[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: 5CFR890.1109]

[Page 510-511]
 
                    TITLE 5--ADMINISTRATIVE PERSONNEL
 
          CHAPTER I--OFFICE OF PERSONNEL MANAGEMENT (CONTINUED)
 
PART 890_FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM--Table of Contents
 
              Subpart K_Temporary Continuation of Coverage
 
Sec. 890.1109  Premium payments.

    (a) Except as provided in paragraph (b) of this section, the 
enrollee must pay the full enrollment charge as determined under Sec. 
890.503(a), including both the Government contributions and employee 
withholdings, plus the administrative charge described under Sec. 
890.1113, for every pay period during which the enrollment continues, 
exclusive of the 31-day temporary extension of coverage for conversion 
provided under Sec. 890.401 of this part.
    (b) If the enrollee is not covered under this subpart for the full 
pay period, he or she pays the premium charge for only the days actually 
covered. The daily premium rate is an amount equal to the monthly rate 
(including the administrative charge) multiplied by 12 and divided by 
365.
    (c) The enrollee must make the payment after the pay period during 
which he or she is covered in accordance with a schedule established by 
the employing office. If the employing office does not receive the 
payment by the date due, the employing office must notify the enrollee 
in writing that continuation of coverage depends upon payment being made 
within 15 days (45 days for enrollees residing overseas) after receipt 
of the notice. If no subsequent payments are made, the employing office 
terminates the enrollment 60 days (90 days for enrollees residing 
overseas) after the date of the notice. An enrollee whose coverage 
terminates because of nonpayment may not reenroll or reinstate coverage 
except as provided under paragraph (d) of this section.
    (d)(1) If the enrollee was prevented by circumstances beyond his or 
her control from making payment within the timeframe specified in 
paragraph (c) of this section, he or she may request reinstatement of 
coverage by writing to the employing office. The request must be filed 
within 30 calendar days from the date of termination and must be 
accompanied by verification that the enrollee was prevented by 
circumstances beyond his or her control from paying within the time 
limit.
    (2) The employing office determines whether the individual is 
eligible for reinstatement of coverage. If the determination is 
affirmative, coverage is reinstated retroactively to the date of 
termination. If the determination is negative, the individual may 
request a

[[Page 511]]

review of the decision from the employing agency as provided under Sec. 
890.104.

[54 FR 52339, Dec. 21, 1989, as amended at 59 FR 67607, Dec. 30, 1994; 
61 FR 37810, July 22, 1996]