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U.S. Office of Personnel Management - Ensuring the Federal Government has an effective civilian workforce

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Insurance Services Programs

Federal Employees Health Benefits Program

FEHB Regulations


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Code of Federal Regulations
Title 5 - Administrative Personnel
Chapter I - Office of Personnel Management
Part 890 - Federal employees health benefits program

Code of Federal Regulations
Title 5 - Administrative Personnel
Chapter I - Office of Personnel Management
Part 891 - Retired federal employees health benefits



Section

Format

890.101 Definitions; time computations.

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890.102 Coverage.

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890.103 Correction of errors.

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890.104 Initial decision and reconsideration on enrollment.

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890.105 Filing claims for payment or service.

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890.106 Delegation of authority for resolving certain contract disputes.

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890.107 Court review.

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890.108 Waiver of requirements for continued coverage during retirement.

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890.109 Exclusion of certain periods of eligibility when determining continued coverage during retirement.

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890.110 Enrollment reconciliation.

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890.201 Minimum standards for health benefits plans.

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890.202 Minimum standards for health benefits carriers.

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890.203 Application for approval of, and proposal of amendments to, health benefit plans.

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890.204 Withdrawal of approval of health benefits plans or carriers.

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890.205 Nonrenewal of contracts of health benefits plans.

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890.301 Opportunities for employees who are not participants in premium conversion to enroll or change enrollment; effective dates.

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890.302 Coverage of family members.

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890.303 Continuation of enrollment.

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890.304 Termination of enrollment.

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890.305 Reinstatement of enrollment after military service.

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890.306 Opportunities for annuitants to change enrollment or to reenroll; effective dates.

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890.307 Waiver or suspension of annuity or compensation.

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890.308

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890.401 Temporary extension of coverage and conversion.

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890.501 Government contributions.

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890.502 Employee withholdings and contributions.

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890.503 Reserves.

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890.504 Disposition of contingency reserves upon reorganization or merger of plans.

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890.505 Recurring premium payments to carriers.

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890.601 Coverage.

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890.602 Opportunity to change enrollment.

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890.603 Effective date.

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890.605 Persons confined on effective date.

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890.701 Definitions.

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890.702 Payment to any licensed practitioner.

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890.801 Introduction.

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890.802 Definition.

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890.803 Who may enroll.

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890.804 Coverage.

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890.805 Application time limitations.

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890.806 Opportunities for former spouses to enroll and change enrollment; effective dates of enrollment.

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890.807 Termination of enrollment.

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890.808 Employing office responsibilities.

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890.901 Purpose.

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890.902 Definition.

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890.903 Covered services.

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890.904 Determination of FEHB benefit payment.

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890.905 Limits on inpatient hospital and physician charges.

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890.906 Retired enrolled individuals coinsurance payments.

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890.907 Effective dates.

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890.908 Notification of HHS.

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890.909 End-of-year settlements.

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890.910 Provider information.

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890.1002 Definitions.

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890.1003 Standards for OPM determinations of excessive charges, overprescribing, and services or supplies of a poor quality in connection with claims presented under this chapter.

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890.1004 Standards for determining either the period of debarment or the amount of civil monetary penalties or assessments.

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890.1005 Effective dates and notices.

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890.1006 Payment of claims for service or supplies furnished by debarred providers.

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890.1101 Purpose.

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890.1102 Definitions.

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890.1103 Eligibility.

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890.1104 Notification by agency.

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890.1105 Initial election of temporary continuation of coverage; application time limitations and effective dates.

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890.1106 Coverage.

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890.1107 Length of temporary continuation of coverage.

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890.1108 Opportunities to change enrollment; effective dates

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890.1109 Premium payments.

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890.1110 Termination of enrollment or coverage.

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890.1111 Employing office responsibilities.

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890.1112 Denial of continuation of coverage due to involuntary separation for gross misconduct.

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890.1113 The administrative charge.

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890.1201 Purpose.

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890.1202 Definitions.

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890.1203 Coverage.

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890.1204 Effective date of coverage.

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890.1205 Change in type of enrollment.

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890.1206 Cancellation of coverage.

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890.1207 Termination of coverage.

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890.1208 Premiums.

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890.1209 Responsibilities of the U.S. Department of State.

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890.1210 Reconsideration and appeal rights.

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890.1301 Purpose.

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890.1302 Duration.

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890.1303 Eligibility.

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890.1304 Enrollment.

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890.1305 Termination and cancellation.

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890.1306 Government premium contributions.

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890.1307 Data collection.

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890.1308 Carrier participation.

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Retired Federal Employees Health Benefits

Code of Federal Regulations
Title 5 - Administrative Personnel
Chapter I - Office of Personnel Management
Part 891 - Retired federal employees health benefits

Section

Format

891.101 Relationship to part 890 of this chapter.

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891.102 Definitions.

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891.103 Eligibility.

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891.104 Responsibilities of retirement offices.

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891.105 Correction of errors.

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891.106 Reconsideration.

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891.201 Election.

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891.202 Change of election.

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891.301 Suspension and termination.

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891.401 Government contributions.

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891.402 Withholdings.

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891.501 Standards for uniform plan.

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891.502 Standards for carrier of uniform plan.

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