Generally, you will pay lower premiums for two Self Only enrollments. We give specific instructions on the coordination of Open Season, and let the agencies know of any changes in materials to be issued or procedures to be followed during that period.

Some examples of allowable dual enrollment include when: No enrollee or family member may receive benefits under more than one FEHB enrollment. These rights are based on the termination from the interim appointment - the prior separation has no bearing. 8906a and you change to an appointment that makes you eligible for FEHB coverage with a Government contribution, you may change plans, options, and types of enrollment.

The first two places in the three-digit code identify the plan, and the third place identifies the option and type of enrollment.

If you want to provide immediate coverage for your new spouse, you may submit an enrollment request during the pay period before the anticipated date of your marriage. If both you and your spouse are eligible to enroll, one of you may enroll for Self and Family to cover your entire family. When you retire and are eligible to continue FEHB coverage into retirement, your enrollment is transferred in by the retirement system and automatically continued. His enrollment in FSBP will continue, and the gaining agency must make withholdings and contributions for FSBP, until he changes his enrollment or FSBP takes steps to terminate his enrollment. If you make an Open Season enrollment change, your agency or retirement system will automatically cancel your enrollment in your former health plan at the time your enrollment in your new health plan becomes effective.

The headquarters benefits officer may contact OPM with questions.

In addition, you may change your enrollment based on your return to civilian duty.

If you are a Federal employee with D.C. Government service prior to October 1, 1987, and you move back to D.C. Government without a break in service, your enrollment must be transferred in by the D.C. Government on the Notice of Change in Health Benefits Enrollment form (SF 2810). Similarly, when you change from part-time employment under 5 U.S.C. If you elect to enroll as an employee, and you later separate or your employment status changes so that your enrollment terminates, you may continue the enrollment as a survivor annuitant. ), Medicare (Employees who become eligible for Medicare and want to change plans or options, see 1L.). The last digit indicates the plan type, either individual or family plan. If your plan is discontinued at the end of a contract year, you must change your enrollment during Open Season unless OPM establishes a different time. Note: Different rules apply for some U.S. If you are enrolled in an HMO and transfer to a location outside of the HMO's service area, your enrollment continues.

Alert box notification is currently enabled, please, follow this link to enable alert boxes for your profile, follow this link to disable alert boxes for your profile, requirements for continuing your FEHB into retirement, terminated on entry into military service, when your coverage as an employee or family member ends, change to another plan before or after the move, terminates your enrollment because you are no longer a member of the organization, eligible to continue FEHB coverage into retirement, eligibility to continue coverage into retirement, Leave Without Pay Status and Insufficient Pay, Termination, Conversion, and Temporary Continuation of Coverage, Chapter 89 of title 5, United States Code. Likewise, if a change in your family status leaves only you and one eligible fmaily member then you may change to a Self Plus One enrollment.

If your interim appointment is terminated and your prior separation still stands, you have the same rights under the FEHB Program as any other employee whose appointment terminates. OPM provides employing offices with instructions for processing Open Season enrollments and enrollment changes each year via a Benefits Administration Letter (BAL). If you are separating from service and you or your spouse are pregnant, you may enroll or change your enrollment during your final pay period. The enrollment code is on the front cover of the brochure of the plan you want to be enrolled in, and shows the plan and option you are electing and whether you are enrolling for Self Only, Self Plus One, or Self and Family. The reason for the change and the date of the marriage must be given in your request. If you are entitled to health benefits coverage as a former spouse, but you are instead enrolled as an employee or family member, you may enroll or resume enrollment under spouse equity when your coverage as an employee or family member ends (as long as you still meet the spouse equity requirements). The Federal Employees Health Benefits (FEHB) Open Season for selecting our 2020 healthcare plans runs from November 11 th through December 9 th this year. Find health and wellness informationand tips for getting the most out ofyour benefits. If you are a Nonappropriated Fund (NAF) employee who returns to Federal employment, you are eligible for coverage, even when you have continued coverage under the NAF retirement system. Congress approved a cost of living increase for federal retirees. Generally, dual enrollment is prohibited except when you or a family member would otherwise lose coverage. ), HMO adds a geographic service area that now makes spouse eligible to enroll in that HMO, HMO removes a geographic area that makes spouse ineligible for coverage under that HMO, but other plans or options are available(If no other coverage is available, see 1M).

Medicaid or similar state-sponsored program of Medical assistance for the needy, Health insurance acquired due to change of worksite or residence that affects eligibility for coverage. Employer starts or stops offering a different type of coverage (If no other coverage is available, also see 1M. If your enrollment terminated and you are ordered restored to duty because the suspension or removal was unwarranted or unjustified, you may elect either to: Your employing office must notify you of the health benefits coverage choices available. at any time during the first 365 days in leave without pay status, on the same date as your change in employment status, if the change is on the first day of a pay period, or.

You cannot exclude any eligible family member and you cannot provide coverage for anyone who is not an eligible family member. Additionally, if you are using assistive technology and would like to be notified of items via alert boxes, please, This website uses features which update page content based on user actions.

Check with your employing office to see if this method is available for your use.

You do not need to do anything to ensure your continued enrollment, but the gaining employing office must transfer your enrollment. Health Details: Enrollment Code - Self : 224 111 341 481 Enrollment Code - Self & Family : 225 112 342 482 Enrollment Code - Self Plus One : 226 113 343 483 Carrier Code: 22: 11: 34: 48: Plan Type: HMO: FFS: FFS: FFS: Telephone Number: 877-459-6604: 1-800-411-2583: 800-821-6136: 800-694-9901 when to enroll in fehb opm ZZW Agency-sponsored health plan. Otherwise, the second (later) enrollment must be voided or canceled. Upon a final divorce decree, your spouse is no longer an eligible family member and is not covered under your enrollment.



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