Separation-US" as long as they meet the restoration criteria.
Supervisors of Technicians applying for ADOS positions MUST submit a SF-52 to place the employee on "Absent-US" or "Separation-US" per the Technician's request to the Chief of Staff's Office. Technicans are entitled to their 120 hours of Military Leave when they are restored to Technician Service.
Supervisors CANNOT force a Technician to Resign, or go on a status of "Absent-US" or "Separation-US".
A copy of the orders must be submitted with the SF-52 and the Technician Memo. For further questions regarding this policy, please contact one of the numbers above or send an email. Thank you.
Workers Compensation Info
Attention - ALL Technicians & Technician Supervisors
In order to meet Federal Employment Compensation Guidelines, it is mandatory that Supervisors and Employees use the following electronic process for submission of OWCP forms any time there is a workplace injury.
Department of Labor requires that forms CA-1’s and CA-2’s be at OWCP within 10 calendar days from the date of notice of injury.
The following Guidelines MUST be utilized to submit Workers Compensation Electronic Forms CA-1’s and CA-2’s to HRO-ERS:
Note: If an employee needs immediate medical care, at the supervisor’s discretion, issue a CA-16 prior to completing CA-1. Supervisor completes page 1 of Ca-16. Doctor completes page 2 of CA-16. Ensure employee gets page 2 of the CA-16 back from the doctor. See CA-16 Cover Letter (Attached Below) for more information on the CA-16. A CA-16 is not needed for military medical clinics for first aid treatment. We encourage the use of military medical clinics, but it is not mandatory. If you need a copy of the CA-16 please call COMM 678-569-5702/5707 or DSN 338-5702/5707.
1. The Supervisor & Employee should go to the below web site to complete electronic CA-1’s and CA-2’s.
Notes:
- CA-1 is used for injuries that incurred in one work shift. (Traumatic Injury)
- CA-2 is used for injuries that occurred over a period of time. (Occupational Disease or illness)
2. Go to the CPMS Website: http://www.cpms.osd.mil/ICUC/ICUC_index.aspx, then click on "Filing Claims Electronically with EDI" (on the left). It will take a few minutes for the form to populate.
3. Enter SSN and DOB. Click Enter Claim. Name will auto-populate. Complete all tabs on the form. You must have JAVA Plus and a recent ADOBE version for this to work. Call your IT/computer help desk if you need help getting these loaded.
- White fields are mandatory, yellow fields are optional. No dashes in phone numbers.
- Periodically click in the zip code fields to prevent the claim from timing out.
- It is recommended to input claims before Noon (Eastern) for faster processing times, as the West Coast is also using EDI in the evening.
4. Once the form is completed, click "print" and "submit to ICPA". Once the form is submitted it will be electronically sent to HRO-ERS to be reviewed and forwarded to OWCP. Please call HRO at COMM 678-569-5702/5707 or DSN 338-5702/5707 to verify that the claim was received. HRO-ERS will e-mail a copy of the CA-1 to the supervisor and HRO Reps if applicable.
5. Supervisor and Employee should sign printed forms (CA-1, CA-16) and mail signed originals to:
Georgia National Guard
HRO - Emplooyee Relations, Benefits, & Services
5019 Ga Hwy 42 - Suite 203
Ellenwood, GA 30294
Workers Compensation Program Manager
Phone: Comm 678-569-5702 / DSN 338-5702
Fax: Comm 678-569-5762 / DSN 338-5762
6. Once a CA-1 is entered, if the employee needs medical care, supervisor at his/her discretion should issue a CA-16 to accompany technician to the doctor. (A CA-20 should be sent with employee to the doctor if the claim is questionable by supervisor or medical attention is needed later than 4 days after injury)
7. A CA-17 is recommended to send with the employee to determine work restrictions. The supervisor completes the left-hand side of CA-17. The doctor completes the right side. Please see attached Policy Memo stating that supervisors are required to provide light duty. Please call 678-569-5737 DSN 338-5737 or 678-569-5705 DSN 338-5705 if you have questions regarding Light Duty or Continuation of Pay (COP).
The attending nurse/physician should complete their portion of the CA-16, CA-17, or CA-20 and return all forms to the employee and supervisor so the forms can be mailed to GA National Guard, HRO-ERBS, ATTN: Worker's Compensation, 5019 GA Hwy 42 - Suite 203, Ellenwood, GA 30294 as soon as possible. Bills and claim may be denied if CA-16 is not received in HRO-EBRS in a timely manner.
Make sure to tell the medical providers that the claim is a Federal Workers Compensation claim. The bills should be mailed to ACS, on Forms HCFA 1500’s or UB 92’s to US DEPT OF LABOR, PO BOX 8300, LONDON, KY 40742-8300. Providers can call ACS at 1-866-335-8319 for billing questions.
