You have reached a collection of archive material. The content available is no longer being updated and as a result you may encounter hyperlinks which no longer function. You should also bear in mind that this content may contain text and references which are no longer applicable as a result of changes in law, regulation and/or administration.
Appendix A FEHB Program Features
RI 70-05 For TCC and Former Spouse Enrollees
No waiting periods. You can use your benefits as soon as your coverage becomes effective.
There are no pre-existing condition limitations even if you change plans.
A choice of coverage. Choose between Self Only or Self and Family.
Group Benefits. Under Spouse Equity coverage, you pay the total monthly premium. Under
TCC, you pay the total monthly premium plus a 2 percent administrative charge.
A choice of plans and options. Select from Fee-for-Service plans, (with the option of a Preferred
Provider Organization), Health Maintenance Organization, Point-of-Service plans, Consumer-Driven plans, or High
Deductible Health Plans.
Annual enrollment opportunities. Each year you can enroll or change your health plan enrollment. The
Open Season runs from the Monday of the second full work week in November through the Monday of the second full work
week in December.
Continued group coverage. Eligibility for you or your family members may continue
following your retirement, divorce or death. See your human resources office or retirement
system for more information.
Coverage after FEHB ends.You or your family members may be eligible for conversion to
non-group (private) coverage when FEHB coverage ends. See your human resources office for
more information.
Consumer Protections. Go to www.opm.gov/insure/archive/health/consumers to: see your appeal rights to OPM if you and your plan have a dispute over a claim; read the Patients' Bill of Rights and
the FEHB Program; and learn about your privacy protections when it comes to your medical information.