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If he does need to stop working because of medical symptoms he should do it in such a way that he is eligible for as many of his retirement benefits as possible, and social security disability. You will certainly need an official medical diagnosis for this. You may also want to consult a lawyer to go over all the paperwork involved.
Dementia is always heartbreaking. I think that early-onset dementia (occurring while the person is still working) is particularly cruel. I don't know why you think that your husband has this, but your husband's first step should be to see specialists and get a diagnosis.
Here's a surprising fact: I researched my hubby's benefits paperwork and found this "gem" : he could NEVER, EVER transition from short term disability to long term disability because taking long term disability (LTD) disqualified him from receiving his pension. UNBELIEVABLE!!! Always read all the information you can. We'd paid for LTD at the highest possible level of pay (70%) for 27 years, never knowing he could never take it or he would lose his pension! They never revealed that fact until we came close to the reality of using it. As Duke Energy tried to move him into LTD we carefully maneuvered him AWAY from it and into retirement. What a racket!