8. Please report injury to your local Safety Offices for reporting and prevention. Please use one of the Points of Contact listed below:
- Georgia Army National Guard Safety Office: email
NGGA Safety or phone: Comm (678) 569-3992 / DSN 338-3992
- 116th ACW Safety Office: phone: Comm (478) 201-5934 or 2723 / DSN 241-5934 or 2723
- 165th AW Safety Office: 165th AW Safety or phone: Comm (912) 966-8206 / DSN 860-8206
9. If you need additional information on Electronic Data Interchange (EDI) or other Workers Compensation matters, please call COMM 678-569-5702/5705/5707 DSN 338-5702/5705/5707 or by e-mail: NG-GA-HRO Services
Additional forms (CA-16 not on web) at Dept of Labor OWCP-FORMS site: http://webapps.dol.gov/libraryforms/FormsByTitle.asp#ListO
Electronic Data Interchange (EDI) - How to submit Electronic CA-1 & CA-2
Retirement & Separation Info
Technicians that are enrolled in NGAUS Disability Insurance can complete a NGAUS Claim form if they retire medically from the technician program. Technicians need to complete the NGAUS Employee Statement and Release. Technicians need to have their physician and supervisor also complete a form. Once employee, supervisor, and physician forms are complete, mail the forms back to HRO-ERBS, 5019 GA Hwy 42, Suite 203, Ellenwood, GA 30294, and we will complete the Employer Statement. Forms can be obtained at http://www.ngaus.org/index.asp?bid=191
SF 3108 Application to make Military Service Credit Payment (Military Buyback) - March 2008 form, includes SF-3108A
SF 3107 Application for Immediate FERS Retirement - June 2006 form
DISABILITY RETIREMENT SUPPORTING DOCUMENTATION FORMS:
To visit the Office of Personnel Management's (OPM) retirement information website, go to: http://www.opm.gov/retire/index.aspx
DISABILITY RETIREMENT PROCEDURES FOR TECHNICIANS - Information Paper
SF 3112-1 Disability Retirement Information Pamphlet (CSRS)
SF 3112-2 Disability Retirement Information Pamphlet (FERS)
SF 3112 Disability Retirement Application
SF 2801-A, Applying for Immediate Retirement Under CSRS - June 2007 (Pamphlet)
SF 2801 Application for Immediate CSRS Retirement
RI 20-97 Request for Military Earnings - August 2011
Fact Sheet for Separating Federal Employees (For Reasons Other Than Retirement)
Death and Survivor Benefits
Please check back later for more information.
MISCELLANEOUS - "STUFF" THAT DOESN'T FIT ANYWHERE ELSE
GA DOD TECHNICIAN HANDBOOK
NGAUS INSURANCE BOOKLET
MYPAY NEWS RELEASE 0507-0001
TRICARE RESERVE SELECT INFORMATION (IN TWO FORMATS):
TRICARE RESERVE SELECT INFO PAPER (.PDF) OR TRICARE RESERVE SELECT INFO PAPER (.DOC)
SF-8 Notice to Federal Employees About Unemployment Insurance
IRS, WAGE and TAX STATEMENT W-2 FACT SHEET (DECEMBER 2007)
A NOTE ABOUT TECHNICIANS APPLYING FOR ADOS TOURS:
In order to minimize personnel turnover in the Full-Time Manning (Technician and AGR) workforce, Technicians will not be placed on an ADOS order of less than four (4) months, preferably for a length of one (1) year. Tehcnicians must request in writing, on a separate memorandum, to go "Absent - US" (formerly known as "LWOP-MIL") or "Separation - US" ("SEP-US") and out-process with HRO-ERBS, Oglethorpe Armory, Suite 203. If an employee elects "Absent-US", those employees will remain on the Technician Rolls. "Separation-US" employees will not remain on the rolls, which allows for better tracking of Full-Time Manning. It will also prevent overpayments and debts regarding Technician Pay. Permanent Tenure "1" or "2" Employees (Block 24 on the SF-50) will have restoration rights if "Absent-US" or "Separation-US" as long as they meet the restoration criteria. Supervisors of Technicians applying for ADOS positions MUST submit a SF-52 to place the employee on "Absent-US" or "Separation-US" per the Technician's request to the Chief of Staff's Office. Technicans are entitled to their 120 hours of Military Leave when they are restored to Technician Service. Supervisors CANNOT for ce a Technician to resign, "Absent-US", or "Separation-US". A copy of the orders must be submitted with the SF-52 and the Technician Memo. For further questions regarding this policy, please contact one of the numbers above or send an email. Thank you.
DIRECTIONS TO OFFICE:
Coming south on I-75, take exit 261, GA-280 (Lockheed, Dobbins ARB). Turn right and travel 3.6 miles on GA-280/Delk Rd SE, then turn left at Atlanta Road SE. Go approximately 2.4 miles to George McMillan Dr. and turn left under the Rail-Road underpass. At the next intersection, you will turn left onto Dixie Avenue, and after .25 miles, you will bear to the right onto Richardson Road. Turn left at the Clay NG Center Gate after another .25 miles and after admittance to the base, you will continue on Atlantic Avenue to the 4-way intersection; turn left onto Halsey Avenue, and Building 447 is at the top of the hill, through the round-about. Our office is on the main floor - check in through Security and follow the building signs.
From Northbound I-285, you will exit at South Atlanta Road, exit 16, and turn left from the middle lane of the exit ramp. Go approximately 5.5 miles to George McMillan Dr. and turn right under the Rail-Road underpass. At the next intersection, you will turn left onto Dixie Avenue, and after .25 miles, you will bear to the right onto Richardson Road. Turn left at the Clay NG Center Gate after another .25 miles and after admittance to the base, you will continue on Atlantic Avenue to the 4-way intersection; turn left onto Halsey Avenue, and Building 447 is at the top of the hill, through the round-about. Our office is on the main floor - check in through Security and follow the building signs.
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