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QLE�s That Permit Enrollment or Change |
Change Permitted |
Time Limits |
||||
---|---|---|---|---|---|---|
Code |
Event |
From Not Enrolled to Enrolled |
From Self Only to Self and Family |
From One Plan or Option to Another |
When You Must File Health Benefits Election Form With Your Employing Office |
|
2 |
Annuitant (Includes Compensationers) Note for enrolled survivor annuitants: A change in family status based on additional family members can only occur if the additional eligible family members are family members of the deceased employee or annuitant. |
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2A |
Open Season |
No |
Yes |
Yes |
As announced by OPM. |
|
2B |
Change in family status; for example: marriage, birth or death of family member, adoption, legal separation, or divorce. |
No |
Yes |
Yes |
From 31 days before through 60 days after the event. |
|
2C |
Reenrollment of annuitant who cancelled FEHB enrollment to enroll in a Medicare-sponsored plan, Medicaid, or similar State-sponsored program and who later was involuntarily disenrolled from the Medicare-sponsored plan, Medicaid, or similar State-sponsored program. |
May Reenroll |
N/A |
N/A |
From 31 days before through 60 days after disenrollment. |
|
2D |
Reenrollment of annuitant who cancelled FEHB enrollment to enroll in a Medicare-sponsored plan, Medicaid, or similar State-sponsored program and who later voluntarily disenrolls from the Medicare-sponsored plan, Medicaid, or similar State-sponsored program. |
May Reenroll |
N/A |
N/A |
During open season. |
|
2E |
Restoration of annuity or compensation (OWCP) payments; for example:
|
Yes |
N/A |
N/A |
Within 60 days after the retirement system or OWCP mails a notice of insurance eligibility. |
|
2F |
Annuitant or eligible family member loses FEHB coverage due to termination, cancellation, or change to Self Only of the covering enrollment. |
Yes |
Yes |
Yes |
From 31 days before through 60 days after date of loss of coverage. |
|
2G |
Annuitant or eligible family member loses coverage under FEHB or another group insurance plan; for example:
|
Yes |
Yes |
Yes |
From 31 days before through 60 days after loss of coverage. |
|
2H |
Annuitant or eligible family member loses coverage due to the discontinuance, in whole or part, of an FEHB plan. |
N/A |
Yes |
Yes |
During open season, unless OPM sets a different time. |
|
2I |
Annuitant or covered family member in a Health Maintenance Organization (HMO) moves or becomes employed outside the geographic area from which the carrier accepts enrollments, or if already outside this area, moves or becomes employed further from this area. |
N/A |
Yes |
Yes |
Upon notifying the employing office of the move or change of place of employment. |
|
2J |
Employee in an overseas post of duty retires or dies. |
No |
Yes |
Yes |
Within 60 days after retirement or death. |
|
2K |
An enrolled annuitant separates from duty after serving 31 days or more in a uniformed service. |
N/A |
Yes |
Yes |
Within 60 days after separation from the uniformed service. |
|
2L |
On becoming eligible for Medicare. |
N/A |
No |
Yes |
At any time beginning on the 30th day before becoming eligible for Medicare. |
|
2M |
Annuitant�s annuity is insufficient to make withholdings for plan in which enrolled. |
N/A |
No |
Yes |
Employing office will advise annuitant of the options. |