[Code of Federal Regulations]
[Title 5, Volume 2]
[Revised as of January 1, 2005]
From the U.S. Government Printing Office via GPO Access
[CITE: 5CFR890.307]

[Page 463]
 
                    TITLE 5--ADMINISTRATIVE PERSONNEL
 
          CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT (CONTINUED)
 
PART 890_FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM--Table of Contents
 
                          Subpart C_Enrollment
 
Sec. 890.307  Waiver or suspension of annuity or compensation.

    (a) Except as provided in paragraphs (b) and (f) of this section, 
when annuity or compensation is entirely waived or suspended, the 
annuitant's enrollment continues for not more than 3 months (not more 
than 12 weeks for annuitants whose compensation under subchapter I of 
chapter 81 of title 5, United States Code, is paid each 4 weeks). If the 
waiver or suspension continues beyond this period, the employing office 
will notify the annuitant in writing that the employing office will 
terminate the enrollment effective at the end of the period, subject to 
the temporary extension of coverage for conversion, unless the annuitant 
elects to make payment of the premium directly to the employing office 
during the period of waiver. If the annuitant elects to have the 
enrollment terminated, the employing office automatically reinstates the 
enrollment on a prospective basis when the annuitant again receives 
payment of annuity or compensation. The employing office will make the 
withholding for the period of waiver or suspension during which 
enrollment was continued (i.e., 3 months or less).
    (b) If the annuitant elects to pay premiums directly, he or she must 
send to the employing office his or her share of the subscription charge 
for the enrollment for every pay period during which the enrollment 
continues, exclusive of the 31-day temporary extension of coverage for 
conversion provided in Sec. 890.401. The annuitant must pay after each 
pay period he or she is covered in accordance with a schedule 
established by the employing office. If the employing office does not 
receive payment by the date due, the employing office must notify the 
annuitant in writing that continuation of coverage depends upon payment 
being made within 15 days (45 days for annuitants residing overseas) 
after receipt of the notice. If no further payments are made, the 
employing office terminates the enrollment 60 days after the date of the 
notice (90 days for annuitants residing overseas). The employing office 
automatically reinstates enrollment on a prospective basis when payment 
of annuity or compensation resumes.
    (c) If the annuitant is prevented by circumstances beyond his or her 
control from paying within 15 days after receipt of the notice, he or 
she may request reinstatement of coverage by writing to the employing 
office. The annuitant must file the request within 30 calendar days from 
the date of termination, and must include supporting documentation. The 
employing office will determine if the annuitant is eligible for 
reinstatement of coverage; and, when the determination is affirmative, 
reinstate the coverage of the annuitant retroactive to the date of 
termination. If the determination is negative, the annuitant may request 
a review of the decision as provided in Sec. 890.104.
    (d) Termination of enrollment for failure to pay premiums within the 
time frame established in accordance with paragraph (b) of this section 
is retroactive to the end of the last pay period for which the employing 
office timely received payment.
    (e) The employing office will submit all direct premium payments 
along with its regular health benefits premiums to OPM in accordance 
with procedures established by OPM.
    (f) If suspension of annuity or compensation is because of 
reemployment, the reemploying office must make the withholding currently 
and enrollment continues during reemployment.

[59 FR 60296, Nov. 23, 1994, as amended at 59 FR 67607, Dec. 30, 1994]