[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: 5CFR890.102]

[Page 436-438]
 
                    TITLE 5--ADMINISTRATIVE PERSONNEL
 
          CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT (CONTINUED)
 
PART 890_FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM--Table of Contents
 
             Subpart A_Administration and General Provisions
 
Sec. 890.102  Coverage.

    (a) Each employee, other than those excluded by paragraph (c) of 
this section, is eligible to be enrolled in a health benefits plan at 
the time and

[[Page 437]]

under the conditions prescribed in this part.
    (b) An employee who serves in cooperation with non-Federal agencies 
and is paid in whole or in part from non-Federal funds may register to 
be enrolled within the period prescribed by OPM for the group of which 
the employee is a member following approval by OPM of arrangements 
providing that (1) the required withholdings and contributions will be 
made from Federally-controlled funds and timely deposited into the 
Employees Health Benefits Fund, or (2) the cooperating non-Federal 
agency will, by written agreement with the Federal agency, make the 
required withholdings and contributions from non-Federal funds and 
transmit them for timely deposit into the Employees Health Benefits 
Fund.
    (c) The following employees are not eligible:
    (1) An employee (other than an acting postmaster, a Presidential 
appointee appointed to fill an unexpired term, and an appointee whose 
appointment meets the definition of provisional appointment set out in 
Sec. Sec. 316.401 and 316.403 of this chapter) who is serving under an 
appointment limited to 1 year or less and who has not completed 1 year 
of current continuous employment, excluding any break in service of 5 
days or less.
    (2) An employee who is expected to work less than 6 months in each 
year, except for an employee who is employed under an OPM approved 
career-related work-study program under Schedule B of at least 1 year's 
duration and who is expected to be in a pay status for at least one-
third of the total period of time from the date of the first appointment 
to the completion of the work-study program.
    (3) An intermittent employee--a non-full-time employee without a 
prearranged regular tour of duty.
    (4) A beneficiary or patient employee in a Government hospital or 
home.
    (5) An employee paid on a contract or fee basis, except an employee 
who is a citizen of the United States who is appointed by a contract 
between the employee and the Federal employing authority which requires 
his personal service and is paid on the basis of units of time.
    (6) An employee paid on a piecework basis, except one whose work 
schedule provides for full-time service or part-time service with a 
regular tour of duty.
    (7) An individual first employed by the government of the District 
of Columbia on or after October 1, 1987. However, this exclusion does 
not apply to:
    (i) Employees of St. Elizabeths Hospital who accept offers of 
employment with the District of Columbia government without a break in 
service, as provided in section 6 of Pub. L. 98-621 (98 Stat. 3379);
    (ii) The Corrections Trustee and the Pretrial Services, Defense 
Services, Parole, Adult Probation and Offender Supervision Trustee and 
employees of these Trustees who accept employment with the District of 
Columbia government within 3 days after separating from the Federal 
Government; and
    (iii) Effective October 1, 1997, judges and nonjudicial employees of 
the District of Columbia Courts, as provided by Pub. L. 105-33 (111 
Stat. 251).
    (8) An individual first employed by the government of the District 
of Columbia on or after October 1, 1987. However, this exclusion does 
not apply to:
    (i) Employees of St. Elizabeths Hospital who accept offers of 
employment with the District of Columbia government without a break in 
service, as provided in section 6 of Pub. L. 98-621 (98 Stat. 3379);
    (ii) The Corrections Trustee and the Pretrial Services, Parole, 
Adult Probation and Offender Supervision Trustee and employees of these 
Trustees who accept employment with the District of Columbia government 
within 3 days after separating from the Federal Government;
    (iii) Effective October 1, 1997, judges and nonjudicial employees of 
the District of Columbia Courts, as provided by Pub. L. 105-33 (111 
Stat. 251); and
    (iv) Effective April 1, 1999, employees of the Public Defender 
Service of the District of Columbia, as provided by Pub. L. 105-274 (112 
Stat. 2419).
    (d) Paragraph (c) of this section does not deny coverage to:
    (1) An employee appointed to perform ``part-time career 
employment,'' as defined in section 3401(2) of title 5, United

[[Page 438]]

States Code, and 5 CFR part 340, subpart B; or
    (2) An employee serving under an interim appointment established 
under Sec. 772.102 of this chapter.
    (e) The Office of Personnel Management makes the final determination 
of the applicability of this section to specific employees or groups of 
employees.
    (f) An employee of the District of Columbia Financial Responsibility 
and Management Assistance Authority (the Authority) who makes an 
election under the Technical Corrections to Financial Responsibility and 
Management Assistance Act (section 153 of Pub. L. 104-134, 110 Stat. 
1321) to be considered a Federal employee for health benefits and other 
benefit purposes is subject to this part. If the employee is eligible to 
make an election to enroll under Sec. 890.301, such election must be 
made within 60 days after the later of either the date the employment 
with the Authority begins or the date the Authority receives his or her 
election to be considered a Federal employee. Employees of the Authority 
who are former Federal employees are subject to the provisions of Sec. 
890.303(a), except that a former Federal employee employed by the 
Authority before October 26, 1996, and within 3 days following the 
termination of the Federal employment may make an election to enroll 
under Sec. 890.301(c). Annuitants who have continued their coverage 
under this part as annuitants are not eligible to enroll under this 
paragraph. An election to enroll under this part is effective under the 
provisions of Sec. 890.306(a) unless the employee requests the 
Authority to make the enrollment effective on the first day of the first 
pay period following the date the employee entered on duty in a pay 
status with the Authority.
    (g) Notwithstanding any other provision in this part, the hiring of 
a Federal employee, whether in pay status or nonpay status, for a 
temporary, intermittent position with the decennial census has no effect 
on the withholding or Government contribution for his/her coverage or 
the determination of when 365 days in nonpay status ends.

[33 FR 12510, Sept. 4, 1968, as amended at 33 FR 20002, Dec. 31, 1968; 
35 FR 753, Jan. 20, 1970; 44 FR 57382, Oct. 5, 1979; 46 FR 25595, May 8, 
1981; 52 FR 38220, Oct. 15, 1987; 54 FR 7755, Feb. 23, 1989; 56 FR 
10143, Mar. 11, 1991; 57 FR 3715, Jan. 31, 1992; 61 FR 58460, Nov. 15, 
1996; 62 FR 50997, Sept. 30, 1997; 63 FR 9402, Feb. 25, 1998; 63 FR 
28891, May 27, 1998; 64 FR 15289, Mar. 31, 1999]

    Editorial Note: At 64 FR 15289, Mar. 31, 1999, paragraph (c)(8) of 
Sec. 890.102 was revised; however paragraph (c)(8) did not exist in the 
1999 edition of this volume.