| INSURANCE |
SF 50 Code |
| An employee in a position excluded from FEGLI coverage by law or regulation. |
A0 |
| FEGLI coverage as an employee ended due to completion of 12 months in nonpay status. Applicable even when employee remains in nonpay status with the agency but continues all or some of the FEGLI coverage as a compensationer while in receipt of workers' compensation. |
A1 |
| Waived |
B0 |
| Basic only |
C0 |
| Basic + Option A |
D0 |
| Basic + Option C (1x) |
E1 |
| Basic + Option C (2x) |
E2 |
| Basic + Option C (3x) |
E3 |
| Basic + Option C (4x) |
E4 |
| Basic + Option C (5x) |
E5 |
| Basic + Option A +Option C (1x) |
F1 |
| Basic + Option A +Option C (2x) |
F2 |
| Basic + Option A +Option C (3x) |
F3 |
| Basic + Option A +Option C (4x) |
F4 |
| Basic + Option A +Option C (5x) |
F5 |
| Basic + Option B (1x) |
G0 |
| Basic + Option B (1x) + Option A |
H0 |
| Basic + Option B (1x) + Option C (1x) |
I1 |
| Basic + Option B (1x) + Option C (2x) |
I2 |
| Basic + Option B (1x) + Option C (3x) |
I3 |
| Basic + Option B (1x) + Option C (4x) |
I4 |
| Basic + Option B (1x) + Option C (5x) |
I5 |
| Basic + Option B (1x) + Option A + Option C (1x) |
J1 |
| Basic + Option B (1x) + Option A + Option C (2x) |
J2 |
| Basic + Option B (1x) + Option A + Option C (3x) |
J3 |
| Basic + Option B (1x) + Option A + Option C (4x) |
J4 |
| Basic + Option B (1x) + Option A + Option C (5x) |
J5 |
| Basic +Option B (2x) |
K0 |
| Basic + Option B (2x) + Option A |
L0 |
| Basic + Option B (2x)+ Option C (1x) |
M1 |
| Basic + Option B (2x)+ Option C (2x) |
M2 |
| Basic + Option B (2x)+ Option C (3x) |
M3 |
| Basic + Option B (2x)+ Option C (4x) |
M4 |
| Basic + Option B (2x)+ Option C (5x) |
M5 |
| Basic + Option B (2x) + Option A + Option C (1x) |
N1 |
| Basic + Option B (2x) + Option A + Option C (2x) |
N2 |
| Basic + Option B (2x) + Option A + Option C (3x) |
N3 |
| Basic + Option B (2x) + Option A + Option C (4x) |
N4 |
| Basic + Option B (2x) + Option A + Option C (5x) |
N5 |
| Basic +Option B (3x) |
90 |
| Basic + Option B (3x)+ Option A |
P0 |
| Basic+ Option B (3x) + Option C (1x) |
Q1 |
| Basic+ Option B (3x) + Option C (2x) |
Q2 |
| Basic+ Option B (3x) + Option C (3x) |
Q3 |
| Basic+ Option B (3x) + Option C (4x) |
Q4 |
| Basic+ Option B (3x) + Option C (5x) |
Q5 |
| Basic + Option B (3x) + Option A+ Option C (1x) |
R1 |
| Basic + Option B (3x) + Option A+ Option C (2x) |
R2 |
| Basic + Option B (3x) + Option A+ Option C (3x) |
R3 |
| Basic + Option B (3x) + Option A+ Option C (4x) |
R4 |
| Basic + Option B (3x) + Option A+ Option C (5x) |
R5 |
| Basic + Option B (4x) |
S0 |
| Basic + Option B (4x) + Option A |
T0 |
| Basic + Option B (4x) + Option C (1x) |
U1 |
| Basic + Option B (4x) + Option C (2x) |
U2 |
| Basic + Option B (4x) + Option C (3x) |
U3 |
| Basic + Option B (4x) + Option C (4x) |
U4 |
| Basic + Option B (4x) + Option C (5x) |
U5 |
| Basic + Option B(4x) + Option A + Option C (1x) |
V1 |
| Basic + Option B(4x) + Option A + Option C (2x) |
V2 |
| Basic + Option B(4x) + Option A + Option C (3x) |
V3 |
| Basic + Option B(4x) + Option A + Option C (4x) |
V4 |
| Basic + Option B(4x) + Option A + Option C (5x) |
V5 |
| Basic + Option B (5x) |
W0 |
| Basic + Option B (5x) + Option A |
X0 |
| Basic + Option B (5x) + Option C (1x) |
Y1 |
| Basic + Option B (5x) + Option C (2x) |
Y2 |
| Basic + Option B (5x) + Option C (3x) |
Y3 |
| Basic + Option B (5x) + Option C (4x) |
Y4 |
| Basic + Option B (5x) + Option C (5x) |
Y5 |
| Basic + Option B (5x) + Option A +Option C (1x) |
Z1 |
| Basic + Option B (5x) + Option A +Option C (2x) |
Z2 |
| Basic + Option B (5x) + Option A +Option C (3x) |
Z3 |
| Basic + Option B (5x) + Option A +Option C (4x) |
Z4 |
| Basic + Option B (5x) + Option A +Option C (5x) |
Z5 |
U.S. Office of Personnel Management 1900 E Street NW, Washington, DC 20415 | (202) 606-1800 | TTY (202) 606-2532